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Bisciotti GN, Volpi P, Alberti G, et al. Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer). BMJ Open Sport Exerc Med. 2019;5(1):e000505doi: 10.1136/bmjsem-2018-000505.
Bisciotti, G. N., Volpi, P., Alberti, G., Aprato, A., Artina, M., Auci, A., Bait, C., Belli, A., Bellistri, G., Bettinsoli, P., Bisciotti, A., Bisciotti, A., Bona, S., Bresciani, M., Bruzzone, A., Buda, R., Buffoli, M., Callini, M., Canata, G., Cardinali, D., Cassaghi, G., Castagnetti, L., Clerici, S., Corradini, B., Corsini, A., D'Agostino, C., Dellasette, E., Di Pietto, F., Enrica, D., Eirale, C., Foglia, A., Franceschi, F., Frizziero, A., Galbiati, A., Giammatei, C., Landreau, P., Mazzola, C., Moretti, B., Muratore, M., Nanni, G., Niccolai, R., Orizio, C., Pantalone, A., Parra, F., Pasta, G., Patroni, P., Pelella, D., Pulici, L., Quaglia, A., Respizzi, S., Ricciotti, L., Rispoli, A., Rosa, F., Rossato, A., Sannicandro, I., Sprenger, C., Tarantola, C., Tenconi, F. G., Tognini, G., Tosi, F., Trinchese, G. F., Vago, P., Zappia, M., Vuckovich, Z., Zini, R., Trainini, M., & Chamari, K. (2019). Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer). BMJ open sport & exercise medicine, 5(1), e000505. https://doi.org/10.1136/bmjsem-2018-000505
Bisciotti, Gian Nicola, et al. "Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer)." BMJ open sport & exercise medicine vol. 5,1 (2019): e000505. doi: https://doi.org/10.1136/bmjsem-2018-000505
Bisciotti GN, Volpi P, Alberti G, Aprato A, Artina M, Auci A, Bait C, Belli A, Bellistri G, Bettinsoli P, Bisciotti A, Bisciotti A, Bona S, Bresciani M, Bruzzone A, Buda R, Buffoli M, Callini M, Canata G, Cardinali D, Cassaghi G, Castagnetti L, Clerici S, Corradini B, Corsini A, D'Agostino C, Dellasette E, Di Pietto F, Enrica D, Eirale C, Foglia A, Franceschi F, Frizziero A, Galbiati A, Giammatei C, Landreau P, Mazzola C, Moretti B, Muratore M, Nanni G, Niccolai R, Orizio C, Pantalone A, Parra F, Pasta G, Patroni P, Pelella D, Pulici L, Quaglia A, Respizzi S, Ricciotti L, Rispoli A, Rosa F, Rossato A, Sannicandro I, Sprenger C, Tarantola C, Tenconi FG, Tognini G, Tosi F, Trinchese GF, Vago P, Zappia M, Vuckovich Z, Zini R, Trainini M, Chamari K. Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer). BMJ Open Sport Exerc Med. 2019 Oct 15;5(1):e000505. doi: 10.1136/bmjsem-2018-000505. eCollection 2019. PMID: 31673400; PMCID: PMC6797382.
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BMJ Open Sport Exerc Med. 2019 Oct 15;5(1):e000505. doi: 10.1136/bmjsem-2018-000505. eCollection 2019.

Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer).

BMJ open sport & exercise medicine

Gian Nicola Bisciotti, Piero Volpi, Giampietro Alberti, Alessandro Aprato, Matteo Artina, Alessio Auci, Corrado Bait, Andrea Belli, Giuseppe Bellistri, Pierfrancesco Bettinsoli, Alessandro Bisciotti, Andrea Bisciotti, Stefano Bona, Marco Bresciani, Andrea Bruzzone, Roberto Buda, Michele Buffoli, Matteo Callini, Gianluigi Canata, Davide Cardinali, Gabriella Cassaghi, Lara Castagnetti, Sebastiano Clerici, Barbara Corradini, Alessandro Corsini, Cristina D'Agostino, Enrico Dellasette, Francesco Di Pietto, Drapchind Enrica, Cristiano Eirale, Andrea Foglia, Francesco Franceschi, Antonio Frizziero, Alberto Galbiati, Carlo Giammatei, Philippe Landreau, Claudio Mazzola, Biagio Moretti, Marcello Muratore, Gianni Nanni, Roberto Niccolai, Claudio Orizio, Andrea Pantalone, Federica Parra, Giulio Pasta, Paolo Patroni, Davide Pelella, Luca Pulici, Alessandro Quaglia, Stefano Respizzi, Luca Ricciotti, Arianna Rispoli, Francesco Rosa, Alberto Rossato, Italo Sannicandro, Claudio Sprenger, Chiara Tarantola, Fabio Gianpaolo Tenconi, Giuseppe Tognini, Fabio Tosi, Giovanni Felice Trinchese, Paola Vago, Marcello Zappia, Zarko Vuckovich, Raul Zini, Michele Trainini, Karim Chamari

