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ACL Rehabilitation Guide

Physiokinetics / ACL Rehabilitation Guide

Your ACL Rehabilitation Roadmap

A proven pathway to maximise your reconstruction and return to peak performance, powered by data and cutting-edge coaching.

Criteria-Based Success: A Marathon, Not a Sprint

This journey is defined by objective criteria. Your unwavering commitment, combined with the expert guidance of our highly skilled and motivated team, is the key to achieving a successful return from surgery and ensuring lasting joint health.

9-12
Months for Graft Healing

Your new ACL needs time to biologically mature and gain the strength required for competitive sports. Rushing this process significantly increases re-injury risk.

>80%
Re-Injury Risk Reduction

Research shows that waiting at least 9 months and meeting all objective criteria can dramatically lower your chances of a second ACL injury.

100%
Focus on Performance

Our goal isn’t just to get you back on the field, but to return you to your peak performance, physically capable and mentally confident.

The Roadmap: Six Phases to Recovery

You will progress through each phase only when you meet specific, objective criteria. This ensures your knee is truly ready for the next level of stress.

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Before Surgery

Phase 1: Pre-Op Optimisation

Reduce swelling, achieve full knee straightness, and practice contracting your quad muscle. This “pre-hab” is critical for speeding up your post-op recovery.

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1
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Weeks 0-2

Phase 2: Immediate Post-Op Care

Protect the graft and control swelling. Adhere strictly to crutches/brace use, maintain full knee straightness, and use tools like NMES to re-activate your quad.

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2
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Weeks 2-12

Phase 3: Hypertrophy & Strength

Restore normal walking and build your foundation. Start safe, low-impact strength training (like BFR) to regain muscle size without stressing the new graft.

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3
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Weeks 12-24

Phase 4: Agility & Running

Begin controlled running and progress to change-of-direction drills. The focus is on restoring balance and the automatic reactions needed for your sport.

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4
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Months 6-9

Phase 5: Return to Sport Prep

This is the testing phase. Focus on heavy lifting and explosive plyometrics. You must pass a battery of objective tests before you can safely move forward.

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5
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Months 9+

Phase 6: Return to Performance

Gradual, monitored return to team training and full competition. The focus shifts to long-term injury prevention and maintaining peak physical condition.

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6

Strength Testing and Athletic Profiling

We help you understand and get behind the data results of isokinetic and jump testing, running assessments and 3-d biomechanics analysis to make the findings relevant for your rehab plan.

Strength Symmetry Score

We measure the strength of your injured leg compared to your healthy leg. Before returning to competition, the goal is to achieve at least 90% symmetry.

Psychological Readiness

Your confidence is just as important as your strength. We use questionnaires to measure your readiness to return to sport without fear or hesitation.

Plyometric Progression

Extensive Intensive
Building Capacity

Higher volume, lower complexity. Foundations.

Worst-Case Scenario

Maximal effort, high complexity. Match sport demands.

Key Exit Criteria Tests

  • Single Hop Power
  • Triple Hop Endurance
  • Crossover Hop Control

Your Team: A Shared Journey

Your successful return is a collaborative effort. Constant communication between you, your clinical team, and your coaches ensures everyone is aligned on your progress and goals.

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You, The Athlete

Provides feedback on pain, confidence, and readiness.

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The Clinician

Includes physical therapists and sports physicians/orthopedic surgeons. Monitors healing, provides objective data, and guides medical clearance.

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The Coach

Manages training load and guides sport-specific integration.

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Ready to Start Your Recovery?

Don’t wait. The success of your ACL journey begins with expert pre-operative care and a committed team. Book your initial assessment today.

Contact Us Directly

info@physiokinetics.ie

Mobile: +353 86 8606600

Mobile: +353 879682474

Book Now