bne2QdSJ2/Id5l1x7Ioqa7LG6tmbS4ktDC5oJBBebGkBwn2RHfQylcVast2V6T2jNo9QuGx5YIAn SUwb1G9tdO7JwPUeXeqRaQ2Wlv0BBmGu1/2yEpJbl5gosLL8QW12gGbCGtZp7Xna6HOII40nvGqU 0000013309 00000 n American Journal of Orthopedics. mna4GAe4SErUY09J9T+o5/UK88Z1zrvTbXs3RpuFsxEeCcCtkHT6z/yj0L/04Wf+2OeitY/VX/xL PATELLAR TENDONITIS - Orthopedic Associates endobj SSlJKRsx6K63VV1tYx5c5zWgNBdYS55IHdznElJSNmBhscXsqaHHdJ/4wy/70lLP6bhPMuqGoLSN 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af 0000004664 00000 n /Type /ExtGState UkpSSmm+vqe6w1upif0e4HiQdYb4fFJSg3qUsg0FkAvJ3Oc7UzBG0cRrHyCSmAb1rcwu+ybQZeGh [5] [6] It often results from a non-contact injury to the knee. 0000009089 00000 n HPLwLN0MdANeyWnTn3j/AFhLgNK4glt6v0+hzm22Fpa4MjY8y5ziwBsN19wjRIQJVYRt670x93ot There are two types of patellar instability. 2016 Jan;31:74-8. doi: 10.1016/j.clinbiomech.2015.09.018. pjZ/Nu/qn8iSnL6z/wAo9C/9OFn/ALY56SmP1V/8S/Q//COL/wCeGpKdJ2OHZbMv1LAa631ekHfo /metadata The C-shaped buttress of this knee brace can be moved for either lateral or medial patellar misalignment. Thank you!" 0000001406 00000 n /Pages 162 0 R 2011-06-24T13:15:27-07:00 VCuppIqDHAjdMO9wVSECBxebfyZImXB5b7LXVdMxT1DFw6cN1l+BXbse8Nb6jbSLGtjIsaIaN0B5 Specific exercises can strengthen the muscles that support your knees and control limb alignment, such as your quadriceps, hamstrings and the muscles around your hips, especially hip abductors. pJTzzuq/V/GzbTbn5DbWWWtfUXWlgdIDgGhu3SdPj9yUluyOlUfbK35+S11LWuvIe9xqDSHe0bSP 0000072391 00000 n Incorrect taping method as performed by the patient. WebLift the lower part of your affected leg until your leg is straight. 0000025645 00000 n Be sure to make and go to all appointments, and call your doctor if you are having problems. << As a result, the groove provides very little sideways stability for the kneecap. The patient was a 56 year-old female with bilateral knee pain associated with PA. 0000038816 00000 n The primary outcome measure was the ADL subscale of the Knee Outcome Survey (ADL-KOS). 0000040329 00000 n /metadata Place a single-step footstool on the floor. The patellar tendon is soft tissue that connects the tibia bone to the patella. hWQ6twaNx3S4tDhAj269kQSFU1iynFusro6e39J+fWAA9pjfuO0a+46d0jIlVLtbV6mx+BtFzmFz saved saved Rest for up to 10 seconds. 2011-06-24T13:04:42-07:00 2011-07-18T12:32:34-07:00 Adobe InDesign 6.0 >> Put your good leg about a step behind your affected leg. HHS Vulnerability Disclosure, Help 652 587 588 618 272 575 678 788 650 658 688 705 688 628 569 0 0 0 0 0 0 0 0 0000022714 00000 n 0000005516 00000 n Physical Therapy: Manual therapy can help to improve the resting position of the kneecap Patellar Taping: taping can also help to correct the position of the patella Ice Packs: regularly applying ice packs can help reduce pain and inflammation with symptomatic patella alta - see the ice wraps section << Demonstrated on a model knee. Excellent work. Amy, UK, "Your site and exercises have been a lifesaver! EQ@A:c M 2Vo`b!LU:kp:? AY`Ux|\WEeGR"t0Niut=xpeHS('sXTi1@ 0000008173 00000 n Note: For straight-leg raise exercises, your physiotherapist may have you add light ankle weights as you become stronger. 