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Considerations for Late Stage ACL Rehabilitation and Return to Sport to Limit Re-Injury Risk and Maximize Athletic Performance.

Authors: Bien DP, Dubuque TJ

Despite recent advances in anterior cruciate ligament reconstruction (ACL) surgical techniques, an improved understanding of the ACL’s biomechanical role, and expanding research on optimal rehabilitation practices in ACL-reconstructed (ACLR) patients, the re-tear rate remains alarmingly high and athletic performance deficits persist after completion of the rehabilitation course in a large percentage of patients.  Significant deficits may persist in strength, muscular activation, power, postural stability, lower extremity mechanics, and psychological preparedness. Many patients may continue to demonstrate altered movement mechanics associated with increased injury risk. The purpose of this clinical commentary and literature review is to provide a summary of current evidence to assist the rehabilitation professional in recognizing, assessing, and addressing factors which may have been previously underappreciated or unrecognized as having significant influence on ACLR rehabilitation outcomes.  

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