TABLE 1.

Return-to-Sport Progression Based on Quality of Movement Assessment (QMA) and Quantitative Assessment Results

Assessment	Qualitative Assessment	Quantitative Assessment	Sport-Specific Progression
1	QMA 1  Squat   Single-leg stance   8-inch forward step Down  Single-leg squat    Jump in place	KT-1000 arthrometry Knee flexion/extension isokinetic strength testing	Progress to single-limb movements Progress endurance Running on level surfaces if sufficient eccentric quadriceps strength
2	QMA 1 AND jumping, landing, and decelerating tasksa	Isokinetic strength testingb Single-leg hop testb	Begin basic noncontact sports-specific drills (kicking/passing, ball drills, etc) with supervision Progress intensity Progress endurance Qualitative assessment will drive the initiation of agility and cutting skills
3	Progress jumping, landing, decelerating, and sport-specific tasksa At increased speed:  Run forward and back peddle Shuttle run Sprint stop and go on command Cutting 90° Side shuffle 90°	Isokinetic strength testingc Single-leg hop testc	Progress from noncontested to contested play per assessment results

^aProgression beyond QMA 1 is highly individualized and requires a customized approach based on patient progression, sport specificity, and physical therapist discretion.

^bIf deemed safe to perform.

^cIf deficits persists from assessment 2.