{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:46:57Z","timestamp":1793148417971,"version":"4.5.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rehabilitation after anterior cruciate ligament ACL reconstruction (ACLR) is crucial for safe return to play (RTP) and reducing the chances of a reinjury. Yet, there is no consensus on the ideal functional tests to assess rehabilitation progress in soccer players after ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The primary objective was to highlight the existing gap in the literature concerning the most effective standardized rehabilitation protocols and testing for facilitating successful RTP among soccer players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic review using PubMed, Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) was conducted. Inclusion criteria encompassed original studies (level of evidence 1-4) that examined rehabilitation protocols, metrics of knee rehabilitation, and clinical outcomes after ACLR in soccer players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>This review incorporated 23 studies, predominantly retrospective case series, with a total number of 874 soccer players who underwent ACLR and rehabiliation. 5 (21.7%) studies utilized an accelerated rehabilitation protocol, while 7 (30.4%) of studies utilized a criterion-based rehabilitation. A wide heterogeneity of data was extracted including functional tests of rehabilitation and RTP such as strength test batteries, hop test batteries, and movement quality assessments. Of the 23 selected studies, 2 (8.7%) used all 3 test batteries, 8 (34.8%) used 2 test batteries, 12 (52.2%) used 1 test battery, and 1 (4.3%) used 0 of the test batteries. The mean time between surgery and RTP ranged from 3 to 8 months with only 2 (8.7%) studies reporting complications after ACLR. Lastly, out of the total studies examined, 9 (39.1%) assessed patient-reported outcome measures (PROMs), all of which demonstrated significant improvement from the initial assessment to the final follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Soccer-specific rehabilitation after ACLR lacks standardization. Even though many studies have assessed protocols for optimal RTP and reduced secondary ACL injuries, there is a gap in the literature regarding the most effective protocols and RTP testing. The methodology reported by Kyritsis et al could serve as a foundation for future prospective randomized multicenter studies to establish a standard rehabilitation protocol and enable a successful return to soccer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465241233161","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T01:15:30Z","timestamp":1713230130000},"page":"217-227","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Rehabilitation and Return to Play Protocols After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Systematic Review"],"prefix":"10.1177","volume":"53","author":[{"given":"McKenzie A.","family":"Mayer","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA"},{"name":"Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Deliso","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA"},{"name":"Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian S.","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA"},{"name":"Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan M.","family":"Saltzman","sequence":"additional","affiliation":[{"name":"OrthoCarolina Sports Medicine Center, Charlotte, North Carolina, USA"},{"name":"Musculoskeletal Institute, Atrium Health, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael S.","family":"Longobardi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter F.","family":"DeLuca","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Rizio","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194432"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.3780"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5154-5"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.11.002"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511422349"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.32098\/mltj.04.2016.12"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.4005"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2014.909603"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2021.06.005"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2004.03.004"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.26603\/001c.32529"},{"issue":"2","key":"e_1_3_3_13_2","first-page":"121","article-title":"Neuromuscular efficiency of the vastus medialis obliquus and postural balance in professional soccer athletes after anterior cruciate ligament reconstruction","volume":"2","author":"Chaves SF","year":"2012","unstructured":"Chaves SF, Marques NP, Silva RLE, et al. 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