Return to running

    ACL running prerequisites and load progression

    Which areas to examine before running, and then how to monitor tolerance without applying a universal protocol.

    Last updated

    Editorial responsibility : Content prepared and reviewed by the Kiné Genou Luxembourg editorial team.

    Safety guidepost

    This content is for information only and is not a diagnosis or personalised recommendation. It does not replace an examination by a doctor, surgeon, or physiotherapist. In an emergency or if symptoms worsen, contact a healthcare professional promptly.

    Before the first exposure

    The team balances clinical status, function, and associated movements. Published thresholds are discussion aids, not guarantees.

    • Extension and flexion compatible with a fluid stride.
    • Absence of effusion or low and stable; pain managed.
    • Walking and single-leg tasks without major compensation.
    • Quadriceps and calf strength sufficient for the context.

    Vary one thing at a time

    Duration, speed, terrain, slope, recovery, and frequency constitute different loads. A short, predictable first exposure provides a baseline.

    The immediate response and the next day's response matter: swelling, increasing pain, stiffness, or limping are signals to stop and discuss with the professional.

    Frequently asked question

    Is there a single test to authorize running?

    No. The literature offers clinical and functional criteria, but their combination must be individualized.

    References

    1. Rambaud AJM et al. Criteria for return to running after anterior cruciate ligament reconstruction: a scoping review.

      Accessed August 30, 2026

    2. Kotsifaki R et al. Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction.

      Accessed August 30, 2026