Return to sport
ACL rehabilitation protocol - Darragh Keane
Patient
Darragh Keane
Surgery
ACL reconstruction (right)
Surgeon
Mr. Flanagan, Beacon Hospital
Surgery date
15 Jan 2026
Target
Greystones RFC (May 2026)
Stage 1: Post-op protection
Weeks 0-2
Criteria: Pain controlled. Wound healed. Full passive extension. SLR.
Completed 18 Jan 2026.
Stage 2: Early mobilisation
Weeks 2-6
Criteria: 0-120° ROM. Quad sets and SLR without extension lag. Gait normalised.
Completed 14 Feb 2026.
Stage 3: Muscle strengthening
Weeks 6-10
Criteria: LSI >70% quad/hamstring. Single leg squat quality. No swelling.
Completed 13 Mar 2026.
Stage 4: Running progression
Weeks 10-14
Criteria: Running 3km pain free. LSI >80%. Hop tests >70%.
Completed 10 Apr 2026.
Stage 5: Sport-specific training
Weeks 14-18
Criteria: Reactive agility. Change of direction. Contact preparation. LSI >90%.
In progress. Clearance session 24 April 2026.
Stage 6: Return to competition
Week 20+
Criteria: All hop tests >90%. Psych readiness. Coach and physio sign-off.
Target: Greystones RFC pre-season (May 2026).