Abstract
Keywords
Introduction. Towards optimal performance
Rehabilitation
Return-to-training
Return-to-activity
Return-to-sport
Return-to-competition
Return-to-peak performance
Specific prevention
Conclusions and practical applications
Conflicts of interest
References
Abstract
In the second part of this evidence- and experience-based guide, we present a progressive framework for return-to-sport following anterior cruciate ligament reconstruction in team sport athletes. This framework guides programs that return athletes to competition at maximum performance while minimizing risk of reinjury. We have built onto a framework typically used in team sports that proposes progress move from general to specific. The progression is accomplished through the use of motor learning principles and attention to hypercomplexity, which characterizes situation sports. The framework focuses on preparing players to withstand repeated high-intensity actions, combining jumps, accelerations, decelerations and changes of direction with dribbling, passing, receiving, shooting and/or reacting to their teammates and opponents while minimizing risk of reinjury.
Introduction
Towards optimal performance Part I argued that return to sport (RTS) following anterior cruciate liagament reconstruction (ACL-R) requires an approach unique in team sport athletes that differs from the traditional approach.It’s not enough to focus only on recovery of the injured structure(s); the injured athlete must also be prepared to withstand the demands of team sport competition.