ACL Graft Choice Risk Factors ACL-RSI Calculator (Return to Sport Readiness)AHA Pre-Participation Screening AOFAS Ankle-Hindfoot Scale ASES Elbow Score ASES Shoulder Score Acute:Chronic Workload Ratio (ACWR)Altitude Gain Guidelines Ankle Syndesmosis (High Ankle Sprain)Athlete's Heart vs HCM Beighton Score (Joint Hypermobility)Borg CR-10 Scale Borg RPE Scale (6–20)Brighton Criteria (BJHS)Buffalo Concussion Treadmill Test (BCTT)Child SCAT6 (Age 8–12)Commotio Cordis Protocol Cumberland Ankle Instability Tool (CAIT)DASH (UE Disability Index)Doha Groin Agreement ESC HCM SCD Risk Score ESC Pre-Participation Screening Energy Availability Calculator FAI Syndrome (Warwick)FAOS (Foot and Ankle Outcome Score)Fear-Avoidance Beliefs Questionnaire (FABQ)Female Athlete Triad Risk Foot Posture Index (FPI-6)Foot and Ankle Ability Measure (FAAM)Functional Movement Screen (FMS)Graduated Return-to-Play (GRTP) Protocol HAGOS (Hip and Groin Outcome Score)Hamstring Asymmetry Index Heat Index (Apparent Temp)Hip Outcome Score (HOS)Hooper Index (Athlete Wellness)I-PRRS (Psychological Readiness)IKDC (Objective Examination)IKDC (Subjective Knee Evaluation)Injury Severity KJOC Shoulder & Elbow Score KOOS (Knee Outcome Score)KOOS-PS (Physical Function Short Form)Kujala (Anterior Knee Pain Scale)LEAF-Q (LEA Screening)Lake Louise AMS Score Limb Symmetry Index (LSI)Little League Elbow Grading Lysholm Knee Score Marx Activity Rating Scale (MARS)Mayo Elbow Performance Score (MEPS)Modified Schober Test NEXUS C-Spine Criteria Neck Disability Index (NDI)One-Rep Max Estimator Osgood-Schlatter Severity Oswestry Disability Index (ODI)Ottawa Knee Rules Oxford Elbow Score Oxford Shoulder Score PAR-Q+ Readiness Questionnaire PARS-3 Youth Readiness Patellar Instability Severity Score Pitch Smart Guidelines (USA Baseball)Pittsburgh Knee Rules Post-Concussion Symptom Scale (PCSS)QuickDASH (Shoulder & UE)RED-S CAT (Clinical Assessment)Re-injury Anxiety Inventory (RIAI)Relative Age Effect (RAE)Return-to-Play Battery SANE Score (Single Assessment)SCAT6 (Sport Concussion Assessment Tool 6)SCOAT6 (Sub-acute and Office Follow-up)SEAQ-I Appetite Questionnaire STarT Back Screening Tool Session RPE (Internal Load)Sever's Disease Activity Single-Leg Hop Test Battery Standardized Assessment of Concussion (SAC)Steroid Equivalence Calculator Stinger / Burner Grading Sweat Rate and Rehydration TSK-11 (Tampa Scale for Kinesiophobia)TUE Criteria Checklist Tanner Stage Assessment Tegner Activity Scale (TAS)Training Monotony and Strain UCL Injury Risk (Medial Elbow)VISA-A (Achilles Tendinopathy)VISA-P Scale (Patellar Tendinopathy)VO2 Max VOMS (Vestibular/Ocular-Motor Screening)WADA Prohibited List Checker WBGT (Wet Bulb Globe Temp)WORC (Rotator Cuff Index)WOSI (Shoulder Instability Index)Wilks Score (Relative Strength)Wind Chill Index hEDS Diagnostic Criteria (2017)iHOT-33 (International Hip Outcome Tool)

Recent Journal Updates

British J HaematologyJun 26, 2026

Liaison haematology in the United Kingdom: Workforce perspectives of workload and labour demand

Clinical Context

We think this might be relevant to the clinical guidance for Valvus Load.

JAMAJun 23, 2026

A New Understanding of HFpEF in Severe Obesity

Clinical Context

We think this has broad domain relevance to Valvus Load.

British J HaematologyJun 16, 2026

The quiet brain injury in thrombotic thrombocytopenic purpura: Are we missing the warning signs?

Clinical Context

We think this might be relevant to the clinical guidance for Valvus Load.

UCL Injury Risk (Medial Elbow)

Low Risk Profile

Maintain current conditioning and Pitch Smart compliance.

