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. 2021 Aug 14;22:695. doi: 10.1186/s12891-021-04553-6

Table 2.

SSC6 Rehabilitation program

Level 1
Week 0–3
Entry criteria:
Pain > 5/10 on SL calf raise
Kinetic chain (2 days per week)
Box squat 3 × 8 reps @ 10RM
Step-up 3 × 8 reps e/s @ 10RM
Calf Isometrics (daily)
5 × 45 s holds @ 60 s RM)

Level 2

Week 0–4

Entry criteria:

Pain < 5/10 on SL calf raise

Kinetic chain (2 days per week)

Front squat 4 × 8 reps @ 10RM

Or

Deadlift 4 × 8 reps @ 10RM

Step-up 3 × 8 e/s @ 10RM

Or

Split squat 3 × 8 reps e/s

Calf strength (3 days per week)

SL calf raises 4 × 8 reps @ 10RM

~ Begin with dumbbell and shoes off

~ Aim to through 1st MTPJ and good rearfoot control

Seated SL calf raises 4 × 10 reps @ 12RM

~ Begin with kettlebell on knee and forefoot on a plate

Level 3

Week 3–6

Entry criteria:

Pain < 4/10 on SL calf raise

Kinetic chain (2 days per week)

Front squat 4 × 6 reps @ 8RM

Or

Deadlift 4 × 6 reps @ 8RM

Step-up 3 × 6 e/s @ 8RM

Or

Split squat 3 × 6 each side @ 8RM

Calf strength (3 times per week)

SL calf raises 4 × 8 reps @ 10RM

~ Progress to a smith machine or barbell using rack for support

~ Aim for > 70% BW

Seated SL calf raises 4 × 10 reps @ 12RM

~ Progress to smith machine or landmine press

~ Aim for > 90% BW

Coordination/running technique

Ankling 3 × 10 m

March 3 × 10 m

A-skip 3 × 20 m

Level 4

Week 6–9

Entry criteria:

Pain < 5/10 for 10 DL hops

< 10% asymmetry in calf isokinetic tests

Kinetic chain (2 days per week)

Front squat 4 × 6 reps @ 8RM

Or

Deadlift 4 × 6 reps @ 8RM

Step-up 3 × 6 reps e/s @ 8RM

Or

Split squat 3 × 6 each side @ 8RM

Calf strength (3 times per week)

SL calf raises 4 × 8 reps @ 10RM

~ Progress to a smith machine or barbell using rack for support

~ Aim for > 80% BW

Seated SL calf raises 4 × 10 reps @ 12RM

~ Progress to smith machine or landmine press

~ Aim for > 110% BW

DL Reactive strength (2 times per week)

DL Pogo hops in-place 4 × 10 (Day 1)

~ Keep knees straight and stiff

~ Flat foot contacts

~ Active dorsiflexion during flight phase

DL pogo hops forward 4 × 10 (Day 2)

~ Keep knees straight and stiff

~ Flat foot contacts

~ Active dorsiflexion during flight phase

Level 5

Week 9–12

Entry criteria:

Pain < 4/10 for 10 SL hops

Exit criteria:

< 10% asymmetry in single leg vertical and horizontal RSI

Kinetic chain (2 days per week)

Front squat 3 × 5 reps @ 7RM

Or

Deadlift 3 × 5 reps @ 7RM

Step-up 3 × 5 reps e/s @ 7RM

Or

Split squat 3 × 5 each side @ 7RM

Calf strength (3 times per week)

SL calf eccentric 4 × 8 reps @ 10RM

~ Use a smith machine/leg press/ barbell using rack for support

~ Up on 2 legs, lower down slowly on 1 over 3 s

~ Aim for > 100% BW or equivalent

Seated SL calf raises 4 × 10 reps @ 12RM

~ Progress to smith machine or landmine press

~ Aim for > 110% BW

DL Reactive strength (2 times per week)

Drop jump 4 × 4 reps from 20 to 30 cm box

~ Maximum jump height with minimal contact

~ Minimal knee bend on ground contact

~ Cue “imagine the floor is hot”

SL Reactive strength (2 times per week)

SL pogo hops in-place 4 × 10 e/s (Day 1)

SL pogo hops forward 4 × 10 e/s (Day 2)

Level 6

Week 12–26

Recommended maintenance program

Kinetic chain (2 days per week)

Front squat 3 × 5 reps @ 7RM

Or

Deadlift 3 × 5 reps @ 7RM

Step-up 3 × 5 reps e/s @ 7RM

Or

Split squat 3 × 5 each side @ 7RM

Calf strength (2 times per week)

SL calf isometric 4 × 8 reps × 4 s holds

~ Use a smith machine/leg press/ barbell using rack for support

~ Up on 2 legs, hold on 1

~ Aim for > 140% BW or equivalent

DL Reactive strength (2 times per week)

Drop jump 4 × 5 reps from 20 to 30 cm box

SL Reactive strength (2 times per week)

SL pogo hops in-place 4 × 12 e/s (Day 1)

SL pogo hops forward 4 × 12 e/s (Day 2)

Abbreviations: DL - double leg, SL - single leg, reps - repetitions, e/s - each side, BW - bodyweight, RM - repetition maximum