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Rehabilitation following ACL reconstruction surgery has evolved significantly over the last 25 years.We have progressed from casting the knee to allowing immediate motion and weight bearing in just a short amount of time.The more you work on one, the more you tend to get stiff in the other direction.This is reduced by working on frequent bouts of gentle but progressive range of motion.
I don’t perform these stretches to really enhance hamstring and calf flexibility.
I also like to empower the patient to also work on restoring knee flexion, both by stretching as well as through functional motions like mini-squats and eventually lunges.
When the patient can control their range of motion progression, their perceived threat is reduced and motion often comes back easier.
Restoring full knee extension range of motion could be the #1 key to rehabilitation following ACL reconstruction surgery, however I chose to list it second here because addressing pain and swelling has implications for everything discussed in this article.
Really, though, my focus is almost always directed towards restoring full knee extension as soon as possible.
Adrian Peterson is now going to be the poster-boy for return to sports after ACL surgery after tearing up the league and winning NFL MVP just months after having ACL reconstruction surgery.