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In this video I breakdown the criteria and tests that I use with my patients to determine when they are ready to start running after undergoing an ACL reconstruction. The decision to return to running after undergoing an ACL reconstruction is both time-based and task-based. Time based: enough healing has to occur before a patient can consider returning to running. After an ACL reconstruction, this takes about 12 weeks. If additional procedures were done in surgery, a meniscus repair for example, we typically add about 4 weeks to this time-line. Task based: Time is not the only factor. After 12 weeks, patients are not automatically ready to run. They must regain enough range of motion and muscle strength. Patients should have full knee extension (within 3 degrees of the opposite side) and at least 130 degrees of knee flexion. Strength is measured on a leg press. Now, as less press machines are not built the same, we use a range to determine if a patient has enough leg muscle strength. Patients should be able to leg press 1 - 1.25 x body weight 5-8 repetitions. If patients meet these criteria, I bring them through a series of mini-jump tests to simulate the demands of running. If patients struggle with these tests, we simply turn the tests into a series of exercises to gradually condition the knee to these demands. Every patient's progression is individualized. No one progresses the same! As such, work with your PT on what's best for you! Disclaimer: This content is not medical advise and is intended for general education purposes only. This content should not be used to self-diagnose and/or self-treat any condition. Work with your medical provider on what treatment strategies are best for you.