Techniques of Manual Therapy for the Knee

1992 ◽  
Vol 1 (3) ◽  
pp. 249-257 ◽  
Author(s):  
William E. Prentice
Keyword(s):  
Manual Therapy ◽  
Movement Pattern ◽  
Rehabilitation Program ◽  
Joint Mobilization ◽  
Rehabilitation Programs ◽  
Joint Range Of Motion ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Physiological Motion ◽  
Injured Knee ◽  
Joint Range

Various techniques of manual therapy are available to the sports therapist supervising a rehabilitation program. Joint mobilization and proprioceptive neuromuscular facilitation (PNF) techniques can be effectively used in rehabilitation of the injured knee for achieving normal joint range of motion and for strengthening the weak components of a movement pattern. Joint mobilization is used to restore normal accessory motion to the joint. The PNF strengthening techniques are used for improving normal physiological motion. These manual therapy techniques allow the sports therapist to concentrate on the rotational component of motion at the knee joint, which is often neglected in rehabilitation programs.

scholarly journals Proposal of a rehabilitation protocol for a Type II Mason radius head fracture following surgical intervention OSTEOSYNTHESIS with cannulated screws in an elite triathlete. Case study

2018 ◽  
Vol 6 (6_suppl3) ◽  
pp. 2325967118S0004
Author(s):  
LI Ibañez Martin ◽  
H Ogando Berea
Keyword(s):  
Soft Tissue ◽  
Rehabilitation Program ◽  
Dorsal Spine ◽  
Cannulated Screws ◽  
Rehabilitation Protocol ◽  
Joint Mobilization ◽  
Tissue Therapy ◽  
High Level ◽  
Lumbopelvic Stabilization ◽  
Joint Range

A 33-year-old man suffers a radius head fracture after a bicycle fall. Surgically operation with OSTEOSYNTHESIS with two cannulated screws was performed. These fractures, can be a complication in this sport for the technical gesture necessary for the practice of swimming, which needs the recovery of the strength and the complete articular range. Objectives: The objective of the present work is make a proposal of a rehabilitation program focused on the recovery of joint range, strength and adaptation work to swimming. Methods: A systematic review of the scientific literature of the databases of Medline, PubMed, Scopus, PEDRO and SPORTDiscus was carried out. Results: It was designed a rehabilitation protocol specialized in elbow joint mobilization in flexo-extension and prono-supination, joint and soft-tissue manual therapy, electrotherapy and analgesic measures, muscular strengthening work (isometric, concentric and eccentric) and proprioceptive work In different joint ranges. Spine and shoulders: Manual joint and soft tissue therapy in cervical-dorsal spine, scapular and glenohumeral articulations, strengthening of the external rotator shoulder and scapular stabilizers muscles and flexibilization of the dorsal spine. Integration in technical movements: in water (Swimming technique and swimming simulation), functional work (with elastic bands), integration of the elbow movements in the lumbopelvic stabilization work and functional movements (ball launches and receptions). The program was evaluated by goniometric measurement, recordings of the technical gesture and comparative evaluation of the strength. Conclusion: The triathlete recovered the ROM and strength necessary to make the gesture of swimming correctly as well as the return to the competition of high level, reason why the protocol proposed can be useful.Limitation of the work: lack of research on this topic (which limits its justification).

Rehabilitation Programs for the PCL-Injured and Reconstructed Knee

1999 ◽  
Vol 8 (4) ◽  
pp. 333-361 ◽  
Author(s):  
Kevin E. Wilk ◽  
James R. Andrews ◽  
William G. Clancy ◽  
Heber C. Crockett ◽  
James W. O'Mara
Keyword(s):  
Surgical Technique ◽  
Cruciate Ligament ◽  
Treatment Algorithm ◽  
Quadriceps Muscle ◽  
Rehabilitation Program ◽  
Functional Rehabilitation ◽  
Muscle Strengthening ◽  
Rehabilitation Programs ◽  
The One ◽  
Injured Knee

Treatment of posterior cruciate ligament (PCL) injuries has changed considerably in recent years. This article discusses current rehabilitation for PCL disruptions in athletes. The treatment of PCL injuries varies somewhat based on the chronicity (acute vs. chronic) of injury and associated pathologies. The authors provide their treatment algorithm for the acute and chronic PCL-injured-knee patient. Nonoperative rehabilitation is discussed with a focus on immediate motion, quadriceps muscle strengthening, and functional rehabilitation. A discussion of the biomechanics of exercise is provided, with a focus on tibiofemoral shear forces and PCL strains. Surgical treatment is also discussed, with the current surgical approach being either the two-tunnel or the one-tunnel patellar tendon autograft procedure. The rehabilitation program after surgery is based on the healing constraints, surgical technique, biomechanics of the PCL during functional activities, and exercise. With the new changes in surgical technique and in the rehabilitation process, the authors believe that the outcome after PCL reconstruction will be enhanced.

