ACL Injury Prevention & Recovery Using The Knees Over Toes Program

20 Feb 2023 · 12 min
11:40

In this video, Victoria S. Dorsano explains why anterior cruciate ligament (ACL) injuries are so common, especially among female athletes, and how improper training mechanics—particularly the avoidance of letting the knees travel over the toes—contribute to the problem. She outlines biological and anatomical risk factors for women, such as hormonal influences and a tendency to rely on quadriceps over hamstrings, which leave the ACL vulnerable. Dorsano then introduces the Knees Over Toes (ATG) program created by Ben Patrick, describing how its bottom‑up, full‑range‑of‑motion approach targets the entire kinetic chain—from foot and ankle work to deep knee flexion and hamstring strengthening—to both prevent ACL tears and aid post‑surgical rehabilitation. She details specific exercises (reverse sled pulls, ATG squats, Nordics, calf raises, split/VMO squats, good mornings, RDLs) and shares her personal journey: a 2020 ACL rupture, surgery, traditional PT, lingering pain, and eventual recovery after adopting the ATG program. Dorsano emphasizes the program’s scientific backing, the supportive community, and the availability of live coaching via the ATG app, urging athletes—especially women—to adopt this methodology to protect their knees and return to sport pain‑free.

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