Build the Strength and Control Your Knees Need for Sport
The anterior cruciate ligament, or ACL, helps control the knee during demanding movements such as cutting, pivoting, landing, and quickly slowing down. Sports that require these movements can place significant stress on the knee, especially when they are performed repeatedly at high speed.At Meier & Marsh Physical Therapy, ACL injury prevention in West Valley City, Tooele in Northpointe, Tooele on Main Street and Grantsville, UT focuses on preparing athletes for those demands. Our physical therapists assess how you run, jump, land, change direction, and produce force so we can identify physical qualities that may benefit from additional training.
What Is ACL Injury Prevention?
ACL injury prevention is a structured approach to improving strength, movement control, balance, power, and sport-specific skills associated with safer athletic movement. Programs commonly include progressive strengthening along with jumping, landing, agility, and neuromuscular training.
No program can prevent every ACL injury. Contact, unpredictable movements, playing surface, sport exposure, previous injury, and other factors can all influence injury risk. The goal is to improve modifiable physical qualities and better prepare the athlete for the forces encountered during sport.
Finding the Physical Qualities an Athlete Needs to Improve
ACL injury prevention should not begin with assumptions about how an athlete moves. Our physical therapists evaluate the movements that place greater demands on the knee and look at how the athlete controls those tasks.
An ACL injury prevention assessment may include:
- Hip and knee strength
- Lower-extremity power
- Single-leg control
- Balance
- Squatting mechanics
- Jumping and landing
- Single-leg landing
- Acceleration and deceleration
- Cutting and changing direction
- Repeated sport-specific movements
- Differences between sides when clinically relevant
The therapist also considers the athlete’s sport, position, training demands, previous injuries, and current level of participation. A soccer player who repeatedly cuts and decelerates may need a different training emphasis than a basketball player whose sport involves frequent jumping and landing.

Training the Skills That Matter for ACL Injury Prevention
Effective ACL injury prevention typically combines several types of training rather than relying on one exercise. Strength is important, but athletes also need to produce and absorb force while controlling the knee during fast, unpredictable movements.
What an athlete does during training should come directly from what we find. If an athlete has difficulty controlling a single-leg landing, for example, treatment may first build the necessary strength and landing skill before adding greater height, speed, repetition, or directional challenges.
Depending on the assessment, training may include:
- Lower-extremity strengthening to improve the capacity of the hips, thighs, and lower legs
- Jump and landing training to practice absorbing force and controlling the lower extremity
- Single-leg exercises to challenge strength and control on one side
- Balance and neuromuscular training to improve control during changing movement demands
- Deceleration drills to practice slowing the body under increasing speed
- Cutting and agility exercises for sports that require rapid changes of direction
- Plyometric training to develop and control explosive movements
- Sport-specific drills that connect prevention training with the athlete’s actual activity
Progressing from Controlled Drills to Sport-Speed Movement
A controlled exercise in the clinic does not create the same challenge as reacting to another player during competition. ACL injury prevention should therefore progress from deliberate movement practice toward faster, more demanding tasks.
An athlete may advance from basic landing drills to repeated jumps, lateral movement, rapid deceleration, and cutting at increasing speeds. As control improves, drills can more closely reflect the timing, fatigue, and movement combinations encountered during practice and competition.
Combining ACL Prevention with the Rest of Your Training
ACL injury prevention does not need to replace regular strength and sports training. The right exercises can be incorporated into warm-ups, strength programs, conditioning, or rehabilitation based on the athlete’s needs and schedule.
An athlete with limited lower-body strength may spend more time developing force before emphasizing higher-level plyometrics. Someone who is already strong but struggles to control rapid direction changes may need greater emphasis on deceleration, cutting, and reactive movement.
Clinical Expertise for Athletes Who Want to Stay in the Game
At Meier & Marsh Physical Therapy, we do not treat ACL injury prevention as a generic list of exercises. Our physical therapists use advanced assessment to determine which strength, power, and movement skills deserve attention for the individual athlete and the sport they play.
We also teach athletes what they are working on and why it matters. That education helps them carry better movement strategies and appropriate exercises into practices, workouts, and ongoing training.
Frequently Asked Questions
Prepare Your Knees for the Demands of Your Sport
You cannot remove every risk from athletics, but you can train your body for the forces and movements your sport requires. Building strength, landing control, deceleration ability, and change-of-direction skills can be an important part of that preparation.
Contact Meier & Marsh Physical Therapy to learn more about ACL injury prevention in West Valley City, Tooele in Northpointe, Tooele on Main Street or Grantsville, UT. Our physical therapists can evaluate how you move, identify the physical qualities that deserve attention, and develop training that prepares your knees for running, jumping, landing, cutting, and competing.
Your Next Steps…
- Request An Appointment
- Receive A Custom Treatment Plan
- Work Hard and Progress In Your Recovery
- Recover & Enjoy Life Pain-Free






