Criterion-based rehabilitation program after anterior cruciate ligament reconstruction

Traditional rehabilitation protocols consist of a progression of exercises and functional activities based on timeframes that serve as strict guidelines for physical therapists and athletic trainers. Patients who have undergone reconstruction of the anterior cruciate ligament are guided through the process via written schedule which often overlooks their ability to master basic functional activities, such as walking. Basic science and joint kinematics certainly cannot be ignored when designing a rehabilitation program. Understanding tissue healing and the effects of exercise of soft-tissue integrity can enable the physical therapist or athletic trainer to safely and efficiently restore function to each patient. A rehabilitation program guided by criteria achievement based on patient presentation, and with respect to the healing soft-tissue structures, may be a more effective and successful means of returning an athlete or worker to their desired activity.