On-field Rehabilitation Part 2: A 5-Stage Program for the Soccer Player Focused on Linear Movements, Multidirectional Movements, Soccer-Specific Skills, Soccer-Specific Movements, and Modified Practice

J Orthop Sports Phys Ther. 2019 Aug;49(8):570-575. doi: 10.2519/jospt.2019.8952. Epub 2019 Jul 10.

Abstract

This paper is part 2 of a 2-part series aimed at discussing the key elements of on-field rehabilitation training. In part 1, we described 4 pillars underpinning high-quality on-field rehabilitation: (1) restoring movement quality, (2) physical conditioning, (3) restoring sport-specific skills, and (4) progressively developing chronic training load. In part 2, we describe how the pillars contribute to a 5-stage on-field rehabilitation program to help injured players transition to team practice and match play. We use the example of a soccer player with ambitions to return to sport after anterior cruciate ligament reconstruction. The program moves through 5 field-based training stages: (1) linear movement, (2) multidirectional movement, (3) soccer-specific technical skills, (4) soccer-specific movement, and (5) practice simulation. The staged program is research based and facilitates communication, planning, control, and safety in return to sport following long-term injury. J Orthop Sports Phys Ther 2019;49(8):570-575. doi:10.2519/jospt.2019.8952.

Keywords: criterion-based rehabilitation; on-field rehabilitation; performance rehabilitation; reconditioning; return to sport.

MeSH terms

  • Anterior Cruciate Ligament Reconstruction / rehabilitation*
  • Athletic Injuries / rehabilitation*
  • Exercise Therapy / methods*
  • Humans
  • Physical Conditioning, Human / methods*
  • Return to Sport*
  • Soccer / injuries*