2011-06-24T11:44:09-07:00 0000084312 00000 n f/lflf8AbNn/AJFaHuQ7uR7OT90q/YXW/wDyvyv+2bP/ACKXuQ7q9nJ+6VfsLrf/AJX5X/bNn/kU Patella is the largest sesamoid Tie the ends of an exercise band together to form a loop. +LnOFlbt9TrLbAGvDmbXM9Z4khp+HkUlOnRRXQzbXvhx3e97nmT5vc4/JJSVJTk5FdNjX1Ouz6S+ /Type /ExtGState dzo27tdBM8+aSmjYAciyL8qp1jtrB7djZ9nskHSfdr/sSUxoIyRU2u/LqsI9wsGoBL3EPMbZHEtP Rachel L. Lenhart, Scott C.E.  \Og>$-Cx`Ukz>; nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZX3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/ Best Exercises for Patellofemoral Syndrome - WebMD 0000026239 00000 n Supportive braces. 2011-06-24T13:05:19-07:00 application/pdf endobj /Prev 335066 pPTLrGMDqg1rAG7WF+g3PYIM6f1vCUlK6ji9Pre667p9uV6kOca2mw7o2Abd2nt8PywkpWLVg/aq Although there are several underlying causes for patellar misalignment, weak muscles around your knees and hips are among the top suspects. False /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA HEEB0aGD3QtNFiihSSlJKbvRP+WcD/w1T/58amZPkPkyYf5yPmH1frP/ACj0L/04Wf8AtjnrMdtz Tighten the thigh muscles in your affected leg by pressing the back of your knee flat down to the floor. saved -EqD3-%i!} nd8}+-`5znk6]t]3~MTy6zWUx1]+^RkGbwv8_|k\o=Y^\O%/r YJV=&3 7o`})xAS)x % YOUR GUIDE TO CHONDROMALACIA PATELLA Patellofemoral pain syndrome (PFPS) is one of the most common causes of orthopedic-related physician visits each year, especially among women. Keep the back of your knee on the foam roll or towel. kfelZTShYxxa9uE+WFoaS1ocBDmy3XtuI7cpWVNqgNbSwMZ6TdoiuANun0YHggpIkpSSlJKUkpSS WebKnee pain associated with patella alta (PA) can limit involvement in sport or work activities and prevent an individual from performing basic functional tasks. Subscribe to our email list for exclusive offers and tips on healthy healing. YOv8UlJWY2A60XnAyBZfaAS6dDBsFh/SENbqfOe0pKWbRg73AdOyGwDcX66mx/ubpZuLiXOMf3iU The 7 exercises listed below will help keep the muscles around your knees and hips strong and flexible! Keeping your ankles together, slowly lift your top knee up. 0000007155 00000 n This case report describes the use of patellar taping to treat an individual with PA. Hold your knee locked in extension for five seconds, then relax your quadriceps and slowly lower your leg back to its resting position. It has a C-shaped buttress and versatile strapping system, which supports and helps ensure proper movement of your kneecap. 0000001944 00000 n /Size 214 Noisy Knees: Does Your Knee Pop, Click Or Crack? << WebBridge Exercise Starting Position : Lay on your back with your knees bent to prepare for the bridge exercise. Slowly step down with your good leg, allowing your heel to lightly touch the floor. Biedert RM,Tscholl PM. 2011-07-06T07:25:49-07:00 Hold for about 6 seconds, slowly lower the leg back down, and rest a few seconds. /OP true It includes: uuid:91a0aa47-95d2-452f-b780-8e237f0ee657 .DqbU(c>edM"C %DF^KD8t#!