@article{ref1,
title="On-ice return-to-hockey progression after anterior cruciate ligament reconstruction",
journal="Journal of orthopaedic and sports physical therapy",
year="2017",
author="Capin, Jacob J. and Behrns, William and Thatcher, Karen and Arundale, Amelia and Smith, Angela Hutchinson and Snyder-Mackler, Lynn",
volume="47",
number="5",
pages="324-333",
abstract="Synopsis Limited literature exists pertaining to rehabilitation of ice hockey players seeking to return-to-sport after anterior cruciate ligament reconstruction (ACLR). The purpose of this clinical commentary is to present a criterion-based, return-to-ice hockey progression for athletes after ACLR. First, we review pertinent literature and provide previously published guidelines on general rehabilitation after ACLR. Then, we present a four-phase, on-ice skating progression with objective criteria to initiate each phase. During the early on-ice phase, the athlete is reintroduced to specific demands, including graded exposure to forward, backward, and crossover skating. In the intermediate on-ice phase, the emphasis shifts to developing power and introducing anticipated changes of direction within a controlled environment. During the late on-ice phase, the focus progresses to developing anaerobic endurance and introducing unanticipated changes of direction, but still without other players or contact. Finally, once objective return-to-sport criteria are met, non-contact team drills, outnumbered and even-numbered drills, practices, scrimmages, and games are progressively reintroduced during the return-to-sport phase. Recommendations for off-ice strength and conditioning exercises complement the on-ice progression. Additionally, we apply the return-to-hockey progression framework to a case report of a female collegiate defensive ice hockey player who returned to sport successfully after ACLR. This criterion-based return-to-hockey progression may guide rehabilitation specialists managing athletes returning to ice hockey after ACLR.<p /> <p>Language: en</p>",
language="en",
issn="0190-6011",
doi="10.2519/jospt.2017.7245",
url="http://dx.doi.org/10.2519/jospt.2017.7245"
}