Prevention Pearl: Strengthening the Flexor-Pronator Mass (FCU/FDS) provides dynamic stabilization that shields the UCL from valgus torque.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Pre-participation screening for athletes with suspected valvular heart disease (e.g., aortic stenosis, mitral regurgitation) to assess hemodynamic load during exercise.

Monitoring of known valvular disease patients who are engaged in competitive or recreational sports to guide exercise prescription and risk stratification.

Evaluation of athletes with unexplained exertional dyspnea, syncope, or chest pain to differentiate cardiac from non-cardiac causes.

Serial assessment of valvular load in athletes undergoing high-intensity training to detect early signs of ventricular decompensation.

Post-intervention (e.g., valve repair/replacement) clearance for return to sport, ensuring hemodynamic stability under load.

Key Indication - Hemodynamic Risk Stratification in Valvular Disease

The Valvus Load is primarily indicated for quantifying the hemodynamic burden imposed by valvular lesions during exercise. It integrates echocardiographic parameters (e.g., valve area, transvalvular gradients, regurgitant volume) with exercise stress data to classify athletes into low, moderate, or high-risk categories. According to the 2020 ESC Guidelines on Sports Cardiology, a Valvus Load score > 3.5 in aortic stenosis or > 4.0 in mitral regurgitation warrants restriction from high-intensity static/dynamic sports and prompts further invasive assessment.

When Not to Use / Contraindications

Acute decompensated heart failure or hemodynamic instability at rest.

Severe symptomatic valvular disease (NYHA III-IV) where exercise testing is contraindicated.

Uncontrolled arrhythmias (e.g., atrial fibrillation with rapid ventricular response) that confound load calculations.

Inability to perform adequate exercise stress (e.g., musculoskeletal limitations) invalidating the load assessment.

Pregnancy (relative contraindication) due to altered hemodynamics; use only if essential for management.

Last Comprehensive Review: 2026

Recent Journal Updates

British J HaematologyJun 26, 2026

Liaison haematology in the United Kingdom: Workforce perspectives of workload and labour demand

Clinical Context

We think this might be relevant to the clinical guidance for Valvus Load.

JAMAJun 23, 2026

A New Understanding of HFpEF in Severe Obesity

Clinical Context

We think this has broad domain relevance to Valvus Load.

British J HaematologyJun 16, 2026

The quiet brain injury in thrombotic thrombocytopenic purpura: Are we missing the warning signs?

Clinical Context

We think this might be relevant to the clinical guidance for Valvus Load.

UCL Injury Risk (Medial Elbow)

Low Risk Profile

Maintain current conditioning and Pitch Smart compliance.

Prevention Pearl: Strengthening the Flexor-Pronator Mass (FCU/FDS) provides dynamic stabilization that shields the UCL from valgus torque.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Pre-participation screening for athletes with suspected valvular heart disease (e.g., aortic stenosis, mitral regurgitation) to assess hemodynamic load during exercise.

Monitoring of known valvular disease patients who are engaged in competitive or recreational sports to guide exercise prescription and risk stratification.

Evaluation of athletes with unexplained exertional dyspnea, syncope, or chest pain to differentiate cardiac from non-cardiac causes.

Serial assessment of valvular load in athletes undergoing high-intensity training to detect early signs of ventricular decompensation.

Post-intervention (e.g., valve repair/replacement) clearance for return to sport, ensuring hemodynamic stability under load.

Key Indication - Hemodynamic Risk Stratification in Valvular Disease

When Not to Use / Contraindications

Acute decompensated heart failure or hemodynamic instability at rest.

Severe symptomatic valvular disease (NYHA III-IV) where exercise testing is contraindicated.

Uncontrolled arrhythmias (e.g., atrial fibrillation with rapid ventricular response) that confound load calculations.

Inability to perform adequate exercise stress (e.g., musculoskeletal limitations) invalidating the load assessment.

Pregnancy (relative contraindication) due to altered hemodynamics; use only if essential for management.

Last Comprehensive Review: 2026

Recent Journal Updates

UCL Injury Risk (Medial Elbow)

Low Risk Profile

Pitching with Arm Fatigue

High Velocity (> 90 mph)

GIRD / Loss of TROM

Late Arm Cocking

High Volume Breaking Balls

Open Foot Plant

When to Use

When to Use

Key Indication - Hemodynamic Risk Stratification in Valvular Disease

When Not to Use / Contraindications

Recent Journal Updates

UCL Injury Risk (Medial Elbow)

Low Risk Profile

Pitching with Arm Fatigue

High Velocity (> 90 mph)

GIRD / Loss of TROM

Late Arm Cocking

High Volume Breaking Balls

Open Foot Plant

When to Use

When to Use

Key Indication - Hemodynamic Risk Stratification in Valvular Disease

When Not to Use / Contraindications