{"id":4636,"date":"2025-04-12T21:29:57","date_gmt":"2025-04-12T21:29:57","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=4636"},"modified":"2025-04-16T18:18:21","modified_gmt":"2025-04-16T18:18:21","slug":"%f0%9f%93%9a-new-review-alertcriteria-based-decision-making-for-introducing-open-kinetic-chain-okc-exercise-after-acl-reconstruction%f0%9f%93%9d-forelli-et-al-2025-sports-med-open","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=4636","title":{"rendered":"\ud83d\udcda New Review Alert!Criteria-Based Decision Making for Introducing Open Kinetic Chain (OKC) Exercise after ACL Reconstruction\ud83d\udcdd Forelli et al. (2025) \u2013 Sports Med Open\ud83d\udd17 [DOI: 10.1186\/s40798-025-00843-8]"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\ud83d\udd17<strong> [<a href=\"https:\/\/www.researchgate.net\/publication\/390731173_Criteria-Based_Decision_Making_for_Introducing_Open_Kinetic_Chain_Exercise_after-ACL_Reconstruction_A_Scoping_Review\">DOI: 10.1186\/s40798-025-00843-8]<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83e\uddb5 OKC After ACLR \u2013 Key Highlights<br>\u2705 OKC exercises are safe &amp; boost quad strength<br>\u274c No evidence they increase graft laxity<br>\u23f1\ufe0f 81% of studies use time-based criteria (median: 15 days)<br>\ud83d\udd0d Only a few include clinical signs like:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ROM \u2265 90\u2013100\u00b0<\/li>\n\n\n\n<li>\ud83d\udeb6\u200d\u2642\ufe0f Walking without crutches<\/li>\n\n\n\n<li>\ud83d\ude0c Pain &lt; 2\u20133<\/li>\n\n\n\n<li>\ud83d\udca7 No joint effusion<\/li>\n\n\n\n<li>\ud83d\udd04 Full quad activation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u26a0\ufe0f Lack of standardized criteria = confusion in clinical practice<br \/>\ud83d\udca1 Recommendation: Shift to a criteria-based rehab approach<br \/>\ud83e\uddf1 Early OKC + controlled loading = stronger quads &amp; better graft health<br \/>\ud83d\udd01 Delayed OKC = may miss strength gains<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc68\ud83c\udffb\u200d\ud83c\udfeb Huge thanks to the awesome author team led by Florian Forelli \u2013 and proud to be part of it!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2014<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Best,<br \/>Andreas Bjerregaard<br \/>Cert. Sports Physio | IOC PGDip in Sports Physical Therapy<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udd17 Links &amp; consults in BIO<br \/>\ud83d\udcbb Web | \ud83d\udcf8 IG | \ud83d\udcda ResearchGate | \ud83d\uddde Newsletter | \ud83d\ude4b Online ACL Consults<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-1024x1024.png\" alt=\"\" class=\"wp-image-4634\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-1024x1024.png 1024w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-300x300.png 300w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-150x150.png?crop=1 150w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-768x768.png 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-600x600.png?crop=1 600w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1-100x100.png?crop=1 100w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/04\/img_9436-1.png 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\ud83d\udd17 [DOI: 10.1186\/s40798-025-00843-8] \ud83e\uddb5 OKC After ACLR \u2013 Key Highlights\u2705 OKC exercises are safe &amp; boost quad strength\u274c No evidence they increase graft laxity\u23f1\ufe0f 81% of studies use time-based criteria (median: 15 days)\ud83d\udd0d Only a few include clinical signs like: \u26a0\ufe0f Lack of standardized criteria = confusion in clinical practice\ud83d\udca1 Recommendation: Shift to a criteria-based rehab approach\ud83e\uddf1 Early OKC + controlled loading = stronger quads &amp; better graft health\ud83d\udd01 Delayed OKC = may miss strength gains \ud83d\udc68\ud83c\udffb\u200d\ud83c\udfeb Huge thanks to the awesome author team led by Florian Forelli \u2013 and proud to be part of it! \u2014 Best,Andreas BjerregaardCert. Sports Physio | IOC PGDip in Sports Physical Therapy \ud83d\udd17 Links &amp; consults in BIO\ud83d\udcbb Web | \ud83d\udcf8 IG | \ud83d\udcda ResearchGate | \ud83d\uddde Newsletter | \ud83d\ude4b Online ACL Consults<\/p>\n","protected":false},"author":81,"featured_media":4635,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[155,382,4],"tags":[156,37],"class_list":["post-4636","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acl","category-knee","category-knee-injuries","tag-acl","tag-knee"],"blocksy_meta":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.1.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"\ud83d\udd17 [DOI: 10.1186\/s40798-025-00843-8] \ud83e\uddb5 OKC After ACLR \u2013 Key Highlights\u2705 OKC exercises are safe &amp; boost quad strength\u274c No evidence they increase graft laxity\u23f1\ufe0f 81% of studies use time-based criteria (median: 15 days)\ud83d\udd0d Only a few include clinical signs like: ROM \u2265 90\u2013100\u00b0 \ud83d\udeb6\u200d\u2642\ufe0f Walking without crutches \ud83d\ude0c Pain &lt; 2\u20133 \ud83d\udca7 No joint effusion\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"andreasbjerregaard\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/andreasphysioblog.com\/?p=4636\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.1.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Physioblog by Andreas Bjerregaard -\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\ud83d\udcda New Review Alert!Criteria-Based Decision Making for Introducing Open Kinetic Chain (OKC) Exercise after ACL Reconstruction\ud83d\udcdd Forelli et al. 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