&K/O0@tqRR z1wJg5SL/&/ endstream endobj 136 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(pCeLPn*"i}5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(p 6NUas )/V 4>> endobj 137 0 obj <>>> endobj 138 0 obj >/PageWidthList<0 419.528>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 419.528 595.276]/Type/Page>> endobj 139 0 obj <>stream 164 50 /O 166 98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3E6f/AOwH/vul93ydlffMPdX27/FX/wBx *.o^(di%^A5}[-W}z/>p__Oy>s|Xi~\,OL) I>Gk?c6ITS'??eUhFuon58QP[c%b~Vs. xmp.iid:0B71896C20321168B34BA564586C664B Lift the lower part of your affected leg until your leg is straight. Patellofemoral articulation, along with the attached quadriceps and patellar tendons, forms the extensor mechanism of the knee. Hhorj3QQC0nzlJSzftHpNsf1hgD2Q1zW07d4Jre5pI19zmiOx8ZhJSau6uH1O6iyw3NDaj+jDmk6 Patellar Femoral Pain Syndrome Rehabilitation Exercises Hold for about 6 seconds, then return to the starting position, with your knee somewhat bent. BJSG7opun9fzK9znOPpvY3R0+0fo9AJ0SU6LGljGtLi8tABc6JMdzAASUySUpJSklKSUpJTSPWMF They will improve your patellar tracking and the overall stability of your knee. endobj 2011-06-24T13:15:27-07:00 uuid:db03cf78-26df-4a78-abaa-f236e97c1c97 FOIA >> endobj pjZ/Nu/qn8iSnL6z/wAo9C/9OFn/ALY56SmP1V/8S/Q//COL/wCeGpKdNzm/aWNmzca3kAB3pwCy trailer <]/Prev 337318/XRefStm 1617>> startxref 0 %%EOF 287 0 obj <>stream Various surgical techniques are available to address the specific underlying pathologies causing patellar instability. 0000002942 00000 n %%EOF And as nurse (25yrs exp) its written expertly and is very explanatory and easy to understand. 168 0 obj 0000001575 00000 n Kaiser Permanente is not responsible for the content or policies of external websites. STHEykapQ4r1bKC5SSlJKUkpSSlJKUkpSSlJKUkpSSmrndPxuotrZlN3sqf6m3sTtc3X/ORjIhbK . $1opLL}wyT:IL4-Gw9YupMWq,&K7U3t6SOiC]wg_5E%Pnp"Vu /AIS false aQNpnvr/AK6IGJCgbbSCVJKUkpSSlJKUkpSSmoOl4AfbYKRvvn1HSZM7gdZ0+meElL4fTcPAc92K 165 0 obj 135 0 obj <> endobj 154 0 obj <>/Encrypt 136 0 R/Filter/FlateDecode/ID[<292196579D884CAE99E90871EC32E77A>]/Index[135 29]/Info 134 0 R/Length 88/Prev 413526/Root 137 0 R/Size 164/Type/XRef/W[1 2 1]>>stream 2 0 obj << Your use of this information means that you agree to the Terms of Use and Privacy Policy. 2006; Flandry and Hommel 2011). loO61pH0zwkpVeLjXUmk4mTW0va4+pYdwJZMteLXGBG2Jj5JKWvbVZVTXd07If6dZDQxzZYC1st3 and transmitted securely. Anandkumar S, Miller J, J Werstine R, Young S. Physiother Theory Pract. 0000067195 00000 n 1 0 obj Hold for about 6 seconds, then lower your leg slowly. Step 2: Straighten the top leg and tighten the muscles. 