After an ACL reconstruction, especially in early–mid phase rehab, knee extension work should: ✔️ Improve quad activation ✔️ Be progressively loadable ✔️ Respect tissue healing timelines ✔️ Build confidence But instead, we’re seeing exercises that: ❌ Are painful ❌ Create anterior knee discomfort ❌ Don’t actually improve quad firing ❌ Add instability without purpose ❌ Prioritise novelty over physiology More complexity doesn’t equal better outcomes. The quadriceps need progressive load, good motor
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