Matt Taberner, Nathan Spencer, Bryce Murphy, Jarrod Antflick, Daniel Dylan Cohen
{"title":"受伤后的场上康复:适应篮球运动的控制-混乱连续体。","authors":"Matt Taberner, Nathan Spencer, Bryce Murphy, Jarrod Antflick, Daniel Dylan Cohen","doi":"10.2519/jospt.2023.11981","DOIUrl":null,"url":null,"abstract":"<p><p><b>BACKGROUND:</b> Sport-specific training is an integral component of returning to sport following injury. Frameworks designed to guide sport-specific rehabilitation need to integrate and adapt to the specific context of elite sport. The control-chaos continuum (CCC) is a flexible framework originally designed for on-pitch rehabilitation in elite football (soccer). The concepts underpinning the CCC transfer to other elite sport rehabilitation environments. <b>CLINICAL QUESTION:</b> How can practitioners and clinicians transfer the CCC to elite basketball, to support planning and return to sport? On-court rehabilitation is a critical sport-specific rehabilitation component of return to sport, yet there are no frameworks to guide practitioners when planning and delivering on-court rehabilitation. <b>KEY RESULTS:</b> Based on our experience working in the National Basketball Association, we report how the CCC framework can apply to elite basketball. We focus on the design and delivery of progressive training in the presence of injury in this basketball-specific edition of the CCC. Given the challenges when quantifying \"load\" in basketball, we encourage practitioners and clinicians to consider the qualitative aspects of performance such as skill, sport-specific movement, contact, and decision making. <b>CLINICAL APPLICATION:</b> The 5-phase framework describes training progression from high control, a return to on-court running, to high chaos, a return to \"live\" unrestricted basketball. The model can be adapted to both short- and long-term injuries based on injury and progression criteria. Strength and power \"diagnostics\" can be strategically implemented to enhance decision making throughout the return to sport continuum. <i>J Orthop Sports Phys Ther 2023;53(9):1-12. Epub: 9 August 2023. doi:10.2519/jospt.2023.11981</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":6.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Progressing On-Court Rehabilitation After Injury: The Control-Chaos Continuum Adapted to Basketball.\",\"authors\":\"Matt Taberner, Nathan Spencer, Bryce Murphy, Jarrod Antflick, Daniel Dylan Cohen\",\"doi\":\"10.2519/jospt.2023.11981\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>BACKGROUND:</b> Sport-specific training is an integral component of returning to sport following injury. Frameworks designed to guide sport-specific rehabilitation need to integrate and adapt to the specific context of elite sport. The control-chaos continuum (CCC) is a flexible framework originally designed for on-pitch rehabilitation in elite football (soccer). The concepts underpinning the CCC transfer to other elite sport rehabilitation environments. <b>CLINICAL QUESTION:</b> How can practitioners and clinicians transfer the CCC to elite basketball, to support planning and return to sport? On-court rehabilitation is a critical sport-specific rehabilitation component of return to sport, yet there are no frameworks to guide practitioners when planning and delivering on-court rehabilitation. <b>KEY RESULTS:</b> Based on our experience working in the National Basketball Association, we report how the CCC framework can apply to elite basketball. We focus on the design and delivery of progressive training in the presence of injury in this basketball-specific edition of the CCC. Given the challenges when quantifying \\\"load\\\" in basketball, we encourage practitioners and clinicians to consider the qualitative aspects of performance such as skill, sport-specific movement, contact, and decision making. <b>CLINICAL APPLICATION:</b> The 5-phase framework describes training progression from high control, a return to on-court running, to high chaos, a return to \\\"live\\\" unrestricted basketball. The model can be adapted to both short- and long-term injuries based on injury and progression criteria. Strength and power \\\"diagnostics\\\" can be strategically implemented to enhance decision making throughout the return to sport continuum. <i>J Orthop Sports Phys Ther 2023;53(9):1-12. 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Progressing On-Court Rehabilitation After Injury: The Control-Chaos Continuum Adapted to Basketball.
BACKGROUND: Sport-specific training is an integral component of returning to sport following injury. Frameworks designed to guide sport-specific rehabilitation need to integrate and adapt to the specific context of elite sport. The control-chaos continuum (CCC) is a flexible framework originally designed for on-pitch rehabilitation in elite football (soccer). The concepts underpinning the CCC transfer to other elite sport rehabilitation environments. CLINICAL QUESTION: How can practitioners and clinicians transfer the CCC to elite basketball, to support planning and return to sport? On-court rehabilitation is a critical sport-specific rehabilitation component of return to sport, yet there are no frameworks to guide practitioners when planning and delivering on-court rehabilitation. KEY RESULTS: Based on our experience working in the National Basketball Association, we report how the CCC framework can apply to elite basketball. We focus on the design and delivery of progressive training in the presence of injury in this basketball-specific edition of the CCC. Given the challenges when quantifying "load" in basketball, we encourage practitioners and clinicians to consider the qualitative aspects of performance such as skill, sport-specific movement, contact, and decision making. CLINICAL APPLICATION: The 5-phase framework describes training progression from high control, a return to on-court running, to high chaos, a return to "live" unrestricted basketball. The model can be adapted to both short- and long-term injuries based on injury and progression criteria. Strength and power "diagnostics" can be strategically implemented to enhance decision making throughout the return to sport continuum. J Orthop Sports Phys Ther 2023;53(9):1-12. Epub: 9 August 2023. doi:10.2519/jospt.2023.11981.
期刊介绍:
The Journal of Orthopaedic & Sports Physical Therapy® (JOSPT®) publishes scientifically rigorous, clinically relevant content for physical therapists and others in the health care community to advance musculoskeletal and sports-related practice globally. To this end, JOSPT features the latest evidence-based research and clinical cases in musculoskeletal health, injury, and rehabilitation, including physical therapy, orthopaedics, sports medicine, and biomechanics.
With an impact factor of 3.090, JOSPT is among the highest ranked physical therapy journals in Clarivate Analytics''s Journal Citation Reports, Science Edition (2017). JOSPT stands eighth of 65 journals in the category of rehabilitation, twelfth of 77 journals in orthopedics, and fourteenth of 81 journals in sport sciences. JOSPT''s 5-year impact factor is 4.061.