Evidence map›Paper›PMID 31595453›Full record

ArticleSports medicine (Auckland, N.Z.)2020

Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams.

Gordon Dunlop, Clare L Ardern, Thor Einar Andersen, Colin Lewin, Gregory Dupont, Ben Ashworth, Gary O'Driscoll, Andrew Rolls, Susan Brown, Alan McCall

Open access · hybridAbstract read
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  7. Return to performance criteria in soccer after musculoskeletal injury: A scoping review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 5 countries.

Gordon DunlopArsenal Performance and Research Team, Arsenal Football Club, London, UK.ORCID http://orcid.org/0000-0001-8355-2182
Clare L ArdernDepartment of Medical and Health Sciences, Division of Physiotherapy, Linkoping University, Linkoping, Sweden.ORCID http://orcid.org/0000-0001-8102-3631
Thor Einar AndersenDepartment of Sports Medicine, Norwegian School of Sport Sciences, Oslo Sports Trauma Research Centre, Oslo, Norway.
Colin LewinLewin Sports Injury Clinic, London, UK.
Gregory DupontMedical Department, French Football Federation, Paris, France.
Ben AshworthArsenal Performance and Research Team, Arsenal Football Club, London, UK.
Gary O'DriscollPerformance Department, AC Sparta Prague Football Club, Prague, Czech Republic.
Andrew RollsSport Science and Medical Department, Bristol City Football Club, Bristol, UK.
Susan BrownEdinburgh Napier University, Sport Exercise and Health Science Research Group, School of Applied Sciences, Edinburgh, UK.
Alan McCallArsenal Performance and Research Team, Arsenal Football Club, London, UK. amccall@arsenal.co.uk.
Edinburgh Napier University · GBFédération française de cardiologie · FRLinköping University · SEManchester City Football Club · GBOslo Sports Trauma Research Center · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReturn-to-play (RTP) is an on-going challenge in professional football. Return-to-play related research is increasing. However, it is unknown to what extent the recommendations presented within research are being implemented by professional football teams, and where there are gaps between research and practice. The purposes of this study were (1) to determine if premier-league football teams worldwide follow a RTP continuum, (2) to identify RTP criteria used and (3) to understand how RTP decision-making occurs in applied practice.

methodsWe sent a structured online survey to practitioners responsible for the RTP programme in 310 professional teams from 34 premier-leagues worldwide. The survey comprised four sections, based on hamstring muscle injury: (1) criteria used throughout RTP phases, (2) the frequency with which progression criteria were achieved, (3) RTP decision-making process and (4) challenges to decision-making.

resultsOne-hundred and thirty-one teams responded with a completed survey (42%). One-hundred and twenty-four teams (95%) used a continuum to guide RTP, assessing a combination of clinical, functional and psychological criteria to inform decisions to progress. One-hundred and five (80%) teams reported using a shared decision-making approach considering the input of multiple stakeholders. Team hierarchy, match- and player-related factors were common challenges perceived to influence decision-making.

conclusionsGeneral research recommendations for RTP and the beliefs and practices of practitioners appear to match with, the majority of teams assessing functional, clinical and psychological criteria throughout a RTP continuum to inform decision-making which is also shared among key stakeholders. However, specific criteria, metrics and thresholds used, and the specific involvement, dynamics and interactions of staff during decision-making are not clear.

Indexed as

Athletic InjuriesLeg InjuriesReturn to SportDecision MakingHamstring MusclesHumansSoccer

Identifiers

PMID31595453
PMCPMC7069905
OpenAlexW2979737206

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.