TWO YEAR ACL REINJURY RATE OF 2.5%: OUTCOMES REPORT OF THE MEN IN A SECONDARY ACL INJURY PREVENTION PROGRAM (ACL-SPORTS)

. 2018 Jun;13(3):422–431.

Soreness Guidelines (Adams et al¹⁶)
If no soreness:	Advance to next session
If sore during warm-up but soreness is gone during dribbling and juggling warm-up:	Repeat previous session
If sore during warm-up and soreness continues through dribbling and juggling warm-up:	Stop; take 2 days off, and upon return to training, drop down one session
If sore more than 1 hour after kicking, or the next day:	Take 1 day off; repeat most recent session

Effusion Guidelines (Adams et al¹⁶ and White et al⁶)
1+ or less^*	Complete protocol and progress as appropriate
2+ or more^*	Hold protocol, treat effusion, and review effusion management At the following session: Trace or None: Progress as appropriate 1+: Maintain same level of protocol, do not advance 2+: Hold protocol, treat effusion, and review effusion management At the next session: Trace or None: Progress as appropriate 1+: Progress as appropriate 2+: Hold protocol, treat effusion, notify research team.

Effusion Guidelines (Adams et al¹⁶ and White et al⁶)

1+ or less^*

Complete protocol and progress as appropriate

2+ or more^*

Hold protocol, treat effusion, and review effusion management
At the following session:

Trace or None: Progress as appropriate
1+: Maintain same level of protocol, do not advance
2+: Hold protocol, treat effusion, and review effusion management

At the next session:

Trace or None: Progress as appropriate
1+: Progress as appropriate
2+: Hold protocol, treat effusion, notify research team.

Effusion graded according to: Sturgill LP, Snyder-Mackler L, Manal TJ, Axe MJ: Interrater reliability of a clinical scale to assess knee joint effusion. J Orthop Sports Phys Ther. 2009, 39: 845-849.