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Pacey Performance Podcast

Beyond the six-month mark: Rethinking ACL injury risk, rehab, and return to play with Tim McGrath

Mar 12, 2025
Tim McGrath, Senior Director of Player Health and Performance at the Washington Commanders and a PhD expert on ACL injuries, dives into the complexities of ACL rehabilitation. He emphasizes the need to combine art and science in recovery and discusses the critical role of biomechanical assessments in identifying risk factors. Tim critiques the traditional six-month return timeline, stressing a personalized approach based on athlete readiness. He also addresses common rehabilitation mistakes and the importance of understanding both physical and cognitive aspects to ensure a successful return to play.
47:47

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Rehabilitation from ACL injuries requires a careful blend of biomechanical assessments and individualized approaches to ensure athlete readiness for return to play.
  • Understanding both structural issues and cognitive aspects is crucial in ACL rehab, highlighting the importance of addressing fears and confidence in the injured limb.

Deep dives

Understanding ACL Rehabilitation

The process of rehabilitating an ACL injury is multifaceted and requires a thorough understanding of both the physical and psychological components involved. A primary challenge in rehabilitation is ensuring the knee can achieve full extension and proper mobility, as inadequate range can hinder recovery. The conversation emphasizes how crucial it is to avoid rushing athletes back into activity when structural issues, such as scarring and muscle inhibition, persist. Failure to address these fundamental problems can lead to setbacks or complications, necessitating a careful and gradual rehabilitation process tailored to each athlete.

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