Return to sport decisions after an acute lateral ankle sprain injury : introducing the PAASS framework - an international multidisciplinary consensus

Smith, MD ORCID: https://orcid.org/0000-0002-7860-1581, Vicenzino, B ORCID: https://orcid.org/0000-0003-0253-5933, Bahr, R ORCID: https://orcid.org/0000-0001-5725-4237, Bandholm, T ORCID: https://orcid.org/0000-0001-6884-1971, Cooke, R ORCID: https://orcid.org/0000-0003-2784-9365, De Michellis Mendonça, L ORCID: https://orcid.org/0000-0002-4495-1807, Fourchet, F, Glasgow, P, Gribble, PA, Herrington, LC ORCID: https://orcid.org/0000-0003-4732-1955, Hiller, CE ORCID: https://orcid.org/0000-0001-7366-907X, Lee, SY, Macaluso, A ORCID: https://orcid.org/0000-0001-9029-6156, Meeusen, R, Owoeye, OBA ORCID: https://orcid.org/0000-0002-5984-9821, Reid, D, Tassignon, B ORCID: https://orcid.org/0000-0003-3216-4045, Terada, M ORCID: https://orcid.org/0000-0002-0534-4772, Thorborg, K ORCID: https://orcid.org/0000-0001-9102-4515, Verhagen, E ORCID: https://orcid.org/0000-0001-9227-8234, Verschueren, J, Wang, D, Whiteley, R ORCID: https://orcid.org/0000-0002-1452-6228, Wikstrom, EA ORCID: https://orcid.org/0000-0002-7260-0502 and Delahunt, E ORCID: https://orcid.org/0000-0001-5449-5932 2021, 'Return to sport decisions after an acute lateral ankle sprain injury : introducing the PAASS framework - an international multidisciplinary consensus' , British Journal of Sports Medicine .

[img]
Preview
PDF - Accepted Version
Available under License Creative Commons Attribution Non-commercial 4.0.

Download (526kB) | Preview
Access Information: This article has been accepted for publication in British Journal of Sports Medicine (BJSM), 2021, following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/bjsports-2021-104087. © Author(s) (or their employer(s)) 2021.

Abstract

Background Despite being the most commonly incurred sports injury with a high recurrence rate, there are no guidelines to inform return to sport (RTS) decisions following acute lateral ankle sprain injuries. We aimed to develop a list of assessment items to address this gap.
Methods We used a three-round Delphi survey approach to develop consensus of opinion among 155 globally diverse health professionals working in elite field or court sports. This involved surveys that were structured in question format with both closed-response and open-response options. We asked panellists to indicate their agreement about whether or not assessment items should support the RTS decision after an acute lateral ankle sprain injury. The second and third round surveys included quantitative and qualitative feedback from the previous round. We defined a priori consensus being reached at >70% agree or disagree responses.
Results Sixteen assessment items reached consensus to be included in the RTS decision after an acute lateral ankle sprain injury. They were mapped to five domains with 98% panellist agreement-PAASS: ain (during sport participation and over the last 24 hours), nkle impairments (range of motion; muscle strength, endurance and power), athlete perception (perceived ankle confidence/reassurance and stability; psychological readiness), ensorimotor control (proprioception; dynamic postural control/balance), port/functional performance (hopping, jumping and agility; sport-specific drills; ability to complete a full training session).
Conclusion Expert opinion indicated that pain severity, ankle impairments, sensorimotor control, athlete perception/readiness and sport/functional performance should be assessed to inform the RTS decision following an acute lateral ankle sprain injury.
Trial registration number ACTRN12619000522112.
[Abstract copyright: © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.]

Item Type: Article
Additional Information: ** From PubMed via Jisc Publications Router **Journal IDs: eissn 1473-0480 **Article IDs: pubmed: 34158354; pii: bjsports-2021-104087 **History: accepted 07-06-2021
Schools: Schools > School of Health and Society
Journal or Publication Title: British Journal of Sports Medicine
Publisher: BMJ Publishing Group
ISSN: 0306-3674
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 01 Sep 2021 07:53
Last Modified: 01 Sep 2021 08:02
URI: http://usir.salford.ac.uk/id/eprint/61120

Actions (login required)

Edit record (repository staff only) Edit record (repository staff only)

Downloads

Downloads per month over past year