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. 2019 Sep 17;50(1):55–72. doi: 10.1007/s40279-019-01189-4
CoD tasks have been recognized as a key mechanism of non-contact ACL injury. However, there is currently a lack of research examining CoD tests as a means to assess knee function following ACLr and associations with secondary injuries or a return to pre-injury levels of performance.
Existing literature offers a combination of field and laboratory-based CoD tests. Laboratory-based assessments appear to be more sensitive in their ability to identify alterations in movement mechanics following ACLr but they also lack ecological validity and are currently not practically viable to systematically assess knee function during the rehabilitation process.
Practitioners are encouraged to develop practically viable solutions to bridge the gap between laboratory and sports environment, while considering relevant conditions (e.g., planned vs. unplanned, fatigue state) and constraints (e.g., cutting angle, approach velocity). This approach can enhance the RTS decision.