Why Choose Level 10’s ACL Program?
▶ Led by a Physiotherapist and Certified Strength & Conditioning Specialist: Every phase 1 session is fully supervised and delivered by a licensed physiotherapist experienced in ACL rehab and return-to-sport programming, while phase 2 and 3 are delivered by experienced certified strength and conditioning specialists
▶ Small Group Format: Sessions run in a 2:1 athlete-to-physio ratio, ensuring close attention to form, progress, and safety.
▶ Efficient Sessions: Each session is 45 minutes long, offered twice per week to build consistency and momentum in your rehab
▶ Phased Progression: The program is structured in three progressive stages:
▶ Early Management – Regain range of motion, reduce swelling, and re-establish neuromuscular control.
▶ Strengthening – Focus on strength symmetry, movement quality, and motor control.
▶ Return to Play – Integrate sport-specific drills, plyometrics, and objective return-to-sport testing.
▶ Cost-Effective: At $60 per session, you receive expert care and programming at 60% less than the cost of individual physiotherapy appointments.
Dan Asch, Registered Physiotherapist
Access to Elite Level Equipment
Vald ForceDecks
Vald ForceDecks are used in elite sport and rehabilitation settings to measure strength, power, balance, and asymmetry with precision. They help guide data-driven return-to-sport decisions.
Blood Flow Restriction (BFR) Training
Blood Flow Restriction (BFR) Training is an advanced rehabilitation method that improves strength and muscle development using low-load exercises, reducing stress on injured joints while supporting recovery.
Level 10’s extensive strength and conditioning equipment
Level 10 provides extensive strength and conditioning equipment designed for rehabilitation and athletic performance. This includes bikes and advanced training tools to support safe return-to-sport progression.
Backed by Research
▶ Up to 29.5% of athletes may experience ACL re-injury within 24 months post-surgery if not properly guided through rehabilitation.¹
▶ Athletes who fail return-to-sport criteria are nearly 7 times more likely to suffer reinjury (38.2% vs. 5.6%).²
▶ Those who meet return-to-sport benchmarks may reduce re-injury risk by up to 84%.²
▶ Moderate to full compliance with a supervised physiotherapy program predicts better knee function and higher return-to-sport rates at one year.³
Registration
Ready to get started?
Register by emailing dan@level10fitness.com or calling (604)-265-7236. Feel free to reach out before your surgical date. As well, we can also work with individuals choosing a non-operative approach to ACL recovery.
Frequently Asked Questions
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We generally recommend starting physiotherapy Within the first few days after ACL reconstruction surgery. Early rehabilitation is important for reducing swelling, restoring knee extension, improving quad activation, and preventing stiffness. Many athletes contact us before surgery so we can help guide the early stages of recovery.
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No. While many of our athletes are recovering from ACL reconstruction surgery, we also work with individuals pursuing a non-operative ACL rehab approach. Your program Will be tailored to your goals, sport demands, and stage of recovery.
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Our ACL Rehab Program is designed for:
Athletes returning to sport
Active adults recovering from ACL injury or surgery
Recreational athletes
Youth and collegiate athletes
Individuals wanting a Structured return-to-running or return-to-play pathway
We work with all levels — from recreational gym-goers to competitive athletes.
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Traditional physiotherapy Often focuses on short one-on-one appointments. Our ACL Rehab Program combines physiotherapy, strength & conditioning, and progressive retum-to-sport training in a structured system.
The program includes:
Supervised small-group rehab
Progressive strength programming
Return-to-play testing
Access to elite training equipment
A gym environrnent designed for athletic rehabilitation
This creates more consistency, accountability, and progression throughout recovery.
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Sessions are typically performed twice per week in a small-group format. Consistency is one of the biggest predictors of successful ACL rehabilitation outcomes.
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ACL rehabilitation timelines vary depending on:
Surgical procedure
Meniscus involvement
Graft type
Strength recovery
Sport demands
Individual healing
Most athletes require 9-12+ months before full unrestricted return to pivoting sports. Our program is designed to progress through each stage safely rather than rushing return to play.
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Early rehab focuses on:
Reducing swelling
Restoring knee range of motion
Improving quad activatjon
Normalizing walking mechanics
Building confidence with movement
As recovery progresses, the program advances into:
Strength development
Single-leg control
Plyometrics
Agility
Running progression
Sport-specific return-to-play drills
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Yes. We utilize objective testing tools including:
Vald ForceDecks
Strength symmetry testing
Jump and landing analysis
Functional movement assessments
Objective testing helps determine readiness for return to sport and may reduce reinjury risk.
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Blood Flow Restriction (BER) training allows athletes to build strength using lighter loads during the early phases of rehab. This can be especially helpful after surgery when heavy loading may not yet be tolerated.
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Coverage depends on your individual extended health benefits plan. We recommend checking with your insurance provider regarding physiotherapy coverage eligibility.
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potentially, yes. Some athletes join specifically for the strength, return-to-sport. and supervised exercise components while continuing manual therapy elsewhere. Contact us to discuss whether the program would be a good fit.
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Sessions are intentionally kept small with a 2:1 athlete-to-physio ratio during Phase 1 to ensure close supervision, coaching, and individualized progression.
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The ACL Rehab Program is offered at Level IO Fitness & Health in North Vancouver.
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You can register by:
Emailing dan@leveIIOfitness.com
Calling 6042657236
Contacting us before surgery to discuss your rehab plan and timeline
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Not at all. While many participants are athletes, the program is appropriate for anyone who wants a structured, progressive approach to recovering from an ACL injury and returning confidently to activity.
Located in North Vancouver
Level 10 features free parking for all clients. Physiotherapy is available on the ground level floor for patients who are unable to take the stairs.
890 Harbourside Dr #140, North Vancouver, BC V7P 3T7
Phone: (604)-265-7236
Email: info@level10fitness.com
References
Paterno, M. V., Rauh, M. J., Schmitt, L. C., Ford, K. R., & Hewett, T. E. (2014). Incidence of second ACL injuries 2 years after primary ACL reconstruction and return to sport. The American Journal of Sports Medicine, 42(7), 1567–1573. https://doi.org/10.1177/0363546514530088
Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50(13):804-8.
Dunn WR, Spindler KP. Predictors of Activity Level 2 Years After Anterior Cruciate Ligament Reconstruction: The MOON ACLR Cohort Study. Am J Sports Med. 2010;38(10):2040-50.