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. 2024 Jul 1;19(7):910–922. doi: 10.26603/001c.120205

Table 1. Progression criteria and training exercises (examples, SM_ Fig. 3+4).

Level Progression criteria into the level Training exercise (examples)
1: Proprioception
  • AFS>40/100

  • Pass the clinical examination

  • Pass proprioceptive performance tests (modified Stork Balance Test; Y-Balance Test)

  • Weight bearing exercises (proprioceptive); progession model; principles of motor learning (e.g. external focus strategies)

  • Closed-chain strength training (e.g. peroneal)

  • Stationary bicycle

  • Crosstrainer

  • Alter G

2: Running
  • AFS>60/100

  • Pass the clinical examination

  • Pass Heel Rise Test and qualitative running analysis

  • Linear running

  • Progression in linear running speed

  • Hops and bounds (progression)

3: Jump abilities
  • AFS>75/100

  • Pass the clinical examination

  • Pass hop tests (Side Hop Test; Triple Hop Test)

  • Ladder training (short reactive impacts)

  • Extensive interval running

4: athletic skills (rehabilitation)
  • AFS>85/100

  • Pass the clinical examination

  • Pass hop tests (Square Hop Test; Crossover Hop Test; mod. 6m-timed Crossover Hop Test)

  • Athletic skills

  • Multidirectional movement patterns

  • Sprinting

RTS: football-specific
  • AFS>95/100

  • Pass the test battery

  • High-intensity runs

  • Cutting, change of direction

  • Dribbling, passing, shooting from the short to the long distance (progression model)

RTP: re-integration (team training)
  • lack of criteria; experienced-based; subjective

  • Re-integration into team training

  • Team warm-up

  • Training forms without opponents

  • No tackling (protected player)

RTC: team training
  • VBG test battery

  • Lack of evidence

  • Team training

Only new exercises for each level added. Exercises from previous levels can be applied.

AFS, Ankle Function Score; RTP, Return to Play; RTS, Return to Sports; VBG,Verwaltungs Berufsgenossenschaft (German elite sports insurance)