Overview
About Return-to-Sports Guidance
Return to sport (RTS) after injury or surgery is a structured, criteria-based process — not simply a matter of time. A comprehensive RTS programme involves objective strength testing (limb symmetry index), sport-specific functional tests, proprioception and agility assessment, and psychological readiness evaluation. Clearance is given only when the athlete meets predefined objective criteria, significantly reducing re-injury risk. We work with athletes from recreational to professional level across all sports.
Key Benefits
Objective criteria-based clearance — not just time-based — reduces re-injury risk
Limb symmetry strength testing confirms equal strength in both limbs before return
Sport-specific agility and functional testing mimics the demands of your sport
Psychological readiness assessment addresses fear of re-injury — equally important as physical readiness
Personalised progressive loading programme for safe, confident return to full competition
Frequently Asked Questions
When is it safe to return to sport after ACL reconstruction?
The general timeline is 9–12 months, but time alone is not sufficient. Objective criteria must be met: quadriceps and hamstring strength symmetry of at least 90% compared to the other leg, passing sport-specific hop tests, and psychological readiness. Returning before meeting these criteria significantly increases re-tear risk.
What is the limb symmetry index (LSI)?
The LSI compares strength or performance between the injured and uninjured limb as a percentage. An LSI of 90% or above is the minimum required for return to sport clearance. For example, if the uninjured leg produces 100 Nm of quad strength, the injured leg should produce at least 90 Nm.
What sport-specific tests are used?
Common tests include the single leg hop for distance, triple hop, crossover hop, 6-metre timed hop (for lower limb injuries), and sport-specific movement screening (cutting, pivoting, jumping drills). These replicate the physical demands of actual sport.
What if I am physically ready but still afraid to return to sport?
Psychological readiness is as important as physical readiness. Fear of re-injury (kinesiophobia) is common and valid. Sport psychologist referral, graded exposure to sport-specific activities, and building confidence through progressive training are key components of complete return-to-sport clearance.
Can I return to sport after joint replacement?
Low-impact sports like swimming, cycling, golf, doubles tennis, and walking are generally well-tolerated after joint replacement. High-impact sports involving running, jumping, or contact are generally discouraged as they increase implant wear. Your surgeon will provide specific guidance based on the implant and your sport.