A systemic review done by Barber-Westin and Noyes in 2012 reported that 105 studies (40%) unable to show any measures for return to play after ACLR, and only 35 studies (13%) included objective measures; consist of general knee examination(eg: range of motion, oedema measurement), knee muscle strength and thigh circumference, Lachman rating, single-leg hop performance, or validated questionnaires. This study also reported that ACL reinjury rates after 2 years of ACLR ranged from 0% to 24, especially on the non dominant leg. The findings of this systematic review revealed a lack of objective criterion used for post ACLR athlete return to unrestricted sports activity. Also, the author highlighted the importance considering overall quantification of knee stability, muscle strength, neuromuscular
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the criteria “return to play” is generally inconclusively described using generic guidelines, where the definition and tests commonly used as criteria for the post ACLR players return to unrestricted soccer activities are not demanding enough, as the rate of return to sport is low.
It seems advisable to employ multiple objective and subjective measures to finalized RTP decision making. Such criteria often refer to cluster of hop-jump test and knee-strength values at least of 85% compared to non operated limb, plus that limb symmetry index should be within 10% between sides.
Final phase of rehabilitation should be specifically towards soccer-specific conditioning training, taking into consideration the player individual neuromuscular deficits and biomechanics characteristics. It is the importance to continue monitoring and rehabilitation the players beyond the first year after surgery to enhance neuromuscular control, to reduce the risk of ACL
the criteria “return to play” is generally inconclusively described using generic guidelines, where the definition and tests commonly used as criteria for the post ACLR players return to unrestricted soccer activities are not demanding enough, as the rate of return to sport is low.
It seems advisable to employ multiple objective and subjective measures to finalized RTP decision making. Such criteria often refer to cluster of hop-jump test and knee-strength values at least of 85% compared to non operated limb, plus that limb symmetry index should be within 10% between sides.
Final phase of rehabilitation should be specifically towards soccer-specific conditioning training, taking into consideration the player individual neuromuscular deficits and biomechanics characteristics. It is the importance to continue monitoring and rehabilitation the players beyond the first year after surgery to enhance neuromuscular control, to reduce the risk of ACL