Return+ Testing

Return+ is a clinical testing platform built for three things: pre-operative care, return to life, and return to sport. The “+” means it goes beyond athletes and beyond sport — ACL rehab, total knee, total hip, total shoulder, shoulder labrum, meniscus, concussion, and health capacity testing all run through the same system. Built in-house and backed by nearly 100 peer-reviewed articles, Return+ tracks physical performance across your entire episode of care — strength symmetry, functional testing, patient-reported outcomes — phase by phase, visit by visit, until the numbers confirm you’re ready.

You shouldn’t have to live near a research institution that happens to be running a study on your condition to get research-level testing. That should be the standard in physical therapy — not the exception. The clinics are the ones seeing the majority of patients. They should be the ones testing at this level. That’s why we built Return+.

The data makes the call. That’s the standard we set.

How It Works

Return+ isn’t an exam-day snapshot. It’s a living tracker across your entire episode of care.

1. Baseline Testing

At your initial exam, your clinician selects the Return+ program matched to your condition and runs the first-phase test battery. Every measurement — strength symmetry, ROM, functional performance, patient-reported outcomes — is captured and becomes your baseline.

2. Continuous Tracking

On every follow-up visit, your clinician retests the measures that matter. Progress updates automatically. You see exactly where you stand — what’s improved, what still needs work, and how close you are to your targets.

3. Phase Progression

Each program has evidence-based phases. When you meet the criteria for your current phase, you advance to the next. New tests are added as your rehab progresses — hop testing at 9 months for ACL, dynamic strength at 12 weeks for shoulder. Clinical readiness drives progression, not arbitrary timelines.

4. Clearance by the Numbers

Every test has a threshold. Quad strength: 90% limb symmetry. Hop testing: 90% across 4 tests. IKDC: 85 or higher. Gait speed: 3.9 ft/s for community ambulation. Sit-to-stand: 12 seconds or less.

When a surgeon asks if a patient is ready, we send assessments backed by numbers that have been tracked across every phase of care — grounded in peer-reviewed data that is up to date.

Programs We Currently Offer

We’re continuing to build Return+ as we expand into new areas of care.

Why We Built Return+

Rehabilitation outcomes should be measurable. Care should be individualized. Exercise science should drive every decision. We built Return+ to make that real — a system that tracks tests across visits, calculates symmetry indices, generates goals from deficits, and produces reports that patients, surgeons, and insurance companies can read.

We’ve seen reports from other testing systems that even clinicians can’t make sense of. Return+ is different. All the calculations happen in the background — limb symmetry indices, outcome score trajectories, phase-by-phase comparisons — and what comes out is clear: where you are, how far you’ve come, and what needs work. A snapshot of your journey that guides how we treat, where we push, and where we focus, so that every patient gets a one-of-a-kind experience.

These reports are designed to be read by everyone involved — you, your surgeon, and your insurance company. Your recovery belongs to you, not just your providers.

Long term, our goal is ambitious — and it extends to every program we run. ACL re-tear rates sit at 1 in 4 in the current literature. We believe structured, data-driven testing can bring that closer to 1 in 10 or 1 in 20. But this isn’t just about ACLs. Total knees, total hips, shoulder replacements — no one has ever built a system that tracks these patient populations with this level of data collection and reporting across the full episode of care. We’re as excited about what we’ll discover as we are about the outcomes we’re already seeing. Return+ is profession-leading infrastructure, and we’re just getting started.

When a surgeon asks if a patient is ready, we don’t send a letter. We send an assessment backed by up to 18 months of structured testing, guided by clinical expertise and the peer-reviewed literature — so that when we say it’s time, we know with the highest degree of certainty that it is. We see this as our professional duty. That’s why we’re setting the standard.