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As well as aligning plyometric loading to strength, it is also important to align plyometric task complexity to movement capabilities. As you progress into month 4 of your rehab, youll start to realize that the work is gradually becoming more demanding but also, probably more enjoyable. ii) Strength: greater total lower extremity energy absorption in the sagittal plane has been associated with smaller vertical GRF and greater knee-flexion displacements during landing.44,45, iii) Surface: a compliant surface will deform under load and as such joint loading is influenced by the surface stiffness. WebGenerally, after your stitches have been removed or have dissolved and your wound has fully healed, you should be able to swim in the sea or a swimming pool. Patient Success Story: Returning to competitive water skiing after jumping from one limb to the other (e.g., bounding/ running), or continuous same limb plyometrics (e.g., hops). Read PJ, Oliver JL, De Ste Croix MBA, Myer GD, Lloyd RS. Running is a major milestone to achieve for patients following ACL surgery - yet there's still no perfect answer as to "when". Historically, the advice was to start a running program after 3 months post-op. However, what we're discovering is that time-alone is not a great indicator; but rather showing that your prepared to run is - and will more likely keep the person running consistently This motion involves both strength and endurance, so its ultimately more functional than a true, isolated strength test. Paterno MV, Kiefer AW, Bonnette S, et al. Once youve met all the necessary criteria and have been officially cleared to run again, now its time to develop your running training schedule to ensure the safest transition. Regaining the strength of your gluteus maximus is similar to that of your quadriceps; you want to achieve that 80% cutoff in order for the muscles to sufficiently do their job. ACL Prehab Exercises and Goals Before Your Surgery Waldn M, Hgglund M, Magnusson H, Ekstrand J. ACL injuries in mens professional football: A 15-year prospective study on time trends and return-to-play rates reveals only 65% of players still play at the top level 3years after ACL rupture. Buckthorpe M, Della Villa F, Della Villa S, Roi GS. The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Grassi A, Zaffagnini S, Marcheggiani Muccioli GM, Neri MP, Della Villa S, Marcacci M. Br J Sports Med. Sports and exercise after joint replacement Ebert et al.35 reported that only 30% of patients completed a plyometric program prior to RTS after ACLR.35 A key issue with implementing plyometric training into the functional recovery process of ACLR patients is a lack of guidance within the literature on how and when to do it. This includes Association between knee function and kinesiophobia 6 months after anterior cruciate ligament reconstruction. Particular training goals, use of plyometrics, progression criteria, training planning considerations, with specific movement exercises and progressions are presented.