Return to sports after an ACL reconstruction in 2024

A glass half full?
A narrative review

Return to sports after an ACL reconstruction in 2024 – A glass half full? A narrative review

A successful return to sports (RTS) after an anterior cruciate ligament reconstruction (ACLR) is multifactorial, and therefore difficult and challenging.

Over the past years, test batteries were developed to assess whether patients can RTS with a low risk for a second ACL injury risk. Low rates of patients who meet RTS criteria were found, coupled with the insufficiency of current RTS test batteries in predicting second ACL injuries suggesting poor sensitivity. The result of an RTS test is likely to reflect the content of a rehabilitation program, raising critical questions regarding what we are offering patients within the rehabilitation programme.

Return to sports after an ACL reconstruction in 2024 picture

Are we preparing our patients well enough for the high demands of complex situations within pivoting team sports?

This narrative review offers insights from key lessons of the last 15 years on:
1) RTS testing, 2) the content of rehabilitation, and 3) the RTS continuum, all from a “helicopter perspective”.

Are we preparing our patients well enough for the high demands of complex situations within pivoting team sports? This narrative review offers insights from key lessons of the last 15 years.

Reference: Wouter Welling

Return to sports after an ACL reconstruction in 2024 – A glass half full? A narrative review

Physical Therapy in Sport 67, online ahead of print.