Dr. Lynn Snyder-Mackler, internationally renowned researcher and clinician in knee injury rehabilitation, returns to join host Phil Plisky for an in-depth conversation on strength testing and electrical stimulation after ACL reconstruction. Together, Phil and Lynn dig into why measuring quad strength isn't just important—it's essential—and explore practical, clinic-ready solutions when isokinetic equipment isn’t available. From overcoming neuromuscular inhibition to reframing patient conversations around NMES, you’ll walk away with tools to rethink your post-op ACL approach and better track progress where it matters most.

Learning Objectives

• Analyze the evidence supporting the use of neuromuscular electrical stimulation (NMES) and objective strength testing as essential interventions in post-operative ACL rehabilitation

• Apply evidence-based strategies to implement NMES and strength testing methods in clinical practice to assess and improve quadriceps activation and strength

• Evaluate patient case scenarios involving NMES and strength testing after ACL reconstruction to identify appropriate measurement tools, interpret results, and make informed rehabilitation decisions

Timestamps

• (00:00:00) Welcome
• (00:01:23) Introduction to strength testing and electrical stimulation
• (00:02:55) Importance of measuring quad strength
• (00:06:13) Challenges in assessing quad strength
• (00:09:06) Strength training and testing techniques
• (00:12:04) Options for measuring quad strength
• (00:14:46) Activation failure and electrical stimulation
• (00:18:12) Research on electrical stimulation benefits
• (00:20:54) Practical applications of electrical stimulation
• (00:23:48) Patient engagement and education
• (00:26:48) Key takeaways and future directions

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