Assessment & Exercise for Knee Injury Recovery
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1 Rick Kaselj Exercises and injuries BSc 1997 MS 2008 / RC Work physio, studio, gym, rec centre, rehab Courses live, webinars, video presentations Writing books, manuals Blog ExercisesForInjuries.com Rick Hiking 4300 km / 5 months from Mexico to Canada Part 1 Key Structures of the Knee Part 2 Assessing the Knee Part 3 Important Knee Injury Recovery Exercises 1
2 Overall Structure Leg Key Joint Knee Key Knee Joint Structures Bones Femur Patella Tibia Key Structures Ligaments Anterior Cruciate Ligament ACL Posterior Cruciate Ligament PCL Medial Collateral Ligament MCL Lateral Collateral Ligament - LCL 2
3 Key Muscles Quadriceps Knee Extension Calf Knee Flexion Soleus Key Muscles Hamstring Knee flexion Calf Knee flexion 3
4 Range of Motion Passive Active Unloaded Partially loaded Fully Loaded What is Normal Range of Motion? Extension minus 5 degrees Situation Unloaded Partially loaded Fully Loaded What is Normal Range of Motion? Flexion 140 degrees Situation Unloaded Partially loaded Fully Loaded 4
5 Why is this important? Walking 2 to 70 degrees of flexion Loss of greater than 10 degrees of extension will lead to a limp If end range of extension is missing, it put greater strain on muscles and ligaments 93 degrees of flexion to get out of a chair 106 degrees of flexion to tie your shoes 136 degrees to bath Muscle Imbalances Revealed Lower Body Edition Maximizing Strength & Stability of the Knee with Rick Kaselj Muscular Imbalances in the Hip & Pelvis with Mike Robertson Lack of Extension? Affects the Screw Home Mechanism of the knee Last little bit of extension Purpose is to reduce quadriceps work during standing and put load on cartilage, menisci and bones You try it 5
6 Assessing Extension Bilateral Calf Raise (24) Assessing Extension Unilateral Calf Raise (25) Assessing Flexion Knee Flexion on Stomach (13) 6
7 Assessing Flexion Finger Squat (22) Components 1. Warm up 2. Range of Motion - passive and active 3. Stretching 4. SMR 5. Balance 6. Strength 7. Squatting Pattern Components 8. Lunging Pattern 9. Stepping Pattern 10. Gluteus Medius 11. Neuromuscualar Re-education 12. Core Stability 13. Activity Specific 7
8 Knee Injury Solution Neuromuscular Re-education KneeInjuryExercises.com Terminal Knee Extension - TKE Quad Kicks on Floor (349) Terminal Knee Extension on the Floor (351) 1 set of 5 repetitions - Daily - 2 to 3 times a day TKE Terminal Knee Extension on Your Stomach (352) 8
9 TKE Terminal Knee Extension on Floor with Heel Elevated (350) Sitting Terminal Knee Extension (359) 1 set of 5 repetitions - Daily - 2 to 3 times a day TKE Sitting Leg Extensions (378) TKE Standing Terminal Knee Extension Non-weight Bearing (353) 9
10 TKE Standing Terminal Knee Extension (354) Standing Terminal Knee Extension Full Weight Bearing (355) 1 set of 5 repetitions - Daily - 2 to 3 times a day TKE Standing Terminal Knee Extension Against Tubing (357) Standing Terminal Knee Extension Full Weight Bearing Against Tubing (358) 1 set of 5 repetitions - Daily - 2 to 3 times a day Terminal Knee Flexion (TKF) Standing Heel to Seat Knee Forward (367) Standing Heel to Seat Knees Parallel (368) 1 set of 5 repetitions - Daily - 2 to 3 times a day 10
11 TKF Side Lying Heel to Seat Knee Forward (369) TKF Side Lying Heel to Seat Knees Parallel (370) Knee Flexion on Stomach (13) TKF Sitting Heel to Seat with Towel (14) 11
12 TKF Supine Knee Flexion (362) Supine Knee to Chest for Knee Flexion (363) TKF Single Leg Ball to Seat (284) TKF Ball Squat (299) Supine Knee to Deep Squat (371) 12
13 Shin Splints Meniscus Tear Patellofemoral Pain Syndrome Sacroiliac Pain Plantar Fasciitis Piriformis Syndrome Lumbar Fusion Achilles Tendinitis Jumper s Knee Tennis Elbow Part 1 Key Structures of the Knee Part 2 Assessing the Knee Part 3 Important Knee Injury Recovery Exercises 13
14 Send me your questions! Rick Kaselj 14
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