Back in the Game

You've done your rehab, your knee feels great, you think you’re ready to return to action. But don’t rush back into the fray. Avoid a repeat injury by first taking—and passing—this return-to-sport test, provided by the Steadman Hawkins Center, a renowned orthopedic center in Vail, Colorado. Don’t attempt to perform this test on your

SPORT TEST (Functional assessment, return to sport)

knee training

Photograph by Stockdisc

Single Knee Dips (goal: 3 min). Time:_____
1 point for each 30 seconds (___/6)
Circle deductions:formpainenduranceScore:_____/6

Lateral Agility (goal: 80 seconds). Time:_____
1 point for each 20 seconds (1 2 3 4)
1point for 30o of knee flexion excursion (5)
Circle deductions:formpainenduranceScore:_____/5

Forward Running (goal: 2 min). Time:_____
1 point for each 30 seconds (1 2 3 4)
1point for 30o of knee flexion excursion (5)
Circle deductions:formpainendurance Score:_____/5

Backward Running (goal: 2 min). Time:_____
1 point for each 30 seconds (1 2 3 4)
1point earned for 30o of knee flexion excursion (5)
Circle deductions:formpainenduranceScore:_____/5

Score: /21
(18 pass)

Single Knee Dips

Program Instructions:

Single Knee Dips

Purpose: To test single leg strength/endurance and evaluate patellar tracking.

Supplies: Sport Cord (Topper Sports Medicine, black cord)
Goniometer
Stopwatch

Description: Cord setup: 1. The athlete places the heel of the foot on the cord. 2. The D ring of the handle is aligned with the knee joint line to remove slack from the cord. 3. Tension is set by pulling the cord handle to the waist line. 4. Having the athlete hook their thumb around their pant line is helpful in maintaining tension on the cord.

The Movement is a 1/3 single knee bend between 30º-60º of flexion. A chair can be utilized to mark 60o for the athlete prior to starting - the athlete's buttocks should lightly touch the chair at 60o of knee flexion.

The Athlete will perform knee bends to 60 degrees at a cadence of 1 second up and 1 second down for a goal of 3 minutes. Two fingers are allowed for balance on a chair back.

Technique: The athlete must perform each repetition without a Trendelenburg sign, the knee locking in full extension, or the patella extending past the toe.

Scoring:1 point is earned for each 30-second increment completed with proper form.

Testing is stopped if the subject is unable to complete with the above form on 5 consecutive repetitions or 10 nonconsecutive repetitions.

Testing is stopped if the patient has pain > 3/10 for 30 seconds.

Lateral Agility

Lateral Agility

Purpose: To test the ability of the knee/leg to accept load and push off in a lateral direction.

Supplies:Sport Cord (Topper Sports Medicine, black cord)
Goniometer
Stopwatch

Description:Cord setup: 1. Place waist belt through the handles; attach sport cord end to the door jam or secure post. 2. Attach waist belt. Stand with the involved leg toward the cord attachment. 3. Step away until tension is reached where the athlete compensates with leaning. 4. Tape a line on the lateral aspect of the involved foot. 5. Measure the distance from the greater trochanter to the floor. 6. Use this measured distance to place a second tape line parallel to the first.

Technique:The athlete must land on/inside the first tape line with the involved foot and on/outside the second tape line with the uninvolved foot.

The athlete is to hop from one leg to the other; absorbing energy as they land by bending at the knee (primary) and the hip (secondary). Instruct the athlete that one point is earned for achieving 30o of knee flexion excursion throughout the test. Excursion is defined as the amount of absorption from knee flexion at landing to max knee flexion.

Each repetition should take 1 second. Explain to the athlete that they must explode laterally, land, absorb, and maintain control for a goal of 80 seconds. Only one foot should be on the ground at any time.

Scoring:1 point is earned for every 20 seconds completed with proper form.

Testing is stopped if the subject is unable to complete with the above form on 5 consecutive repetitions or 10 nonconsecutive repetitions.

Testing is stopped if the patient has pain > 3/10 for 30 seconds.

1 point is given for good form/absorption if 30o of knee flexion excursion is achieved throughout the entire 80 seconds.

Forward Run

Forward Run

Purpose:To test lower extremity strength, endurance, and absorption.

Supplies:Sport Cord (Topper Sports Medicine, black cord)
Goniometer
Stopwatch

Description: Cord setup: 1. Place waist belt through handles, attach the sport cord end to a door jam or secure post. 2. Attach waist belt. Stand facing away from the wall. 3. The athlete is to maintain a distance in front of the proximal tape line set for the lateral agility test; keeping constant cord tension. 4. A second tape line may be placed at the toes for a visual cue.

Technique:The activity is a forward jog in place. The athlete must hop from one leg to the other using proper form; absorbing energy with each landing by bending at the knee (primary) and the hip (secondary). Instruct the athlete that one point is earned for achieving 30o of knee flexion excursion throughout the test.

Each repetition should take 0.5 seconds per foot. Correct performance of this activity is through proper absorption with knee flexion as the athlete transfers weight onto that extremity. Explain to the athlete that they must land, absorb and maintain control for a goal of 2 minutes. Only one foot should be on the ground at any time.

Scoring: 1 point is earned for every 30 seconds completed with proper form.

Testing is stopped if the subject is unable to complete with the above form on 5 consecutive repetitions or 10 nonconsecutive repetitions.

Testing is stopped if the patient has pain > 3/10 for 30 seconds.

1 point is added for good form/absorption if 30o of knee flexion excursion is achieved throughout the entire 2 minutes.

Backward Run

Backward Run

Purpose:To test lower extremity strength, endurance, and absorption.

Supplies:Sport Cord (Topper Sports Medicine, black cord)
Goniometer
Stopwatch

Description:Cord setup: 1. Place waist belt through handles, attach the sport cord end to a door jam or secure post. 2. Attach waist belt. Stand facing toward the wall. 3. The athlete is to maintain a distance in front of the proximal tape line set for the lateral agility test; keeping constant cord tension. 4. A second tape line may be placed at the toes for a visual cue.

Technique: The activity is a backward jog in place. The athlete must hop from one leg to the other through proper form; absorbing energy with each landing by bending at the knee (primary) and hip (secondary). Instruct the athlete that one point is earned for maintaining 30o of knee flexion excursion throughout the test.

Each repetition should take 0.5 seconds per foot. Correct performance of this activity is through proper absorption with knee flexion as the athlete transfers weight onto that extremity. Explain to the athlete that they must land, absorb and maintain control for a goal of 2 minutes. Only one foot should be on the ground at any time.

Scoring:1 point is earned for every 30 seconds completed with proper form.

Testing is stopped if the subject is unable to complete with the above form on 5 consecutive repetitions or 10 nonconsecutive repetitions.

Testing is stopped if the patient has pain > 3/10 for 30 seconds.

1 point is added for good form/absorption if 30o of knee flexion excursion is achieved throughout the entire 2 minutes.

Filed To: Recovery
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