Clinical pathways.
Our rehabilitation programs follow structured clinical pathways with defined phases, objective assessment milestones and evidence-based loading principles. These pathways describe the process of care, not individual patient results.
ACL Reconstruction
ACL Rehabilitation Clinical Pathway
Our ACL rehabilitation pathway follows your surgeon's post-operative protocol and is structured around progressive loading and objective strength milestones. Members train three to five times per week with physiotherapist support throughout.
Phases
Phase 1 (Weeks 1-6)
Quadriceps activation, range of motion work and swelling management. All exercise within surgeon protocol.
Phase 2 (Weeks 6-16)
Progressive strength work targeting quadriceps, hamstrings and posterior chain. VALD baseline assessment at week 8.
Phase 3 (Weeks 16-36)
Functional loading and sport-specific movement. Ongoing VALD assessments tracking limb symmetry index against return-to-sport criteria.
Phase 4 (Months 9-12)
Return-to-sport testing using multi-criteria assessment including VALD ForceDecks, hop testing and clinical evaluation. Clearance in coordination with treating surgeon.
Assessment tools
- VALD ForceDecks (bilateral force and symmetry)
- Limb symmetry index tracking
- Hop testing battery
- Surgeon post-operative protocol milestones
Knee Replacement
Total Knee Replacement Rehabilitation Pathway
Our knee replacement pathway begins at approximately two to three weeks post-operatively and is structured around progressive restoration of range of motion, quadriceps strength and functional independence. Programs follow your surgeon's protocol.
Phases
Phase 1 (Weeks 2-6)
Gentle range of motion, quadriceps activation and gait retraining. Clinical assessment at every session.
Phase 2 (Weeks 6-12)
Progressive strength work and functional movement. Targets include 90 degrees knee flexion and unassisted walking.
Phase 3 (Weeks 12-20)
Full functional loading and return to daily activities. Ongoing strength monitoring and program progression.
Assessment tools
- Goniometry (range of motion)
- Functional movement assessment
- VALD ForceDecks (optional, for objective strength data)
- Surgeon protocol milestones
Chronic Back Pain
Chronic Low Back Pain Management Pathway
Our back pain pathway is built around progressive posterior chain loading, spinal stabilisation and activity tolerance. Programs are designed in line with evidence-based guidelines for chronic musculoskeletal conditions.
Phases
Phase 1 (Weeks 1-4)
Movement assessment, load tolerance testing and early progressive loading within comfortable range. Activity modification guidance.
Phase 2 (Weeks 4-10)
Progressive spinal stability and posterior chain strengthening. Deadlift pattern introduction, hip hinge and core programming.
Phase 3 (Weeks 10-16)
Full progressive loading and return to activity goals. Maintenance programming for ongoing capacity.
Assessment tools
- Movement screen and load tolerance assessment
- Pain monitoring (VAS, activity-specific scales)
- Functional capacity targets
Rotator Cuff Rehabilitation
Shoulder Rehabilitation Clinical Pathway
Our shoulder rehabilitation pathway targets the rotator cuff, scapular stabilisers and surrounding musculature through progressive loading. The pathway applies to rotator cuff pathology, impingement and post-surgical recovery.
Phases
Phase 1 (Weeks 1-4)
Scapular control and rotator cuff activation. Pain and load monitoring. Activity modification where indicated.
Phase 2 (Weeks 4-10)
Progressive shoulder loading targeting strength symmetry. VALD ForceFrame assessment at week 6.
Phase 3 (Weeks 10-16)
Full range loading, overhead capacity and return to activity goals. Surgical opinion referral pathway if conservative management is insufficient.
Assessment tools
- VALD ForceFrame (shoulder strength and symmetry)
- Range of motion assessment
- Functional task assessment
Want to understand our approach for a specific condition? Browse all conditions or read our clinical research.
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