RB Acl

Not really looking for advice, I wanted to hear about other athletes progress around the 4-5 month time period. This athlete has had great progress with my program, come Jan he will join the team for winter workouts and get ready for non contact spring ball.

He should be fine. The only thing I would recommend is constant massage on quads, hams and calves to address muscle tone issues around the knee. Post-op ACL for up to 18 months, I have had to manage muscle tone around the surgical side. Any time there invasive surgery into the joint and surrounding muscles, there is always a pronounced tendency for muscles to tighten up to stabilize the joint.

And, do the same for the “good” leg as it can take the extra brunt of work through subconscious compensation.

I have guys at 4 and 8 weeks post-op and we are doing muscle cleans and snatches, squatting, marching and skipping drills with very high levels of monitoring, and lots of massage pre-, during and post exercise. As James stated, gradual, progressive overload under low-risk conditions.

What’s your thoughts on Double KB cleans, very similar to muscle cleans?

I don’t use KB’s. Doesn’t mean it’s not good. As long as there is significant control on the part of the athlete and everything looks relatively symmetrical. Probably something you could do after they had performed several weeks with a barbell with some progressive loading.

I asked because my boss is big into KB (cleans/swings), I try to include some of the things he will be doing with the team so the transition will be smooth. We have at least 20 pairs of KB.

As long as he doesn’t swing the KB into his knee, things should be okay. I would just make sure he is always supervised during those exercises to maximize safety.

I forgot to add that, from a tonic strength training perspective, we emphasize sub-max yielding work (lowering the weight slowly) on the leg press, squats, and hamstring exercises until balance between the two limbs is re-attained and no favoring occurs on the field based drill mechanics

We did that type of work the first 7-8 weeks in Hypertrophy Block. He worked up to 10-12 plates for 15-20reps.

I will share this with our trainers, we have people who come in 3-4 days per week and perform massages on our guys.

By four months, even in the most conservative circumstances, the athletes are doing everything in a stable environment. All that’s left is a gradual process into full contact training.

I had one kid running at 8 weeks, but most are around 10-12 weeks.

We do the sub max eccentrics too that James mentioned, as I got that from Buddy, overloading the contralateral side to achieve cross-education until we can load the injured limb, and then putting the brakes on the strong side until the weak side catches up.

As it’s a 9 month process in most cases, everything is slow cooked.

Wasn’t suggesting you ask for advice. I think he has some unique perspectives and he works with some pretty knowledgeable people. Maybe you could ask his thoughts or not.

Well, he just started running on the unweighted treadmill with a 30% reduction in bw - he’s using a similar protocol that the Pats used with Welker.

At four months (assuming post op, not post injury), that seems very slow progress compared to what I have seen before.

But I’m sure the surgeon has reasons.

Good luck, you won’t go too far wrong by taking it slow.

Yep, I’m talking about post op. The injury happen first week of camp, I believe he had surgery late Aug - so let’s call 3.5 months post op.

My guy may have some serious comp:

//youtu.be/ZNTp6dnZLBI

“Right now it’s down to Rutgers State, North Carolina, Penn State, Wisconsin, Florida, Georgia, Stanford, Notre Dame and Miami,” Huggins says.

Could you be more specific as to how you implement this?

Any single limb exercise can be used, the load is sub max, so all reps are unassisted, and the eccentric is 6 seconds long.

Loading is planned as it would be in normal circumstances.

Once the injured side can be loaded, we no longer aim to progress the contralateral side, and rather “wait” for the injured side to catch up.

Do you find that you run into issues with muscle tone in that contralateral limb, since the tension is held for so long?

Have you encountered any situations where the athlete has developed a different/further imbalance because of the training done to that contralateral limb?

Acutely? Absolutely none compared to traditional weight training.

One of the coaches ran into problems. However, on reflection, the choice of exercises weren’t appropriate (reverse hyper), and this athlete was out for a long, long time. He was training like this for a year or more. I think the longest I used this was maybe 12 weeks. Also, this athlete is a complete freak, so he had significant hypertrophy one side of his lumbar erectors in no time, which eventually led to some back pain.

Didn’t delay his return or anything, but caused a mild problem that cleared once we offloaded his LB.

Did 275 for a easy set of 8 and 365 for a very easy single. Big squat day - 9 working sets… Injured Aug 9, surgery Aug 19 - 16 weeks and 1 day post op…