Single Most Important Strengthening ACL Exercise after Surgery.

Bob and Brad the two most famous physical therapist on the Internet hi I’m Bob Shrum physical therapist Brad hi any physical therapy we had the most fate being this physical therapist on the Internet where’s that speech there I screwed that one up she’s right over there in our opinion of course yeah we need Katie all right today we’re going to talk about Brad the single best strengthening exercise for ACL right if you’ve got a cell problem or after ACL surgery this is what we’re going to do anterior cruciate ligament is ready we’re going to get right to the exercise and then after the exercise we’re going to go into detail about the anatomy and why it works so sounds good okay get to the meat first right that this is what I use with my patients all the time it’s independent and I think it’s the best exercise way to exercise the hamstrings because you could start from right away after a surgery or an injury and we’re going to start the hamstrings and if we just do this we’re working range of motion of the knee so I’m not strengthening yet but you have to have full range of motion so when the patient can do this they got full range of all I like about this is closed chain – right away yeah I just like exactly better than open chain okay and once we get to that now isometrics that’s the next phase will go to here about an 80 degree Bend and I’m going to push straight down like that and that’s all hamstrings yep and I’m going to hold for six to eight second think I need to demonstrate that Brad this you can see it in the ball what you’re doing yeah and I can feel those right down with the heels 1,001 1,002 I’ll call it – 6 to 8 seconds and give it a little time to relax – 10 of those once those are easier then we want to get more dynamic and we’ll get to the muscles straight with full extension of the knee we’re going to do a bridge this should not be pain-free you can hold that and go back down should not be painful right right what I say but not be paid for you do it I mean that would I say there you go and when that’s easy then we’re going to start rolling the ball up like this and you’re going to do in that pain free range it may not be pain free up to here now with all these Brad these had to be approved by your therapist or doctor right exactly what phase you’re going to do these and when Japanese you know and if you just want to strengthen your hamstrings this is the way to do it is the way to do it right these are these are brutal aren’t they yeah look let’s call my but if my butt is down and I’m just squeezing the ball that’s the early phase the higher you raise your butt the harder it is and once you get to the point where you can do ten of them with your butt up like this and this is easy and you’re doing 15 or 20 in sight man and you’re one of those people that really are high actively involved in sports then you cross and my right leg is the one I’m doing puts a little more stress on that right hamstring when you get really good then you just go to one hamstring and this is pretty hard Bob that’s making these all look fairly easy they’re all very hard if I would do these right now you’d see how hard they are right so now let’s talk about why the hamstring is so critical sure in relationship to the ACL ligament if we go to all bone apart here the ACL keeps the tibia I’m going to simplify this there’s a little more to it but the big concept is there keeps the tibia from coming this way right pull this way that ACL and actually do it Brad now let’s let’s get rid of that there if there was no ACL you would pull here and that bone would actually come forward right you getting that Lonnie er okay and you can see the red tape represents the hamstrings which connect to the tibia and back can you point to that bill yep I’m sorry Magna tibia and also back to the ischial tuberosity right now so you can see what the sit bones yep where you sitting on so if the ACL is not there and it pulls forward the hamstrings are doing the compensate for it they’re helping out right so the stronger the hamstring the more it helps compensate for that injured ACL or if you just want to have a stronger hamstring so that you don’t injure your ACL in the future that could be a good option good idea yeah well it’s a great great exercises for hamstring so there you go that’s why the hamstring strengthening is critical for the ACL I’ll get it later oh sorry they are watching and make sure you subscribe if you haven’t already and have fun with that ACO hamstring treatment yeah

42 Replies to “Single Most Important Strengthening ACL Exercise after Surgery.”

  1. Excellent content as usual! Big fan here, but have you two thought about changing the channel name to something more "catchy"? Something like B&B Physical Therapy or FamousPhysicalTherapy. Thanks again for the information, guys!

  2. Hey guys. Love your videos, keep me coming. I have a question, I recently tore my acl and meniscus in a freak accident pro wrestling. After speaking with doctor I opted to try pt and hope it recovers. Do you believe it's possible or I should get the surgery?

