A Return-to-Sport Checklist from the South Sherbrook Therapy Team

Here are some of the key factors our team considers when helping athletes decide whether they’re ready to get back in the game.

Are You Physically Ready? 

We clear you for sports based on function and performance, regardless of how long it’s been since your surgery. Here are some of the key physical markers we look at.

Strength Symmetry

• Your injured leg should reach at least 90% strength compared to the uninjured side, including the quadriceps and hamstrings. Weakness in these areas is linked to poor knee control and a higher risk of reinjury.

Single-Leg Control

• You should be able to perform movements like single-leg squats, step-downs, and controlled landings without inward knee collapse.

 Dynamic Movement Quality

• You should be able to demonstrate consistent lower extremity alignment, joint control, and force absorption during jumping, cutting, or deceleration movements.

Endurance and Fatigue Resistance

• You should tolerate sport-like activity for long periods of time without a breakdown in form, as late-game fatigue increases injury risk.

Are You Mentally Ready?

Physical recovery is important, but it’s only part of the picture. Psychological readiness strongly influences return-to-sport success. We look for:

Confidence in Your Knee

• You should trust your knee during high-demand movements, experiencing no hesitation with cutting or jumping.

Low Fear of Reinjury

• Fear can alter movement patterns, increasing your risk of injury. Athletes who feel hesitant often unconsciously limit their performance.

 Focus and Reaction Time

• You should be able to react quickly without second-guessing movements, and any decision-making under pressure should feel natural.

Consistency in Performance

• You should be capable of repeating movements at game intensity without variability, with your confidence holding even under fatigue.