• Lee Herrington, Gregory Myer, and Ian Horsley.
• Directorate of Exercise, Sport and Physiotherapy, Allerton Building, University of Salford, Salford, Greater Manchester M6 6PU, UK. Electronic address: l.c.herrington@salford.ac.uk.
• Phys Ther Sport. 2013 Nov 1; 14 (4): 188-98.

AbstractAnterior Cruciate ligament (ACL) injuries are one of the most common and devastating knee injuries sustained whilst participating in sport. ACL reconstruction (ACLR) remains the standard approach for athletes who aim to return to high level sporting activities but the outcome from surgery is not assured. Secondary morbidities and an inability to return to the same competitive level are common following ACLR. One factor which might be linked to these sub-optimal outcomes may be a failure to have clearly defined performance criteria for return to activity and sport. This paper presents a commentary describing a structured return to sport rehabilitation protocol for athletes following ACLR. The protocol was developed from synthesis of the available literature and consensus of physiotherapists and strength and conditioning coaches based in the home country Institute of Sports within the United Kingdom.Copyright © 2013 Elsevier Ltd. All rights reserved.

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