add knee-rehab-program
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training/knee-rehab-program.md
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training/knee-rehab-program.md
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# Knee Rehabilitation Program
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## Post-Meniscectomy + ACL-Deficient Knee
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> **Status:** Active program
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> **Started:** _______________
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> **Last updated:** _______________
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---
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## Table of Contents
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1. [Understanding Your Knee](#understanding-your-knee)
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2. [Core Training Principles](#core-training-principles)
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3. [Block 1: Foundation (Weeks 1-4)](#block-1-foundation-weeks-1-4)
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4. [Block 2: Strength Development (Weeks 5-10)](#block-2-strength-development-weeks-5-10)
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5. [Block 3: Performance/Movement (Weeks 11+)](#block-3-performancemovement-weeks-11)
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6. [Movement Culture / Ido Portal Style Work](#movement-culture--ido-portal-style-work)
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7. [Progression Guidelines](#progression-guidelines)
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8. [Weekly Schedule Templates](#weekly-schedule-templates)
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9. [Equipment List](#equipment-list)
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10. [Tracking & Notes](#tracking--notes)
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---
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## Understanding Your Knee
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### What's Causing the Sounds
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| Source | Mechanism |
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|--------|-----------|
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| **Altered joint mechanics** | Missing meniscal tissue = less cushioning, changed load distribution. Cartilage surfaces contact differently. |
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| **ACL deficiency** | Increased anterior tibial translation and rotational instability. Abnormal femur tracking on tibia. |
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| **Early degenerative changes** | Meniscectomy + ACL tear accelerates cartilage wear. Sounds reflect cartilage fibrillation. |
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| **Synovial fluid changes** | Gas bubbles (cavitation), potentially reduced viscosity. |
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| **Scar tissue/adhesions** | Post-surgical tissue snapping over bony prominences. |
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### Intermittent Swelling
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Lateral or medial swelling that comes and goes = **reactive synovitis**. Joint is intermittently inflamed from mechanical irritation. This is feedback that the knee is being stressed beyond current capacity.
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### Why This Program Works
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- **Quad strengthening (VMO focus)** — compensates for ACL instability
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- **Hamstring strengthening** — acts as dynamic ACL substitute, limits anterior tibial translation
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- **Hip abductor/external rotator work** — reduces valgus stress
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- **Proprioception training** — retrains neuromuscular control
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- **Movement variability** — builds resilient, adaptable tissue
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---
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## Core Training Principles
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### Loading Philosophy
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| Principle | Details |
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|-----------|---------|
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| **Tissue adaptation rates** | Tendons/cartilage: 12-24 weeks. Muscle: 4-8 weeks. Respect the slower tissues. |
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| **Progressive overload** | Small, consistent increases. Never rush. |
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| **Pain tolerance** | ≤3/10 during exercise is acceptable IF it resolves within 24h |
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| **Primary feedback signal** | Swelling. If it increases, reduce volume/intensity. |
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### ACL-Deficient Specific Rules
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```
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⚠️ AVOID: Open-chain knee extension in 0-45° range (max ACL strain zone)
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✓ PREFER: Closed-chain exercises (squats, lunges, step-ups)
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✓ CRITICAL: Train hamstring co-contraction deliberately
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```
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### Tempo Notation
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Format: **eccentric-pause-concentric** (in seconds)
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- `3-1-2` = 3 sec lowering, 1 sec pause, 2 sec lifting
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- `5s down` = 5 second eccentric (negative) phase
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---
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## Block 1: Foundation (Weeks 1-4)
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**Focus:** Neuromuscular control, proprioception, basic strength
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### Session A — Quad/Stability Focus
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| Exercise | Sets × Reps | Tempo | Notes |
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|----------|-------------|-------|-------|
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| Terminal Knee Extension (band) | 3×15 | 2-1-2 | Safe open-chain for VMO, stay in 0-30° range |
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| Wall sit isometric | 3×30-45s | hold | Start at 60° knee flexion |
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| Split squat (assisted) | 3×8/leg | 3-1-2 | Hold wall/rack, control descent |
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| Single leg stance (eyes closed) | 3×30s/leg | — | Progress to unstable surface |
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| Calf raises (bilateral) | 3×15 | 2-1-2 | Full ROM |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Terminal Knee Extension (TKE)</strong></summary>
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1. Loop resistance band around fixed point at knee height
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2. Step into band so it's behind your knee
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3. Stand facing anchor point, knee slightly bent
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4. Straighten knee against band resistance
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5. Focus on VMO (inner quad) contraction
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6. Stay in 0-30° flexion range only
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</details>
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<details>
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<summary><strong>Wall Sit Isometric</strong></summary>
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1. Back flat against wall
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2. Slide down until knees at ~60° angle
