Prehab & Rehabilitation — all lessons

Plyometrics in rehabilitation

Reintroducing jumping, hopping and running in late-stage rehab — progressions, readiness criteria and monitoring.

Advanced Evidence: Strong evidence 3 min read Reviewed 2026-10-31 Status: draft

Learning objectives

  • Define readiness criteria for plyometrics after injury
  • Progress plyometrics by intensity, direction and limb
  • Integrate running progressions
  • Monitor response and adjust

Before this lesson

Why this matters

Sport demands elastic, high-rate loading. Without restoring it, athletes return unprepared.

Readiness

Typical criteria: pain-free heavy strength work, strength near symmetry, controlled single-leg squat and landing, no reactive swelling [ardern2016]. Tendons, in particular, need gradual reintroduction of energy-storage loading [cook2009].

Progression

StageExamples
1Double-leg pogo hops, skipping, low box jumps (land on box)
2Single-leg hops in place, broad jumps
3Lateral hops, hurdle hops, bounding
4Depth jumps, reactive multi-directional hops

Plyometric training improves neuromuscular and tendon properties [markovic2010].

Running progression (example)

Walk–jog intervals → continuous jogging → strides at 60–80% → acceleration → maximal sprinting → change of direction.

Common mistakes and misconceptions

Case study

After ACL reconstruction, a netball player begins double-leg hops at month 4, single-leg hops at month 5 and reactive lateral work at month 7, guided by strength and hop testing.

Further learning: video lessons

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Knowledge check

Knowledge check · 0/5

1. A first-stage rehab plyometric might be…

Answer B. Low intensity.

2. A typical progression is…

Answer B. Increasing demand.

3. Plyometrics train…

Answer B. Energy-storage function.

4. If knee swelling increases after hopping, you should…

Answer B. Reactive response.

5. Plyometrics in rehab are usually introduced…

Answer B. Criteria-based.

Short-answer & application questions

  1. Write a 4-week hop progression after ankle sprain.
  2. List landing-quality cues.
  3. Design a return-to-running plan.

Key takeaways

  • Begin plyometrics after adequate strength and pain-free heavy loading.
  • Progress from double- to single-leg, vertical to horizontal to lateral, and low to high intensity.
  • Running and plyometric progressions run alongside strength work.
  • Monitor symptoms and landing quality; regress if needed.

Connected topics

References

  1. Markovic G, Mikulic P (2010). Neuro-musculoskeletal and performance adaptations to lower-extremity plyometric training. Sports Medicine, 40(10):859–895. Narrative review check pending
  2. Ardern CL, Glasgow P, Schneiders A, et al. (2016). 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. British Journal of Sports Medicine, 50(14):853–864. doi:10.1136/bjsports-2016-096278 Guideline check pending
  3. Cook JL, Purdam CR (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6):409–416. Narrative review check pending

Educational content only — not medical advice. Consult a qualified clinician for diagnosis or treatment.