  3. im 2 weeks post op on acl reconstruction on my left knee. i can bend my knee 45 degrees. but there is some swelling on my knee. should i be worried?

  4. if the graft stretch to a very low angle, then it will become waste or either it becomes strong. please give me right advice sir

  5. sir, is grade 2 injury in posterior horn of medial meniscus heals by itself or not..? because my surgeons not go though any repair of it..

  6. Great videos guys, very informative and humorous!! I'm now 2 weeks post op from an ACL reco with a hamstring graft. Is there a time period I should wait before starting these exercises? Finding my hamstring quiet sore/tight still. Any advice??

  7. It's been about 9 months since my left knee acl reconstruction and I can't bend my knee back fully, a doctor said it was my hamstring and that was happening because it was tightened up. Another problem I'm having at times is a sharp pain in the knee when I straighten out my leg fully, sometimes there's a sharp pain sometimes there isn't. I got back to playing rep football and those are the only problems for my knee.

  8. I had surgery about 2 weeks ago, I'm currently wearing a post-op knee brace. My doctor still haven't cleared me for bending my knees and I still have to walk with crutches. I was just wondering if I'd be able to start bending my knees soon and when would I be able to walk without my crutches? Thank you 🙂

  9. i really dont understand some surgerons or p.ts….i had my hamstring acl last week. my p.t made me do about 4-5 steps whilst i was still sleepy from the anestic.. she ttold me not to use crutches at all and do as mch as i can. full weight bearing. full bend as mch as i can.i left the hopistal walking with a limb no crutches! others are given instructions

  10. m having too much pain in kneees 1 year almost done after reconstruction ..docter give analgesics……but m worried what to do next pls rply

  11. I had surgery about a year ago and still can't do anything.. I'm having tooo muchh pain on my left knee. I just do some exercise like leg extension, leg curl. I can't do squad. it's like my knee wants give out and sound krakkk krukk. my surgeon also give an injection like hyaluronic acid, but it's release my pain only a week.. 😞

  12. Question for you guys, my acl surgery was 10 months ago, im gonna play soccer again, i trained hard for it, almost everyday.

    With some of the explosive moves, sprinting, jumping, jump squads etc my calf muscle and somethimes my hamstring get painfull quickly.

    Soreness, tighness, light pain, shocks, dont know how to call it.

    Any tips?

    They did Tests and nothing was wrong according to the doctors.

  13. I hate that I found this video over 10 months after my acl repair. My previous physio was pushing it by basically getting me to do the FINAL movement before any of the prior stages and I was feeling pain for a long while until I had another surgery about 15 months after the first repair due to having to remove a 'cyclops lesion'. I'm about 17-18 months post acl repair trying to do the best I can with the help of a new physio. I'm revisiting this video because I intend to do these step by step. Thanks for this.

  14. A small(er) Abstract
    0:50 Best Exercise
    1:02 In Motion in Closed chain
    1:22 Isometric Version (6-8 Seconds pressure)
    1:49 Briding – Painfree
    2:09 Briding + Hamstring Curls
    2:50 Harder Version I
    2:58 Harder Version II
    3:11 Anatomy & Explanation of the Exercise

  15. Recovering from my second ACL repair and wish I would have found this after my first. My first was awful and I never got full range of motion back and I ended up tearing it again, but now after getting surgery from an ACL specialist its going much better. Im 2 weeks post-op and my range of motion is from 0 to 117 degrees!!

  16. Sir I have acl surgery on 28sept but now when I straight my leg on bed after sometime I up my knee it rub and sound what I do sir please tell me.

  17. The explanation at the end was great info! Always knew hamstring strength was huge for ACL prevention but to actually SEE a visual to WHY is awesome

  18. I'm coming back from acl surgery and I have a quick question. These exercises seem great for the hamstring, but my concern is that they put too much strain on the graft. Does this forward movement of the tibia against the femur cause strain on the graft? Thank you for the video and explanations.

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