Framework for a Return to Activity Algorithm for Non Specific Back Pain in Golf

A total of 54% of golfers suffer from lumbar back pain, regardless of age and performance level. Empirical evidence on the best practices for developing return-to-activity (RTA) protocols for non-specific back pain is notably scarce. PURPOSE: The objective is to create a framework for return-to-activity (RTA) in golf athletes with non-specific back pain, with the goal of providing evidence-based recommendations for optimal rehabilitation. METHODS: The framework was developed through a systematic process that included a systematic literature search, data extraction and synthesis, the identification and definition of RTA components, and the creation of a visual representation of the overall framework. RESULTS: A framework has been created out of seven articles. The RTA framework consist of two domains. Domain one is return to work. Multi-dimensional assessment procedures are required: Questionnaire, physical examination (mobility, strength and endurance) and psychological aspects. Domain two is return to sport. Survey of rotational load and impacts. CONCLUSION: This framework offers a return-to-activity (RTA) protocol for golfers, aiming to enhance understanding of person-centred rehabilitation and improve clinical practice. The framework requires additional validation through empirical research to establish its effectiveness and practical applicability.