{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:55:37Z","timestamp":1790780137197,"version":"4.1.0"},"reference-count":226,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sports Med"],"abstract":"Abstract<\/jats:title>\n \n Anterior cruciate ligament reconstruction (ACLR) in football (soccer) players is associated with high return-to-competition rates but persistent deficits in performance and elevated risk of secondary injury. Whilst rehabilitation frameworks have evolved to optimise early, mid-, and late-stage recovery, limited guidance exists regarding the structured transition from typical return-to-sport clearance to sustained return-to-performance (RTP\n erf<\/jats:sub>\n ). Failure to adequately bridge this gap may contribute to early re-injury, suppressed match performance and compromised career longevity. This paper outlines a staged RTP\n erf<\/jats:sub>\n continuum comprising: (1) structured on-field rehabilitation, (2) return to team training, (3) return to competitive match play and (4) early and sustained RTP\n erf.<\/jats:sub>\n Four interdependent pillars underpin this process: (i) the\u00a0restoration of movement quality under realistic football specific situations; (ii) progressive football-specific technical and tactical re-training; (iii) football-specific physical reconditioning including speed, acceleration, deceleration and change of direction ability, endurance and chronic workload development\u00a0and (iv) maximal strength and explosive neuromuscular performance restoration.\n <\/jats:p>","DOI":"10.1007\/s40279-026-02543-z","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:59:12Z","timestamp":1790773152000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Return to Performance Continuum for Football (Soccer) Players After ACL Reconstruction: Bridging Rehabilitation, Return to Play and Sustained Performance"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4925-4031","authenticated-orcid":false,"given":"Matthew","family":"Buckthorpe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1508-8602","authenticated-orcid":false,"given":"Paul","family":"Read","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9340-0147","authenticated-orcid":false,"given":"Eric","family":"Hamrin Senorski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2345-4945","authenticated-orcid":false,"given":"Alessandro","family":"Compagnin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1761-7352","authenticated-orcid":false,"given":"Stefano","family":"Di Paolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9379-6666","authenticated-orcid":false,"given":"Francesco","family":"Della Villa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"1","key":"2543_CR1","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1136\/bjsports-2020-102200","volume":"55","author":"TA Diermeier","year":"2021","unstructured":"Diermeier TA, Rothrauff BB, Engebretsen L, et al. 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