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‘Where is the load?’ Revisiting the Strategic Assessment of Risk and Risk Tolerance (StARRT) framework for return to sport by including an athlete’s sport-specific training capacity?
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2022-08-01 , DOI: 10.1136/bjsports-2022-105573
Matt Taberner 1, 2 , Daniel Dylan Cohen 3, 4 , Anthony Carter 5, 6 , Johann Windt 7, 8
Affiliation  

The Strategic Assessment of Risk and Risk Tolerance (StARRT) framework has been instrumental in the way practitioners view return-to-sport (RTS) decision-making.1 2 According to the framework, RTS decisions should be based on the practitioner’s risk assessment of outcome, involving an athlete’s estimated risk compared with their risk tolerance within the particular context. Activity risk assessment is the second step in the StARRT framework, synthesising information relevant to the expected cumulative stresses placed on the injured tissue/structure(s). Several important factors are included in this assessment, but what is not listed is the athlete’s sports-specific training capacity. This represents an athlete’s overall ability to cope with diverse demands of training and competition imposed by their ecosystem and perform at the required level. It is perhaps the most ecologically important consideration since it encapsulates the ‘actual’ demands and requirements of the athlete’s sport and their level of participation.3–5 While the importance of monitoring training load in rehabilitation has been established,6 7 we emphasise that sufficient consideration has not been given to the role of the athlete’s sports-specific training capacity in decision-making …

中文翻译:

“负载在哪里?” 重新审视风险和风险承受能力战略评估 (StARRT) 框架,通过纳入运动员的特定运动训练能力来重返运动?

风险和风险容忍度战略评估 (StARRT) 框架有助于从业者看待重返运动 (RTS) 决策的方式。 1 2 根据该框架,RTS 决策应基于从业者的风险评估结果,涉及运动员的估计风险与其在特定情况下的风险承受能力的比较。活动风险评估是 StARRT 框架的第二步,综合与施加在受伤组织/结构上的预期累积应力相关的信息。该评估包括几个重要因素,但未列出的是运动员的运动专项训练能力。这代表了运动员应对其生态系统施加的各种训练和比赛需求并达到所需水平的整体能力。
更新日期:2022-07-15
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