Posterior Cruciate and weight training

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mdsgshl2's picture
mdsgshl2

There are conflicting reports out there regarding weight training with a PCL injury. I have a client who has a ruptured PCL and is not getting a repair. She plays at elite level football and wants to continue playing for a long while yet. She is looking to develop leg strength and power in preseason.

I have heard that leg press and squats should be avoided due to overloading of the PCL. Can anyone confirm a do and don't list regarding leg press/hack squat/free weight squat/deadlift etc?

Many thanks

Posterior Cruciate and weight training

zoutje's picture
zoutje

The cruciate ligaments are there to stabilize the kneejoint. The posterior cruciate ligament makes sure that your Tibia doesn't shift backwards under your femur. When you flex your knee there is partly a rotation and partly a sliding movement from your femurhead over your tibia plateau. The consequence is that Benchpresses and squats are very good exercises to stabilize your knee making your Quadricaeps stronger. But when your degree of flexion is too big you put extra stress on your PCL. So , you can do both exercises, but don't take them in full range of motion. You can also consider to do exercises such as leg-extensions, who pulls your tibia forward. When you choose for a functional revalidation, do exercises in a closed kinetic chain (benchpress-squats ..) Don't do legextensions with "anterior cruciate ligament" injuries.
groetjes ... zoutje
(sorry for my poor English)

pcl injury

Kilmo88's picture
Kilmo88

I have a pretty bad, isolated pcl tear from a sport taekwondo tournament in '97. Any exercise that will strengthen the quads is aok. I don't do any machine exercises, and your client should definitely avoid leg extensions due to the shear force they hit the knee with. I can do full pistol squats on the bad leg with my heel elevated or holding a weight, but I was told to avoid playing basketball or any sport requiring cutting or pivoting. If your client was an elite level player before the injury, I would guess that the chances of her returing to 100% without surgery are pretty slim, in a sport that requires you to change directions moving backward. Her defense won't be the same with a pcl-deficient knee.

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