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3. Feet shoulder-width apart, weight through heels
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4. Hold position, breathe normally
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5. Progress by increasing time or decreasing knee angle (toward 90°)
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</details>
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---
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### Session B — Posterior Chain/Hamstring Focus
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| Exercise | Sets × Reps | Tempo | Notes |
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|----------|-------------|-------|-------|
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| Glute bridge | 3×12 | 2-2-2 | Squeeze glutes hard at top |
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| Nordic curl negative (assisted) | 3×5 | 5s down | Use band/partner, eccentric only |
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| Romanian deadlift (light) | 3×10 | 3-1-2 | Dumbbells, feel hamstrings |
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| Side-lying hip abduction | 3×15/side | 2-1-2 | Slight external rotation |
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| Prone hip extension | 3×12/leg | 2-1-2 | Keep knee bent 90° |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Nordic Curl Negative (Assisted)</strong></summary>
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1. Kneel on pad, ankles secured (partner, strap, or loaded barbell)
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2. Hold band attached to high anchor for assistance
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3. Keep hips extended (straight line from knees to shoulders)
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4. Lower slowly (5+ seconds) toward ground
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5. Use arms to push back up (don't use hamstrings concentrically yet)
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6. Focus on controlling the descent
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</details>
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<details>
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<summary><strong>Romanian Deadlift (RDL)</strong></summary>
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1. Stand with dumbbells at thighs, slight knee bend
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2. Hinge at hips, pushing butt back
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3. Lower weights along legs until hamstring stretch
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4. Keep back flat, chest up
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5. Drive hips forward to return
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6. Squeeze glutes at top
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</details>
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---
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### Session C — Movement Quality/Proprioception
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| Exercise | Sets × Reps | Notes |
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|----------|-------------|-------|
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| Quadruped rocking | 2×10 | Feel joint movement without load |
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| Half-kneeling hip flexor stretch | 2×45s/side | Address common tightness |
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| Lateral band walks | 3×12/direction | Mini-band above knees |
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| Step-ups (low box, 10-15cm) | 3×8/leg | Control the negative |
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| Balance beam walking | 2×10m | Use line on floor or 2×4 |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Quadruped Rocking</strong></summary>
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1. On hands and knees
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2. Rock hips back toward heels
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3. Feel knees moving through flexion range
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4. Keep spine neutral
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5. No load, just movement exploration
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</details>
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<details>
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<summary><strong>Lateral Band Walks</strong></summary>
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1. Mini-band just above knees
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2. Quarter squat position
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3. Step laterally, maintaining tension
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4. Don't let knees cave inward
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5. Keep feet parallel, toes forward
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</details>
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---
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### Block 1 Frequency
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```
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Week structure: A - B - C - A - B (5 sessions)
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Rest days as needed between sessions
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```
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---
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## Block 2: Strength Development (Weeks 5-10)
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**Focus:** Progressive loading, single-leg strength, hamstring emphasis
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### Session A — Squat Pattern
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| Exercise | Sets × Reps | Tempo | Notes |
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|----------|-------------|-------|-------|
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| Goblet squat | 4×8-10 | 3-1-2 | Depth to where form holds |
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| Bulgarian split squat | 3×8/leg | 3-1-2 | Rear foot elevated, torso upright |
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| Leg press (single leg) | 3×10/leg | 3-1-2 | Foot high on platform = more hamstring |
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| Spanish squat (band) | 3×12 | 2-2-2 | Band behind knees, vertical shin |
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| Single leg calf raise | 3×12/leg | 2-1-2 | Progress with weight |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Bulgarian Split Squat</strong></summary>
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1. Rear foot on bench/box behind you
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2. Front foot far enough forward for vertical shin at bottom
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3. Lower until rear knee nearly touches ground
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4. Keep torso upright, core braced
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5. Drive through front heel to rise
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6. Control descent (3 seconds)
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</details>
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<details>
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<summary><strong>Spanish Squat</strong></summary>
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1. Loop heavy band around squat rack at knee height
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2. Step into band, positioned behind knees
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3. Walk back to create tension
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4. Squat down, band pulls knees forward
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5. This allows vertical shins — very patella-friendly
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6. Excellent for quad loading with reduced joint stress
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</details>
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---
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### Session B — Hinge Pattern
