ACL reconstruction (ACLR) outcomes can be challenging, with only 80% of recreational athletes returning to sport, and just 65% reaching pre-injury levels. Early-stage ACL rehabilitation plays a crucial role in improving these outcomes and reducing the risk of ACL re-injury.
Key Takeaways:
- Range of Motion (ROM): Achieving full knee extension early post ACL surgery is vital. This helps reduce swelling, improve pain, and prevent complications like the “cyclops” lesion. Flexion should reach 110-120° by 4-6 weeks to allow for stationary cycling and other functional exercises post ACL Surgery.
- Quadriceps Strength: Quadriceps strength and muscle activation are significant challenges after ACL Reconstruction. Early resistance training, including isometrics and open-chain exercises, is recommended to rebuild muscle strength and activation. Strategies like neuromuscular electrical stimulation (NMES) or blood flow restriction (BFR) can aid in restoring strength.
- Fitness Preservation: Maintaining overall physical fitness during the early phase is crucial. Engaging in safe strength training for the uninjured limbs, core, and upper body helps athletes stay conditioned while recovering after ACL surgery.
What Physiotherapists Can Do: By focusing on ROM exercises, carefully planned strength training, and cardiovascular fitness, we can help athletes regain mobility and strength more effectively, ultimately improving their chances of returning to sport at a high level. Early, individualised rehab protocols are key to long-term success.
If you have had a recent ACL reconstruction surgery or awaiting ACL surgery, book in with one of our consultants to create a plan to improve range of motion, strength and prevent complications post ACL Surgery. We can assist you returning safely back to your sport or activity
TPC