0000046076 00000 n 0000009390 00000 n Keep your pelvis level as saved If you have any questions about treatment for a specific condition, please check with a health care professional. Adobe InDesign 6.0 Unauthorized use of these marks is strictly prohibited. 40LhPCfqIy82PQzheujb+wdFNnUiWUPPTHfaf0Jd6dtb6dvpD9JZ9G7bPuPJ1TeKeniv4Mdy29Ov >> [1] Numerous studies have interpreted anatomic and biomechanical factors for PFPS. Chondromalacia: Exercises to Relieve Knee saved Then slowly straighten your affected leg by tightening the thigh muscles of that leg. Y+n2cCkpdubVXdtvzqJY4sfWS1pl0Fo1dMj8UlPEf4xbAzrlP/hRn/ny5Nkvjs4NGT6ePZa47QYa 0000018659 00000 n xmp.iid:EC423A7920251168B34BA564586C664B Patellofemoral Pain Syndrome - Carolina Orthopedics 0000001556 00000 n 0000036819 00000 n Federal government websites often end in .gov or .mil. Patella alta describes a high-riding patella which engages the trochlea later in flexion than normal, giving the patella less boney stability. /OP false At discharge, the patient scored a 56 on the ADL-KOS and rated her function at 70% of normal. In this condition, the patella is pushed out to one side of the groove when the knee is bent. SklKSUpJSAWZDcd9l/pMc1zzIcdgrDjtLnOaIOznsCkprW5PU6qrbf1TbUN291rmtgDc7f7Dt2j/ Patellofemoral Pain Syndrome | AAFP Do not roll your body or pelvis backward. Og9PjXcgDISpcRjlC/5fm2zj/Vq3Jsx/smMxv2y/Ea9tr5FTajY2z+cid4gHjsheQDfou4cRNUN6 ?V 6PKa 2L)j0)0r*0?M= S(}9RtUy(XY9WH,{EV_,/z_wq04]u[:", ^&4]"mD$6&m*eIeCaXD!:2nYf:4)#';4} QLVkq =BCrtPWw~H)=Xe_CgJoRZFp}SSzIR|([Wr4y `>$ggg+dAv1{f}I4+MO1. VtNEWUVX7rSWvbY973A1iNRY9zddvM66cpEkpprj7OwhwwswG8Fz/Tc/a03Dc8wbWwfeRoJEeQQU Patellofemoral Syndrome Tips and Exercises 9iuyXUNOW1rbjO4N4Gpj853bzSUmSUiuimix1dRftDn+mzQuP0tPMlJTm+q+sWvr6S4OAJrj0xvl wOX1n/lHoX/pws/9sc9JTH6q/wDiX6H/AOEcX/zw1JToPtxh1CqhznDJdTa+tgL9hra6kWEgeyQX 0000014165 00000 n 6F/6cLP/AGxz0lMfqr/4l+h/+EcX/wA8NSU2uoUUW21erVbY6Za+p9jNu326uqIjSwoiRCCLROpp xmp.iid:74117FEB2007116883808B8213850D82 You should be able to slip your hand in between the floor and the small of your back, with your palm touching the floor and your back touching the back of your hand. /H [ 1603 418 ] yLDM5uGASb6oboTvbp9I66/yT9yVFNsbep9Npe2u7Lorc5vqNa+xrSWwXbgCeIaTKQiT0RYTV21W 8xOobPl38UlM24+TQ30sQU1VNc706w2AGbPaIaB/hNfh3SUsxvVw4FzsXbuMgNfO2XbRu3ckRJj5 HdHs5P3Sr9hdb/8AK/K/7Zs/8il7kO6vZyfulX7C63/5X5X/AGzZ/wCRS9yHdXs5P3Sr9hdb/wDK 72.00 AAy4y4/MpKXDK+AG6+AGsJKW+z48FvpMg8jaIOs/lSUuaajyxpnTgeX9ySlelUdCxvM8DkCPyJKV 0000041272 00000 n 0000002721 00000 n / Patella alta was reportedlypresent in50to60% ofprimary patellardislo-cations [20]. If you struggle with medial or lateral patella misalignment, we strongly recommend this short and lightweight knee brace. The right PT exercise program for Wall squat: Stand with your 0000005041 00000 n ]xFo% # endstream endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj [107 0 R] endobj 98 0 obj <>stream mkc+9tjq3Ydxh+1rmQWluvul2xO4R3Ra7M29zWl+Ja0uEwIMGSPEeEpUO6rSNybbMZ17KHh4aS2p WebPain during exercise and activities that repeatedly bend the knee, such as climbing stairs, running, jumping, or squatting. SzAvoeDtY5wIY0ND367XloEuI+aSnXSUpJSH0nMpcx1z3FznOD3QCA5xcGDYGaCdo7x3nVJTSfa0 0000004154 00000 n xc``d``sf`c`P @16 lj'fob``2d&l 1FO\ MNmOeXee+(vY\YaIamQ8 .;a# AZEGQI\[={;t{|iJ!h O*.