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Description

Traditional ACL rehab can often rely on time-based protocols, with athletes being discharged between the 6-9 month mark. Though, high reinjury rates (20-30%) suggest that there is a significant disconnect between chronological time and true physiological readiness. This is because full biological maturation of the ACL graft can take 18 to 24 months.

This project proposes a criteria-based framework utilizing block periodization. By organizing rehabilitation into physiological targets of hypertrophy, eccentric loading, power, and reactive agility, clinicians can ensure specific structural and neurological adaptations are met. Progression will dictated by objective data.

Publication Date

4-30-2026

Keywords

ACL Rehabilitation, Block Periodization

Beyond the Calendar: A Physiological Approach to ACL Recovery

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