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- 2022 Bern consensus statement on shoulder…
2022 Bern consensus statement on shoulder injury prevention, rehabilitation, and return to sport for athletes at all participation levels
- Rehabilitation should be performance-focused and be based upon shared decision-making with the athlete, medical, physiotherapy, strength and conditioning and performance personnel.
BACKGROUND & OBJECTIVE
Shoulder symptoms are common in both contact and non-contact sports. Shoulder injuries can have a significant impact on the ability to train and perform at the optimal level and result in career-limiting consequences for some athletes (2). Sportfisio Swiss (the Swiss Sports Physiotherapy Association) identified a lack of quality evidence to guide injury risk management and return to sport decisions for athletes post-injury. Supported by the Journal of Orthopaedic & Sports Physical Therapy (JOSPT), they convened a consensus development group and produced a principle-based framework for use in all sports to help guide physiotherapy and performance staff in managing athletes with shoulder pain.
End-stage rehabilitation exercises should be informed by a thorough needs-analysis of the sport and incorporate appropriate functional progressions.
A modified Delphi process was used that included questions relating to themes identified from existing research and practice guidelines for two groups: overhead/throwing athletes and collision athletes.