欧足联关于女子足球前交叉韧带（ACL）损伤的共识指南——第二部分：康复、重返赛场与球员认知
简介
UEFA女足ACL损伤共识第二部分由26位多学科专家采用改良RAND-UCLA适当性方法并经三轮Delphi流程，对180条声明中的170条（94%）达成共识，提出ACL损伤后从康复到重返运动（RTP）及以后的连续照护框架。该共识支持以球员为中心、基于临床和功能里程碑而非固定时间线的进阶路径，将恢复股四头肌力量列为核心里程碑，并建议整合神经肌肉与心理准备评估…
英文摘要
Anterior cruciate ligament (ACL) injuries remain a major challenge to player health and performance in women's football. They are associated with lengthy rehabilitation, a high risk of re-injury, and potential long-term knee issues that can impact both career longevity and quality of life. Building on Part One of the UEFA consensus, which addressed risk factors and prevention, Part Two addresses the continuum of care after ACL injury, from rehabilitation to return to play (RTP) and beyond. A multidisciplinary panel of 26 experts in sports medicine, physiotherapy, orthopaedics, and performance science developed evidence-informed statements using a modified RAND-UCLA Appropriateness Method. Through three Delphi rounds, 180 statements were assessed and refined, resulting in consensus on 170 (94%). The panel supported a player-centred, criterion-based approach where progression relies on clinical and functional milestones rather than fixed timelines. Key recommendations emphasise restoring quadriceps strength as a central milestone, integrating neuromuscular and psychological readiness assessments, and adopting phased RTP protocols that gradually re-expose players to the physical and cognitive demands of the game. Psychological and social factors (fear of re-injury, motivation, communication, and support networks) are recognised as vital influences on recovery. These guidelines offer practical, evidence-based advice for medical and performance staff working in women's football. By combining scientific research with expert consensus, they support a holistic, collaborative approach to ACL rehabilitation aimed at protecting player health, lowering re-injury risk, and enabling a confident, sustained return to performance.