Lower Limb. Hamstring Strains. Dr. Peter Friis. What are Hamstrings? 5/10/17. 16% missed games AFL 6-15% injury in rugby 30% recurrent
|
|
- Phillip Wilcox
- 6 years ago
- Views:
Transcription
1 Lower Limb Hamstring Strains Dr. Peter Friis MB BS FACSP Sports Physician 16% missed games AFL 6-15% injury in rugby 30% recurrent What are Hamstrings? 1
2 Risk Factors Modifiable Warm up Fatigue Strength Flexibility L/Spine Pelvic tilt Tec hni que Sport Non Age Previous strain Indigenous Hamstring Strains Biceps femoris more prone to injury due to insertion and innervation. Biceps stretches more than the other two hamstring muscles. Hamstrings act as agonists of the ACL and acting eccentrically are more prone. Hamstrings cross two joints, rapid switching is a likely factor Pathological muscle contraction The hamstrings are seen to work during late swing phase (presumably to decelerate the extending shank) During stance phase (presumably stabilizing the knee and contributing to horizontal force production during propulsion) of gait. Previously injured muscle The knee flexion angle at which peak concentric torque occurs has been found to increase in previously injured limbs. This finding suggests that torque production at longer muscle lengths may be compromised. strength deficits, particularly at longer muscle lengths, likely increase re-injury risk. Lateral hamstrings work equally hard during swing and stance phase However the medial hamstrings are effectively rested a little during every stance phase. A substantial reduction in biceps femoris long head volume has been found in >50% of individuals with a prior injury despite having returned to athletic competition 2
3 Changes in the relative amount of connective tissue may also impede recovery Many athletes are likely to be returning to sports with residual atrophy of the biceps femoris (BF) long head. Scar tissue adjacent to the site of original injury has been observed as early as 6 weeks and as late as 23 months after injury. Sanfilippo JL, Silder A, Sherry MA, Tuite MJ, Heiderscheit BC. Hamstring strength and morphology progression after return to sport from injury. Med Sci Sports Exerc. 2013;45:448e454..investigated hamstring morphology at the time of return to sports and 6 months later, and showed that muscle volume decreased 4-5% in this time interval. And.. after 6 months of return to sport, the isokinetic knee flexion strength of the injured and uninjured limbs was the same What is the role of isokinetic strength assessment in identifying hamstring muscle strain injury risk in sport? MRI Grading and Prognosis questionable value in hamstring injury risk assessment in practice. HamSling? used to measure isometric knee flexor strength in supine at 0, 45 and 90 hip/knee flexion Best prognostic indicator is a normal scan.. 3
4 Knee flexor muscle use during hip extension and the Nordic hamstring exercise: An fmri study Knee flexors are activated non-uniformly during different strengthening exercises. Hip extension exercises more selectively activate ST and SM. NHE preferentially activates the ST and G muscles. BFlh was the least activated muscle during the NHE BFsh was least activated during hip extension. Hamstring Assessment Askling L Exercises Rehabilitation and Functional Tests 4
5 Prevention wrap-around phenomenon Gluteals Eccentric training Loads Technique Physio During SLR, SN experiences an average of increased strain of 26%. Long stride walking: ischiofemoral space. Piriformis stretch test. 5
6 Quads Strain 6
7 Physical examination should record degrees of knee flexion on both legs, firmness rating from 5 to 15 of injured muscle, and circumference of thigh at suprapatelllarborder in both legs. The knee can be maintained in 120 of knee flexion with an elastic wrap or an adjustable range-of-motion brace set at 120of flexion. The patient will need to use crutches, and should maintain this position of knee flexion for 24 hours. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be administered for the first 48 to 72 hours only. Cryotherapy is associated with a significantly smaller hematoma between the ruptured myofibril stumps, less inflammation and less tissue necrosis, and a slightly accelerated early regeneration response. Corticosteroids have been shown to slow healing in contusion injuries by delaying the clearance of debris at the site of injury and prolonging the muscle regenerative process and recovery of muscle strength. Quads Strain? Myositis Ossificans The incidence of myositis ossificans (MO) after muscle contusion has been reported to be 9% to 17%. Bull eye lesion Small tendon in rectus femoris Rehab time significantly more The precalcified stage can cause diagnostic probl ems, bec ause MO is not always connected to a recent trauma and can resemble sarcoma Faint periosteal bone formation, occurs within 7 to 14 days, mature bone after 4-6 months. 7
