足球运动员ACL重建术后重返表现连续体：衔接康复、重返比赛与持续表现
简介
本文针对ACL重建后足球运动员，提出从康复到重返运动再到持续表现（RTPerf）的分阶段连续框架，包括场上康复、回归球队训练、回归比赛及持续RTPerf四阶段，并强调足球专项动作、技术战术、体能及最大力量/爆发力恢复。该框架旨在桥接重返运动许可与持续表现之间的缺口，或可减少再伤、避免表现下降并延长职业生涯。
英文摘要
Anterior cruciate ligament reconstruction (ACLR) in football (soccer) players is associated with high return-to-competition rates but persistent deficits in performance and elevated risk of secondary injury. Whilst rehabilitation frameworks have evolved to optimise early, mid-, and late-stage recovery, limited guidance exists regarding the structured transition from typical return-to-sport clearance to sustained return-to-performance (RTPerf). Failure to adequately bridge this gap may contribute to early re-injury, suppressed match performance and compromised career longevity. This paper outlines a staged RTPerf continuum comprising: (1) structured on-field rehabilitation, (2) return to team training, (3) return to competitive match play and (4) early and sustained RTPerf. Four interdependent pillars underpin this process: (i) the restoration of movement quality under realistic football specific situations; (ii) progressive football-specific technical and tactical re-training; (iii) football-specific physical reconditioning including speed, acceleration, deceleration and change of direction ability, endurance and chronic workload development and (iv) maximal strength and explosive neuromuscular performance restoration.