Skip to main content
Top
Published in: Current Reviews in Musculoskeletal Medicine 2/2021

01-04-2021 | Injuries in Overhead Athletes (J Dines and C Camp, Section Editors)

Interval Return to Play Programs for the Tennis Athlete

Authors: Ioonna Félix, David Dines, Joshua Dines

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2021

Login to get access

Abstract

Purpose of Review

General guidelines exist for return to sport after injury. The goal of these guidelines is to outline phases of recovery that will minimize the risk of reinjury and promote an optimal return to function for the athlete. This paper analyzes the current research pertaining to interval return to play programs with a special focus on the tennis athlete. The authors examine the different components of an interval tennis program and work to develop what they feel are the necessary elements of the optimal return to sport guidelines for tennis athletes. These criteria are based on the available literature, research, and preliminary data collection as well as the personal experiences and clinical observations of the authors.

Recent Findings

Interval sports programs are typically designed to guide the athlete back to competition after an injury. The current research reveals the obstacles present in implementing an appropriate interval sports program including a lack of consensus on which criteria is actually necessary and relevant. Limited research is present for interval tennis programs.

Summary

Return to sport competition and sports science is continuously evolving. The authors highlight the necessary components in rehabilitation and performance principles for establishing a comprehensive interval tennis program. In addition, the role of technology in sports rehabilitation is assessed as it pertains to return to play. The authors proposed that interval sports program can help guide and direct future clinicians in their rehabilitation of the tennis athlete.
Literature
1.
go back to reference • Fu M, et al. Epidemiology of injuries in tennis players. Curr Rev Musculoskelet Med. 2018;11(1):1–5 Highlights common injuries.CrossRef • Fu M, et al. Epidemiology of injuries in tennis players. Curr Rev Musculoskelet Med. 2018;11(1):1–5 Highlights common injuries.CrossRef
2.
go back to reference • Reinhold MM, Wilk KE, Reed J, Crenshaw K, Andrews JR. Interval sport programs: guidelines for baseball, tennis, and golf. J Orthop Sports Phys Ther. 2002;32(6):293–8 Retrospectively introduced the concept of interval sports programs (ISP).The term (ISP) was coined to label functional rehabilitation guidelines that include sport specific simulation.CrossRef • Reinhold MM, Wilk KE, Reed J, Crenshaw K, Andrews JR. Interval sport programs: guidelines for baseball, tennis, and golf. J Orthop Sports Phys Ther. 2002;32(6):293–8 Retrospectively introduced the concept of interval sports programs (ISP).The term (ISP) was coined to label functional rehabilitation guidelines that include sport specific simulation.CrossRef
3.
go back to reference Hartwell, M, et al. “Withdrawals and retirements in professional tennis players: an analysis of 2013 United States Tennis Association Pro Circuit Tournaments” Sports Health. 2017. Pgs. 154–161. Hartwell, M, et al. “Withdrawals and retirements in professional tennis players: an analysis of 2013 United States Tennis Association Pro Circuit Tournaments” Sports Health. 2017. Pgs. 154–161.
4.
go back to reference •• Myers NL, Sciascia AD, Kibler WB, Uhl TL. Volume-based Interval Training Program for Elite Tennis Players. Sports Health. 2016;8(6):536–40 Study investigated volume base training for tennis players. They determined the actual tennis serve volume based on the elite population.CrossRef •• Myers NL, Sciascia AD, Kibler WB, Uhl TL. Volume-based Interval Training Program for Elite Tennis Players. Sports Health. 2016;8(6):536–40 Study investigated volume base training for tennis players. They determined the actual tennis serve volume based on the elite population.CrossRef
5.
go back to reference Wilk, K. et al. “Rehabilitation of the overhead athlete’s elbow” sports physical therapy. 2012. Pgs. 404–414. Wilk, K. et al. “Rehabilitation of the overhead athlete’s elbow” sports physical therapy. 2012. Pgs. 404–414.
6.