8 Groin Pain Compartment Syndrome Athletic Pubalgia Multiple co-existing pathologies are often present which commonly include Posterior inguinal canal wall deficiency, Conjoint tendinopathy, Adductor tendinopathy, Osteitis pubis and Peripheral nerve entrapment. 8
9 The mechanism of injury remains unclear but sports that involve either pivoting on a single leg (e.g. kicking) or a sudden change in direction at speed are most often associated with Athletic Pubalgia. Pubalgia.chronic groin pain that presents with NO obvious hernia, and no clear-cut cause arising from the structures in the pubic region. Non-modifiable risk factors The most prominent risk factor for groin/hip injuries identified across the literature was: player history of a previous injury. Non-modifiable risk factors The second most prominent, non-modifiable risk factor was: Older Age deficits in physical conditioning, scar tissue formation, inadequate rehabilitation, reduced proprioception, altered movement patterns or premature early return to play after the initial injury 9
10 Modifiable risk factors The most prominent modifiable risk factors were? BM and WHAM Weak hip adductor muscles (WHAM) Decreased hip abduction ROM and total hip rotation ROM early maturing football players have a greater probability of sustaining a groin/hip injury Adductor-to-Abductor strength ratio of less than 80%. 17 times more likely to sustain a groin injury 10
11 Adductor Squeeze Test Where is the Hip? 11
12 Don t forget the Hip! Before asking the patient to lie down, examine the hip and knee in the seated position! Hip range of movement Hip range of movement 12
13 Femoral neck stress fractures Stress Fracture-NOF DO NOT MISS Female Runner, triathlete Vit D, Calcium menstrual Hx Hop pain, IR REFER 13
14 Stress Fracture Bone health Ca, pill, periods Vit D Biomechanics Program? rest days US/boots/crutches/ bisphosphonates Graded return 6 weeks Stress Fracture - Shaft Thigh pain Same risks Stress Fracture - Shaft Thigh pain Same risks High loads Hang Test.. Osteitis Pubis Uni or bilateral Vague Initially warms up Gradually deteriorates Prolonged rest 14
15 Tests Tests Squeeze Adductor spasm MRI Bone scan Flamingo view US other pathology Osteitis Pubis Settle pain Address mechanics Graded return Monitored by squeeze Power and pain Lengthy Options are to grumble or resolve 15
16 If you choose grumble High maintenance physio Persist Range Eccentric strength Core work Straps/shorts Limit load Respond to soreness CT scan of a normal 23 year old female subject show bilaterally open pubic apophyses Pubic apophysitis can occur at any age prior to closure of the related apophyseal growth plate, typically affecting athletes between the ages of 14 and 26 years Adductor Tendinopathy 16
17 Grading Grade 1 pain before and after training only Grade 2 pain during training but not affecting training Grade 3 pain that is limiting training Grade 4 pain during activities of daily living Labral Tears of the Hip Pain with crossing legs Pain with end ranges of motion Pinching, catching, or grating feeling inside hip Pain with combined flexion, adduction, and internal rotation (knee across chest) Pain with combined flexion, abduction, and external rotation (knee bent and resting out to side) Pain with resisted straight leg raise (raising leg against resistance) Hip Labral Tear Insidious pain, click or catch Point to groin Money Hip quadrant FABER Physio average CSI Surgery scope or osteotomy Femoro- Acetabular Impingement 17
18 Bursitis 18
19 Paediatric Thigh and knee can be from hip DO NOT MISS Refer 19
Lower Limb. Hamstring Strains. Risk Factors. Dr. Peter Friis 27/04/15. 16% missed games AFL 6-15% injury in rugby 30% recurrent
Lower Limb Dr. Peter Friis MB BS FACSP Sports Physician Hamstring Strains 16% missed games AFL 6-15% injury in rugby 30% recurrent Risk Factors Modifiable Warm up Fatigue Strength Flexibility L/Spine Pelvic
More informationHip Pain in the Athlete: A Diagnostic Challenge
: A Diagnostic Challenge Matthew Gimre MD Sports Medicine 11 th Annual Sports Medicine Conference Presented June 17, 2017 on: Month day, Year Presented to: Insert relevant presenter information Calibri
More informationHIP CASESTUDY 3. Body Chart-Initial Hypothesis: Property of VOMPTI, LLC. For Use of Participants Only. No Use or Reproduction Without Consent 1
Body Chart-Initial Hypothesis: HIP CASESTUDY 3 Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Eric Magrum DPT OCS FAAOMPT Hamstring Strain HS Tendinopathy Lumbar Radiculopathy Lumbar
More informationHamstring Strain. 43 Thames Street, St Albans, Christchurch 8013 Phone: (03) Website: philip-bayliss.com.