Affiliations

  1. Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
  2. Humanitas Clinical Institute, Rozzano, Milano, Italy.
  3. FC Internazionale Milano, Milano, Milano, Italy.
  4. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milano, Italy.
  5. Centro Traumatologico Ortopedico, Torino, Piemonte, Italy.
  6. Universita degli Studi di Milano, Milano, Italy.
  7. UOS Angiografia e Radiologia Interventistica, Ospedale delle Apuane, Massa Carrara, Massa Carrara, Italy.
  8. Istituto Clinico Villa Aprica, Como, Italy.
  9. Istituto Clinico Sant'Anna, Brescia, Italy.
  10. Kinemove Rehabilitation Center, Pontremoli, Italy.
  11. Feralpisalò Srl, Salò, Brescia, Italy.
  12. Atalanta BC, Bergamo, Italy.
  13. Dipartimento di Scienze Biomediche e Neuromotorie, Università Bologna, Bologna, Italy.
  14. Brescia Calcio, Brescia, Italy.
  15. US Giana Erminio, Gorgonzola, Milano, Italy.
  16. Ospedale Koelliker, Torino, Italy.
  17. Istituto di Medicina dello Sport di Torino, Torino, Italy.
  18. Università Vita-Salute San Raffaele, Milano, Italy.
  19. Azienda Ospedaliera di Rilievo Nazionale "Cardarelli", Napoli, Italy.
  20. Paris St Germain FC, Paris, France.
  21. Physiotherapy, Studio Riabilita, Civitanova Marche, Italy.
  22. Universita Campus Bio-Medico di Roma, Roma, Italy.
  23. University Hospital of Padova, Padua, Italy.
  24. Azienda USL Toscana nord ovest Sede di Lucca, Lucca, Italy.
  25. DXBone Fifa Medical Center of Excellence, Dubai, UAE.
  26. Ente Ospedaliero Ospedali Galliera, Genova, Italy.
  27. Dipartimento di Scienze Mediche di Base, Neuroscienze e Organi di Senso, Università di Bari, Bari, Italy.
  28. FIFA Medical Centre of Excellence, Bologna, Isokinetic Medical Group, Bologna, Italy.
  29. Bologna FC, Bologna, Italy.
  30. Universita degli Studi di Brescia, Brescia, Italy.
  31. Universita degli Studi Gabriele d'Annunzio Chieti e Pescara, Chieti, Italy.
  32. Ospedale SS Annunziata, Chieti, Italy.
  33. Parma Calcio, Parma, Italy.
  34. Studio Radiologico Pasta, Parma, Italy.
  35. Centro Kinetik, Rogno (BG), Italy.
  36. Istituto Clinico San Rocco, Ome, Italy.
  37. Universita degli Studi di Foggia, Foggia, Italy.
  38. Studio FKT Tenconi, Genova, Italy.
  39. Centro Diagnostico Apuano, Carrara, Italy.
  40. Ospedale San Francesco d'Assisi, Oliveto Citra, Italy.
  41. Universita Cattolica del Sacro Cuore, Milano, Italy.
  42. Universita degli Studi del Molise, Campobasso, Italy.
  43. Villa Maria Cecilia, Cotignola, Italy.
  44. Physio Traininig, Brescia, Italy.
  45. Research Lab, National Center of Science and Sports Medicine Tunis, Tunis, Tunisia.

PMID: 31673400 PMCID: PMC6797382 DOI: 10.1136/bmjsem-2018-000505

Abstract

Return to play (RTP) decisions in football are currently based on expert opinion. No consensus guideline has been published to demonstrate an evidence-based decision-making process in football (soccer). Our aim was to provide a framework for evidence-based decision-making in RTP following lower limb muscle injuries sustained in football. A 1-day consensus meeting was held in Milan, on 31 August 2018, involving 66 national and international experts from various academic backgrounds. A narrative review of the current evidence for RTP decision-making in football was provided to delegates. Assembled experts came to a consensus on the best practice for managing RTP following lower limb muscle injuries via the Delphi process. Consensus was reached on (1) the definitions of 'return to training' and 'return to play' in football. We agreed on 'return to training' and RTP in football, the appropriate use of clinical and imaging assessments, and laboratory and field tests for return to training following lower limb muscle injury, and identified objective criteria for RTP based on global positioning system technology. Level of evidence IV, grade of recommendation D.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: fitness testing; lower limb; muscle injury; return to play; soccer; sporting injuries

Conflict of interest statement

Competing interests: None declared.

