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ACL cartilage both of these structures have been scientifically proven to adapt to loading the manners and positions in which they adapt are specific to the tissue for the ACL forces of cyclic tension at shallow knee angles activate living cells in the ACL to create bigger and stronger ligament leading to a greater load to failure over time ACL ability step one would be backwards walking this is the easiest way to get cyclic tension at shallow knee angles on the knee the good part about this is that thereamp;#39;s no tension when I bend and thereamp;#39;s very little tension after I extend the most tension is when my body is over my foot ACL ability step two would be reverse treadmill itamp;#39;s the same position as reverse walking but now with horizontal resistance it takes horizontal resistance to push the spout and one leg at a time the very gradual and safe starting point to work cyclic knee tension at shallow angles scl ability step three would be reverse step progression we a