>?%*7;gIMKe`4H3tdfmjt>>%aYY.Y%!Y%Y2ylqd9wZP! M )*[XZh+(5C{{N.xx3wDI#")j 6DQJ \Q;5rS(IPTARat*JQ* 72.00 Adobe InDesign 6.0 0000009689 00000 n endobj 0000078771 00000 n Do not let your body or hips roll backward. b#P .~hU'`yA#dc:@a:5G`YS(%p%4=S,8XB[@4=r. Non-operative treatment for a high riding patella will include: In severe cases of patella alta where the kneecap keep dislocating, or when conservative treatment fails, then surgery is necessary to effectively treat the condition. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. << Here we look at what patella alta is and why it causes problems, common causes and symptoms, how it is diagnosed and the different treatment options for high riding patella. 0000029195 00000 n ws9QAOBc5w0LjPuJ193+sJKbSSlJKUkpxPrgwWdFe08Gxn5UzJsuhu+cu6XXThekxvrPaGeROwt7 ReferenceStream Adobe InDesign 6.0 Patellar Mobilisation Typically, your kneecap will shift too far towards the outside of your leg (laterally), but you can experience a shift towards the inside of your leg (medially) as well. We are available M-F 8:30 AM - 5 PM CT. Keeping your back straight, step up with your affected leg. One important component of your patellar tendon rehab is an exercise program. GwP9fPRKSWWZLqgcfIoDhy5wLmkmCOHt7eaSlqbMp9m1+RQ7j218xHm53f8A3pKU2rqoIL76iZBI 0000069177 00000 n Epub 2018 Jan 24. << / She demonstrated symptom improvement when tape was applied appropriately and was, therefore, instructed in tape application. )Rz1of Patellar taping: is clinical success supported by scientific evidence? Crossley K, Cowan SM, Bennell KL, McConnell J. eNZ/BJTEuFhYcbqAivY6we14c3SJJmN2ny48UlMzZXdbvqzgG6PLW7SNsbuZ4O4GUlJmZeMyv9Jk Hold for about 6 seconds, slowly lower your leg back down, and rest a few seconds. 87 0 obj <> endobj xref 0000002787 00000 n Little did she know, s Plus Size Supports for Obesity & Weight-Related Pain, What is Acute Pain And When to Take it Seriously, 5 Tips To Help Keep Your Gardening Pain-Free, Tearing Your ACL: Advice from Former College Athlete and Athletic Trainer. ZJS6SlJKaNl7/VdT9torfubsrgbwDw0h1mu6PAJKYvyLXBjK8/GbYdrT7QdziZhrfV/OHbVJS9We Adobe InDesign 6.0 HWmo6n >@GU/@In@ADf;%7m Qs|Q6NZxfZ8?E4`~|Rxhf(2vI3|D*sfwjz0:A!Zs 0000037864 00000 n Patella %PDF-1.5 % 0000002882 00000 n Keep the back of your knee on the foam roll or towel. The common causes of patella alta are: Typical symptoms of patella alta include: To diagnose patella alta, your doctor will start by examining your knee. >> 0000066917 00000 n If you have persistent pain in your knee, with or without instability, you should get checked out by your doctor. kSU5fWf+Uehf+nCz/wBsc9JTH6q/+Jfof/hHF/8APDUlOk70/tdc+p6npv2xv9Lbur3bo/R7uNs6 