Return to Sport and Discharge Testing

presented by Phil Plisky

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Phil Plisky presents this course on return to sport and discharge testing. Do you want to be more scientific with your return to sport and discharge decisions? Do you want to focus more on injury prevention but don’t have the time or resources? Unfortunately, researchers have decisively found that previous injury is the number one risk factor for future injury and that modifiable motor control risk factors remain after rehabilitation. Fortunately, evidenced based tests exist to identify these risk factors and improve your confidence when making return to sport and discharge decisions. Further, these tests can be easily incorporated into clinical practice. You can dramatically impact your patient’s health and reduce re-injury rates by making evidence-based, return to sport and discharge decisions. Dr. Plisky presents such measures including the Upper and Lower Quarter Y-Balance Tests, Functional Movement Screen, and Hop Testing. Watch these tests in action through a collegiate athlete case study while learning how to dramatically impact the health of your patients and reduce re-injury rates.

Meet Your Instructor

  • Phil Plisky, PT, DSc, OCS, ATC, CSCS

    Phil Plisky, PT, DSc, OCS, ATC, CSCS

    Dr. Plisky is an Assistant Professor at the University of Evansville’s Doctor of Physical Therapy Program. He is the Director of ProRehab and University of Evansville’s Sports Residency Program, as well as a practicing therapist at ProRehab. Dr. Plisky received his Master of Physical Therapy degree from the University of Evansville and his Doctor of Science Degree in Orthopaedic Physical Therapy from Rocky Mountain University of Health Professions. Dr. Plisky is a board certified orthopedic specialist through the American Board of Physical Therapy Specialties. He is a NATA board certified athletic trainer, and a certified strength and conditioning specialist through the National Strength & Conditioning Association. Dr. Plisky specializes in sport and orthopedic rehabilitation with an emphasis on injury prevention in athletes. His research focuses on comprehensive movement testing and injury prevention among athletes, military personnel, and school aged children––research that led to the development of the Y Balance Test. Dr. Plisky’s fieldwork has garnered research grants in collaboration with multiple universities totaling over 1.5 million dollars. Additionally, he consults for collegiate and professional teams, military, and school systems to identify injury risk and offer prevention options. His peer-reviewed articles have appeared in numerous scientific journals, several of which he serves as a manuscript reviewer. Dr. Plisky also presents internationally on the subjects of return to sport testing, injury prevention, and field expedient movement testing.

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Chapters & Learning Objectives

  1. Injury Risk Factors and Motor Control Changes Following Injury

    1. Injury Risk Factors and Motor Control Changes Following Injury

    Describe risk factors for future injury in sports. Evaluate how the motor control changes that occur after injury can affect return to sport. Understand why a systematic approach is necessary to prevent injury.

  2. How are we Doing as Rehabilitation Professionals?

    2. How are we Doing as Rehabilitation Professionals?

    Connect the research regarding current rehabilitation outcomes to the need for systematic and stringent discharge testing. Utilizing ACL reconstruction as an example, apply patient outcome research to give prognosis for returning to sport. Describe the potential long term effects of not identifying motor control changes that occur after injury.

  3. Testing Fundamentals

    3. Testing Fundamentals

    Describe the psychometric properties of a quality return to sport test. Apply the neurodevelopmental perspective to return to sport testing. The relationship of full knee range of motion and the development/treatment of knee osteoarthritis. Discuss parameters for return to sport for isokinetic testing after ACL reconstruction.

  4. Functional Movement Screen

    4. Functional Movement Screen

    Identify the purpose of the Functional Movement Screen in the rehabilitation setting. Interpret results from the Functional Movement Screen as it relates to discharge and return to sport criteria. Describe conditions when Functional Movement Screening is appropriate in the rehabilitation setting.

  5. Y Balance Lower Quarter Testing

    5. Y Balance Lower Quarter Testing

    Apply the research regarding dynamic balance testing to return to sport and discharge testing. Identify passing criteria for the Star Excursion/Y Balance Test Lower Quarter. Identify appropriate populations for dynamic balance testing.

  6. Y Balance Upper Quarter Testing

    6. Y Balance Upper Quarter Testing

    Select the appropriate upper quarter test based on clinical scenarios. Identify passing criteria for upper quarter testing. Identify the differences between upper quarter tests discussed in the presentation.

  7. Hop Testing

    7. Hop Testing

    Discuss the research related to hop testing and ACL reconstructions. Identify which hop tests have discriminant validity. Apply hop testing to clinical case scenarios. Identify passing results for clinical hop testing.

  8. Putting it all Together

    8. Putting it all Together

    Arrange evidence-based return to sport tests in a hierarchical fashion and define passing criteria. Describe regarding using multiple tests to place a patient in an injury risk category. Synthesize multiple return to sport and discharge test results to make an evidence-based return to sport decision.

  9. Q&A

    9. Q&A

    Phil participates in a Question and Answer session about his course topics.