Document Type

Article

Publication Date

12-2024

Publisher

Sports Physical Therapy Section

Source Publication

International Journal of Sports Physical Therapy

Source ISSN

2159-2896

Original Item ID

DOI: 10.26603/001c.126191

Abstract

Quadriceps weakness after anterior cruciate ligament reconstruction (ACLR) is a well-known phenomenon, with more persistent quadriceps weakness observed after ACLR with a bone-patellar tendon-bone or quadriceps tendon autograft than with a hamstring tendon autograft. Longstanding quadriceps weakness after ACLR has been associated with suboptimal postoperative outcomes and the progression of radiographic knee osteoarthritis, making the recovery of quadriceps size and strength a key component of ACLR rehabilitation. However, few articles have been written for the specific purpose of optimizing quadriceps size and strength after ACLR. Therefore, the purpose of this review article is to integrate the existing quadriceps muscle basic science and strength training literature into a best-evidence synthesis of exercise methodologies for restoring quadriceps size and strength after ACLR, as well as outline an evidence-informed quadriceps load-progression for recovering the knee's capacity to manage the force-profiles associated with high-demand physical activity.

Comments

Published version. International Journal of Sports Physical Therapy, Vol. 19, No. 12 (December 2024): 1600-1628. DOI. © The Author(s. Used with permission.

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