Arthroscopy, Sports Medicine, and Rehabilitation (Jan 2022)

Anterior Cruciate Ligament Rehabilitation and Return to Sport: How Fast Is Too Fast?

  • Kristen Waldron, P.T., D.P.T., S.C.S.,
  • Matthew Brown, P.T., D.P.T, S.C.S, C.S.C.S.,
  • Ariana Calderon, P.T., D.P.T,
  • Michael Feldman, M.D.

DOI
https://doi.org/10.1016/j.asmr.2021.10.027
Journal volume & issue
Vol. 4, no. 1
pp. e175 – e179

Abstract

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This article summarizes the benefits and limitations of various approaches of anterior cruciate ligament (ACL) rehabilitation, more specifically a conservative or traditional rehabilitation approach versus a more accelerated approach. The conservative model is considered one with a return to sport at 9 months or later with more time-based criteria, and an accelerated approach is defined as one with a goal of return to sport by 6 months. Although there are some similarities between the 2 types of rehabilitation, key differences exist and will be highlighted. Additionally, we discuss a criteria-based return-to-sport model that we favor. Level of Evidence: V, expert opinion.