Implementing Velocity-Based Training to Optimize Return to Sprint After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Clinical Commentary

Author:

FORELLI Florian123,RIERA Jérôme45,MARINE Patrice1,GASPAR Maxime6,MEMAIN Geoffrey6,MIRAGLIA Nicholas7,NIELSEN – LE ROUX Mathias1,BOUZEKRAOUI ALAOUI Ismail89,KAKAVAS Georgios1011,HEWETT Timothy E12,KING Enda13,RAMBAUD Alexandre JM314

Affiliation:

1. Orthosport Rehab Center, Domont, France

2. Clinic of Domont, Orthopedic Surgery Department, Ramsay Healthcare, Domont, France

3. SFMKS-Lab, Société Française des Masseurs-kinésithérapeutes du Sport, Pierrefitte/Seine, France

4. University Jean Monnet Saint-Etienne, Lyon 1, University Savoie Mont-Blanc, Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, F-42023, Saint-Etienne, France

5. University of Bordeaux, College of Health Sciences, IUSR, 33000, Bordeaux, France

6. Clairefontaine Medical Center, French Football Federation, France

7. Miraglia Private Clinic, Triest, Italy

8. Mohammed VI Faculty of Nursing and Allied Health Professions, Mohammed VI University of Sciences and Health, Casablanca, Morocco

9. Research Unit, Mohammed VI Center for Research and Innovation, Rabat, Morocco

10. Fysiotek Spine & Sports Lab, Athens, Greece

11. Department of Physical Education and Sport Science, University of Thessaly, @ErgoMechLab, Trikala,Greece

12. Department of Orthopaedic Surgery, Marshall University, Huntington, West Virginia

13. Rehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar

14. Department of Clinical and Exercise Physiology, Sports Medicine Unity, University Hospital of Saint Etienne, Faculty of medicine, Saint-Etienne. France

Abstract

After anterior cruciate ligament reconstruction (ACLR), return to sprint is poorly documented in the literature. In soccer, return to sprint is an essential component of return to play and performance after ACLR. The characteristics of running in soccer are specific (velocity differences, nonlinear, intensity). It is important to address these particularities, such as curvilinear running, acceleration, deceleration, changes of direction, and variations in velocity, in the patient’s rehabilitation program. Force, velocity, and acceleration capacities are key elements to sprint performance. Velocity-based training (VBT) has gained much interest in recent years and may have a role to play in optimizing return to play and return to sprint after ACLR. Force, velocity, and acceleration can be assessed using force-velocity-power and acceleration-speed profiles, which should inform rehabilitation. The purpose of this commentary is to describe a velocity-based return to sprint program which can be used during ACLR rehabilitation.

Publisher

International Journal of Sports Physical Therapy

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