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Accelerated Rehabilitation Protocol After ACL Reconstruction

Stepwise athlete rehabilitation based on functional criteria after anterior cruciate ligament surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Accelerated Rehabilitation Protocol After ACL Reconstruction?

Criterion-based ACL rehabilitation depends on functional goals, not time. Phase 1 (week 0-2): edema control, full extension, quad activation. Phase 2 (week 3-6): full ROM, 5/5 quad strength, single-leg standing. Phase 3 (week 7-12): closed-chain strengthening, running preparation.

Phase 4 (month 3-6): running, jogging, plyometric preparation, LSI (limb symmetry index) target >80%. Phase 5 (month 6-9): sport-specific exercises, cutting, twisting, jumping, hop tests (LSI >90%). Phase 6 (month 9+): return to sport, hop test batteries, psychological readiness.

Neuromuscular training, eccentric quad strengthening, proprioception and sport-specific drilling are indispensable late components. Jumper's knee prevention and graft protection in the early period are very important.

Symptoms

After ACL reconstruction
Return from sport injury
Loss of functional stability
Muscle strength asymmetry
Balance disturbance
Preparation for return to sport

Risk Factors

Young female athlete
Poor neuromuscular control
Contralateral ACL injury
Quad strength deficit
Psychological unreadiness
Pressure for early return

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • First post-operative week
  • When milestones cannot be met
  • In increasing pain and edema
  • In a sense of locking or instability
  • For return-to-sport assessment

Treatment Methods

01
Criterion-based stepwise protocol
02
Quad activation and strengthening
03
Restoration of range of motion
04
Proprioception training
05
Neuromuscular training
06
Plyometric progression
07
Hop tests and LSI follow-up
08
Psychological preparation and confidence

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.