16/07/2025
Spot the elephant in the room?
The right leg imbalance is the result of overtraining quads post ACL reconstruction, which has now resulted in another knee injury. Thankfully, it’s not another ACL.
Rather than reversing the Q-angle, which is a major contributor to knee injuries, quads are typically the focus post-op, which will increase the Q-angle and lead to recurring knee injuries if not approached appropriately.
The Q-angle is the angle at which the quads meet the patella compared to the line formed by the ligament attaching the patella to the shin.
The focus is now on improving abdominal, glute, and hamstring strength to address the underlying cause of the imbalance.
We observed substantial improvements in passive knee hyperextension when abdominal strength was improved. This also contributed to improving glute and hamstring strength.