🔗 [DOI: 10.1186/s40798-025-00843-8]
🦵 OKC After ACLR – Key Highlights
✅ OKC exercises are safe & boost quad strength
❌ No evidence they increase graft laxity
⏱️ 81% of studies use time-based criteria (median: 15 days)
🔍 Only a few include clinical signs like:
- ROM ≥ 90–100°
- 🚶♂️ Walking without crutches
- 😌 Pain < 2–3
- 💧 No joint effusion
- 🔄 Full quad activation
⚠️ Lack of standardized criteria = confusion in clinical practice
💡 Recommendation: Shift to a criteria-based rehab approach
🧱 Early OKC + controlled loading = stronger quads & better graft health
🔁 Delayed OKC = may miss strength gains
👨🏻🏫 Huge thanks to the awesome author team led by Florian Forelli – and proud to be part of it!
—
Best,
Andreas Bjerregaard
Cert. Sports Physio | IOC PGDip in Sports Physical Therapy
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