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| Exercise | Sets × Reps | Tempo | Notes |
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|----------|-------------|-------|-------|
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| Trap bar deadlift | 4×6-8 | 2-1-2 | Or conventional if unavailable |
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| Single leg RDL | 3×8/leg | 3-1-2 | Contralateral load |
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| Nordic curl (partial) | 4×4-6 | 3-5s down | Increase ROM progressively |
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| Seated hamstring curl | 3×10 | 2-1-3 | Slow eccentric |
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| Hip thrust (barbell) | 3×10 | 2-2-2 | Full hip extension |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Single Leg RDL</strong></summary>
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1. Hold dumbbell/KB in hand opposite to standing leg
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2. Slight bend in standing knee
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3. Hinge forward, raising rear leg behind
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4. Body forms straight line from head to rear foot
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5. Feel hamstring stretch on standing leg
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6. Return by driving hips forward
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</details>
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<details>
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<summary><strong>Hip Thrust</strong></summary>
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1. Upper back on bench, feet flat on floor
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2. Barbell across hip crease (use pad)
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3. Lower hips toward ground
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4. Drive through heels, squeeze glutes at top
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5. Full hip extension at top (no hyperextension)
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6. Controlled lowering
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</details>
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---
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### Session C — Unilateral/Athletic
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| Exercise | Sets × Reps | Notes |
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|----------|-------------|-------|
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| Step-up (higher box, 30-40cm) | 3×8/leg | No push-off from rear leg |
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| Lateral step-down | 3×8/leg | Slow, control valgus |
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| Single leg glute bridge | 3×10/leg | Progress with foot elevated |
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| Pallof press | 3×10/side | Anti-rotation core |
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| Reverse lunge | 3×8/leg | Control deceleration |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Lateral Step-Down</strong></summary>
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1. Stand on box/step (20-30cm)
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2. Slowly lower opposite foot toward floor
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3. Tap heel lightly, return to start
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4. Keep knee tracking over toes (no valgus collapse)
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5. This is SLOW and controlled — 3-4 seconds down
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6. Excellent for VMO and knee stability
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</details>
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<details>
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<summary><strong>Pallof Press</strong></summary>
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1. Cable or band at chest height
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2. Stand perpendicular to anchor
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3. Hold handle at chest
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4. Press straight out, resisting rotation
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5. Hold 2-3 seconds, return to chest
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6. Core stays braced throughout
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</details>
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---
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### Block 2 Frequency
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```
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4 sessions/week
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Example: Mon (A) - Wed (B) - Fri (C) - Sat (A or B)
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Add load when hitting rep targets with good form
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```
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---
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## Block 3: Performance/Movement (Weeks 11+)
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**Focus:** Power, agility prep, movement complexity
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### Session A — Strength Maintenance + Power Introduction
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| Exercise | Sets × Reps | Notes |
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|----------|-------------|-------|
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| Front squat or Zercher squat | 4×5 | Heavier loading |
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| Box jump (step down) | 3×5 | Concentric only initially, soft landing |
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| Nordic curl (full) | 3×5-6 | Full ROM target |
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| Kettlebell swing | 4×12 | Hip power, hamstring ballistic |
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| Single leg squat to box | 3×6/leg | Pistol regression |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Box Jump (Step Down)</strong></summary>
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1. Choose box height you can land softly on
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2. Jump up with both feet
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3. Land softly in quarter squat position
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4. STEP down (don't jump down) — reduces eccentric stress
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5. Reset and repeat
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6. Progress height gradually
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</details>
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<details>
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<summary><strong>Kettlebell Swing</strong></summary>
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1. Hinge to grip KB between legs
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2. Hike KB back like hiking a football
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3. Explosively drive hips forward
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4. KB floats to chest height from hip power (not arms)
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5. Let it fall, hinge to absorb
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6. Continuous rhythmic motion
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</details>
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---
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### Session B — Deceleration/Agility Prep
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| Exercise | Sets × Reps | Notes |
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|----------|-------------|-------|
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| Broad jump (stick landing) | 4×4 | Hold landing 3s, no valgus |
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| Lateral bound (stick) | 3×5/side | Progress distance gradually |
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| Skater squat | 3×6/leg | Counterweight in hands OK |
