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 buildup, and running preparedness. Describes exercise motifs, loading tactics, and incorporation of task-oriented 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 suggested dosing, weekly rate, and clinic visit timetable for Phase 1 (weeks 6–8). Stresses equilibrating tissue defence with initial loading, home programme creation, and standards for altering frequency per 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: swelling management, ROM recovery, and initial strengthening. Explains clinical logic for exercise choice, safeguard methods, and advancement towards standard movement forms.
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 targeted Phase 3 exercises and methods, encompassing plyometric advancements, tiered jogging, agility routines, and initial sport tasks. Highlights ordering, surface choices, and tracking tolerance to elevated impact loads.
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 methods like patellar mobilisations, closed-chain quadriceps activities, heel slides, isometric quads, and early balance retraining. Focuses on secure use, dosage, and blending into a unified session.
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 aims and core interventions from weeks 8–10, highlighting progressive strengthening, neuromuscular oversight, and gait standardisation. Covers exercise selection, prompting, 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 reportsDefines clinical alert signs necessitating programme slowdown or regression. Stresses tracking effusion, pain, ROM, and instability, and details load tweaks, exercise choices, and visit rates to shield recovering 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 recommendationsSpecifies recommended dosing, weekly frequency, and clinic visit schedule for Phase 2. Tackles shift from Phase 1, modifying contact duration, and organising home programmes to bolster strengthening and neuromuscular aims.
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-upsDetails Phase 2 exercise methods, including eccentric quadriceps loading, resisted hip strengthening, single-leg balance with disruptions, and step-ups. Stresses prompting, advancement, and typical 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 advancementDescribes advancement rules across phases, including methodical rises in load, intricacy, and volume. Offers objective standards for moving forward and incorporating testing, symptom patterns, and functional markers.
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 recommendationsOutlines Phase 3 dosing, weekly frequency, and clinic visit schedule. Concentrates on handling greater intensity and impact, interval sessions for recuperation, and aligning field or gym sessions with clinic efforts.
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
