Steph Allen

DPT, Founder of ACLResolve, Cofounder of CALU

[Steph Allen @Steph_Allen5]

The early stages of ACL rehab are CRUCIAL. They should be simple and focused. Not easy, but simple.
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We need to do simple a lot better than we are right now.

[Steph Allen @Steph_Allen5]

A 🧵: Yes, late stage ACL rehab can be a mixed bag. There is often an entire performance/ramp up phase that simply gets skipped or is not done well.
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But what is not talked about enough, is how even the simple milestones early in rehab are not being met.

[Steph Allen @Steph_Allen5]

How can we expect these individuals to be successful if we are not setting the expectation from day 1 that this rehab is a big deal, that there are specific milestones they need to hit before we can progress AND that is is going to require them to work at it DAILY, esp early on.

[Steph Allen @Steph_Allen5]

In ACL rehab, we sometimes NEED to pause or take a step backward in order to take two steps forward.

In fact, this may need to happen several times during the rehab process.

This is not failure. This is strategy.

Play the long game.

[Steph Allen @Steph_Allen5]

I think we feel like we need to create super nuanced programs and exercises to “match” this injury, when in reality, we are missing the basics and still not generally getting people strong enough. What do others think on this?

[Steph Allen @Steph_Allen5]

We do not need to over complicate ACL rehab.

Simple enough exercises + progressive overload + consistency* = Successful outcomes.

*Consistency is likely the biggest factor in success; not types of exercises done or programs created.

[Steph Allen @Steph_Allen5]

Why is it that formal strength testing (at LEAST isometric) is not a part of every PT clinic’s ACL rehab? With the inexpensive options we now have available, I just don’t get it.
#MondayMusings #aclrehab #returntosport

[Steph Allen @Steph_Allen5]

@agordon55 I use KOS protein because I can’t do whey either and I love it!

[Steph Allen @Steph_Allen5]

When did being over the age of 30 become a reason to ask someone to “reprioritize” their goals after ACLR? REMINDER: you are not “too old” to fully recover from an ACL injury.

[Evidence & Practice @EvidAndPractice]

@MeredithChaput Cognitive Contributions to Change of Direction in Sport: Unraveling Complexity to Progress Rehabilitation after ACLR

@Steph_Allen5 Acceleration and deceleration after ACLR: Training our gas pedals and our brakes

[Steph Allen @Steph_Allen5]

@agordon55 @ZakGaborDPT I always ask if they are cool with it first but I like to at least undress it and take a look. I think it’s important to make sure there are no signs of infection or anything of concern. If they are super afraid/queezy I will put it right. ACL on once I take a good look 😇

[Steph Allen @Steph_Allen5]

@MeredithChaput @Marcin_Szcz_DPT @JasonAvedesian There is a lot I/we do not know, but I can tell you that I am ALL FOR more conversation and collaboration between researchers and clinicians. 🤓

[Steph Allen @Steph_Allen5]

@scotmorrsn Sprinkle a little vanilla protein powder in there Scot!

[Steph Allen @Steph_Allen5]

I have so many thoughts about this paper. Almost makes me want to hop from clinician to researcher for a bit to try to conduct a study through this lens. Anyone else see this/have thoughts?

[Steph Allen @Steph_Allen5]

Twitter newb 🙋‍♀️. Here for the amazing research that gets shared. Primarily ACL research but also: running, bone stress injuries, tendinopathy, female sports, youth sports/long term athletic development. Open to any/all suggestions!