Rehabilitation after anterior cruciate ligament reconstruction: Criteria-based progression through the return-to-sport phase

Gregory D. Myer, Mark V. Paterno, Kevin R. Ford, Carmen E. Quatman, Timothy E. Hewett

Research output: Contribution to journalReview article

257 Scopus citations

Abstract

Rehabilitation following anterior cruciate ligament (ACL) reconstruction has undergone a relatively rapid and global evolution over the past 25 years. However, there is an absence of standardized, objective criteria to accurately assess an athlete's ability to progress through the end stages of rehabilitation and sate return to sport. Return-to-sport rehabilitation, progressed by quantitatively measured functional goals, may improve the athlete's integration back into sport participation. The purpose of the following clinical commentary is to introduce an example of a criteria-driven algorithm for progression through return-to-sport rehabilitation following ACL reconstruction. Our criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks. Although this algorithm has limitations, it serves as a foundation to expand future evidence-based evaluation and to foster critical investigation into the development of objective measures to accurately determine readiness to safely return to sport following injury.

Original languageEnglish (US)
Pages (from-to)385-402
Number of pages18
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume36
Issue number6
DOIs
StatePublished - Jun 2006

Keywords

  • Anterior cruciate ligament
  • Knee rehabilitation
  • Lower extremity
  • Sport injury

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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