43 Thames Street, St Albans, Christchurch 8013 Phone: (03) 356 1353. Website: philip-bayliss.com Hamstring Strain The hamstring muscles are very susceptible to tears, strains and other common sporting
More informationPrevention and Treatment of Injuries. The Femur. Quadriceps 12/11/2017
Prevention and Treatment of Injuries The Thigh, Hip, Groin, and Pelvis Oak Ridge High School Conroe, Texas The Femur Is the longest and the second strongest bone in the body and is designed to permit maximum
More informationDoc, I've done my groin. Groin Pain. Peter Brukner. Doc, I've done my groin 1. acute chronic
Doc, I've done my groin Peter Brukner Associate Professor in Sports Medicine Centre for Sports Medicine Research and Education School of Physiotherapy 9/22/2006 The University of Melbourne Groin Pain acute
More informationS p o r t s & O r t h o p a e d i c S p e c i a l i s t s D R. R Y A N F A D E R
S p o r t s & O r t h o p a e d i c S p e c i a l i s t s D R. R Y A N F A D E R H I P A R T H R O S C O P Y W I T H L A B R A L R E P A I R P R O T O C O L This protocol provides appropriate guidelines
More informationApproaching the Irritable Hip antero-medial hip and groin pain
Approaching the Irritable Hip antero-medial hip and groin pain Dr John P Best, FACSP, FFSEM Sports and Exercise Medicine Conjoint Lecturer UNSW Antero-medial Hip and Groin Pain Incidence and Causes 5-10%
More informationAPPLICATION OF THE MOVEMENT SYSTEMS MODEL TO THE MANAGEMENT COMMON HIP PATHOLOGIES
APPLICATION OF THE MOVEMENT SYSTEMS MODEL TO THE MANAGEMENT COMMON HIP PATHOLOGIES Tracy Porter, PT, DPT Des Moines University Department of Physical Therapy Objectives Review current literature related
More informationNIH Public Access Author Manuscript J Orthop Sports Phys Ther. Author manuscript; available in PMC 2010 May 11.
NIH Public Access Author Manuscript Published in final edited form as: J Orthop Sports Phys Ther. 2010 February ; 40(2): 67 81. doi:10.2519/jospt.2010.3047. Hamstring Strain Injuries: Recommendations for
More informationFUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH
FUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH Peter G Gerbino, MD, FACSM Orthopedic Surgeon Monterey Joint Replacement and Sports Medicine Monterey, CA TPC, San Diego, 2017 The lecturer has no
More informationHip Arthroscopy Rehabilitation Gluteus Medius Repair with or without Labral Debridement. Normalize gait pattern with brace (if indicated) and crutches
General Guidelines: Hip Arthroscopy Rehabilitation Gluteus Medius Repair with or without Labral Debridement Normalize gait pattern with brace (if indicated) and crutches Weight-bearing: 20 lbs foot flat
More information11/11/2016. Hip FAI & Core Muscle Deficiency: Diagnosis and Treatment. Disclosures. Differential Diagnosis. Consultant, Smith and Nephew
Hip FAI & Core Muscle Deficiency: Diagnosis and Treatment FORE Baseball Sports Medicine Game-Changing Concepts November 4, 2016 T. Sean Lynch, MD Assistant Professor New York-Presbyterian/ Columbia University
More informationS p o r t s & O r t h o p a e d i c S p e c i a l i s t s D R. R Y A N F A D E R
S p o r t s & O r t h o p a e d i c S p e c i a l i s t s D R. R Y A N F A D E R H I P A R T H R O S C O P Y W I T H This protocol provides appropriate guidelines for the rehabilitation of patients following
More informationInjury Prevention: Quadriceps Contusion (cork thigh)
Injury Prevention: Quadriceps Contusion (cork thigh) Quadriceps contusion or a cork thigh, as it is commonly known, is the result of a severe impact to the thigh which consequently compresses against the
More informationPrecautions following Hip Arthroscopy/FAI: (Refixation/Osteochondroplasty)
Physical Therapy Prescription: Hip Arthroscopy Diagnosis: Labral Tear, CAM / Pincer Procedure: Labral Repair / Capsular Shift, CAM / Pincer Decompression RX: Evaluate / Treat, and follow attached protocol
More informationThe Footballers 7 Deadly Sins
The Footballers 7 Deadly Sins CONTENTS 1. Not enough core strength 2. Not enough balance retraining 3. Not enough hamstring strength 4. Too many ACL Injuries 5. Not enough flexibility/warming up 6. Not
More informationTravis G. - 1 Maak, - MD Sports Medicine University of Utah Orthopaedics 590 Wakara Way Salt Lake City, UT Tel: Fax:
General Guidelines: Travis G. - 1 Maak, - MD Rehabilitation for Arthroscopic or Open Gluteus Medius Repair with or without Labral Debridement Normalize gait pattern with brace and crutches Weight-bearing:
More informationDiagnosis: Gluteus Medius Tear, Labral Tear, CAM / Pincer
Physical Therapy Prescription: Hip Arthroscopy Diagnosis: Gluteus Medius Tear, Labral Tear, CAM / Pincer Procedure: Gluteus Medius Repair, CAM / Pincer Decompression, Labral refixation / Capsular Shift
More informationTravis G. Maak, MD Sports Medicine University of Utah Orthopaedics 590 Wakara Way Salt Lake City, UT Tel: Fax:
