China Books Webinar
Knee Pain
Compensation patterns in the three planes
- Sagittal
- Frontal
- Transverse
Postural stabilization is done at the subconscious level.
Compensation is a movement adaptation that is learned at a subconscious level
Rehabilitation uses conscious cues to repattern a movement and restore normal stabilization (glute bridge, wobble board, single leg exercises)
Compensation in the sagittal plane
Gluteal amnesia and quad dominance
Weak glutes, tight hip flexors, overactive rectus femoris, weak vastus medialis tight lateralis, tight calves, weak psoas, tight sartorius
Compensation in the frontal plane
Lateral stabilization subsystem
IT band syndrome weak gmed with overactive TFL gmin (all weak)
Valgus knee - tight adductors, weak ankle stabilization weak abductors
Compensation in the transverse plane
Posterior sling weak glutes tight lats
Anterior sling weak abs, tight adductors
Sagittal plane anatomy review
Hip flexors and extensors
Hip flexors
TFL
Rectus femoris
Sartorius
Psoas
Some adductor longus and brevis
Hip extensors
Gluteus maximus
Hamstrings
Some adductor magnus
Frontal plane anatomy review
Hip adductors and abductors
IT band:
Gmed weak
TFL gmin overactive
Vastus lateralis overactive
Biceps femoris overactive
Adductors tight
Pes anserine
Adductor longus brevis Magnus
Pes: gracilis sartorius semitendinosus
QL
Transverse plane (slings)
AOS
POS
AOS
Obliques weak
Adductors tight
POS
Latissimus tight
Gmax weak
Assessment video
Prone:
Glute Max
Biceps Femoris
Semimembranosus and Semitendinosus
QL
Quad length test
Side-lying:
Glute Med
Glute Min
TFL
Supine:
Adductor Length Testing (bend knee for gracilis and semitendinosus)
Sartorius
Latissimus Length Test
Seated:
Psoas seated
Standing:
POS/AOS Torque Test
Lateral Stabilization Push
Treatment lateral knee pain
It band
Medial knee pain:
Knee Valgus/ Pes Anserine/Meniscus injury
Patellar/Runner’s Knee
Glute Amnesia, Quad Dominance
Electric Stimulation Protocols
Frequency and tx times
Segmental vs Local
Post-treatment Correctives - rehab and prehab