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Table 2 Example of a modified in-season weekly training progression for high ACL injury risk sports like soccer, basketball, team handball, lacrosse

From: ACL microtrauma: healing through nutrition, modified sports training, and increased recovery time

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

  1. 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