General Guidelines: Hip Arthroscopy Rehabilitation Capsular Shift with or without FAI Labral Components No external rotation greater than 30 degrees for 4 weeks No hyperextension for 4 weeks Normalize
More informationHip Arthroscopy Femoroacetabular Impingement (FAI) Ryan W. Hess, MD Tracey Pederson, PCC Office: (763) Fax: (763)
Hip Arthroscopy Femoroacetabular Impingement (FAI) Ryan W. Hess, MD Tracey Pederson, PCC Office: (763) 302-2223 Fax: (763) 302-2401 GENERAL GUIDELINES: Despite the minimally invasive nature of hip arthroscopy,
More informationBryan T. Kelly, MD Center for Hip Pain and Preservation Hospital for Special Surgery
Hip Arthroscopy Rehabilitation Labral refixation with or without FAI Component General Guidelines: Limited external rotation to 20 degrees (2 weeks) No hyperextension (4 weeks) Normalize gait pattern with
More informationOverview. Overview. Introduction. Introduction Anatomy History Examination Common Disorders. Introduction Anatomy History Examination Common Disorders
Common Hip Disorders in Figure Skaters 14 th Annual Meeting of Sports Medicine and Science in Figure Skating January 25, 2009 8:15-8:45am Robert J. Dimeff, MD Medical Director of Sports Medicine Overview
More informationImaging in Groin Pain What the Team Physician Needs to Know
Imaging in Groin Pain What the Team Physician Needs to Know Üstün Aydıngöz, MD Professor of Radiology Hacettepe University School of Medicine Ankara, Turkey ustunaydingoz@yahoo.com No conflicts of interest
More informationWhat we ll cover... Two types of hamstring injury! What type of athletes tear hamstrings!
What s'new'in'hamstring'strain' injury'prevention'&'rehabilitation? Craig Ranson PhD Programme Director MSc Sports & Exercise Medicine Cardiff Metropolitan University Wales Rugby Team Physiotherapist @craigarxl
More informationDiagnosis: Labral Tear, Internal Snapping Hip, CAM / Pincer. Procedure: Partial Psoas Release with CAM / Pincer Decompression and Labral Debridement
Physical Therapy Prescription: Hip Arthroscopy Diagnosis: Labral Tear, Internal Snapping Hip, CAM / Pincer Procedure: Partial Psoas Release with CAM / Pincer Decompression and Labral Debridement RX: Evaluate
More informationEvaluation of the Hip
Evaluation of the Hip Adam Lewno, DO PCSM Fellow, University of Michigan Primary Care Sports Update 2017 Disclosures Financial: None Images: I would like to acknowledge the work of the original owners
More informationNETWORK FITNESS FACTS THE PELVIS
NETWORK FITNESS FACTS THE PELVIS The Pelvis The pelvis has 3 joints connecting it together 2 sacro-iliac joints at the back (posterior) and the pubic symphysis joint which is at the front (anterior). A
More informationLabral Repair with a Microfracture
Labral Repair with a Microfracture This protocol should be used as a guideline for progression and should be tailored to the needs of the individual patient. Strict protective weight bearing status for
More informationAnterior Cruciate Ligament Hamstring Rehabilitation Protocol
Anterior Cruciate Ligament Hamstring Rehabilitation Protocol Focus on exercise quality avoid overstressing the donor area while it heals. Typically, isolated hamstring strengthening begins after the 6
More informationRehabilitation Protocol:
Rehabilitation Protocol: Patellofemoral resurfacing: Osteochondral Autograft Transplantation (OATS), Autologous Chondrocyte Implantation (ACI) and Microfracture Department of Orthopaedic Surgery Lahey
More informationSports Rehabilitation & Performance Center Medial Patellofemoral Ligament Reconstruction Guidelines * Follow physician s modifications as prescribed
The following MPFL guidelines were developed by the Sports Rehabilitation and Performance Center team at Hospital for Special Surgery. Progression is based on healing constraints, functional progression
More informationObjectives. Sprains, Strains, and Musculoskeletal Maladies. Sprains. Sprains. Sprains. Physical Exam 5/5/2010
Objectives, Strains, and Musculoskeletal Maladies Robert Hosey, MD University of Kentucky Sports Medicine Define sprains and strains Systematically evaluate and manage joint / muscle injuries When to refer
More informationDr Schock High Tibial Osteotomy
Dr Schock High Tibial Osteotomy Goals for phase 1 Control pain Control edema Initiate ROM and quad strengthening Maintain WB restrictions Appropriate brace wear Criteria for progression to Phase 2 Edema
More informationHip Arthroscopy Rehabilitation Labral Refixation with or without FAI Component. Limited external rotation to 20 degrees (2 weeks)
General Guidelines: 4140 Centennial Hills Boulevard Casper, WY 82609 (307) 265-7205 Hip Arthroscopy Rehabilitation Labral Refixation with or without FAI Component Limited external rotation to 20 degrees
More informationProximal Hamstring Rupture: Physical Therapy Protocol
Proximal Hamstring Rupture: Physical Therapy Protocol The intent of this protocol is to provide guidelines for your patient s therapy progression. It is not intended to serve as a recipe for treatment.
