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Chapter 8152after ACL reconstruction can pose a challenge for young athletes and make the rehabilitation phase more fun, potentially increasing compliance during rehabilitation. It has been recognised that research regarding rehabilitation after ACL reconstruction needs to address ‘what works for which context, for whom, and when some criteria are relevant’.11 This implies that we need to tailor rehabilitation after ACL reconstruction to the specific patient. In order to do so, we need alternatives for the current rehabilitation programme, and the incorporation of ice speed skating in a rehabilitation programme may be such an alternative. Also, rehabilitation after ACL reconstruction needs to include sensory and cognitive stimulation adjuvant to motor tasks11, which is combined in ice speed skating. Ice speed skating focusses on improving balance, core stability and strength, and so athletic abilities overall may be increased. The aim of this study was to develop a safe, fun and feasible rehabilitation programme incorporating ice skating as an alternative for the current rehabilitation programme after ACL reconstruction.MethodsA rehabilitation protocol incorporating ice skating after ACL reconstruction was developed by discussion within an expert group. Two physical therapist, three orthopaedic surgeons and two human movement scientist took part in the discussions. Theoretical framework for the KROS programmePotential risk factors for ACL injury include ligament dominance, quadriceps dominance, leg dominance and trunk dominance.15 Ligament dominance is a biomechanical condition in which muscles do not absorb ground reaction forces sufficiently, so the joints and ligament have to absorb high amounts of force over a brief period of time, making ligaments more susceptible for rupture. Quadriceps dominance highly relates to ligament dominance. Untrained use of the posterior kinetic chain (i.e. the gluteal, Mark Zee.indd 152 03-01-2024 08:56