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Chapter 9188interests is one way to enhance participation. It is important for the physician to realise that it is also feasible to search off the beaten track in terms of type of sports used in rehabilitation. In preoperative consultations it is therefore important to address not only a patient’s expectations and rehabilitation goals, but also the preferred method of rehabilitation and what types of sports exercises are to be incorporated. Future perspectivesThe results of this thesis give food for thought for the future treatment of ACL-injured patients. There is a long road ahead before we can ultimately reach better return-to-sports rates after ACL reconstruction. It needs to be addressed that most of our work was based on small sample studies or pilot studies. In order to confirm our findings, larger studies are needed. Unfortunately, the acquisition, processing and analysis of kinematic data is complex and time-consuming. This hampers routine use of knee kinematic data in clinical practice. As we can see with the use of hop test batteries and muscle strength testing, since their incorporation began in routine follow-up for ACL-reconstructed patients, the data have grown enormously. By implementing these tests in usual care, large cohorts of more than 2500 patients can be analysed, as reported by Webster.41Nonetheless, objectively assessed kinematic data are key to evaluating the biomechanical success of a true anatomic ACL reconstruction. The development of virtual/augmented reality and artificial intelligence can aid in the future for a better understanding of the role of knee kinematics in return to sports. Virtual or augmented reality can more realistically imitate sport-specific situations and can include the visual and auditive stimuli/distractions that can better prepare a patient for return to sports. One of the challenges in the type of research that uses in vivo motion analysis is determining when and over what period of time the measurement is running. During hop testing, there is a distinct impact (initial contact) that can be registered with a force plate. For example, in the studies of this Mark Zee.indd 188 03-01-2024 08:56