I prefer it when Wave 5 breaks below the lower trendline, to more deceptively trap the bears into thinking that lower lows are in the works, but it can be just as effective if the stock holds the trendline at Wave 5, as ACOR did, as long as it breaks out of the top of the pattern, which ACOR did last week.
The breakout is a bullish indication of a change in trend.
The successful re-test of the breakout, which we had at last Thursday's low of 18.20, and again at this morning's identical low of 18.20, is a bullish indication.
Today's takeout of last week's 19.14 high is another indication of a change in trend. A close above that would be another positive.
If ACOR isn't bullish here, I'd use a stop below the low, prior to the pattern breakout.
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