go back to reference •• Verschueren J, Tassignon B, De Pauw K, et al. Does acute fatigue negatively affect intrinsic risk factors of the lower extremity injury risk profile? A systematic and critical review. Sports Med. 2020;50:767–84 The study examines the effect of fatigue and need for testing on performance.CrossRef •• Verschueren J, Tassignon B, De Pauw K, et al. Does acute fatigue negatively affect intrinsic risk factors of the lower extremity injury risk profile? A systematic and critical review. Sports Med. 2020;50:767–84 The study examines the effect of fatigue and need for testing on performance.CrossRef
7.
go back to reference Fleisig G, Nicholls R, Elliott B, Escamilla R. Kinematics used by world class tennis players to produce high-velocity serves. Sports Biomech. 2003 Jan;2(1):51–64.CrossRef Fleisig G, Nicholls R, Elliott B, Escamilla R. Kinematics used by world class tennis players to produce high-velocity serves. Sports Biomech. 2003 Jan;2(1):51–64.CrossRef
8.
go back to reference Aguinaldo Arnel, Escamilla Rafael. Segmental power analysis of sequential body motion and elbow valgus loading during baseball pitching comparison between professional and high school baseball players. Orthop J Sports Med, 7(2). 2019. Aguinaldo Arnel, Escamilla Rafael. Segmental power analysis of sequential body motion and elbow valgus loading during baseball pitching comparison between professional and high school baseball players. Orthop J Sports Med, 7(2). 2019.
9.
go back to reference Pluim BM, Staal JB. Tennis injuries in olympic sports. In: Caine D, Harmer P, Schiff M, editors. Encyclopedia of sports medicine. Hoboken: Wiley-Blackwell; 2009. ISBN 9781405173643. Pluim BM, Staal JB. Tennis injuries in olympic sports. In: Caine D, Harmer P, Schiff M, editors. Encyclopedia of sports medicine. Hoboken: Wiley-Blackwell; 2009. ISBN 9781405173643.
10.
go back to reference Kovacs et al. “A performance evaluation of the tennis serve” strength and conditioning Journal. Vol. 33, No. 4, Aug. 2011. Pgs. 22–30. Kovacs et al. “A performance evaluation of the tennis serve” strength and conditioning Journal. Vol. 33, No. 4, Aug. 2011. Pgs. 22–30.
13.
go back to reference •• Ashworth, B. et al. The athletic shoulder (ASH) test: reliability of a novel upper body isometric strength test in elite rugby players. BMJ Open Sport Exercise Med. 2018;4(1). Force platform is a tool utilized to measure force production. The (ASH) test is a long lever isometric test that replicates the shoulder movement in its functional role. •• Ashworth, B. et al. The athletic shoulder (ASH) test: reliability of a novel upper body isometric strength test in elite rugby players. BMJ Open Sport Exercise Med. 2018;4(1). Force platform is a tool utilized to measure force production. The (ASH) test is a long lever isometric test that replicates the shoulder movement in its functional role.
14.
go back to reference Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, et al. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med. 2010;38:1968–78.CrossRef Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, et al. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med. 2010;38:1968–78.CrossRef
15.
go back to reference Grindem H, SnyderMackler L, Moksnes H, et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50:804–8.CrossRef Grindem H, SnyderMackler L, Moksnes H, et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50:804–8.CrossRef
16.
go back to reference Brechbuhl Cyril, Girard Olivier, Millet Gregoire, Schmitt Laurent. “On the use of a test to exhaustion specific to tennis (TEST_ with Ball Hitting by Elite Players” PLoS One. 2016. Pgs. 1–14. Brechbuhl Cyril, Girard Olivier, Millet Gregoire, Schmitt Laurent. “On the use of a test to exhaustion specific to tennis (TEST_ with Ball Hitting by Elite Players” PLoS One. 2016. Pgs. 1–14.
17.
go back to reference Connell Richard, Milne Ross, Paton Bruce. “Return to play following anterior cruciate ligament reconstruction: incorporating fatigue into a return to play functional battery. Part A: treadmill running. BMJ Open Sport Exerc Med 2019;5: e000375. doi:https://doi.org/10.1136/bmjsem-2018-000375. Connell Richard, Milne Ross, Paton Bruce. “Return to play following anterior cruciate ligament reconstruction: incorporating fatigue into a return to play functional battery. Part A: treadmill running. BMJ Open Sport Exerc Med 2019;5: e000375. doi:https://​doi.​org/​10.​1136/​bmjsem-2018-000375.
18.
go back to reference •• Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med. 2016;50:273–80 Reviews different workloads and factors to determine the best workload for an athlete to reduce risk of injury.CrossRef •• Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med. 2016;50:273–80 Reviews different workloads and factors to determine the best workload for an athlete to reduce risk of injury.CrossRef
