Returning to sport after ACL surgery - When are you ready?

What is guiding your return to sport after your Anterior Cruciate Ligament (ACL) surgery?


What makes you confident in your decision to return to sport?

We too often see clients who have no clear pathway to return to sport. Here is a brief snapshot of what we assess to make sure we are helping our clients decrease their risk of re-injury when returning to sport:

  1. >90% on lower limb strength testing comparative to uninjured side

  2. >90% on hop testing comparative to uninjured side (single leg hop, single leg triple hop, single leg crossover hop, timed 6m hop, lateral hop)

  3. >9 months post surgery

  4. Implementation of an ongoing prevention program

  5. Confidence to return to sport as assessed through questionnaires

We know that returning to cutting sports like AFL, soccer, rugby, netball after an ACL surgery means around a 4 times greater risk of re-injury. Making sure you meet these criteria before return to sport has been shown to reduce injury rates by up to 84%.

What guiding your decision to return to sport after ACL reconstruction? We’d love to know!

84% decrease in ACL re-injury risk using simple decision rules


A recent study outlines simple decision rules that may decrease re-injury risk by up to 84% after ACL reconstruction.

The main take-aways from the study were:

  1. Patients who returned to pivoting and cutting sports had a 4.32 times higher re-injury rate than those who did not

  2. Re-injury rate was significantly reduced by 51% for each month return to sport was delayed until 9-months after surgery

  3. Almost 40% of those who failed return to sport criteria suffered re-injuries versus 5% of those who passed

  4.  More symmetrical quads strength prior to return significantly reduced knee injury rate