Summary: <br> Tyler Knight shares some Soccer Specific Return To Play or RTP tips and tricks. With nearly a decade of soccer experience, he has seen a lot of growth in sport-specific rehab plans.<br> <br> <br> <br> <a href="https://sportsmedicinebroadcast.com/wp-content/uploads/2023/05/Copy-of-Social-Media-and-the-AT.png"></a><br> <br> <br> <br> What is the least soccer specific rehab exercise you have seen?<br> <br> <br> <br> <br> * Almost everything we do…discuss the importance of understanding the ‘why’ of what we do, as well as never forgetting components of movement.<br> <br> <br> <br> * Isometrics because the patient can’t perform much more <br> <br> <br> <br> * Eccentrics once able<br> <br> <br> <br> * Stretch-shortening cycle<br> <br> <br> <br> * Unloaded → supported → unsupported<br> <br> <br> <br> <br> “Train movement not muscles”<br> <br> <br> <br> What do we need to consider in on-field RTP?<br> <br> <br> <br> <br> * In order to get to the field, you have to get out of the Athletic Training room first. <br> <br> <br> <br> * Treat the person, not the athlete or the injury (reference all that people have going on in their lives). Ron Corson-ism<br> <br> <br> <br> * Good communication, setting expectations, and appropriate planning are MUSTs.<br> <br> * Individualization (based on person, position, and injury)<br> <br> * Consider our two biggest protective capacities and build upon those early: strength and endurance<br> <br> <br> <br> <br> <br> * Programming based upon working zones (importance of ESD)<br> <br> <br> <br> * Quantifying internal vs. external load<br> <br> <br> <br> <br> <br> * To do that, we have a few basic rules at Charlotte FC:<br> <br> <br> <br> <br> 1. Create a safe environment.<br> <br> <br> <br> 2. Don’t hurt the person.<br> <br> <br> <br> 3. Be aggressive without breaking rules 1 and 2.<br> <br> <br> <br> <br> * KPIs to provide direction and accountability to the process<br> <br> <br> <br> <br> <br> * Additional principles of rehab to accelerate and enhance what we do on the field:<br> <br> * Move early, move often.<br> <br> * Highlight BFR and isometrics.<br> <br> <br> <br> <br> <br> * Don’t mess it up.<br> <br> <br> <br> * Consider tissue healing times.<br> <br> * Periodize manual therapies, incorporate things the person believes in<br> <br> <br> <br> <br> <br> * Break down the phases of healing (acute, subacute, remodeling), as well as the places of healing: table, Athletic Training room, gym, field, and everything in between.<br> <br> <br> <br> * Create time for mental or psychological recovery<br> <br> <br> <br> <br> <br> * KPIs<br> <br> * Mobility<br> <br> <br> <br> * Stability<br> <br> <br> <br> * Function<br> <br> <br> <br> * Power<br> <br> <br> <br> <br> <br> * On-Field<br> <br> * Consider position, individual needs, team tactics, and demands of the sport…and MAKE IT FUN<br> <br> * Players have the ball only 3% of the time, a good reason to emphasize the incorporation of the ball and fitness/drill exercises that place focus on getting into the right spaces<br> <br> <br> <br> * In 2019/2020 EPL season, the highest average number of passes per game was 688 (Man City; approx 62. per player) and the least was Burnley at 333 (approx. 30 per player).<br> <br> <br> <br> * Paul Bradley research<br> <br> <br> <br> <br> <br> * Consider control - chaos continuum<br> <br> * Reverse engineer and use the prospective loading document<br> <br> <br> <br> * When we have elevated AC ratios, did the majority of that come from a more controlled environment or chaotic environment<br> <br> <br> <br> * By using fatigue,