19.
go back to reference Byrne PJ, et al. “The reliability of countermovement jump performance and the reactive strength index in identifying drop-jump drop height in hurling players.” Isamed J, vol 1(1), 2017. Byrne PJ, et al. “The reliability of countermovement jump performance and the reactive strength index in identifying drop-jump drop height in hurling players.” Isamed J, vol 1(1), 2017.
21.
go back to reference Henry GJ, et al. Relationships between reactive agility movement time and unilateral vertical, horizontal, and lateral jumps. J Strength Cond Res. 2016;30(9):2514–21.CrossRef Henry GJ, et al. Relationships between reactive agility movement time and unilateral vertical, horizontal, and lateral jumps. J Strength Cond Res. 2016;30(9):2514–21.CrossRef
22.
go back to reference Hirayama, Kuniaki, et al. “Plyometric training favors optimizing muscle-tendon behavior during depth jumping.” Front Physiol, vol. 8, 2017. Hirayama, Kuniaki, et al. “Plyometric training favors optimizing muscle-tendon behavior during depth jumping.” Front Physiol, vol. 8, 2017.
23.
go back to reference Martinez DB. The use of reactive strength index, reactive strength index modified, and flight time: contraction time as monitoring tools. Journal of Australian Strength and Conditioning. 2016;24(5):37–41. Martinez DB. The use of reactive strength index, reactive strength index modified, and flight time: contraction time as monitoring tools. Journal of Australian Strength and Conditioning. 2016;24(5):37–41.
24.
go back to reference Watson S, Allen B, Grant JA. A clinical review of return-to-play considerations after anterior shoulder dislocation. Sport Health. 2016;8(4):336–41.CrossRef Watson S, Allen B, Grant JA. A clinical review of return-to-play considerations after anterior shoulder dislocation. Sport Health. 2016;8(4):336–41.CrossRef
25.
go back to reference Roger Menta, Kevin D’Angelo. Challenges surrounding return-to-play (RTP) for the sports clinician: a case highlighting the need for a thorough three-step RTP model. J Can Chiropr Assoc 2016; 60(4). Pgs. 311–321. Roger Menta, Kevin D’Angelo. Challenges surrounding return-to-play (RTP) for the sports clinician: a case highlighting the need for a thorough three-step RTP model. J Can Chiropr Assoc 2016; 60(4). Pgs. 311–321.
26.
go back to reference Ca P. Sequential motions of body segments in striking and throwing skills: descriptions and experiments. J Biomech. 1993;26:125–35.CrossRef Ca P. Sequential motions of body segments in striking and throwing skills: descriptions and experiments. J Biomech. 1993;26:125–35.CrossRef
27.
go back to reference Kibler Ben. “The kinetic chain in tennis: do you push or pull” Aspetar Sports Med J. Vol. 1, Issue 1. Pgs. 40–43. Kibler Ben. “The kinetic chain in tennis: do you push or pull” Aspetar Sports Med J. Vol. 1, Issue 1. Pgs. 40–43.
28.
go back to reference Reinhold, M. et al. “Current concepts in the evaluation and treatment of the shoulder in overhead-throwing athletes, Part 1 & 2: physical characteristics and clinical examination. Sports Health. 2010. Vol. 2, No. 1. Pgs. 39–49. Reinhold, M. et al. “Current concepts in the evaluation and treatment of the shoulder in overhead-throwing athletes, Part 1 & 2: physical characteristics and clinical examination. Sports Health. 2010. Vol. 2, No. 1. Pgs. 39–49.
29.
go back to reference Soligard T, Schwellnus M, Alonso J, et al. How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med. 2016;50:1030–41.CrossRef Soligard T, Schwellnus M, Alonso J, et al. How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med. 2016;50:1030–41.CrossRef
Metadata
Title
Interval Return to Play Programs for the Tennis Athlete
Authors
Ioonna Félix
David Dines
Joshua Dines
Publication date
01-04-2021
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 2/2021
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-021-09701-y

Other articles of this Issue 2/2021

Current Reviews in Musculoskeletal Medicine 2/2021 Go to the issue

Injuries in Overhead Athletes (J Dines and C Camp, Section Editors)

Offseason Workout Recommendations for Baseball Players

Injuries in Overhead Athletes (J Dines and C Camp, Section Editors)

Ulnar Collateral Ligament Repair of the Elbow—Biomechanics, Indications, and Outcomes