RT Journal Article
SR Electronic
T1 Strategic Assessment of Risk and Risk Tolerance (StARRT) framework for return-to-play decision-making
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1311
OP 1315
DO 10.1136/bjsports-2014-094569
VO 49
IS 20
A1 Ian Shrier
YR 2015
UL http://bjsm.bmj.com/content/49/20/1311.abstract
AB The sport medicine clinician is faced with return-to-play (RTP) decisions for every patient who wants to return to activity. The complex interaction of factors related to history, physical examination, testing, activity and baseline characteristics can make RTP decision-making challenging. Further, when reasoning is not explicit, unnecessary conflict can arise among clinicians themselves, or among clinicians and patients. This conflict can have negative health consequences for the patient. In 2010, a transparent framework for RTP decisions was proposed. However, some have identified limitations to the framework and found difficulties in its implementation. This paper presents a revised framework that addresses the limitations, and provides concrete examples of how to apply it in simple and complex cases.