Variability in Terminal Phase Timing and Return-to-Sport Criteria in ACL Reconstruction Rehabilitation Protocols: A Scoping Review of U.S. Academic Institutions

The authors aimed to characterize the variability in ACL reconstruction rehabilitation protocols from U.S. academic medical centers, specifically focusing on the timing of the terminal phase and criteria for return to sport (RTS). Their scoping review revealed significant inconsistencies in protocol definitions, with many lacking clear endpoints and evidence-based RTS benchmarks, highlighting the need for improved standardization to support patient recovery and minimize reinjury risk.