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Institute of Advanced Orthopedics, MOSC Hospital and Medical College, Kolenchery, Ernakulam, Kerala

Knee Level 4

Plyometric exercises for the knee joint

For advanced rehabilitation after knee surgery such as ACL reconstruction – To be started only after clearance from your surgeon and physiotherapist. Usually introduced after 4.5-6 months post-surgery, once muscle strength, stability, and movement control are adequate. Plyometric exercises improve explosive power, agility, and knee stability for return to sports activities.

  1. Box Jumps
  • Use a plyo box or a stable platform (start with 20–30 cm height).
  • Stand with feet shoulder-width apart, knees slightly bent.
  • Jump explosively onto the box, landing softly with knees bent.
  • Step down slowly, do not jump down to avoid impact.
  • Sets & Reps: 3 sets × 8–10 reps.

2. Lateral Skater Jumps

  • Stand on one leg with the other leg slightly lifted behind.

  • Jump sideways to land on the opposite leg, swinging arms for balance.

  • Keep landings soft and controlled.

  • Sets & Reps: 3 sets × 10 each side.

3. Jump Squats

  • Stand with feet shoulder-width apart.
  • Perform a squat, then jump up explosively.
  • Land softly and immediately go into the next squat.
  • Keep chest upright, avoid knee collapse inward.
  • Sets & Reps: 3 sets × 8–10 reps.

4. Split Lunge Jumps

  • Start in a lunge position with one foot forward, one back.

  • Jump explosively, switching legs mid-air.

  • Land softly into a lunge and repeat.

  • Maintain balance and avoid jerky movements.

  • Sets & Reps: 3 sets × 8–10 each leg.

5. Bounding Runs

  • Run forward with long, exaggerated strides, pushing off strongly from each leg.
  • Focus on height and distance in each bound.
  • Use a flat, safe surface.
  • Distance: 20–30 meters × 4–6 repetitions.

General Guidelines:

  • Warm-up for 5 minutes before starting (cycling or treadmill at slow speed).
  • Breathe out while lifting, breathe in while lowering.
  • Stop if sharp pain, swelling, or instability occurs.
  • Cool down and stretch after session.
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