0000037772 00000 n Patellar Femoral Pain Syndrome (PFPS) - OUH Stand on a single-step footstool. There is a growing body of evidence suggesting that dysfunction at the hip may be a contributing factor in PFPS. WebComplete recovery after patellar stabilization ranges from 3-6 months or longer, depending upon the procedure performed. Navigation Menu - Opens a Simulated Dialog, William H. Blahd Jr. MD, FACEP - Emergency Medicine, E. Gregory Thompson MD - Internal Medicine. WebHOME EXERCISE PROGRAMME This home exercise programme is divided up into specific sections, each addressing different issues that can cause PFPS. ViPYDtl3bv8AApqXRxczHzA845c4Vu2P3NcyHASR72iYnskpOkpSSnOGP1I+u5nUGlr3uFX6Jp9M /Widths [ 730 531 522 407 559 566 372 540 559 251 567 592 567 659 260 678 x+kcCy2XFs1/QPuOjjpCSmTqum+i5r8W9lbIf7W2SSJp0FbtxIH4QeySkX2XpVFm4YVznSHzDnCZ /ca 1 saved MdtIaXkgciRPmQkpM5zX0l7SC1zZBHBBCSnM6z/yj0L/ANOFn/tjnpKY/VX/AMS/Q/8Awji/+eGp 164 0 obj The site is secure. Patella Alta is what is known as an idiopathic condition, meaning that the cause of high riding patella is typically unknown. Picture illustrating the patellar alignment, Picture illustrating the patellar alignment of the right (a) and left (b) knee, Lateral radiograph of the subjects left knee used to examine patella alignment, Diagrammatic representation of the direction, Diagrammatic representation of the direction of force applied through taping to the patellofemoral, Picture illustrating the application of tape for the treatment of patella alta on, Line graph demonstrating patient status according to the assigned scores from selected indicators. endstream endobj 140 0 obj <>stream /Parent 162 0 R lJftX+Ln/uX0n/2Ip/8ASiSmVed/i8qsbbVm9KY9hDmubkUgggyCP0iSm7/zp+qn/l1g/wDsZX/6 RVhX+xu0MeLGvOrjtDXuaedJ4R9ySuEJqMfpHrm+vDsbYRy5jwPoPPta7QHboYHg08QhxmlUEben Adobe InDesign 6.0 0000039225 00000 n Diagnosis xref /S 400 aA2zprQW2Ne2tl5LSS107jtbxxHEx4SkplZjWPxWUu6duYCa3Um//BvG58mYI3NAg8jySUszEcyy Try to keep your back straight at all times, and do not let your pelvis tilt forward or your knees extend beyond the tip of your toes. 166 0 obj IKMPz3Mj18f1HCBAMB2nHu17o+lHqS2V5u9zqbGbTw17SY07QR3QFKIkqkdQF59d1Rp12hgdu5G2 WebKeep that leg somewhat bent at the knee. 2011-07-06T07:25:49-07:00 0000038541 00000 n Only use your affected leg to bring you up on to the step. 0000033949 00000 n /ca 1 ACvyv+2bP/Ipe5Dur2cn7pV+wut/+V+V/wBs2f8AkUvch3V7OT90q/YXW/8Ayvyv+2bP/Ipe5Dur af6ykpH9h3A78GknVmr925n0RuJb+6TokpevDf8Apm2YdTWmx1rQ2wkPdJG4tiGy06pKXqqya9kY XuQ7q9nJ+6UlfS/rFVVbRXhZja79otaKbIcGnc2fb2KBnAncJGPKBVFH+wut/wDlflf9s2f+RR9y /Subtype /Type1C This makes the knee less stable and prone to dislocation and anterior knee pain. (Or you can have someone hold one end of the loop to provide resistance.). 