Knee Flashcards
TFL
Crosses knee jt
Blends with LCL
Affects Biomechanics
Adductor Group
Adductor Tubercle
MCL
Affects knee jt biomechanics
Gastrocnemius
Crosses knee jt
Stabilizes knee during Loading Response
Proprioceptively affects knee jt
Stretching Protocol
Hold stretches for 30sec-2min PNF stretching Static stretching Dynamic Warm-up Ballistic Stretching
Quadriceps Stretching
Adhesion Formation within Quadriceps Can adhere to TFL and Adductor Group -Prone -Sidelying -Standing -Thomas Test -Couch Stretch
Hamstring Stretch
3 Hamstrings
- Can be adhered to adductors/TFL/other Hamstring/Gastroc
- Cross knee jt
Types of Hamstring Stretches
Posterior Pelvic Tilt Anterior Pelvic Tilt IR of femur ER of femur Medial/Lateral Wall Stretch (with IR/ER)
Knee PROM Flexion
Passive Gravity Assisted (early post-op, support heel)
Supine-passive extensions,towel stretch
Prone-prone leg hangs
Continuous Passive Motion (CPM)
Done early in post-op
Knee AROM
Prone Supine-Quad Sets Side-lying Standing stationary bike
Knee AAROM
heel slides
wall slides
place uninvolved foot on top of involved ankle
-uninvolved pushes involved into flexion
Patellofemoral Joint Forces Open Chain
Lowest forces at 90*
Highest forces at 0-30*
Least irritating from 90-60
Patellofemoral Joint Forces Closed Chain
Lowest forces at 0-45
Highest forces 90-60
PFJRF OKC
knee extension from 90-40
- lowest amount PFJRF
- greatest amount of PF contact area
PFJRF CKC
leg press, squats, lateral step-ups
-0-30 and then progress 0-60
PRJRF lowered
SLR
Abduction-Glut med & TFL
Adduction-Adductors, gracilis, pectineus
Extension
Short Arc Quads
not indicated during initial stages of ACL rehab
Long Arc Quad
Seated Extension
- Chair with band
- Quadricep Extension machine
Open Chain Hamstring Curl
used in cases of post-op to address atrophy
or from immobilization
gets hamstrings firing again
move toward CKC strengthening
Open Chain Hamstrings
Hamstring Curls
Tall Kneeling
CKC Hamstring
Chair Scoots
Physioball bridging
Physioball Walks
Compensations of CKC of the Knee
Femoral IR
Knee Valgus
Foot Pronation
Knee travels past toes
CKC Knee Strengthening
Terminal Knee Extensions (TKE)
Leg Press-stregthens quads/gluts/calf if PF is added
Mini Squats
0-45*
start with 0-10*
-unhinge knee and return