JOSPT open最新文献

{"title":"Treatment Mechanisms Associated With Directional Preference and Repeated Movements: A Scoping Review.","authors":"Bob Chang, Damian Keter, Ken Learman, Ronald Schenk, Chad Cook","doi":"10.2519/josptopen.2026.0278","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0278","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To synthesize the evidence for treatment mechanisms underlying repeated movements and sustained positioning, especially when matched to one's directional preference. <b>DESIGN:</b> Scoping review <b>LITERATURE SEARCH:</b> Five electronic databases were searched in November 2025 (PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and SPORTDiscus). The review was registered a priori on Open Science Framework Registries (https://doi.org/10.17605/OSF.IO/SX5H7). <b>STUDY SELECTION CRITERIA:</b> Included studies investigated adults with any form of musculoskeletal pain who completed repeated movements or sustained positioning as an intervention. The outcomes must have included a physiological proxy measure for a treatment mechanism pre- and during/post-intervention. <b>DATA SYNTHESIS:</b> Narrative and descriptive data were categorized by mechanistic domains and treatment fidelity. <b>RESULTS:</b> Thirty-six (36) articles were identified, which included treatment mechanisms from 5 domains: biomechanical domain (<i>n</i>=11; 31%), neurological domain (<i>n</i>=10; 28%), neuromuscular domain (<i>n</i>=11; 31%), neuroimmune domain (<i>n</i>=2; 6%), and neurovascular domain (<i>n</i>=2; 6%). Most studies were categorized with lower treatment fidelity of directional preference. <b>CONCLUSION:</b> We found preliminary evidence for a multisystem mechanistic response following the application of repeated movements and/or sustained positioning interventions in adults with musculoskeletal pain.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":" ","pages":"1-36"},"PeriodicalIF":0.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149241116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent Shoulder Instability and Retained Primitive Reflexes. Addressing a Potential Gap in Adult Musculoskeletal Rehabilitation Care.","authors":"Ellie Richardson, Ramni Acharya, Peter C Goodwin, Jeremy Lewis","doi":"10.2519/josptopen.2026.0270","DOIUrl":"10.2519/josptopen.2026.0270","url":null,"abstract":"<p><p><b>SYNOPSIS:</b> Using a case of recalcitrant type III shoulder instability, this editorial explores the potentially overlooked link between retained primitive reflexes and persistent musculoskeletal conditions. We explore how incomplete primitive reflex integration may disrupt motor control, compromise dynamic stability, and interact with neurodevelopmental traits like generalized joint hypermobility. Addressing a potential gap in adult musculoskeletal care, we establish a theoretical framework and foundational justification for future research. To investigate this potential paradigm shift, we outline a 4-stage research road map: mapping existing literature on adult primitive reflexes, validating specific primitive reflex assessment tools in musculoskeletal populations, testing targeted therapeutic integration exercises, and exploring bidirectional symptom relationships. Ultimately, this editorial outlines a clear path forward for decoding neurodevelopmental profiles when traditional physical therapy stalls.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 4","pages":"374-376"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Is the Association Between Psychosocial Risk Factors and Pain and Function Outcomes in People With Rotator Cuff Disorders? A Systematic Review.","authors":"Madhav Kumar Udayasankar, Frances Horgan, Helen P French","doi":"10.2519/josptopen.2026.0194","DOIUrl":"10.2519/josptopen.2026.0194","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To describe the association between psychosocial factors and pain and function/disability in people with rotator cuff (RC) disorders. <b>DESIGN:</b> Etiology systematic review. <b>LITERATURE SEARCH:</b> Systematic searches were conducted in CINAHL, EMBASE, MEDLINE, PsycINFO, and Scopus databases from inception to November 2025. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. <b>STUDY SELECTION CRITERIA:</b> Studies were eligible if they included adults with RC disorders and examined associations between psychosocial factors and pain and/or functional outcomes. <b>DATA SYNTHESIS:</b> Study quality was assessed using the Joanna Briggs Institute critical appraisal tool. Due to study heterogeneity, results were presented descriptively. <b>RESULTS:</b> Thirty-eight observational studies (n = 4845; 2024 males, 2170 females, 651 sex not reported) were included. Over 70% of studies were of medium-high methodological quality. Pain catastrophizing (<i>r</i> = -0.50 to 0.62, β = -0.54 to 0.50) and sleep (<i>r</i> = -0.59 to 0.54, β = -0.41) had moderate-to-strong associations with functional outcomes. Fear-avoidance had weak-to-strong associations with function (<i>r</i> = -0.61 to 0.24, β = -0.59 to -0.27, odds ratio [OR] = 1.39). Moderate evidence supported associations between fear-avoidance, sleep disturbance, pain catastrophizing, and functional outcomes. Poorer mental health had a moderate-to-strong association with pain severity (<i>r</i> = -0.52 to -0.48) and impaired function (<i>r</i> = -0.61 to 0.75); the strength of evidence was limited. Weak-to-strong associations with limited strength of evidence were observed between remaining psychosocial factors and pain. <b>CONCLUSION:</b> Pain catastrophizing and sleep disturbance demonstrated moderate-to-strong associations with functional impairment in people with RC disorders. Fear-avoidance beliefs had heterogenous associations with function. Poor emotional health was associated with greater pain severity and functional impairment. <i>JOSPT Open 2026;4(4):420-441. Epub 19 June 2026. doi:10.2519/josptopen.2026.0194</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 4","pages":"420-441"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Clinician's Guide to Evaluating and Managing Shoulder Overuse Injury in Softball Pitchers.","authors":"Nicole M Bordelon, Alexa Martinez, Jason L Zaremski, Lauren Butler, Kaila Holtz, Kenzie B Friesen, Jessica Downs-Talmage, Katie Sloma, Stephanie Neary, Gretchen D Oliver","doi":"10.2519/josptopen.2026.0227","DOIUrl":"10.2519/josptopen.2026.0227","url":null,"abstract":"<p><p><b>BACKGROUND:</b> Approximately one third of softball pitchers sustain a pitching-related injury across a single season, with the throwing shoulder being the most frequently injured site. Overuse is a commonly proposed mechanism given the repetitive high stress placed on the biceps-labral complex. <b>CLINICAL QUESTION:</b> How can clinicians evaluate and manage shoulder overuse injury in softball pitchers? <b>KEY RESULTS:</b> Clinical evaluation of softball pitchers should include a comprehensive patient history, physical examination, and appropriate imaging. Understanding injury mechanisms and risks will help clinicians assess and treat injuries effectively. Management should include a rehabilitation program that extends beyond the pitching shoulder to address the whole kinetic chain, with a focus on the lumbopelvic-hip complex. <b>CLINICAL APPLICATION:</b> Our model was designed by an interdisciplinary team for clinicians seeking to evaluate softball pitchers with shoulder overuse injury and develop rehabilitation programs that support return to play. This model can be used to implement evidence-based evaluation and management methods to improve athlete care. <i>JOSPT Open 2026;4(4):385-394. Epub 11 September 2026. doi:10.2519/josptopen.2026.0227</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":" ","pages":"385-394"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-World Use of Manual Therapy and Exercise for Managing Knee Osteoarthritis-A Military Health System Analysis.","authors":"Jodi L Young, Rebecca A Snyder, Daniel I Rhon","doi":"10.2519/josptopen.2026.0221","DOIUrl":"10.2519/josptopen.2026.0221","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> To (1) describe the health system-level use of exercise and manual therapy for knee osteoarthritis and (2) compare downstream health care use between groups that received these interventions. Additionally, to assess the relationship between exercise dose and the hazard of undergoing knee arthroplasty. <b>DESIGN:</b> Observational cohort study. <b>METHODS:</b> Individuals aged 18-75 years who were diagnosed with knee osteoarthritis between 2013 and 2017 were grouped by intervention: exercise only, manual therapy only, or