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Based on the recent PROM scores and adherence data, I recommend we transition this client to the Intermediate ACL Rehab Protocol. Their pain levels have decreased significantly (from 6/10 to 3/10) and they're showing excellent motivation (9/10). Let's schedule a reassessment next week to confirm they're ready for progressive loading exercises.

Agreed, Sarah. I've been monitoring their session attendance and they haven't missed a single appointment in the last 4 weeks. Their adherence to home exercises is also impressive at 95%. I think they're definitely ready for progression.

From a manual therapy perspective, I recommend adding soft tissue mobilization to address the residual tightness in their hamstrings. During our last session, I noticed they still have about 15° limited knee extension ROM. This could be holding them back from progressing to higher intensity exercises. I'd suggest 2-3 sessions focused on this before advancing the protocol.

Great point, Emily. I've also noticed some compensation patterns during single-leg squats - they're shifting weight to the unaffected side. Might be worth incorporating some proprioceptive training and balance work before we ramp up the intensity. Perhaps wobble board exercises and single-leg balance holds?

Quick note from the front desk - the client mentioned during check-in today that they've been experiencing some increased soreness after their last session. They didn't want to bother anyone about it but thought I should pass it along. Might be worth checking in with them before progressing the protocol?

Excellent feedback everyone! Based on all your input, here's the updated plan:

Action Items:
1. Emily - Add soft tissue mobilization for hamstrings (2-3 sessions)
2. Tom - Incorporate proprioceptive training and balance work
3. Lucy - Thanks for flagging the soreness. I'll give them a call today to discuss
4. Delay progression to Intermediate Protocol by 2 weeks
5. Reassess ROM and compensation patterns next Monday

Let's reconvene on the AdBoard after reassessment. Great teamwork! 🎯

From an analytics perspective, I noticed this client's sleep quality has dropped from 85% to 78% over the past week. This correlates with the increased soreness. Poor sleep can significantly impact recovery and pain perception. Might be worth discussing sleep hygiene and recovery strategies with them.