More informationTREATMENT GUIDELINES FOR GRADE 3 PCL TEAR
GENERAL CONSIDERATIONS Posterior cruciate ligament (PCL) injuries occur less frequently than anterior cruciate ligament (ACL) injuries, but are much more common than previously thought. The PCL is usually
More informationAlejandro Verdugo m.d.
Alejandro Verdugo m.d. Proximal Hamstring Rupture: Physical Therapy Protocol The intent of this protocol is to provide guidelines for your patient s therapy progression. It is not intended to serve as
More informationRoutine Arthroscopic Procedure
Katherine J. Coyner, MD UCONN Musculoskeletal Institute Medical Arts & Research Building 263 Farmington Ave. Farmington, CT 06030 Office: (860) 679-6600 Fax: (860) 679-6649 www.drcoyner.com Avon Office
More informationYoung Adult Hip problems. Aresh Hashemi-Nejad FRCS(Orth)
Young Adult Hip problems Aresh Hashemi-Nejad FRCS(Orth) RNOH founded 1837 by William Little 14 year old presenting with limp Knee pain on and off 4 months Limps Aresh Hashemi-Nejad FRCS(Orth) The Royal
More informationACL Reconstruction Rehabilitation Allograft Kyle F. Chun, MD
ACL Reconstruction Rehabilitation Allograft Kyle F. Chun, MD [ ] Meniscus Repair (If checked, WBAT in brace in full extension, ROM 0-90 x 6 wks; WBAT 0-90, ROM 0-120 weeks 7-12; WBAT/ROMAT 12+ weeks, no
More information6/05/2018. Aspetar, Qatar. Why the Bermuda triangle of Sports Medicine?
Why the Bermuda triangle of Sports Medicine? Complex anatomy Mul factorial ae ology diagnos c difficulty Variability in terminology/classification systems Clinical reasoning for hip and groin pain navigating
More informationMicrofracture. This protocol should be used as a guideline for progression and should be tailored to the needs of the individual patient.
This protocol should be used as a guideline for progression and should be tailored to the needs of the individual patient. Strict protective weight bearing status for two months (8-9 weeks). Allow to place
More informationARTHROSCOPIC LABRAL REPAIR WITH CAPSULAR PLICATION PHYSICAL THERAPY PROTOCOL
ARTHROSCOPIC LABRAL REPAIR WITH CAPSULAR PLICATION PHYSICAL THERAPY PROTOCOL Jovan R. Laskovski, M.D. Hip Arthroscopy Sports Medicine & Orthopaedic Surgery Crystal Clinic Orthopaedic Center Please use
More informationHamstring strain injuries comprise a substantial percentage
[ clinical commentary ] Bryan C. Heiderscheit, PT, PhD1 Marc A. Sherry, PT, DPT, LAT, CSCS2 Amy Silder, PhD3 Elizabeth S. Chumanov, PhD 4 Darryl G. Thelen, PhD 5 Hamstring Strain Injuries: Recommendations
More informationS p o r t s & O r t h o p a e d i c S p e c i a l i s t s D R. R Y A N F A D E R
S p o r t s & O r t h o p a e d i c S p e c i a l i s t s D R. R Y A N F A D E R H I P A R T H R O S C O P Y W I T H L A B R A L R E P A I R P R O T O C O L This protocol provides appropriate guidelines
More informationMedial Patellofemoral Ligament Reconstruction Guidelines Brian Grawe Protocol
Medial Patellofemoral Ligament Reconstruction Guidelines Brian Grawe Protocol Progression is based on healing constraints, functional progression specific to the patient. Phases and time frames are designed
More informationACL Reconstruction Rehabilitation Bone Patellar Tendon Bone Graft Kyle F. Chun, MD
ACL Reconstruction Rehabilitation Bone Patellar Tendon Bone Graft Kyle F. Chun, MD [ ] Meniscus Repair (If checked, WBAT in brace in full extension, ROM 0-90 x 6 wks; WBAT 0-90, ROM 0-120 weeks 7-12; WBAT/ROMAT
More informationThat Tricky Hamstring. Ulrik Sandstrøm
That Tricky Hamstring Ulrik Sandstrøm Language Experience Audience Roadmap Incidence and risk factors When it s not a hamstring Assessment Incl practical Treatment Incl practical Management Incl R2P protocols
More informationHip Arthroscopy Rehabilitation Labral Debridement with or without FAI Component. Normalize gait pattern with brace and crutches
Hip Arthroscopy Rehabilitation Labral Debridement with or without FAI Component General Guidelines: Normalize gait pattern with brace and crutches Weightbearing as per procedure performed Continuous Passive
