Individual skill

return-to-activity-criteria

Set criteria-based return-to-activity milestones so the decision rests on what the patient can demonstrate rather than on how long it has been — the test battery, the thresholds, the graded reintroduction, and the honest conversation about residual risk. Use when asked to plan a return to sport or work, set return-to-play criteria, decide whether someone is ready to return, or handle pressure to clear someone early. Produces the criteria by stage, the test battery with thresholds, the graded exposure plan, the residual-risk discussion, and the decision record. The clearance decision is the treating clinician's, made with the patient and the relevant medical team.

skills/return-to-activity-criteria/SKILL.md

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# Return-to-Activity Criteria

Time-based clearance is popular because it is easy and defensible-sounding, and it is neither safe nor accurate. Criteria-based return asks a different question: what must this person demonstrate before this exposure is reasonable? This builds that battery, sets thresholds in advance — before anyone is under pressure — and stages the return so the first day back is not the full demand.

## What This Skill Produces

- **Criteria by stage** — what must be demonstrated to progress from each stage to the next
- **The test battery with thresholds** — specific tests, with pass criteria set in advance
- **The graded exposure plan** — how demand is reintroduced, in what increments, over what period
- **The residual-risk conversation** — what remains uncertain even when criteria are met, communicated honestly
- **The decision record** — who decided, on what evidence, with what the patient understood
- **The monitoring plan** — what is watched after return, and what would pause it

## Required Inputs
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