During rehabilitation, when would plyometric training typically be introduced?

• A. During initial acute care.
• B. During phase 3 training.
• C. Before any strength work.
• D. Only after full return to sport.

Answer: (B)

Plyometric training relies on the stretch-shortening cycle and places high demands on strength, tendon capacity, and neuromuscular control. Because of this, it’s introduced only after a solid base of tissue tolerance and movement quality has been established. In rehabilitation, that tends to be during phase 3, when foundational strength and controlled, progressive loading are in place and the patient can tolerate more dynamic, high-velocity work.

Introducing plyometrics in this phase allows the body to safely adapt to rapid braking and explosive movements, building power and dynamic stability without risking setbacks from starting too early in the healing process. Start with low-impact drills and controlled landings, ensuring pain-free range of motion and good mechanics, and then progress as technique and capacity improve. It’s not left out until full return to sport, but rather positioned before that final stage to prepare the athlete for sport-specific demands.