Lesson 1Phase 3 (Weeks 10–12) focus and interventions: functional strengthening, power preparation, running prepOutlines Phase 3 (weeks 10–12) emphasis on functional strengthening, power development, and running preparation. Covers exercise themes, loading approaches, and incorporating task-specific drills to transition 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 recommendationsSpecifies recommended dosing, weekly frequency, and clinic visit plans for Phase 1 (weeks 6–8). Emphasises balancing tissue protection with initial loading, home programme design, and adjusting frequency according to patient feedback.
Setting weekly clinic visit targets in Phase 1Structuring daily home exercise frequencyVolume guidelines for early strengtheningMonitoring response to adjust total workloadCoordinating clinic and home programme balanceDocumentation of adherence and toleranceLesson 3Phase 1 (Weeks 6–8) focus and interventions: swelling control, ROM restoration, early strengtheningAddresses Phase 1 (weeks 6–8) priorities: controlling swelling, restoring range of motion, and early strengthening. Explains clinical reasoning for exercise selection, protective measures, and advancing towards normal movement patterns.
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 programme, agility drills, sport-specific tasksOffers specific Phase 3 exercises and techniques, including plyometric progressions, graded jogging, agility drills, and introductory sport tasks. Stresses sequencing, surface choices, and monitoring tolerance to increased impact.
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 retrainingDescribes Phase 1 techniques like patellar mobilisations, closed-chain quadriceps exercises, heel slides, isometric quads, and initial balance retraining. Focuses on safe use, dosing, and integrating into cohesive sessions.
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 normalisationDetails Phase 2 goals and interventions from weeks 8–10, highlighting progressive strengthening, neuromuscular control, and gait normalisation. Includes exercise selection, cueing, and functional task integration for higher loads.
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 programme: increased effusion, rising pain scores, loss of ROM, instability reportsIdentifies clinical warning signs necessitating programme slowdown or regression. Focuses on monitoring effusion, pain, ROM, and instability, and adjusting load, exercises, and visit frequency to safeguard healing tissues.
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 recommendationsDefines dosing, weekly frequency, and clinic visit schedules for Phase 2. Covers advancing from Phase 1, modifying contact time, and structuring home programmes to aid strengthening and neuromuscular objectives.
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-upsOutlines Phase 2 exercise techniques, such as eccentric quadriceps loading, resisted hip strengthening, single-leg balance with perturbations, and step-ups. Highlights cueing, progression, and addressing common compensations.
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 advancementExplains progression principles across phases, including gradual increases in load, complexity, and volume. Presents objective criteria for moving forward, integrating testing, symptom monitoring, and functional milestones.
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 recommendationsSpecifies Phase 3 dosing, weekly frequency, and clinic visit plans. Addresses handling higher intensity and impact, session spacing for recovery, and coordinating field or gym sessions with clinic activities.
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
