Impact of Rehabilitation on Gait Kinematic following Grade II Anterior Cruciate Ligament Injury among Wrestlers

Table 1

The rehabilitation program (19 weeks) used in the study.

Subacute stage
Goals	Maintain ROM and flexibility; Restore muscle strength and proprioception; Improve neuromuscular control
Activity/exercises	Quadriceps sets ( sec hold); Leg press (); Self ROM stretching ( hold); Front and side lunges (); Step up and squat progression; Planks (); Progressive resistance training; Bicycle exercise for ROM (10 minutes); Eccentric quadriceps training (); Lateral lunges (); Progressive neuromuscular and proprioceptive drills
Advanced strengthening and neuromuscular control stage
Goals	Full ROM and flexibility; Maximal strength and neuromuscular control; Improve balance and proprioception; Restore limb function
Exercises	Progressive resistance training; Leg press (); Lateral lunges and step-ups (); Step down (); Biodex stability system (stance—bilateral progress to unilateral, setup—dynamic balance, level 8—progress to level 4, duration—5 bouts of 30 sec. progress to 10 bouts); Pool exercises; Advanced neuromuscular drills; Perturbation training; Dynamic stabilisation
Advanced activity stage
Goals	Normalise strength; Improve proprioception, balance, and neuromuscular control; Sports specific training
Exercises	Advanced neuromuscular drills; Plyometric training (start with a low rep, sets. reps progress toward 30 reps. progress based on clinical judgment)
Return to sports stage
Goal	Unrestricted sports activity
Exercises	Sports specific training; Running and agility exercises; Advanced plyometrics (progress based on clinical judgments); Strength and neuromuscular training