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Guidelines: • All skills should be performed in the presence of an Athletic Trainer, Physical Therapist, or qualified coach to COLUMBIA UNIVERSITY stress proper mechanics. CENTER FOR SHOULDER, • The athlete must pass all functional tests on a field before ELBOW AND SPORTS beginning Return to Soccer Protocol. MEDICINE • The athlete may progress through the steps and phases as

Christopher S. Ahmad, MD tolerated, performing one phase every other day with Office (212) 305-5561 cross-training on off days. Fax (212) 305-4040 • The athlete should only progress to the next step of each phase if he/she is able to complete the current step without Louis U. Bigliani, MD pain or difficulty. Office (212) 305-5564 Fax (212) 305-0999 • Each phase should be tolerable and comfortable and be completed without swelling or decreased ROM. Edwin Cadet, MD • Emphasis should be placed on developing and Office (212) 305-4626 maintaining proper mechanics without developing Fax (212) 305-4040 symptoms. • The athlete should ice the affected extremity for 20 William N. Levine, MD minutes following the activity. Office (212) 305-0762 Fax (212) 305-4040

Phase 1: Progression of Running and Soccer Drills Appointment Scheduling (212) 305-4565 1. Fast paced walk the length of the field. 2. high knees to midfield, back kicks back to the end Mailing Address: line. 622 West 168th Street, PH11 3. Forward lunge to midfield and back to end line. New York, NY 10032 4. Jog down the field and back. 5. Side lunge to midfield and back. Office Locations: 6. ¾ speed length of field, down and back. 51 West 51st Street, Ste 370 7. Full speed sprint length of field, down and back. New York, NY 10019 8. Diagonal hops, midfield and back. 9. “Suicide” line touches at ¾ speed. 161 Ft. Washington Ave. 10. Agility ladder drills: Figure 8, X-Lane Drill, M Drill, New York, NY 10032 ZigZag, and T Drill. **See attached sheet for drill 500 Grand Avenue descriptions. Englewood, NJ 07631 **No Passing or dribbling until phase 2. cumc.columbia.edu

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Phase 2: Progression of Running and Soccer Drills 1. Jog down the field and back, 2X 2. Jogging high knees to midfield, back kicks back to the end line. 3. Forward lunge to midfield and back to end line. 4. Side lunge to midfield and back. COLUMBIA UNIVERSITY CENTER FOR SHOULDER, 5. ¾ speed sprint length of field, down and back. ELBOW AND SPORTS 6. Full speed sprint length of field, down and back, 2X MEDICINE 7. Diagonal hops, midfield and back. 8. “Suicide” line touches at ¾ speed. Christopher S. Ahmad, MD 9. “Suicide” line touches at full speed. Office (212) 305-5561 10. Agility ladder drills: Figure 8, X-Lane Drill, M Drill, Fax (212) 305-4040 ZigZag drill, and T Drill. **See attached sheet for drill descriptions. Louis U. Bigliani, MD Office (212) 305-5564 Passing with a Teammate Fax (212) 305-0999 Side footing: start with standing ball and move through the

Edwin Cadet, MD progressions, then progress to a moving ball both on the floor Office (212) 305-4626 and on the volley. Fax (212) 305-4040 a. Short distances b. Longer distances William N. Levine, MD c. Greater velocity on the pass Office (212) 305-0762 Fax (212) 305-4040 Dribbling – Full length of field for each Step a. Straight-line ball control Appointment Scheduling b. Forward/backward turns (212) 305-4565 c. Instep ball control

d. Outstep ball control Mailing Address: 622 West 168th Street, PH11 New York, NY 10032 Phase 3: General conditioning, skill work; individually and with a team-mate: Office Locations: 1. Jog down the field and back, 2X 51 West 51st Street, Ste 370 2. Jogging high knees to midfield, back kicks back to the end New York, NY 10019 line. 3. Forward lunge to midfield and back to end line. 161 Ft. Washington Ave. 4. Side lunge to midfield and back. New York, NY 10032 5. ¾ speed sprint length of field, down and back. 6. Full speed sprint length of field, down and back, 2X 500 Grand Avenue 7. Diagonal hops, midfield and back. Englewood, NJ 07631 8. “Suicide” line touches at ¾ speed. cumc.columbia.edu 9. “Suicide” line touches at full speed. 10. Agility ladder drills: Figure 8, X-Lane Drill, M Drill, ZigZag Drill, and T Drills.

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• Continue with general conditioning (up to 60 minutes). Begin interval training (jog for 1 minute, then sprint for 20 seconds). • Continue partner drills, but with no contact. Continue with individual skill work as per phase 2. • Continue with partner passing and kicking on goalie drills. COLUMBIA UNIVERSITY CENTER FOR SHOULDER, • Begin walk-throughs on offense and defense. ELBOW AND SPORTS MEDICINE Passing: forefoot (on the laces) a. Short distances Christopher S. Ahmad, MD b. Longer distances Office (212) 305-5561 c. Greater velocity on the pass: same as with the side-foot Fax (212) 305-4040 pass. Once moved through the progressions, progress to moving the ball on the floor first, then eventually on the Louis U. Bigliani, MD volley. Office (212) 305-5564 a. Volleys side foot/laces/outside of foot Fax (212) 305-0999 b. Volleys with quick-feet: incorporate quick-feet and volley

Edwin Cadet, MD to ladders/hurdles/left-right foot on command, quick reaction Office (212) 305-4626 volley drills Fax (212) 305-4040 Lateral dribbling movements William N. Levine, MD a. Long distances Office (212) 305-0762 b. Short distances Fax (212) 305-4040 c. At speed d. Side movement with the ball, changing direction on Appointment Scheduling command, with speed (212) 305-4565

Phase 4: General conditioning, skill work and team drills: Mailing Address: 622 West 168th Street, PH11 • Do not play live scrimmages. NO CONTACT New York, NY 10032 • Resume regular conditioning and duration of practice. • Practice team passing and kicking drills, practice offensive, Office Locations: defensive and counter attack tactical schemes with no contact 51 West 51st Street, Ste 370 to the player. New York, NY 10019 • Review heading the ball techniques. Do a few reps of low intensity with limited height and distance. 161 Ft. Washington Ave. New York, NY 10032 Phase 5: Full Team Practice with Body Contact: • Join team in a full practice to get yourself back in the lineup. 500 Grand Avenue If a full practice is completed with no symptoms, you are Englewood, NJ 07631 ready to return to competition. cumc.columbia.edu Phase 6: Discuss with the coach about getting back in the next game Agility Drills:

Figure 8 Drill Zig Zag Drill

M Drill T Drill

X Lane Drill: Sprint, side shuffle, back pedal, side shuffle