ACL Rehab Live Patient Case Series: Strengthening and Complex Movement

Presented by Phil Plisky and Kyle Matsel

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Video Runtime: 62 Minutes; Learning Assessment Time: 40 Minutes

This comprehensive course is tailored to healthcare professionals, including physical therapists, sports medicine specialists, athletic trainers, and other rehabilitation experts, seeking in-depth knowledge of anterior cruciate ligament (ACL) reconstruction rehabilitation with a strong emphasis on quad-strengthening strategies with detailed demonstration on proper loading progressions. Participants will gain a deep understanding of how to incorporate essential functional testing, such as the Functional Movement Screen (FMS), Y-Balance Test–Lower Quarter (YBT-LQ), and isokinetic strength testing, into the rehabilitation process to optimize patient outcomes.

Join Drs. Kyle Matsel and Phil Plisky in this educational journey as they navigate postoperative rehabilitation for a high school athlete recovering from ACL surgery who also had an associated meniscal repair. Learn how to problem-solve and make clinical decisions like a master clinician and apply the best evidence-based interventions and testing to systematically and comprehensively return to this athlete to sport.

Learning Objectives
  • Execute advanced knee mobility exercises to achieve full flexion ROM in athletes following ACL reconstruction with an associated meniscal repair
  • Deconstruct the results of Functional Movement Screen as a baseline check to assess complex functional movement and pain in athletes following ACL reconstruction
  • Integrate the Y Balance Test Lower Quarter as a biomarker check to assess dynamic balance and strength in athletes following ACL reconstruction
  • Construct a therapeutic exercise progression to improve open–kinetic chain quad strength for athletes who are two months past ACL reconstruction surgery
  • Analyze the results of isokinetic strength testing using the Biodex test to assess baseline quad and hamstring peak torque ratios in athletes following ACL reconstruction

Meet your instructors

Phil Plisky

Dr. Phil Plisky is a professor in the University of Evansville’s Doctor of Physical Therapy and PhD in Health Professions Education programs. He is the host of the MedBridge Rehab and Performance Lab podcast and founder of the Coaches Club at

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Kyle Matsel

Dr. Matsel is a tenured associate professor at the University of Evansville, where he teaches in the musculoskeletal content areas of the Doctor of Physical Therapy curriculum. He received his Doctor of Physical Therapy degree from the University of Evansville in 2011 and his PhD in rehabilitation sciences from the University…

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Chapters & learning objectives

Phase IV (Weeks 7–8): Advanced Strengthening

1. Phase IV (Weeks 7–8): Advanced Strengthening

In this chapter, the learner will continue to follow the rehabilitation progress of a high school athlete following ACL reconstruction. After completion of this chapter, the learner will understand the importance of advancing open– and closed–kinetic chain strengthening including optimizing the most effective volume and intensity to achieve the desired strengthening effect.

Complex Movement and Strength Testing: Phase V (Weeks 9–11)

2. Complex Movement and Strength Testing: Phase V (Weeks 9–11)

The ACL rehabilitation process is a long journey, which makes it critical to frequently revisit the discharge expectations throughout. In this chapter, the learner will be exposed to basic movement testing with the FMS and YBT-LQ and initial strength testing to evaluate how the athlete is progressing toward achievement of the rehabilitation milestones and biomarkers required for progression.

Incorporating Complex Movement Correction

3. Incorporating Complex Movement Correction

Testing biomarkers creates perspective for the patient on how he or she is progressing, but corrective strategies based on the testing results should also be included in the overall treatment plan. Systematic evaluation, using the FMS, YBT-LQ, and isokinetic strength testing, guides the learner toward deficits and impairments that require improvement. After completion of this chapter, the learner will understand how to use movement and strength testing to guide intervention decisions to create a foundation for progression to running and plyometrics.