Lower Limb Bone Stress Rehab Program - phase 1

Prepare To Perform

Basketball
Coach
Greg Dea

This 3-week microcycle is designed specifically for the out-of-boot phase of healing, where walking is permitted but strength, conditioning & balance must resume and progress.

The focus:

• Restore calf load tolerance safely • Rebuild bilateral lower body strength • Maintain upper body force production • Preserve aerobic fitness through bike intervals and pull buoy swim work (no kicking) • Protect healing bone from torsion, strain rate, and horizontal force • Prevent deconditioning while respecting medical restrictions

There is:

No sled work. No carries. No locomotion under load. No shooting. No pivoting. No elastic work.

Every session includes:

• Clear purpose • Sets, reps, tempo and rest • Load ceilings (≤70% during boot phase) • Regression options for unsupervised execution • Strict “Not-To-Do” guidelines to prevent setbacks

The structure follows a Rehab → Foundation progression model and translates system percentages into practical weekly training doses.

Across 5 weekly sessions (3 mandatory, 2 optional), the athlete builds:

✅ Controlled bilateral strength ✅ Posterior chain capacity ✅ Core stiffness and anti-rotation control ✅ Aerobic engine without ankle propulsion ✅ Confidence under structured loading

This is not a generic return-to-play template. It is a phase-specific, medical-compliant reload built for a developing basketball athlete in-season.

The goal is simple:

Heal properly. Maintain performance qualities. Return stronger — not just cleared.

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Protects Healing Bone While Progressing
Structured loading avoids torsion, strain rate, and gait mechanics that could delay healing — while still preserving strength and conditioning.
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Prevents Deconditioning
Maintains aerobic fitness, upper body strength, and posterior chain capacity so the athlete does not restart from zero once cleared.
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Restores Calf Strength Safely & Smartly
Guided progression from isometrics to controlled loading reduces risk of reinjury and prepares the lower leg for eventual return to running and jumping.
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Eliminates Guesswork in Return-to-Play
Clear session purpose, load ceilings, tempo, and “Not-To-Do” rules ensure safe execution — even when training unsupervised.
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Builds a Stronger Foundation for Later
Rebuilds bilateral strength, trunk stability, and work capacity so the athlete returns not just medically cleared, but physically prepared.
Features
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Access to your coaches
As usual, message me in the app.
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Programming 5 days per week
3 mandatory, 2 optional sessions per week.
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Exercise Video Guidance
Instructional videos to guide your practice and make execution easy
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Delivered through TrainHeroic
You know the drill.
Equipment
Required
Gym
Recommended
Pool and pool buoy
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Sample Week
Week 1 of 3-week program
Sunday
“Rebuild the Base”

A

Double-Leg Mid-Range Calf Isometric Hold

4 x 30 @ 60

B1

Standing Slow Heel Raise - Double Leg

3 x 10 @ 90

B2

Trap Bar Deadlift

3 x 12 @ 55.12, 66.14, 77.16 kg

C1

Narrow Stance Heels Elevated Goblet Squat

3 x 8 @ 17.64, 22.05, 26.46 kg

C2

Machine Seated Row

4 x 8

D

OTIS

3 x 25 @ 3

E

Stationary Bike

1 x 20:00

Monday
HK “Aerobic Engine + Core Integrity”

A

Stationary Bike

1 x 30:00

B

DNS star plank with reach

3 x 10

C

Heavy Seated Kettlebell Holds

4 x 30

D

Half kneeling Pallof Press (Cable)

3 x 10

E

Isometric mid-thigh pull

4 x 5 @ 5

F

Hamstring curl machine

4 x 12

Tuesday
HK “Upper Force / Lower Capacity”

A1

Standing Slow Heel Raise - Double Leg (60/40 Bias Injured Side)

3 x 8 @ 90

A2

Chest-Supported DB Row

3 x 10

B1

Isometric mid-thigh pull

4 x 5 @ 5

B2

Barbell Bench Press

3 x 5 @ 66.14, 71.65, 82.67 kg

C

Tall kneeling Pallof Hold

3 x 20

D

OTIS

3 x 25

Bike intervals

E

Purpose: Moderate aerobic stimulus Dosage: 6 rounds 30 seconds hard (RPE 7) 60 seconds easy Regression: 4 rounds

Wednesday
Swimming Aerobic Capacity

A

Swimming

8 x 25 @ 30

B

Swimming

6 x 25 @ 30

Thursday
HK “Controlled Lower Strength Density”

A

Trap Bar Deadlift

4 x 5 @ 55.12, 66.14, 77.16, 88.18 kg

B

Box Squat

4 x 8 @ 55.12, 66.14, 77.16, 88.18 kg

C1

Seated Calf Raise

3 x 12 @ 22.05 kg

C2

Copenhagen Plank (Short Lever)

3 x 15

D

Stationary Bike

1 x 25:00

E

OTIS

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Built to Heal. Built to Come Back Stronger.

This boot-phase program protects healing while rebuilding strength, capacity, and confidence. Structured, progressive, and basketball-specific—so when clearance comes, the athlete returns prepared, not behind.

Get Lower Limb Bone Stress Rehab Program - phase 1
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FAQs
Can this be done while still in a CAM boot?
Yes. The program is specifically designed for athletes who must wear a CAM boot for walking BUT also for those recently out of the boot. All lower body work avoids locomotion, sleds, carries, and impact. Calf work is controlled and performed safely out of the boot as medically permitted.
Is this safe if there is still tenderness?
Yes, if cleared for progressive strengthening. The program limits strain rate, torsion, and horizontal force. Loading is capped at controlled intensities and progresses gradually to respect bone healing timelines.
Will I lose fitness while out of play?
No. Aerobic conditioning is maintained through structured bike intervals and pull buoy swim work (no kicking). Upper body strength and posterior chain capacity are also maintained throughout the block.
When can running or jumping return?
Not during this 3-week boot phase. This block prepares the body for safe reintroduction of elastic work once medically cleared and tenderness resolves. An in-clinic review should follow.
Is this program supervised or self-guided?
It is built to be safely executed unsupervised but supported by a coach at Virtus when you need them. Every session includes clear purpose, sets, reps, tempo, rest periods, and at times there will be strict “Not-To-Do” rules to minimize risk and confusion.
Lower Limb Bone Stress Rehab Program - phase 1