ACL rehabilitation through aquatic therapy: A good idea or dangerous for the knee?
Are you taking your anterior cruciate ligament (ACL) patients in
the water? If you are treating a partially torn ACL — or a
reconstructed ACL — you will want to follow some restrictions. For
instance, you will need to avoid some elements of open chain terminal
knee extension. In other words, you need to avoid resisted knee
extension for the last 30 degrees of extension.
So, what does this mean for treatment?
Do not put your patient in a resistance boot (or a flipper or fin) and then have the person rapidly flex and
extend against the resistance of the water.
Why would this be a concern? What benefits would water therapy add to the mix?


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