Lesson 1Phase 3 (Weeks 10–12) focus and interventions: functional strengthening, power preparation, running prepDetail Phase 3 (weeks 10-12) emphases on functional strength building, power development, and running readiness. Cover exercise themes, loading tactics, and task-oriented drills to transition smoothly to advanced rehab stages.
Functional strength goals for Phase 3Power preparation and rate of force focusRunning preparation and readiness tasksIntegrating multi-planar movement patternsUse of external load and velocity emphasisLinking Phase 3 to return-to-sport phaseLesson 2Phase 1 dosing, frequency, and clinic visit schedule recommendationsRecommend dosing, session frequency, and visit timetables for Phase 1 (weeks 6-8). Balance tissue safeguarding with initial loading, design home routines, and adjust based on patient feedback for optimal outcomes.
Setting weekly clinic visit targets in Phase 1Structuring daily home exercise frequencyVolume guidelines for early strengtheningMonitoring response to adjust total workloadCoordinating clinic and home program balanceDocumentation of adherence and toleranceLesson 3Phase 1 (Weeks 6–8) focus and interventions: swelling control, ROM restoration, early strengtheningAddress Phase 1 (weeks 6-8) priorities including oedema management, ROM recovery, and introductory strengthening. Apply reasoning for exercise picks, protective measures, and advancing towards natural movement in rehab.
Primary clinical goals for Phase 1Strategies for effective swelling controlROM restoration priorities and limitsEarly strengthening within protection rulesMovement pattern retraining foundationsPatient education on activity modificationLesson 4Phase 3 specific exercises and techniques: plyometrics progression, graded jogging program, agility drills, sport-specific tasksSpecify Phase 3 exercises like plyometric scaling, structured jogging, agility work, and intro sport drills. Stress sequencing, surface choices, and tolerance checks for elevated impact in safe progression.
Foundational low-level plyometric drillsProgressing to multidirectional plyometricsDesigning a graded jogging progressionIntroductory agility and change-of-directionEarly non-contact sport-specific tasksSafety checks during high-impact sessionsLesson 5Phase 1 specific exercises and techniques: patellar mobilisations, closed-chain quad exercises, heel slides, isometric quads, balance retrainingOutline Phase 1 methods including patellar mobilisations, closed-chain quad activations, heel slides, isometric holds, and balance work. Emphasise safe dosing, application, and session integration for cohesive rehab.
Patellar mobilisation grades and directionsClosed-chain quadriceps activation drillsHeel slides for flexion ROM restorationIsometric quadriceps dosing and positionsEarly balance retraining progressionsCombining techniques within a sessionLesson 6Phase 2 (Weeks 8–10) focus and interventions: progressive strengthening, neuromuscular control, gait normalisationCover Phase 2 (weeks 8-10) aims with advancing strength, neuromuscular training, and gait refinement. Select exercises, provide cues, and blend functional elements to ready for intensified loading in recovery.
Primary functional goals for Phase 2Progressive strengthening priorities by regionNeuromuscular control and motor learning focusStrategies to normalise gait mechanicsIntegrating functional closed-chain activitiesCriteria to progress complexity safelyLesson 7Clear signs to slow or regress program: increased effusion, rising pain scores, loss of ROM, instability reportsIdentify signals like heightened swelling, escalating pain, ROM decline, or instability that demand program adjustments. Monitor closely and adapt loading, exercises, and frequency to nurture healing without setbacks.
Recognising pathologic joint effusion changesInterpreting rising pain scores in contextIdentifying new or worsening ROM lossAssessing subjective and objective instabilityDecision rules for regression versus holdingCommunicating setbacks with patient and teamLesson 8Phase 2 dosing, frequency, and clinic visit schedule recommendationsSpecify dosing, frequency, and scheduling for Phase 2, building from Phase 1. Modify session durations, home tasks, and neuromuscular elements to match strengthening and control objectives in rehab.
Determining clinic visit frequency in Phase 2Adjusting exercise sets, reps, and intensityBalancing supervised and independent workScheduling neuromuscular training sessionsUsing symptom response to guide dosingPlanning follow-up and re-evaluation pointsLesson 9Phase 2 specific exercises and techniques: eccentric quadriceps loading, resisted hip strengthening, single-leg balance with perturbations, step-upsDetail Phase 2 techniques such as eccentric quad work, resisted hip exercises, perturbed single-leg balance, and step-ups. Focus on coaching, scaling, and spotting compensations for effective execution.
Eccentric quadriceps loading progressionsResisted hip strengthening in multiple planesSingle-leg balance with manual perturbationsStep-up and step-down technique coachingUse of external resistance and tempo controlIdentifying and correcting compensationsLesson 10Progression principles between phases: load, complexity, volume increases and objective criteria for advancementExplain inter-phase progression rules, ramping up load, task intricacy, and volume methodically. Use testing, symptoms, and milestones to decide advancements, handling stalls or minor issues along the way.
Load progression: intensity and volume rulesComplexity progression: planes and tasksUsing objective strength and ROM thresholdsFunctional tests to support advancementManaging plateaus and minor flare-upsDocumenting progression decisions clearlyLesson 11Phase 3 dosing, frequency, and clinic visit schedule recommendationsRecommend Phase 3 dosing, frequency, and timetables, handling increased intensity and impact. Space sessions for recuperation, blend gym/field work, and tweak post-response for late-stage readiness.
Setting clinic and field session frequencyDosing plyometrics and running volumeRecovery spacing between high-load daysCoordinating strength and agility sessionsAdjusting plan after adverse responsesPreparing schedule for late-stage testing