More informationHip Conditioning Program
Prepared for: Prepared by: Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following
More informationHip & Groin pain. M Hassabi (MD) Assistant professor Department of Sports & Exercise Medicine Shahid Beheshti University of Medical Sciences
Hip & Groin pain M Hassabi (MD) Assistant professor Department of Sports & Exercise Medicine Shahid Beheshti University of Medical Sciences EPIDEMIOLOGY Groin pain and injury is common with sports that
More informationHamstring strains and rehabilitation
Hamstring strains and rehabilitation In this series of articles I want to explore common hamstring injuries suffered by tri-athletes, their causes, and what you can do to avoid them. I also want to give
More informationBone-Patellar tendon-bone Autograft ACL Recon. Date of Surgery: Patient Name:
Dx: o Right o Left Bone-Patellar tendon-bone Autograft ACL Recon Date of Surgery: Patient Name: PT/OT: Please evaluate and treat. Follow attached protocol. 2-3 x per week x 6 weeks. Signature/Date: GENERAL
More informationRehab and Return to Swimming for Breaststroker's Knee
Page 1 of 9 Back Rehab and Return to Swimming for Breaststroker's Knee by June Quick, PT, ATC, CPI DIAGNOSIS Breaststrokers knee or sore knees from swimming usually involves inflammation around the kneecap.
More informationRehabilitation Guidelines for Anterior Cruciate Ligament (ACL) Reconstruction
Rehabilitation Guidelines for Anterior Cruciate Ligament (ACL) Reconstruction The knee is the body's largest joint, and the place where the femur, tibia, and patella meet to form a hinge-like joint. These
More informationTravis G. - 1 Maak, - MD Sports Medicine University of Utah Orthopaedics 590 Wakara Way Salt Lake City, UT Tel: Fax:
Travis G. - 1 Maak, - MD Rehabilitation for Arthroscopic Osteochondroplasty with or without Labral Repair/Debridement General Guidelines: Normalize gait pattern with brace and crutches Continuous Passive
More informationMR Imaging in Athlete s Hip/Pelvis
MR Imaging in Athlete s Hip/Pelvis Tara Lawrimore, MD FRCPC Department of Radiology Musculoskeletal Division Massachusetts General Hospital Harvard Medical School No disclosures MR and Hip Pain in the
More informationFemoroacetabular Impingement in the Throwing Athlete. Michael Banffy, MD Sports Medicine, Hip Preservation Kerlan Jobe Institute
Femoroacetabular Impingement in the Throwing Athlete Michael Banffy, MD Sports Medicine, Hip Preservation Kerlan Jobe Institute Disclosures None Baseball Hip Injuries - Background Abdominal/groin injuries
More informationAccelerated Rehabilitation Following ACL-PTG Reconstruction with Medial Collateral Ligament Repair
Page 1 of 7 Accelerated Rehabilitation Following ACL-PTG Reconstruction with Medial Collateral Ligament Repair PREOPERATIVE PHASE Goals: Diminish inflammation, swelling, and pain Restore normal range of
More informationKing Khalid University Hospital
King Khalid University Hospital Rehabilitation Department Ortho Group Rehabilitation Protocol: ACL RECONSTRUCTION +/- MENSICAL REPAIR 1. General Guidelines: Time lines in this rehabilitation protocol are
More informationAbductor Repair (Gluteus Medius/Minimus Repair)
(Gluteus Medius/Minimus Repair) This protocol should be used as a guideline for progression and should be tailored to the needs of the individual patient. Strict protective weight bearing status for 8
More informationRehabilitation Following Acute ACL, PCL, LCL, PL & Lateral Hamstring Repair
Page 1 of 7 Rehabilitation Following Acute ACL, PCL, LCL, PL & Lateral Hamstring Repair PREOPERATIVE PHASE Goals: Diminish inflammation, swelling, and pain Restore normal range of motion (gradual knee
More informationREHABILITATION PROTOCOL FOLLOWING PCL RECONSTRUCTION USING A TWO TUNNEL GRAFT. Brace E-Z Wrap locked at zero degree extension, sleep in Brace
Therapist Phone REHABILITATION PROTOCOL FOLLOWING PCL RECONSTRUCTION USING A TWO TUNNEL GRAFT I. IMMEDIATE POST-OPERATIVE PHASE (Week 1) Control Swelling and Inflammation Obtain Full Passive Knee Extension
More informationAlejandro Verdugo, M.D.