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| Drop landing (low box) | 3×6 | Athletic position, quiet landing |
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| Deceleration runs | 4×20m | Jog → stop in 3 steps |
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**Exercise Descriptions:**
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<details>
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<summary><strong>Lateral Bound (Stick)</strong></summary>
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1. Stand on one leg
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2. Jump laterally to opposite leg
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3. Stick the landing — hold 3 full seconds
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4. Check: knee over toes, no valgus, quiet landing
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5. Progress by increasing distance
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6. Critical for ACL-deficient knees — trains lateral stability
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</details>
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<details>
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<summary><strong>Skater Squat</strong></summary>
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1. Stand on one leg, other leg behind you
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2. Hold counterweight (plate, DB) in front for balance
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3. Lower by bending standing knee
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4. Rear knee approaches ground (don't touch)
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5. Drive through standing leg to rise
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6. Pistol squat regression — excellent single leg strength
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</details>
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---
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## Movement Culture / Ido Portal Style Work
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### Philosophy
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> Movement practice develops attributes often neglected in standard rehab: adaptability, body awareness, ground-based mobility, and movement variability. These qualities build resilient tissue and reduce injury risk.
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### Ground Movement Locomotion
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**Practice 2-3×/week, 10-15 minute sessions**
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| Movement | Description | Focus |
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|----------|-------------|-------|
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| **Loaded Beast** | Quadruped, knees hover 1-2" off ground. Move forward, backward, lateral. | Core, shoulder stability, hip mobility |
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| **Crab Walk** | Supine position, hips up. Walk forward, backward, diagonal. | Hip extension, shoulder mobility |
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| **Frogger** | Deep squat → hands forward → jump/step feet to hands → repeat | Hip mobility, squat depth |
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| **Shinbox Rotations** | Seated, knees bent 90°. Rotate both legs side to side. | Hip internal/external rotation |
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| **Lizard Crawl** | Low crawl, contralateral movement pattern | Full body coordination |
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| **QDR (Quadrupedal Movement)** | Ido's system — start with basic positions | Movement complexity |
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**Locomotion Descriptions:**
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<details>
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<summary><strong>Loaded Beast</strong></summary>
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1. Start on hands and knees
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2. Lift knees 1-2 inches off ground
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3. Maintain this hover while moving:
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- Forward: opposite hand/foot advance together
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- Backward: reverse the pattern
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- Lateral: side-step pattern
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4. Keep hips low, core braced
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5. Breathe normally (don't hold breath)
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6. Start with 30 seconds, build to 2+ minutes continuous
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</details>
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<details>
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<summary><strong>Shinbox Rotations (90/90)</strong></summary>
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1. Sit on ground, both knees bent at 90°
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2. One leg in front (external rotation), one behind (internal rotation)
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3. Lift knees and rotate to opposite side
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4. Both legs now in mirrored position
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5. Smooth, controlled transitions
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6. Works hip mobility in all planes
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</details>
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||||
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||||
---
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### Squat Mobility / Deep Squat Practice
|
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**Daily practice:**
|
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| Practice | Target | Notes |
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|----------|--------|-------|
|
||||
| **Squat sit accumulation** | 30 min/day total | Break into chunks throughout day |
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| **Squat transitions** | 5-10 min session | Deep squat → half-kneeling → tall kneeling → deep squat |
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| **Cossack squat progression** | 2-3×10/side | Shift weight side to side, increase ROM gradually |
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**Deep Squat Sit Tips:**
|
||||
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```
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- Start with assisted (hold doorframe, squat rack)
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- Heels down if possible (elevate heels with wedge if needed)
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- Work on spreading time throughout day (5 min chunks)
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- Read, work on laptop, watch TV in squat position
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||||
- Goal: comfortable, unassisted squat for 5+ minutes continuous
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||||
```
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||||
---
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||||
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||||
### Balance / Single Leg Flow
|
||||
|
||||
| Level | Exercise | Progression |
|
||||
|-------|----------|-------------|
|
||||
| 1 | Single leg stand | 30-60s, eyes open |
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||||
| 2 | Single leg stand | Eyes closed |
|
||||
| 3 | Single leg stand | Unstable surface (pillow, balance pad) |
|
||||
| 4 | Single leg stand | Eyes closed + head turns |
|
||||
| 5 | Single leg hinge reaches | Touch points around clock face |
|
||||
| 6 | Single leg squat + rotation | Partial depth with torso rotation |
|
||||
| 7 | Slackline work | If available — excellent proprioception |
|
||||
|
||||
---
|
||||
|
||||
### Hanging / Upper Body Integration
|
||||
|
||||
> Hanging work decompresses spine, allows lower body recovery while maintaining training stimulus, and builds grip strength.
