Are open chain Quads exercises dangerous after an ACL reconstruction?

Many physios including myself have been told of the dangers of open chain quads exercises to somebody rehabilitating an ACL reconstruction. It had been said that it is too risky to the graft due to the high strain of an open chain exercise such as a leg extension but is this really true or not?

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The content in this video is provided for general information purposes only and is not meant to replace a physiotherapy or medical consultation.

  • Noehren, Brian, and Lynn Snyder-Mackler. “Who’s Afraid of the Big Bad Wolf? Open-Chain Exercises After Anterior Cruciate Ligament Reconstruction.” journal of orthopaedic & sports physical therapy 50.9 (2020): 473-475.

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Online Physiotherapy

Put simply this is Physio done via either telephone or video over the internet. Skype and facetime are examples of this.

Contrary to popular belief online physiotherapy can be very effective and it can help the same injuries that face to face physio can help. I have helped many people with injuries such as disc prolapses, tennis elbow, neck pain and much more).