References

  1. Am J Sports Med. 2010 Oct;38(10):2051-7 - PubMed
  2. Br J Sports Med. 2019 Aug;53(15):921-922 - PubMed
  3. Br J Sports Med. 2011 Jun;45(7):553-8 - PubMed
  4. Spine (Phila Pa 1976). 2013 Nov 15;38(24):2118-23 - PubMed
  5. Med Sci Sports Exerc. 2010 Jan;42(1):170-8 - PubMed
  6. Med J Aust. 2006 Mar 6;184(5):244-8 - PubMed
  7. Semin Neurol. 2000;20(2):173-8 - PubMed
  8. Intensive Crit Care Nurs. 2012 Jun;28(3):133-40 - PubMed
  9. Birth Defects Res C Embryo Today. 2012 Mar;96(1):82-94 - PubMed
  10. Br J Sports Med. 2018 Jun 13;:null - PubMed
  11. Br J Sports Med. 2014 Sep;48(18):1358-63 - PubMed
  12. Med Sci Sports Exerc. 2012 Dec;44(12):2446-8 - PubMed
  13. Phys Ther. 2014 Apr;94(4):543-52 - PubMed
  14. J Sci Med Sport. 2016 Apr;19(4):317-22 - PubMed
  15. Br J Sports Med. 2016 Oct;50(19):1169-76 - PubMed
  16. BMJ Open Sport Exerc Med. 2016 Nov 29;2(1):e000142 - PubMed
  17. Clin Sports Med. 2004 Jul;23(3):335-51, vii-viii - PubMed
  18. Exp Gerontol. 2018 Sep;110:98-104 - PubMed
  19. J Sport Rehabil. 2013 Feb 18;22(1): - PubMed
  20. Instr Course Lect. 2009;58:437-43 - PubMed
  21. Am J Sports Med. 2016 Aug;44(8):2166-72 - PubMed
  22. Med Sci Sports Exerc. 2013 Mar;45(3):448-54 - PubMed
  23. Arch Orthop Trauma Surg. 2016 Sep;136(9):1203-1211 - PubMed
  24. Semin Musculoskelet Radiol. 2010 Jun;14(2):194-200 - PubMed
  25. Br J Sports Med. 2016 Mar;50(5):261-2 - PubMed
  26. Am J Sports Med. 2004 Jan-Feb;32(1 Suppl):5S-16S - PubMed
  27. Am J Sports Med. 2003 Jan-Feb;31(1):41-6 - PubMed
  28. Disabil Rehabil. 2017 Jul;39(14):1414-1421 - PubMed
  29. Br J Sports Med. 2016 Apr;50(8):471-5 - PubMed
  30. Clin J Sport Med. 2005 Nov;15(6):436-41 - PubMed
  31. Br J Sports Med. 2011 Jul;45(9):709-14 - PubMed
  32. Am J Sports Med. 2002 Mar-Apr;30(2):199-203 - PubMed
  33. J Bone Joint Surg Br. 2007 Jan;89(1):5-8 - PubMed
  34. Clin Sports Med. 2004 Jul;23(3):367-79, viii - PubMed
  35. Unfallchirurg. 2018 Jun;121(6):470-474 - PubMed
  36. PM R. 2015 Jun;7(6):576-83 - PubMed
  37. Man Ther. 2015 Aug;20(4):564-9 - PubMed
  38. J Sports Sci. 2014;32(13):1229-36 - PubMed
  39. Int J Sports Physiol Perform. 2016 Oct;11(7):940-946 - PubMed
  40. Res Sports Med. 2011 Apr;19(2):92-102 - PubMed
  41. Br J Sports Med. 2004 Apr;38(2):191-6 - PubMed
  42. J Sports Sci. 1995 Jun;13(3):213-22 - PubMed
  43. Int J Sports Med. 1985 Jun;6(3):117-30 - PubMed
  44. Br J Sports Med. 2017 Mar;51(5):419-420 - PubMed
  45. Br J Sports Med. 2003 Feb;37(1):13-29 - PubMed
  46. Clin J Sport Med. 2005 Nov;15(6):403-4 - PubMed
  47. Neurol Clin. 2008 Feb;26(1):79-88; viii - PubMed
  48. Br J Sports Med. 2013 Aug;47(12):738-42 - PubMed
  49. J Orthop Sports Phys Ther. 2012 Apr;42(4):304-12 - PubMed
  50. Clin Sports Med. 2004 Jul;23(3):321-34, vii - PubMed
