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Chapter 8162Timeframe12 months after ACLR 9 months after ACLR 6 months after ACLR 3 months after ACLRMean Strenght Limb Symmetry Index 1,201,000,800,600,400,200,00Error Bars: 95% CIKROS group n = 5Regular rehab group n=10Page 1Timeframe6 months after ACLR 9 months after ACLR 12 months after ACLRMean Functional Limb Symmetry Index1,201,000,800,600,400,200,00Error Bars: 95% CIKROS group n = 5Regular rehab group n = 10Page 1Figure 6. Bar chart illustrating the mean limb symmetry index for strength from 3 to 12 months after ACL reconstruction in different subgroups. Figure 7. Bar chart illustrating the mean limb symmetry index for functional from tasks 3 to 12 months after ACL reconstruction in different subgroups.DiscussionThe main objective of this study was to determine the feasibility of a newly developed rehabilitation programme for patients after ACL reconstruction with ice skating as part of the programme. Based on our results we can conclude that the KROS programme seems feasible and safe and is rated positively by the participants. It has been demonstrated that compliance to rehabilitation protocols positively influences return to sports rates.5,7 With our newly developed KROS rehabilitation programme we have shown a compliance rate of 80%. A previous report by della Villa showed that 44 of 79 patients were ‘non-compliant’ or ‘somewhat compliant’ during rehabilitation after ACL reconstruction.7 This highlights that current rehabilitation programmes fail to achieve good compliance rate for a large group of patients. In our study, before inclusion, patients were offered the choice to participate in our study or to follow the regular rehabilitation programme. We demonstrate that when patients are offered such a choice, high compliance rates are achieved. This may be a way to improve compliance during ACL rehabilitation and by doing so, we may be able to improve outcome after ACL reconstruction. We therefore advocate that the topic of rehabilitation after ACL reconstruction needs to be addressed already before surgery and stimulate surgeons to involve the patient in the design of her/his specific rehabilitation programme. Mark Zee.indd 162 03-01-2024 08:56