Chapters

00:00 Introduction to Tendons and Personal Background
03:01 Understanding ACL Injuries and Rehabilitation
05:56 Graft Types: Autograft vs Allograft
08:56 Early Rehabilitation Strategies for ACL Surgery
11:53 Managing Swelling and Pain Post-Surgery
14:58 Progressing Rehabilitation: From Extension to Strength
17:59 Considerations for Graft Selection
21:01 Challenges with Quad Tendon Grafts
23:52 Hamstring and Patellar Grafts: Pros and Cons
32:06 Understanding Anterior Knee Pain and Rehabilitation
34:40 Strength Training in ACL Recovery
37:49 Introducing Plyometrics in Rehabilitation
39:28 Progressing Plyometrics and Deceleration Training
44:06 The Role of Physical Therapists in ACL Rehab
47:30 Knee Strategy vs. Hip Strategy in Rehabilitation
52:07 Re-injury Rates and Return to Sport Statistics
53:40 Education Gaps in Physical Therapy Schools
57:43 Improving ACL Rehabilitation Practices
01:01:17 Collaboration Between Therapists and Strength Coaches

Takeaways

Derek Garza is a licensed physical therapist with a background in athletics.
He emphasizes the importance of education in ACL rehabilitation.
The type of graft used in ACL surgery significantly affects recovery.
Early intervention in rehabilitation can lead to better outcomes.
Managing swelling is crucial for effective recovery post-surgery.
Different graft types have unique healing timelines and considerations.
Patient education is key to understanding the rehabilitation process.
The strength of the graft can vary significantly based on the type used.
Rehabilitation strategies should be tailored to the individual athlete.
Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery.
Limb symmetry index should be at least 90% for strength.
Plyometrics should be introduced gradually in rehabilitation.
Deceleration training is essential for athletes returning to sport.
Many physical therapists lack knowledge in plyometric training.
Re-injury rates for ACL injuries are alarmingly high.
Education on plyometrics is lacking in physical therapy schools.
Collaboration between therapists and strength coaches is vital.
Athletes often shy away from loading their knees post-injury.
Understanding knee and hip strategies can improve rehabilitation outcomes.

Derek on Instagram: https://www.instagram.com/dr.derekpt/

Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg

Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/

ACLs and Quad/Patellar/Hamstring Tendon Grafts with Derek Garza

Jacked Athlete Podcast