|
||||
|
||||
| Exercise | Time/Reps | Progression |
|
||||
|----------|-----------|-------------|
|
||||
| Passive hang | 3×30-60s daily | Just hang, relax shoulders |
|
||||
| Active hang | 3×15-30s | Engage scapula (pull shoulders down) |
|
||||
| Scapular pulls | 3×8-10 | Active hang → pull scapula down/together |
|
||||
| Single arm hang | 3×15-30s/arm | Shift weight to one arm |
|
||||
| Brachiation | If available | Swing hand to hand on bars |
|
||||
|
||||
---
|
||||
|
||||
### Movement Flow Sequences
|
||||
|
||||
**Beginner Flow (5-10 minutes)**
|
||||
|
||||
```
|
||||
Start in deep squat (30 seconds)
|
||||
↓
|
||||
Shinbox rotations (5 each side)
|
||||
↓
|
||||
Loaded beast forward (2 meters)
|
||||
↓
|
||||
Frogger (3 reps)
|
||||
↓
|
||||
Crab walk backward (2 meters)
|
||||
↓
|
||||
Cossack squat transitions (5 each side)
|
||||
↓
|
||||
Return to deep squat
|
||||
|
||||
Repeat 2-3 cycles
|
||||
Rest 1 minute between cycles
|
||||
```
|
||||
|
||||
**Intermediate Flow (10-15 minutes)**
|
||||
|
||||
```
|
||||
Deep squat (30s)
|
||||
↓
|
||||
Shinbox rotations (10 total)
|
||||
↓
|
||||
Shinbox → loaded beast transition
|
||||
↓
|
||||
Loaded beast travel (3m forward, lateral, backward)
|
||||
↓
|
||||
Loaded beast → frogger transition
|
||||
↓
|
||||
Frogger (5 reps)
|
||||
↓
|
||||
Frogger → crab transition
|
||||
↓
|
||||
Crab walk (all directions, 2m each)
|
||||
↓
|
||||
Crab → supine roll → prone
|
||||
↓
|
||||
Lizard crawl (3m)
|
||||
↓
|
||||
Lizard → squat transition
|
||||
↓
|
||||
Cossack squats (10 total)
|
||||
|
||||
Continuous flow, 2-3 rounds
|
||||
```
|
||||
|
||||
---
|
||||
|
||||
## Progression Guidelines
|
||||
|
||||
### Strength Work Load Progression
|
||||
|
||||
**Week-to-week model:**
|
||||
|
||||
```
|
||||
Week 1: 3×8 @ 20kg (establish baseline)
|
||||
Week 2: 3×10 @ 20kg (add reps)
|
||||
Week 3: 3×12 @ 20kg (add reps)
|
||||
Week 4: 3×8 @ 22.5kg (add load, drop reps)
|
||||
Week 5: Deload — 2×8 @ 20kg (reduce volume 40-50%)
|
||||
```
|
||||
|
||||
**Guidelines:**
|
||||
|
||||
- Add reps first within set (8→10→12)
|
||||
- Then add load (2.5-5kg) and reset to lower reps
|
||||
- Target: ~10% volume increase per week maximum
|
||||
- **Deload:** Every 4th week, reduce volume 40-50%, maintain intensity
|
||||
|
||||
### Movement Work Progression
|
||||
|
||||
| Dimension | How to Progress |
|
||||
|-----------|-----------------|
|
||||
| **Complexity** | Add transitions between movements |
|
||||
| **Duration** | Extend continuous flow time (5 min → 10 min → 15 min) |
|
||||
| **Constraint removal** | Less hand support, smaller base of support |
|
||||
| **Speed** | Slow → controlled → fluid (never rushed) |
|
||||
|
||||
### Swelling/Pain Decision Tree
|
||||
|
||||
```
|
||||
┌─ Post-session swelling increased?
