FIGURE 2.

Progressive neurocognitive return-to-sport criteria. Progress RTS testing to capture physical capacity, patient-reported function, and neurocognitive reliance. Once a patient achieves symmetry or sufficient performance on standard physical measures, they are progressed to similar tests under a neurocognitive challenge (calculating dual-task cost). The same approach to adding neurocognitive demand applies for on-the-field and sport-specific testing once an athlete is in later stages of rehabilitation. Athletes who perform poorly during the added neurocognitive challenges may be sufficiently recovered and ready to return to sport. Abbreviations: ACL-RSI, Anterior Cruciate Ligament Return to Sport Index; COD, change of direction; IKDC, International Knee Documentation Committee patient-reported outcome; RSI, reactive strength index; SLHD, single-leg hop distance.