  51. Med Sci Sports Exerc. 2002 Jul;34(7):1212-4 - PubMed
  52. Neurosurg Focus. 2006 Oct 15;21(4):E5 - PubMed
  53. J Vis Exp. 2016 Jul 07;(113): - PubMed
  54. Clin Sports Med. 2010 Jan;29(1):169-75, table of contents - PubMed
  55. J Sport Rehabil. 2015 May 20;24(2): - PubMed
  56. Pak J Biol Sci. 2018;21(1):24-28 - PubMed
  57. Sports Med. 2004;34(4):269-80 - PubMed
  58. Arch Orthop Trauma Surg. 2010 Aug;130(8):965-70 - PubMed
  59. Eur J Appl Physiol. 2015 Mar;115(3):451-69 - PubMed
  60. Clin J Sport Med. 2010 Sep;20(5):379-85 - PubMed
  61. Am J Sports Med. 2000;28(5 Suppl):S69-74 - PubMed
  62. Stat Methods Med Res. 2018 Nov;27(11):3460-3477 - PubMed
  63. AJR Am J Roentgenol. 2004 Oct;183(4):975-84 - PubMed
  64. Muscles Ligaments Tendons J. 2016 Feb 12;6(4):499-509 - PubMed
  65. J Strength Cond Res. 2013 Oct;27(10):2752-9 - PubMed
  66. Knee. 2014 Jan;21(1):95-101 - PubMed
  67. Am J Sports Med. 2011 Feb;39(2):304-10 - PubMed
  68. Med Sci Sports Exerc. 1997 Feb;29(2):191-6 - PubMed
  69. J Strength Cond Res. 2017 Mar;31(3):727-735 - PubMed
  70. Br J Sports Med. 2016 Mar;50(5):305-10 - PubMed
  71. Exp Gerontol. 2018 Jan;101:95-100 - PubMed
  72. Clin J Sport Med. 2005 Nov;15(6):442-7 - PubMed
  73. Clin Sports Med. 2004 Jul;23(3):353-66, viii - PubMed
  74. J Brachial Plex Peripher Nerve Inj. 2007 Jun 06;2:13 - PubMed
  75. Br J Sports Med. 2016 Jul;50(14):853-64 - PubMed
  76. Br J Sports Med. 2017 Nov;51(22):1583-1591 - PubMed
  77. J Sports Med Phys Fitness. 2015 Dec;55(12):1417-22 - PubMed
  78. Asian J Sports Med. 2016 Jun 11;7(2):e33598 - PubMed
  79. Int J Sports Phys Ther. 2013 Jun;8(3):216-27 - PubMed
  80. Med Sci Sports Exerc. 2013 Aug;45(8):1618-22 - PubMed
  81. Sports Med. 2015 Jan;45(1):133-46 - PubMed
  82. J Bone Joint Surg Am. 2013 Nov 6;95(21):e165 - PubMed
  83. Phys Ther Sport. 2015 May;16(2):93-7 - PubMed
  84. Am J Prev Med. 2000 Apr;18(3 Suppl):141-6 - PubMed
  85. J Electromyogr Kinesiol. 2014 Dec;24(6):789-94 - PubMed
  86. J Strength Cond Res. 2013 May;27(5):1370-7 - PubMed
  87. Br J Sports Med. 2016 Jun;50(12):731-7 - PubMed
  88. Sports Med. 2016 Jun;46(6):899-912 - PubMed
  89. Knee Surg Sports Traumatol Arthrosc. 2005 Jan;13(1):60-71 - PubMed
  90. Sports Med Arthrosc Rev. 2006 Dec;14(4):192-8 - PubMed
  91. Scand J Med Sci Sports. 2000 Oct;10(5):279-85 - PubMed
  92. Eur J Appl Physiol. 2015 Dec;115(12):2593-8 - PubMed
  93. J Orthop Sports Phys Ther. 2018 Jan;48(1):34-43 - PubMed
  94. J Sports Sci Med. 2014 Sep 01;13(3):721-3 - PubMed
  95. PLoS One. 2018 Mar 22;13(3):e0194432 - PubMed
  96. Pediatr Ann. 2007 Nov;36(11):746-8, 750-1 - PubMed
  97. Br J Sports Med. 2014 Sep;48(18):1370-6 - PubMed
  98. J Athl Train. 2011 May-Jun;46(3):241-5 - PubMed