|
||||
│
|
||||
├── Yes, resolves in 24h
|
||||
│ └── ✓ Acceptable, monitor closely
|
||||
│
|
||||
├── Yes, persists 48h+
|
||||
│ └── ⚠️ Reduce volume 30%, reassess
|
||||
│
|
||||
└── No
|
||||
└── ✓ Progress as planned
|
||||
|
||||
┌─ Pain during exercise?
|
||||
│
|
||||
├── 0-3/10, resolves immediately
|
||||
│ └── ✓ Continue
|
||||
│
|
||||
├── 4-6/10 OR lingers hours
|
||||
│ └── ⚠️ Modify exercise or reduce load
|
||||
│
|
||||
└── 7+/10
|
||||
└── ✗ STOP, reassess in 48h
|
||||
```
|
||||
|
||||
### When to Progress to Next Block
|
||||
|
||||
**Block 1 → Block 2:** (after ~4 weeks)
|
||||
- [ ] Can perform all exercises with good form
|
||||
- [ ] No increased swelling from sessions
|
||||
- [ ] Single leg stance 30s+ eyes closed
|
||||
- [ ] Wall sit 60s at 60° knee flexion
|
||||
|
||||
**Block 2 → Block 3:** (after ~6 weeks)
|
||||
- [ ] Bulgarian split squat bodyweight+20kg, 8 reps
|
||||
- [ ] Full Nordic curl negative (5 second descent)
|
||||
- [ ] Single leg RDL with good balance
|
||||
- [ ] No swelling increase from Block 2 sessions
|
||||
|
||||
---
|
||||
|
||||
## Weekly Schedule Templates
|
||||
|
||||
### Block 1 Template (Weeks 1-4)
|
||||
|
||||
| Day | Focus | Duration |
|
||||
|-----|-------|----------|
|
||||
| Monday | Session A (Quad/Stability) | 45 min |
|
||||
| Tuesday | Movement flow + squat sits | 20 min |
|
||||
| Wednesday | Session B (Posterior Chain) | 45 min |
|
||||
| Thursday | Rest or light walking | — |
|
||||
| Friday | Session C (Movement Quality) | 40 min |
|
||||
| Saturday | Movement flow + hanging | 25 min |
|
||||
| Sunday | Active recovery (walk, swim) | 30 min |
|
||||
|
||||
### Block 2 Template (Weeks 5-10)
|
||||
|
||||
| Day | Focus | Duration |
|
||||
|-----|-------|----------|
|
||||
| Monday | Session A (Squat Pattern) | 50 min |
|
||||
| Tuesday | Movement flow (15 min) + hanging | 25 min |
|
||||
| Wednesday | Session B (Hinge Pattern) | 50 min |
|
||||
| Thursday | Rest or light activity | — |
|
||||
| Friday | Session C (Unilateral) | 50 min |
|
||||
| Saturday | Movement flow (20 min) + squat sits | 35 min |
|
||||
| Sunday | Active recovery | 30 min |
|
||||
|
||||
### Block 3 Template (Weeks 11+)
|
||||
|
||||
| Day | Focus | Duration |
|
||||
|-----|-------|----------|
|
||||
| Monday | Session A (Strength + Power) | 55 min |
|
||||
| Tuesday | Movement flow | 20 min |
|
||||
| Wednesday | Session B (Deceleration/Agility) | 50 min |
|
||||
| Thursday | Hanging + mobility | 20 min |
|
||||
| Friday | Session A or B (alternate) | 50 min |
|
||||
| Saturday | Extended movement flow | 30-40 min |
|
||||
| Sunday | Active recovery | 30 min |
|
||||
|
||||
---
|
||||
|
||||
## Equipment List
|
||||
|
||||
### Essential (Minimum Setup)
|
||||
|
||||
- [ ] Resistance bands (light, medium, heavy loop bands)
|
||||
- [ ] Mini-band (for lateral walks)
|
||||
- [ ] Kettlebell (16-24kg depending on current strength)
|
||||
- [ ] Adjustable dumbbells OR single heavy dumbbell
|
||||
- [ ] Foam roller
|
||||
- [ ] Exercise mat
|
||||
|
||||
### Recommended Additions
|
||||
|
||||
- [ ] Slant board (for Spanish squats, calf work)
|
||||
- [ ] Nordic curl strap OR setup (doorway anchor, loaded barbell)
|
||||
- [ ] Pull-up bar (for hanging)
|
||||
- [ ] Parallettes (for ground flow progressions)
|
||||
