Knee injuries Flashcards
Wipe test
allows to see less obvious swelling of the knee. medial leg use palm to sweep up/ medialy and then down and laterally
Risk factor for ACL - Sex
1 in 29 female athletes and 1 in 50 male athletes
Female vs male atheltes RR=1.5
Risk factor for ACL - Family history
1st degree relative- OR 2.53
Muscles involved in knee injuries
hyperectesnion-hamstrings
hyperflexion-quates
valgus-pes anserine
also consider hip joint since some muscle that corss knee also cross hip
Prevention programs
to improve neuromuscular control for high risk sports- activate musculature/react faster.
P-plyometrics
F-Feedback of landing technique
A-Agility
B-Balance
S-Strength
ACL injury prevention IRR
0.47
Knee injury IRR injury prevention program
0.73
injury prevention- female soccer, lower extremity injury IRR
0.73
Single leg jump
control/limit: valgus knee position and hip internal rotation
address asymmetry in limb mechanics
increase knee flexion to absorb impact throguh knee
improve trunk control
Anterior pain treatment
training of muscles- hip abductors help control valgus, hip internal rotation (limit int rot), quads (control range and load)
Some athletes food targeted exercise-targeted intrinsic muscles to increase stability and orthotics (stabilize while work on it) especially helpful for excessive pronators.
Patella 2 way pull
deeper flexion- more compression of joint from quad-stronger more compression force (pushing patella against femur)
factors: higher body mass- more force- higher compression amount of knee flexion, alignment, muscle fatigue, form.
Knee extensor mechanism
lateral force, vertical force- drixn of pull (along valgus angle) follows femur- patella pulled laterally and up when quads contract.