Time for another exercise progression with a collegiate soccer player rehabbing from a left-sided anterior cruciate ligament reconstruction (ACLR) and meniscus repair. He performs the 3D lunge matrix in late phase 4 of his rehabilitation.
The 3D lunge matrix involves lunging with one leg to 8 points that are 45 degrees apart. This exercise challenges frontal, sagittal, and transverse stability and is relevant for any lower-body injury. Wearing Blood Flow Restriction (BFR) bands while performing this exercise creates an anabolic environment from a strenuous workout while only using a light resistance load. Maximizing muscular fatigue was possible by performing the 3D lunge matrix at the end of his session, which is relevant for returning to soccer.
He is wearing strobe eyewear and is using the most demanding level to maximize the challenge for dynamic knee stability. Most research and clinical commentary on strobe eyewear for knee rehabilitation have been done with ACL patients. The research has been investigating neuroplasticity for visual-motor training.
The clinical reasoning is
❌ Disrupted afferent input
❌ Altered proprioception
❌ Altered efferent output
❌ Change in postural control
❌ Change in movement control
The change in movement control relies on visual feedback to maintain neuromuscular control. Treatment with strobe eyewear is utilized for visual-motor training with criterion-based exercise progressions.
Effective and efficient rehab is criterion-based, not time-based.
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Always consult your physician before beginning any exercise program. STOP exercising if you experience any symptoms of weakness, unsteadiness, light-headedness/dizziness, chest pain or pressure, nausea, or shortness of breath.
Performing these exercises should not cause pain. If you experience pain while exercising, decrease the speed of your movement. If the pain persists - STOP. Mild soreness after exercising may be experienced after beginning a new exercise.