- [ ] Balance pad or Bosu ball
|
||||
|
||||
### Nice to Have
|
||||
|
||||
- [ ] Slackline
|
||||
- [ ] Trap bar
|
||||
- [ ] Cable machine access
|
||||
- [ ] Plyo box set (various heights)
|
||||
|
||||
---
|
||||
|
||||
## Tracking & Notes
|
||||
|
||||
### Weekly Check-in Template
|
||||
|
||||
```
|
||||
Week #: ___
|
||||
Dates: ___ to ___
|
||||
|
||||
Swelling status (0-10): ___
|
||||
Pain levels (0-10): ___
|
||||
Confidence in knee (0-10): ___
|
||||
|
||||
Sessions completed: ___/___
|
||||
|
||||
Top exercise this week: _______________
|
||||
Struggled with: _______________
|
||||
|
||||
Load progressions made:
|
||||
- Exercise: ___ → ___
|
||||
- Exercise: ___ → ___
|
||||
|
||||
Notes:
|
||||
_________________________________
|
||||
_________________________________
|
||||
_________________________________
|
||||
|
||||
Next week focus:
|
||||
_________________________________
|
||||
```
|
||||
|
||||
### Exercise Log Template
|
||||
|
||||
```
|
||||
Date: ___________
|
||||
Session: A / B / C / Movement Flow
|
||||
|
||||
| Exercise | Weight | Sets×Reps | RPE | Notes |
|
||||
|----------|--------|-----------|-----|-------|
|
||||
| | | | | |
|
||||
| | | | | |
|
||||
| | | | | |
|
||||
| | | | | |
|
||||
| | | | | |
|
||||
|
||||
Post-session:
|
||||
- Swelling: none / mild / moderate / significant
|
||||
- Pain: none / during / after / lingering
|
||||
- Energy: low / moderate / good / great
|
||||
```
|
||||
|
||||
### Long-term Progress Markers
|
||||
|
||||
| Milestone | Target Date | Achieved |
|
||||
|-----------|-------------|----------|
|
||||
| 30s single leg balance (eyes closed) | Week 4 | [ ] |
|
||||
| Full Nordic negative (5s) | Week 8 | [ ] |
|
||||
| Bulgarian split squat BW+20kg | Week 10 | [ ] |
|
||||
| Box jump (step down) 40cm | Week 12 | [ ] |
|
||||
| 5 min continuous deep squat | Week 12 | [ ] |
|
||||
| 10 min continuous movement flow | Week 16 | [ ] |
|
||||
| Lateral bound + stick landing | Week 14 | [ ] |
|
||||
| Full pistol squat (or to low box) | Week 20 | [ ] |
|
||||
|
||||
---
|
||||
|
||||
## Additional Resources
|
||||
|
||||
### Recommended Reading/Watching
|
||||
|
||||
- Ido Portal's movement culture content
|
||||
- Knees Over Toes Guy (Ben Patrick) — ATG training
|
||||
- Dr. Aaron Horschig (Squat University) — squat mechanics
|
||||
- FRC/Kinstretch — controlled articular rotations
|
||||
|
||||
### Professional Support
|
||||
|
||||
Consider working with:
|
||||
- Sports physiotherapist (for technique checks)
|
||||
- Orthopedic specialist (if instability episodes occur)
|
||||
- Movement coach (for flow progressions)
|
||||
|
||||
---
|
||||
|
||||
## Important Notes
|
||||
|
||||
```
|
||||
⚠️ The sounds may reduce somewhat as muscle control improves
|
||||
and joint loading normalizes, but some crepitus is likely
|
||||
permanent post-meniscectomy.
|
||||
|
||||
Focus on FUNCTION, not noise.
|
||||
|
||||
⚠️ If you experience:
|
||||
- Giving way / instability episodes
|
||||
- Locking or catching
|
||||
- Significant swelling increase
|
||||
- Sharp pain
|
||||
|
||||
→ Consult orthopedic specialist before continuing
|
||||
```
|
||||
|
||||
---
|
||||
|
||||
*Document version: 1.0*
|
||||
*Created for post-meniscectomy + ACL-deficient knee rehabilitation*
|
||||
Reference in New Issue
Block a user