Effect of Proprioceptive Neuromuscular Facilitation Stretch Techniques on Trained and Untrained Older Adults

2002 ◽  
Vol 10 (2) ◽  
pp. 132-142 ◽  
Author(s):  
Reed Ferber ◽  
Denise C. Gravelle ◽  
Louis R. Osternig
Keyword(s):  
Older Adults ◽  
Knee Joint ◽  
Neuromuscular Control ◽  
Knee Extension ◽  
Static Stretch ◽  
Joint Range Of Motion ◽  
Age Related ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Stretch Condition ◽  
Joint Range

The effects of proprioceptive neuromuscular facilitation (PNF) on joint range of motion (ROM) for older adults are unknown, and few studies have investigated changes in joint ROM associated with age. This study examined PNF stretch techniques' effects on knee-joint ROM in trained (T) and untrained (UT) older adults. Knee-joint ROM was tested in T and UT adults age 45–55 and 65–75 years using 3 PNF stretch techniques: static stretch (SS), contract-relax (CR). and agonist contract-relax (ACR). The 45–55 UT group achieved significantly more ROM than did the 65–75 UT group, suggesting an age-related decline in ROM. The 65–75 T group achieved significantly greater knee-extension ROM than did their UT counterparts, indicating a training-related response to PNF stretch techniques and that lifetime training might counteract age-related declines in joint ROM. The ACR-PNF stretch condition produced 4–6° more ROM than did CR and SS for all groups except the 65–75 UT group, possibly as a result of lack of neuromuscular control or muscle strength.

scholarly journals The rehabilitation management after hip arthroplasty: a case report

2015 ◽  
Vol 8 (15) ◽  
pp. 44-48
Author(s):  
Adina Burchici
Keyword(s):  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Muscular Strength ◽  
Surgical Intervention ◽  
Rehabilitation Program ◽  
Harris Hip Score ◽  
Rehabilitation Management ◽  
Joint Range Of Motion ◽  
Recovery Treatment ◽  
Joint Range

Abstract Aim: In this paper we describe the physical therapy management of a 64-year-old female following a bilateral hip arthroplasty. Method: The patient featured in this study, after the surgical intervention had undergone specific recovery treatment consisting of: posture techniques, static (isometric contractions) and dynamic kinetic techniques (passive motion, passive-actives, actives, actives with resistance), massage, respiratory gymnastics and reeducation of walking. Results: At the end of the rehabilitation program, hip muscular strength and joint range of motion were improved significantly. The Harris hip score was significantly improved, in comparison to the preoperative one. Conclusion: This case illustrates the importance of the rehabilitation management after bilateral hip replacement.

scholarly journals Rheumatoid Arthritis

2019 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Nurul Kusuma Wardani ◽  
Reni Hendrarati Masduchi
Keyword(s):  
Rheumatoid Arthritis ◽  
Range Of Motion ◽  
Middle Finger ◽  
The United States ◽  
Rehabilitation Program ◽  
Inflammatory Disorder ◽  
Joint Range Of Motion ◽  
Joint Protection ◽  
Joint Range

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disorder that primarily affects small peripheral joints.  The average annual incidence of RA in the United States is 0.5 per 1000 persons per year. Female : male ratio of 3:1. Onset of the disease can occur at age ranging 20–60 years old. The precise cause of RA is unknown.Major theories mention it’s caused by environmental factors, genetic predisposition or immunogenic.Diagnosis of RA include morning stiffness at least one hour before maximal improvement, arthritis of three or more joints, arthritis of the hand joints, symmetric arthritis, rheumatoid nodules, positive serum rheumatoid factor and radiographic changes (hand and wrist). Rheumatoid arthritis is defined by the presence of four or more criteria and criteria 1 through 4 must be present for at least six weeks.A 44 year-old woman with pain and stiffness in her hand on and off since 10 years ago. She had difficulty doing her daily living activities (ADL) such as taking a bath and vocational activities such as cooking and washing clothes. On examination there were range of motion (ROM) limitation of the elbow, wrist and fingers, boutonnière deformity on left middle finger and right little finger. On X-ray examination we found erosion on finger joints.The rehabilitation program given were ROM exercises, gentle stretching exercises, finger splint and ADL modifications. We advised her to take the rheumatoid medication regularly (meloxicam, methylprednisolon and chloroquin), do exercises, wear the splint, and do the joint protection program. The goals of treatment were pain relief, maintenance of joint range of motion and mobility, further deformity prevent with joint motion modification therefore improving the quality of life.

Controlling Degrees of Freedom in Learning a Taekwondo Kick

Motor Control ◽  
2020 ◽  
Vol 24 (4) ◽  
pp. 512-526
Author(s):  
Anderson Nascimento Guimarães ◽  
Herbert Ugrinowitsch ◽  
Juliana Bayeux Dascal ◽  
Victor Hugo Alves Okazaki
Keyword(s):  
Range Of Motion ◽  
Learning Process ◽  
Degrees Of Freedom ◽  
Movement Pattern ◽  
Interjoint Coordination ◽  
Joint Range Of Motion ◽  
Cross Correlations ◽  
Joint Range

To test Bernstein’s degrees of freedom (DF) hypothesis, the authors analyzed the effect of practice on the DF control and interjoint coordination of a Taekwondo kick. Thirteen inexperienced and 11 expert Taekwondo practitioners were evaluated. Contrary to Bernstein’s hypothesis, the inexperienced group froze the DF at the end of learning, reducing the joint range of motion of the knee. Moderate and strong cross-correlations between joints did not change, demonstrating that the interjoint coordination was maintained. The inexperienced group’s movement pattern was similar to that of the group of experts, from the beginning of the learning process. Thus, even after years of practice, experts continue to explore the strategy of freezing DF. The DF freeing/freezing sequence strategy was explored during the learning process, suggesting that DF-freezing/freeing strategies are task dependent.

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