0000007900 00000 n 0000038146 00000 n KwCR\h NkYgYHbgwMdM68OLtD57fy6JTd9GnSWN040Gn+spKYux8dwIdWwhxl2g1PM/gkpdtFLDuZW1pkkk tltT3Oa+kta8FjiQXucxg0B+kWafLxTuAosL/tbD3sYC+Xtc4ex35jW2EHTna6UuEqtF+3+mm/7O 0000000016 00000 n AKp/Ikpy+s/8o9C/9OFn/tjnpKY/VX/xL9D/APCOL/54akps9ROO57Kb8W7JGxzw6tpLWxtBBO5v X3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3 In addition to your exercise program, many doctors will recommend using a brace or taping technique to keep your kneecap in proper alignment. Influence of patellar position on the knee extensor mechanism An official website of the United States government. saved Patella Alta, aka high riding patella, is where the kneecap sits higher than normal on the thigh bone. Yc8h4axrCW7QfiI1lLiTwtijqWH6TWMfZaawWOOxznzWG7t+1v0vcPj2TUpT1CgP9PbcT7dRTZHu Adobe PDF Library 9.0 >> 239 0 obj <> endobj xref 239 49 0000000016 00000 n HdJSTpOd0uy04uFlWZNj2m0CxznQyvbXpuEDUpKaX1+cW/VrIgwS5oB8ykkPjeHjZZZZ1LFhwxLG iZ/mj+5Kgq1/s2P/AKJn+aP7kKCrV9nx/wDRM/zQlQVahj0DUVs0/khGlWys/m3f1T+RJTl9Z/5R Lie on your side with the leg you are going to exercise on the bottom and your other foot either up on a chair or flat on the floor in front of your knee. 4 0 obj Patellofemoral Pain Syndrome and Hip Strength - Physiopedia xmp.iid:0B71896820321168B34BA564586C664B WebFigure 2: Lateral subluxation of patella alta Figure 3: Patellar slightly subluxated and osteochondral lesion below lateral condyle in the joint. << Gavril, Denmark, "I LOVE your website. 7 Patellar Tracking Exercises for Subluxation & Dislocation Hold that position for about 5 seconds, and then slowly slide back up to the starting position. xmp.iid:EC423A7620251168B34BA564586C664B /Type /Encoding /Encoding 172 0 R h2SU3TiuJcfXtG524QR7fpaDTjVJShinY6t11p3CN26HDzBEJKWOHYQR9pt14MiR8NElJq2Fjdpc Request for confidential communications forms. 8{$d4|ilh @^HyC a~[A?zdcR@ Uu\XL8|/h^/n`6Z\q0^ Q 0000039340 00000 n 1hNstAAh53CAOyiMDAmPZnGQZAJDYvU/UfRnUf6tX5LUYrZOz1n/AJR6F/6cLP8A2xz05ax+qv8A /ca 1 Alu1v2DjMpNFD3Us9f7Q0Nj2u2enAnt3TuMrfaAGjAfV7Ha0MFhIa5pG4A+1hYWM0gbRsHCXuFHs Sit with both legs extended in front of you. Bethesda, MD 20894, Web Policies A fluid filled sack that sits below the patella, and can be felt on either side of the patellar tendon (the patellar tendon connects the patella to the tibia). CdOT4/FDHDjyAKy5DjxSkqoF7mVVzryfALb5jOMMLeZ5PlJczlqtOrcssDGhgOjdBHh4LCBJJJeq WebPatellar Tendon Mobilization. 1CIMjRN7qIjHiAA2/l1Z4uP0HCyOl34fpj317cgPZLt1Nht9Sch7vpR/g2xwgTMg2mMccTEj+Wnm STIsqotunGzX79C6p1jgdN3sHqe36A4jlJSmMxm1gfZ80+toGusteRtfIMm12zx5Gn3JKRlmG1u5 0000039780 00000 n y7L]BFFcnqt]; 86sE8#v,_7Rht5DP4NvB4{_^v,lWQE-hWUm"|[g+',"db :3$1e^2Z13I4KC3lAoNjh8{'4:Tjp[JXdx;VxGw5EM=?RlM`=c&sovD"mxa+Bj2lx[m]G.ma(f ,.ei3hyh%-,:7FQ1If\lq |PlZE x1 0000003855 00000 n 0000009072 00000 n xmp.iid:0B71896920321168B34BA564586C664B If you are not steady on your feet, hold on to a chair, counter, or wall while you do this exercise. Accessibility nJKRV9T6LlPcKc6w+sbIaHGJrDn2bZHA+7wSUxtz+i/pAMq1hoLLbdrnNhu9rPcdJEgSkpn+0eh5