
Why Change of Direction & Deceleration Testing Is After Sports Injuries (Especially ACL & Achilles Repairs)

By
Dr. Michael Makher
Jun 17, 2025
Recovering From a Sports Injury? Don't Skip Deceleration & Directional Training!
Disclaimer: This article is for educational purposes only. It should not be seen as medical advice. Every case and person is unique, so treatment and prevention should be customized by a licensed professional.
Whether it’s a torn ACL or a repaired Achilles, your ability to cut, stop, pivot, and move again safely matters more than just jogging in a straight line. 🛑➡️🏃♂️
At Pain & Performance Coach LLC, we see too many clinics around Hillsboro, Beaverton, and Forest Grove rushing athletes back into play… ❌without ever testing how well their body controls momentum or handles real-world sports movement.
Why Are COD & Deceleration So Important?
Most ACL and Achilles injuries happen when you’re slowing down, landing, or changing direction—not sprinting in a straight line. That’s why elite rehab isn’t just about strength—it’s about movement control! 🎯💪
📚 What the research says:
📉 Jump height ≠ readiness — you can jump high and still re-injure your ACL
⚠️ Up to 15% of athletes re-tear their ACL, often due to poor deceleration
📐 Subtle asymmetries in cutting, landing, and braking are big red flags
Most Clinics Don’t Test These Critical Skills
Still doing only single-leg hop tests? 🙄 That’s like judging a car by its radio.
🔍 Here’s what’s usually missing:
🦵 Braking strength and control
🔄 Limb symmetry with cutting or landing
🪂 Force absorption metrics (via force plates)
💥 Strategy breakdowns like eccentric rate of force development
Why Achilles Rehab NEEDS Deceleration Work
Your Achilles tendon is your body’s built-in brake system. Without retraining how to absorb and redirect force, athletes post-Achilles repair are slower, stiffer, and more prone to re-injury ⚡💀
From our testing supply partners, VALD, we know:
Weak hips + poor deceleration = 👎 groin overload
Cutting, kicking, and sprinting all depend on ⚖️ eccentric control and 💪 hip adduction strength
What Makes Pain & Performance Coach Different?
We use the latest in tech-enabled rehab so your comeback isn’t just fast—it’s safe and elite-level.
✅ Eccentric training & braking drills
✅ Symmetry testing with ForceDecks & DynaMo ⚙️
✅ Real-time biofeedback for landing control 🧠
✅ Return-to-sport benchmarks you can see 📈
✅ Progress only when criteria are met 🎯
We don’t guess. We test. 🔍✅
Want to Return Stronger—Not Just Sooner?
If you’re recovering from ACL surgery, Achilles tendon repair, or want a real performance edge post-injury, we’re here to help. 👨⚕️🔥
Serving Hillsboro, Beaverton, Forest Grove, Cornelius & beyond
🧠 💪 Your body deserves better than outdated hop tests and generic PT checklists. Let’s test what really matters.
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Recovering From a Sports Injury? Don't Skip Deceleration & Directional Training!



