Table 2.

Example of a modified in-season weekly training progression for high ACL injury risk sports like soccer, basketball, team handball, lacrosse

Focus	Recovery activities (waste removal, nutrient delivery); repetitive low load knee ROM, walking, swimming, bike	Standard practice but with light cutting, running direction changes, jump stops	Shorter duration practice with more intense cutting, running, directional changes and jump stops	Standard practice but with light cutting, running direction changes, jump stops	Shorter duration practice with more intense cutting, running, directional changes and jump stops	Pre-game planning, walk through (waste removal, nutrient delivery)	Competition
Hours/Activity	Off; Active Rest	Moderate intensity sport practice, 2 hr. duration followed by recovery activities	Intense cutting for 10 min in a 1 hr. duration practice; 6–8 hr. rest, then repeat	Moderate intensity sport practice, 2 hr. duration followed by recovery activities	Intense cutting for 10 min in a 1 hr. duration practice; 6–8 hr. rest, then repeat	Low intensity 2 hr. duration	Game; Post-Game recovery activities
Day of the Week	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday

In reviewing the entire training and competition schedule, the coaching and sports medicine staffs would develop a similar plan of best fit that follows the recommended progression