Alejandro Verdugo, M.D. Physical Therapy Protocol Gluteus Medius repair with or without labral repair The intent of this protocol is to provide guidelines for your patient s therapy progression. It is
More information7) True/False: Rigid motor strategies are the most effective way to handle high forces
The Sacro-Iliac Joint 1) Which of the following make up part of the SIJ provocative physical examination? A. Gaenslen s, FABERS, stork, joint distraction B. Fortin finger test, joint compression, thigh
More informationRehabilitation Protocol: Distal Femoral/Proximal Tibial Microfracture and Osteochondral Autograft Transplantation (OATS)
Rehabilitation Protocol: Distal Femoral/Proximal Tibial Microfracture and Osteochondral Autograft Transplantation (OATS) Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650
More informationHip Region. PHTY2020: Lecture
Region PHTY2020: Lecture 2.1 29.02.16 Functional Overview Transfer body weight form trunk to legs Allows leg to adopt numerous positions needed for standing, walking running, stairs, sitting and other
More informationAccelerated Rehabilitation Following ACL-PTG Reconstruction & PCL Reconstruction with Medial Collateral Ligament Repair
Page 1 of 7 Accelerated Rehabilitation Following ACL-PTG Reconstruction & PCL Reconstruction with Medial Collateral Ligament Repair PREOPERATIVE PHASE Goals: Diminish inflammation, swelling, and pain Restore
More informationHIP ARTHROSCOPY REHAB 0-2 WEEKS
HIP ARTHROSCOPY REHAB 0-2 WEEKS Protect the surgical repair Patient education regarding: gait and surgical findings. o Protected weight-bearing (PWB): weight bearing as tolerated with crutches o Ensure
More informationKing Khalid University Hospital
King Khalid University Hospital Rehabilitation Department Ortho Group Rehabilitation Protocol: MENISCAL REPAIR: 1. General Guidelines: Time lines in this rehabilitation protocol are approximate. If the
More informationAvon Office 2 Simsbury Rd. Avon, CT Office: (860) Fax: (860) Acetabuloplasty
Katherine J. Coyner, MD UCONN Musculoskeletal Institute Medical Arts & Research Building 263 Farmington Ave. Farmington, CT 06030 Office: (860) 679-6600 Fax: (860) 679-6649 www.drcoyner.com This protocol
More informationANTERIOR CRUCTIATE LIGAMENT RECONSTRUCTION COLLATERAL LIGAMENT RECONSTRUCION/REPAIR AND MENISCUS REPAIR REHABILITATION PROTOCOL
ANTERIOR CRUCTIATE LIGAMENT RECONSTRUCTION COLLATERAL LIGAMENT RECONSTRUCION/REPAIR AND MENISCUS REPAIR REHABILITATION PROTOCOL GENERAL GUIDELINES - The local anesthetic (similar to novacaine) in your
More informationMark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas Phone: Fax:
Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 MENISCAL REPAIR PROTOCOL Longitudinal Meniscal Repair This rehabilitation
More informationCONSERVATIVE MANAGEMENT OF FEMOROACETABULAR IMPINGEMENT
SPORTS REHABILITATION CONSERVATIVE MANAGEMENT OF FEMOROACETABULAR IMPINGEMENT A case study and rationale for treatment Written by Joanne Kemp and Kay Crossley, Australia BACKGROUND The hip joint and FAI
More informationNONOPERATIVE REHABILITATION FOLLOWING ACL INJURY ( Program)
Therapist: Phone: NONOPERATIVE REHABILITATION FOLLOWING ACL INJURY (3-3-4-4 Program) IMMEDIATE INJURY PHASE (Day 1 to Day 7) Restore full passive knee extension Diminish joint swelling and pain Restore
More informationMr Simon Jennings BSc, MB BS, FRCS, Dip Sports Med FRCS (Trauma & Orthopaedics)
Mr Simon Jennings BSc, MB BS, FRCS, Dip Sports Med FRCS (Trauma & Orthopaedics) Consultant Orthopaedic Surgeon Northwick Park Hospital 107 Harley Street RSM 16 th September 2010 Orthopaedic Surgeon Knee
More informationDirect Anterior Total Hip Replacement Rehabilitation Program
Direct Anterior Total Hip Replacement Rehabilitation Program The rehabilitation protocol following Direct Anterior Total Hip Replacement is an integral part of the recovery process. This document includes
More informationBENJAMIN G. DOMB, MD
Physical Therapy Protocol Partial or full thickness gluteus medius repair with or without labral repair The intent of this protocol is to provide guidelines for your patient s therapy progression. It is
More informationREHABILITATION PROTOCOL Criteria-Based Postoperative ACL Reconstruction Rehabilitation Protocol
REHABILITATION PROTOCOL Criteria-Based Postoperative ACL Reconstruction Rehabilitation Protocol Phase I (Days 1 7) WEIGHTBEARING STATUS 1- Two crutches, weightbearing as tolerated. Exercises 1- Heel slides/wall
More informationSports Rehabilitation & Performance Center Rehabilitation Guidelines for Non-operative Treatment of Patellofemoral Instability *
