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) |
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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 |
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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 |
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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 |
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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) |
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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