the criteria “return to play” is generally inconclusively described using generic guidelines, where the definition and tests commonly used as criteria for the post ACLR players return to unrestricted soccer activities are not demanding enough, as the rate of return to sport is low.
It seems advisable to employ multiple objective and subjective measures to finalized RTP decision making. Such criteria often refer to cluster of hop-jump test and knee-strength values at least of 85% compared to non operated limb, plus that limb symmetry index should be within 10% between sides.
Final phase of rehabilitation should be specifically towards soccer-specific conditioning training, taking into consideration the player individual neuromuscular deficits and biomechanics characteristics. It is the importance to continue monitoring and rehabilitation the players beyond the first year after surgery to enhance neuromuscular control, to reduce the risk of ACL