Sports Rehabilitation & Performance Center Rehabilitation Guidelines for Non-operative Treatment of The following guidelines were developed by the Sports Rehabilitation and Performance Center team at Hospital
More informationHip Injuries & Arthroscopy in Athletes
Hip Injuries & Arthroscopy in Athletes John P Salvo, MD Sports Medicine Rothman Institute Philadelphia, PA EATA Annual Meeting January, 2011 Hip Injuries & Arthroscopy in Anatomy History Physical Exam
More informationRunning Athlete: Part C. Case Analysis Materials
Running Athlete: Part C Case Analysis Materials Case 1 Subjective Examination (performed offcamera) Runs very sporadically, but generally 2-3 x per week around 2-4 miles Play recreational soccer Denies
More informationemoryhealthcare.org/ortho
COMMON SOCCER INJURIES Oluseun A. Olufade, MD Assistant Professor, Department of Orthopedics and PM&R 1/7/18 GOALS Discuss top soccer injuries and treatment strategies Simplify hip and groin injuries in
More informationKnee Conditioning Program
Knee Conditioning Program Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following
More informationAccelerated Rehabilitation Following ACL Allograft Reconstruction
Page 1 of 7 Accelerated Rehabilitation Following ACL Allograft Reconstruction PREOPERATIVE PHASE Goals: Diminish inflammation, swelling, and pain Restore normal range of motion (especially knee extension)
More informationREHABILITATION FOLLOWING ACL PTG RECONSTRUCTION
REHABILITATION FOLLOWING ACL PTG RECONSTRUCTION I. IMMEDIATE POST OPERATIVE PHASE POD 1 POD 2 to 3 Brace: EZ Wrap brace locked at zero degrees extension or Protonics Rehab System (PRS) as directed by physician
More informationNon Surgical Hip Therapy Athletic Hip Injury: Therapist Information
Non Surgical Hip Therapy Athletic Hip Injury: Therapist Information Please read entire protocol prior to initiating therapy Please note: Individual hip injuries vary widely. This therapy protocol should
More informationAccelerated Rehabilitation Following ACL-PTG Reconstruction
Accelerated Rehabilitation Following ACL-PTG Reconstruction I. Phase I Preoperative Phase Goals: Diminish inflammation, swelling, and pain Restore normal range of motion (especially knee extension) Restore
More information9180 KATY FREEWAY, STE. 200 (713)
AUTOLOGOUS CHONDROCYTE IMPLANTATION Femoral Condyle Rehabilitation Guidelines PHASE I - PROTECTION PHASE (WEEKS 0-6) Goals: - Protect healing tissue from load and shear forces - Decrease pain and effusion
More informationTHE HIP. Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness.
THE HIP Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness. Objectives Hip anatomy Causes of hip pain Hip exam Anatomy Bones Ilium Anterior Superior Iliac Spine
More informationARTHROSCOPIC GLUTEUS MEDIUS REPAIR PHYSICAL THERAPY PROTOCOL
ARTHROSCOPIC GLUTEUS MEDIUS REPAIR PHYSICAL THERAPY PROTOCOL Jovan R. Laskovski, M.D. Hip Arthroscopy Sports Medicine & Orthopaedic Surgery Crystal Clinic Orthopaedic Center Please use appropriate clinical
More informationMaximal isokinetic and isometric muscle strength of major muscle groups related to age, body weight, height, and sex in 178 healthy subjects
Maximal isokinetic and isometric muscle strength of major muscle groups related to age, body weight, height, and sex in 178 healthy subjects Test protocol Muscle test procedures. Prior to each test participants
More informationKnee Conditioning Program
Prepared for: Prepared by: Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Achilles tendonitis, criteria for full competition in, 164 165 description of, 164 patient education in, 165 prophylactic support in,
More informationThe PEP Program: Prevent injury and Enhance Performance
The PEP Program: Prevent injury and Enhance Performance This prevention program consists of a warm-up, stretching, strengthening, plyometrics, and sports specific agilities to address potential deficits
More informationCHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY
CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY _ 1. The hip joint is the articulation between the and the. A. femur, acetabulum B. femur, spine C. femur, tibia _ 2. Which of the following is
More informationJOHN M. REDMOND, M.D.
Physical Therapy Protocol Gluteus Medius repair with or without labral repair The intent of this protocol is to provide guidelines for your patient s therapy progression. It is not intended to serve as
More informationMeniscus Repair Rehabilitation Protocol
Brian E. Camilleri, DO 2610 Enterprise Dr Anderson, IN 46013 Phone: (765) 683-4400 Fax: (765) 642-7903 www.ciocenter.com Meniscus Repair Rehabilitation Protocol The intent of this protocol is to provide
More information