  99. Am J Sports Med. 2013 Feb;41(2):327-35 - PubMed
  100. Sports Med Arthrosc Rev. 2008 Mar;16(1):47-54 - PubMed
  101. Am J Sports Med. 2008 Aug;36(8):1548-54 - PubMed
  102. Clin J Sport Med. 2005 Nov;15(6):453-8 - PubMed
  103. Am J Sports Med. 2007 Jan;35(1):145; author reply 146-7 - PubMed
  104. Neurosurg Focus. 2006 Oct 15;21(4):E4 - PubMed
  105. BMJ Open Sport Exerc Med. 2018 May 24;4(1):e000323 - PubMed
  106. Br J Sports Med. 2013 Aug;47(12):807-8 - PubMed
  107. Knee Surg Sports Traumatol Arthrosc. 2006 Nov;14(11):1207-17 - PubMed
  108. Br J Sports Med. 2005 Feb;39(2):97-101 - PubMed
  109. Clin Sports Med. 2006 Jan;25(1):17-28, vii - PubMed
  110. Br J Sports Med. 2013 Aug;47(12):743-7 - PubMed
  111. Syst Rev. 2013 Sep 05;2:71 - PubMed
  112. J Sports Sci. 2014;32(13):1209-16 - PubMed
  113. J Exp Biol. 2005 Jul;208(Pt 14):2809-16 - PubMed
  114. J Athl Train. 2009 Mar-Apr;44(2):185-9 - PubMed
  115. Br J Sports Med. 2015 Dec;49(24):1579-87 - PubMed
  116. Respir Physiol Neurobiol. 2010 Jun 30;172(1-2):53-62 - PubMed
  117. Clin J Sport Med. 2005 Nov;15(6):432-5 - PubMed
  118. Eur J Appl Physiol. 2017 Jul;117(7):1309-1315 - PubMed
  119. Br J Sports Med. 2006 Feb;40(2):151-7; discussion 151-7 - PubMed
  120. Knee Surg Relat Res. 2012 Mar;24(1):40-5 - PubMed
  121. Am J Sports Med. 2000;28(5 Suppl):S58-68 - PubMed
  122. Curr Opin Pediatr. 2004 Feb;16(1):47-50 - PubMed
  123. Br J Sports Med. 2017 Aug;51(16):1221-1226 - PubMed
  124. Man Ther. 2011 Oct;16(5):476-80 - PubMed
  125. Clin J Sport Med. 2011 Jan;21(1):25-30 - PubMed
  126. J Sci Med Sport. 2014 Mar;17(2):155-9 - PubMed
  127. Mil Med. 2019 Mar 1;184(3-4):e245-e252 - PubMed
  128. Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1798-803 - PubMed
  129. Med Sci Sports Exerc. 1994 Oct;26(10 Suppl):S230-7 - PubMed
  130. Clin J Sport Med. 2005 Nov;15(6):448-52 - PubMed
  131. J Sports Sci Med. 2011 Dec 01;10(4):731-6 - PubMed
  132. Br J Sports Med. 2016 May;50(9):506-8 - PubMed
  133. Clin Sports Med. 2004 Jul;23(3):xv-xxiii - PubMed
  134. Clin Sports Med. 2005 Jul;24(3):637-62, ix - PubMed
  135. Clin Sports Med. 2004 Apr;23(2):227-41, vi - PubMed
  136. Br J Sports Med. 2016 May;50(9):505-6 - PubMed
  137. Phys Ther. 2010 Aug;90(8):1165-75 - PubMed
  138. Br J Sports Med. 2009 May;43(5):377-81 - PubMed
  139. Arch Phys Med Rehabil. 2004 Mar;85(3 Suppl 1):S67-71 - PubMed
  140. Br J Sports Med. 2016 Apr;50(7):431-9 - PubMed
  141. Sports Med. 1991 Aug;12(2):132-47 - PubMed
  142. Am J Sports Med. 2011 Jun;39(6):1226-32 - PubMed
  143. J Rehabil Res Dev. 2013;50(7):951-60 - PubMed
  144. Br J Sports Med. 2015 Oct;49(20):1311-5 - PubMed
  145. Int J Sports Phys Ther. 2013 Feb;8(1):44-53 - PubMed

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