Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary

Alpine skiing poses significant risks for anterior cruciate ligament (ACL) injury at both recreational and professional levels, which is compounded by high rates of re-injury. Despite the existence of return to sport (RTS) and return to snow protocols, the frequency of ACL re-injury has not been mit...

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Main Authors: Conor Smith, Dustin R. Grooms, Helen Bradley
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-07-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.120285
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author Conor Smith
Dustin R. Grooms
Helen Bradley
author_facet Conor Smith
Dustin R. Grooms
Helen Bradley
author_sort Conor Smith
collection DOAJ
description Alpine skiing poses significant risks for anterior cruciate ligament (ACL) injury at both recreational and professional levels, which is compounded by high rates of re-injury. Despite the existence of return to sport (RTS) and return to snow protocols, the frequency of ACL re-injury has not been mitigated, raising doubts about protocol effectiveness. Current RTS protocols primarily focus on biomechanical and neuromuscular factors in isolation, neglecting the important perceptual-motor-cognitive changes associated with ACL injuries and the high cognitive demands of skiing. The purpose of this clinical commentary is to address the perceptual-motor-cognitive demands specific to alpine skiing, evaluate RTS testing for skiers, and propose updated standards for testing and return to snow progressions that incorporate these considerations. # Level of Evidence 5
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institution Kabale University
issn 2159-2896
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publishDate 2024-07-01
publisher North American Sports Medicine Institute
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series International Journal of Sports Physical Therapy
spelling doaj-art-aff8aefeedc24053b886522287f2921a2025-02-11T20:27:45ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-07-01197Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical CommentaryConor SmithDustin R. GroomsHelen BradleyAlpine skiing poses significant risks for anterior cruciate ligament (ACL) injury at both recreational and professional levels, which is compounded by high rates of re-injury. Despite the existence of return to sport (RTS) and return to snow protocols, the frequency of ACL re-injury has not been mitigated, raising doubts about protocol effectiveness. Current RTS protocols primarily focus on biomechanical and neuromuscular factors in isolation, neglecting the important perceptual-motor-cognitive changes associated with ACL injuries and the high cognitive demands of skiing. The purpose of this clinical commentary is to address the perceptual-motor-cognitive demands specific to alpine skiing, evaluate RTS testing for skiers, and propose updated standards for testing and return to snow progressions that incorporate these considerations. # Level of Evidence 5https://doi.org/10.26603/001c.120285
spellingShingle Conor Smith
Dustin R. Grooms
Helen Bradley
Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary
International Journal of Sports Physical Therapy
title Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary
title_full Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary
title_fullStr Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary
title_full_unstemmed Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary
title_short Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary
title_sort enhancing return to alpine skiing integrating perceptual motor cognitive considerations in testing and progressions a clinical commentary
url https://doi.org/10.26603/001c.120285
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AT helenbradley enhancingreturntoalpineskiingintegratingperceptualmotorcognitiveconsiderationsintestingandprogressionsaclinicalcommentary