both. Downstream health care use and costs within 1 year of diagnosis were compared descriptively. Survival analyses examined associations between exercise dose and progression to knee arthroplasty within 1 year. <b>RESULTS:</b> Of the 24 496 eligible individuals, 89.1% (n = 21 820) received no exercise or manual therapy. For the 10.9% (n = 2676) who received care, 54.3% (n = 1454) received exercise only, 1.4% (n = 38) received manual therapy only, and 43.2% (n = 1156) received both interventions. Downstream health care use and costs were similar between groups. For each additional exercise visit, there was an 11% lower hazard of knee arthroplasty for those who received exercise only (adjusted hazard ratio [aHR] = 0.89; 95% confidence interval [CI]: 0.75, 1.05; <i>P</i> = .16) and 10% lower hazard for those who received exercise and manual therapy (aHR = 0.90; 95% CI: 0.78, 1.04; <i>P</i> = .16), but neither was significant. <b>CONCLUSION:</b> Patients rarely received manual therapy without exercise and incurred similar downstream health care use compared to patients who received exercise only. Total knee-related costs were similar, regardless of therapy received. Exercise reduced the hazard of knee arthroplasty, but it was not significant. <i>JOSPT Open 2026;4(4):458-471. Epub 19 June 2026. doi:10.2519/josptopen.2026.0221</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 4","pages":"458-471"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors That Inform Clinical Reasoning for Therapeutic Exercise and Physical Activity Prescription in Musculoskeletal Physical Therapy: A Scoping Review of Qualitative Studies.","authors":"Sarah Cooper, Chrystel Ghanem, Muhammet Yamali, James Anderson, Heather Gillis, Jessica J Wong, Katie Kowalski","doi":"10.2519/josptopen.2026.0240","DOIUrl":"10.2519/josptopen.2026.0240","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> The authors aimed to (1) identify factors informing physical therapists' clinical reasoning for therapeutic exercise and physical activity prescription in musculoskeletal populations and (2) map these factors to the International Classification of Functioning, Disability and Health (ICF). <b>DESIGN:</b> Scoping review. <b>LITERATURE SEARCH:</b> Eight electronic databases and gray literature sources were searched from database inception to February 26, 2025. <b>STUDY SELECTION CRITERIA:</b> Qualitative studies examining physical therapists' clinical reasoning for therapeutic exercise or physical activity prescription in musculoskeletal populations were included. <b>DATA SYNTHESIS:</b> Following pilot screening, 2 reviewers independently screened citations and extracted data. Inductive qualitative content analysis was used to identify codes representing factors that informed clinical reasoning, which were organized into categories and subcategories. Identified factors were mapped to ICF domains using established linking rules. <b>RESULTS:</b> Overall, 21 910 titles and abstracts were screened, and 40 studies met the eligibility criteria. Analysis identified 23 factors that informed clinical reasoning, grouped into 4 categories: (1) patient factors, (2) physical therapist factors, (3) therapeutic exercise and physical activity factors, and (4) health care context factors. Mapping demonstrated alignment of patient and health care context factors across multiple ICF domains, whereas physical therapist and intervention factors were not captured within the ICF. <b>CONCLUSION:</b> Physical therapists' clinical reasoning for therapeutic exercise and physical activity prescription in musculoskeletal populations was multidimensional and intersectional. We identified factors that may support physical therapy education, mentorship, and clinical practice in clinical reasoning for therapeutic exercise and physical activity prescription. <i>JOSPT Open 2026;4(4):395-419. Epub 18 August 2026. doi:10.2519/josptopen.2026.0240</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 4","pages":"395-419"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconceptualizing Sacroiliac Joint Mechanics: From Independent Joints to a Unified Functional Unit.","authors":"Michael T Cibulka, Robert C Manske","doi":"10.2519/josptopen.2026.0241","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0241","url":null,"abstract":"<p><p><b>BACKGROUND:</b> Pain