Most athletes who sustain an anterior cruciate ligament (ACL) rupture undergo surgery with the expectation to return to sports and achieving preinjury function levels. Although 81 percent of athletes return to sports, only 55 percent return to competitive sports after ACL injury.
RTS protocols are mainly based on biomechanical measures. However, the demands of sports are more complex, and athletes are required to make quick decisions especially in field and team sports. This systematic review aimed to determine the impact of neurocognitive performance on ACL reinjury and tried to present a framework that integrates the cognitive and neurophysiological principles in the assessment and rehabilitation of ACL injuries.