Athlete integration with interdisciplinary teams
Hi Keegan! Strategies or Systems in Place I think another way to get everyone on the same page is to establish a set meeting cadence for all disciplines involved. This helps get everyone out of their silos and creates a common time to discuss anything that needs to be addressed. Especially in-season, when schedules can get chaotic, having something pre-scheduled allows everyone to be proactive and stay on the same page. On a day-to-day basis, communication may have to happen through technology, whether that is email, phone calls, or another communication platform. I can understand how this can be particularly challenging in the private sector. In my experience, the athlete was seeing me for performance while seeing outside providers for PT/ATC services. As an S&C coach involved in the return-to-play process, we need to understand what is going on medically so we can appropriately program around it. I think sharing the program with the other professionals involved and discussing the return-to-play plan, whether through email or phone calls, is extremely important. At the same time, not everyone is going to have the same philosophy. For example, you may have a medical professional who says an athlete is completely out for lower-body training, but there may still be opportunities to train the upper body or work around the injury. They may not know what is appropriate from a performance standpoint without having a conversation with the S&C coach. Having that open line of communication allows everyone to understand what each discipline is trying to accomplish while keeping the athlete moving forward. Transition from Rehab to High-Level Performance I think this is nuanced, and there are a lot of variables involved in the decision-making process. However, I do think having established standards and metrics that the athlete needs to achieve before returning to sport is important. Those standards should be determined and agreed upon by the disciplines involved and communicated to the athlete and coaching staff. Of course, return to play is not linear, and there will be highs and lows throughout the process. But having established criteria helps provide everyone with a common roadmap. For example, if an athlete is returning to sport following an ACL injury, the medical and performance sides should have a shared understanding of the metrics needed to progress. That could include strength levels back within an appropriate range of pre-injury levels, acceptable right-to-left asymmetries, movement quality, sport-specific demands, and ultimately the athlete's ability to tolerate increasing training loads. Communicating and Coordinating Multiple Professionals In my experience, I have found this to be extremely beneficial but also challenging at times. It is always great to get high-level professionals in a room together. Everyone can learn from each other and challenge each other's philosophies. At the same time, people come from different backgrounds and may have learned different approaches. This is where sharing your expertise, understanding the role of each discipline, and establishing a shared common goal becomes important. From an S&C perspective, if I notice positive or negative trends in any of the metrics I am tracking, I relay that information to the performance team and work with the group to determine if something else may be contributing to the change. Nine times out of ten, a negative trend in one area can lead to questions about what may be happening in another area. What Has Worked Well @KatieRdATC hit the nail on the head — there must be trust with the people you work with, and sometimes that takes time. Being open to different philosophies, building relationships, communicating consistently, and showing your results and the rationale behind your plan can all help when balancing different philosophies and overlapping responsibilities. Ultimately, I think everyone needs to understand that we are working toward the same goal: getting the athlete healthy, performing at a high level, and ultimately giving them the best opportunity to return to their sport or duty safely and confidently.