localized to the area around the \"Dimple of Venus\" is a common clinical presentation in patients with low back pain (LBP). This region represents the most peripheral dorsal portion of the sacroiliac joint (SIJ). <b>CLINICAL QUESTION:</b> Although the SIJ is recognized as a source of unilateral LBP, its deep anatomical location and complex morphology make diagnosis difficult. Consequently, current clinical SIJ tests often yield inconsistent results, leading to skepticism regarding the joint's clinical relevance. This doubt is largely rooted in a historically accepted biomechanical model of movement that assumes the left and right SIJs move independently. <b>KEY RESULTS:</b> We propose a paradigm shift in which both SIJs function as 1 bicondylar unit rather than 2 independent joints. <b>CLINICAL APPLICATION:</b> By recognizing reciprocal SIJ motion, our revised bicondylar model simplifies diagnosis into 2 distinct mechanical disorders and could enhance the reliability, interpretation, and clinical utility of future SIJ evaluations. <i>JOSPT Open 2026;4(4):377-384. Epub 27 August 2026. doi:10.2519/josptopen.2026.0241</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 4","pages":"377-384"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knee Flexion Angle at Peak Torque Changes Following Eccentric Hamstring Resistance Training in Adults: A Systematic Review.","authors":"Olivia Kemp, Gretchen Leff, Jessica Juan, Michael Jeanfavre","doi":"10.2519/josptopen.2026.0205","DOIUrl":"10.2519/josptopen.2026.0205","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> To quantify changes in knee flexion angle at peak torque (APT) following eccentric hamstring resistance training in adults, and to summarize exercises that may promote a shift in APT. <b>DESIGN:</b> Intervention systematic review. <b>LITERATURE SEARCH:</b> PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), PEDro (Physiotherapy Evidence Database), Scopus, EMBASE (Excerpta Medica Database), and Web of Science were systematically searched in April 2025. <b>STUDY SELECTION CRITERIA:</b> Prospective studies quantifying the relationship between eccentric hamstring strength and APT were included. Retrospective studies, preliminary work, conference abstracts, and non-English articles were excluded. <b>DATA SYNTHESIS:</b> Findings were synthesized qualitatively using Joanna Briggs Institute and PEDro tools for evaluating methodological quality. The certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework. <b>RESULTS:</b> Nineteen studies (427 participants aged 18-36 years) were included. The APT generally shifted toward longer muscle lengths after eccentric training, with 15 studies reporting this change and 9 groups showing significant shifts. The largest changes occurred with seated eccentric knee flexion (-17.3° ± 11.7°, <i>P</i> < .001) and the Nordic hamstring exercise (NHE) (-13.5° ± 4.8°, <i>P</i> < .05). <b>CONCLUSION:</b> Eccentric training interventions, particularly the NHE and seated eccentric knee flexion, may contribute to shifts in hamstring peak torque toward more extended muscle lengths. The certainty of evidence was low for all comparisons. <i>JOSPT Open 2026;4(4):442-457. Epub 27 August 2026. doi:10.2519/josptopen.2026.0205</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 4","pages":"442-457"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervention Strategies for Preventing Knee Osteoarthritis: A Systematic Review.","authors":"Hugo Jário Almeida Silva, Julya Perea, Glauko Dantas, Angelica V Ferrari, Mitchell Wolden, Tania F Salvini, Tarcisio F de Campos","doi":"10.2519/josptopen.2026.0155","DOIUrl":"10.2519/josptopen.2026.0155","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To investigate the effectiveness of intervention strategies for the primary and secondary prevention of knee osteoarthritis (OA). <b>DESIGN:</b> Intervention systematic review of randomized controlled trials (RCTs). <b>LITERATURE SEARCH:</b> MEDLINE, EMBASE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), PEDro (Physiotherapy Evidence Database), and Cochrane Library databases were searched from inception to June 10, 2025. <b>STUDY SELECTION CRITERIA:</b> RCTs evaluating interventions for primary/secondary knee OA prevention were included. Eligible trials targeted populations at risk of developing knee