Eccentric cycling for ACL-R rehabilitation: A masterclass
Michalak MM, Cronin J, Ryan CM, Rumpf M, O'Brien D, Slocum C (2026)
Publication Type: Journal article
Publication year: 2026
Journal
Book Volume: 81
Article Number: 101965
DOI: 10.1016/j.ptsp.2026.101965
Abstract
Eccentric training is a well-established method for developing strength and its implementation has become increasingly common in anterior cruciate ligament reconstruction (ACL-R) rehabilitation. Although traditionally introduced in later stages of recovery, early progressive eccentric exercise has been investigated from approximately three weeks post-operation in selected patients, with evidence suggesting potential benefits for quadriceps atrophy and strength deficits. Beyond improving strength, eccentric training may also enhance performance in return-to-sport (RTS) assessments. However, its implementation should be gradual and individualized, with consideration of clinical status and loading tolerance, particularly during the early phases of rehabilitation. Eccentric recumbent cycling offers a practical solution, allowing clinicians to monitor power outputs and regulate intensity through rate of perceived exertion (RPE) scales. This article explores the benefits of integrating eccentric cycling into ACL-R rehabilitation and outlines an exemplar eccentric cycling program.
Involved external institutions
Auckland University of Technology / Te Wānanga Aronui o Tāmaki Makau Rau
New Zealand (NZ)
Athlete Training and Health
United States (USA) (US)
New Zealand (NZ)
Athlete Training and Health
United States (USA) (US)
How to cite
APA:
Michalak, M.M., Cronin, J., Ryan, C.M., Rumpf, M., O'Brien, D., & Slocum, C. (2026). Eccentric cycling for ACL-R rehabilitation: A masterclass. Physical Therapy in Sport, 81. https://doi.org/10.1016/j.ptsp.2026.101965
MLA:
Michalak, Margaret M., et al. "Eccentric cycling for ACL-R rehabilitation: A masterclass." Physical Therapy in Sport 81 (2026).
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