OA or populations with knee OA, and the outcome of interest must not have been present at study entry. Primary outcomes were self-reported knee pain and associated disability. Secondary outcomes included imaging features of knee joint structure and the incidence of knee arthroplasty. <b>DATA SYNTHESIS:</b> Data were synthesized narratively and reported as relative risks (RRs) with 95% confidence intervals (CIs). <b>RESULTS:</b> Five published reports from 3 RCTs (1481 participants) were included. We found evidence that a self-management lifestyle program for community-based women with a body mass index (BMI) equal to or greater than 25 kg/m² may reduce the risk of developing pain associated with knee OA at 12 months, when compared to a single education session (RR: 0.27; 95% CI: 0.16, 0.46). There was uncertain evidence from 4 reports to draw conclusions about the effects of diet and exercise, glucosamine supplements, diet and exercise plus glucosamine supplements, and intra-articular sprifermin interventions for preventing or reducing knee OA progression or arthroplasty. <b>CONCLUSION:</b> A self-management lifestyle program may be effective for reducing the risk of developing pain associated with knee OA in women with a BMI equal to or greater than 25 kg/m². Evidence for other preventive interventions remains uncertain. <i>JOSPT Open 2026;4(3):264-275. Epub 25 March 2026. doi:10.2519/josptopen.2026.0155</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 3","pages":"264-275"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>\"Do As I Say, Not As I Do\"</i>: Clinician Return-to-Running Criteria, First-Run Characteristics, and Running Assessment Analysis After Anterior Cruciate Ligament Reconstruction Compared to the Literature-Insights From an International ACL Rehabilitation Conference.","authors":"Brendan T Butler, Roula Kotsifaki, Rod Whiteley, Claudio Palumbo, Benoit Pairot de Fontenay, Richard W Willy, Enda King","doi":"10.2519/josptopen.2026.0195","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0195","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> To (1) explore clinician practices related to return-to-running (RTR) decision making, (2) define the characteristics of a first run after anterior cruciate ligament (ACL) reconstruction, and (3) examine the use of running assessment during rehabilitation. <b>DESIGN:</b> Cross-sectional survey study. <b>METHODS:</b> A 71-item online survey was distributed to clinicians who were attending the 2023 Aspetar International ACL Rehabilitation Conference. The survey covered patient-reported outcome measures (PROMs); time postsurgery; and clinical, strength, and functional criteria. Responses were compared to current recommendations from the literature. Data on the characteristics of a first run and the use of running assessment and variables measured were also collected. <b>RESULTS:</b> One hundred seventy-seven clinicians from 51 countries completed the survey. Of the 177 clinicians, many aligned with core clinical criteria (eg, full extension, minimal effusion), 64 (36%) did not use PROMs, 28 (16%) used the International Knee Documentation Committee Subjective Knee Form, most favored strength thresholds ≥80% limb symmetry index, 51 (29%) selected time postsurgery of 12-14 weeks, and 44 (25%) did not use a timeline as a criterion. The first run was typically described as a dynamic run lasting 5-10 minutes or covering 500-1000 m, reflecting the most selected responses across clinicians, at self-selected or controlled speeds of 8-10 km/h. Interval running was used by 90 clinicians (51%) for a first run. Running assessment was used by 102 clinicians (58%) during rehabilitation. Six clinicians (3%) collected kinetic data despite knee extension moments being the most common deficit reported in the literature. <b>CONCLUSION:</b> We found heterogeneity of compliance among ACL clinicians with RTR recommendations in the literature. Although over 50% of clinicians reported using running assessment, less than 5% used devices capable of measuring kinetics to detect the most reported biomechanical running deficits. <i>JOSPT Open 2026;4(3):328-339. Epub 9 April 2026. doi:10.2519/josptopen.2026.0195</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 3","pages":"328-339"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}