Conservative Management of Anterior Knee Pain: The McConnell Program
Management of patellofemoral pain is no longer a conundrum if the therapist can determine the underlying causative factors and address those factors in treatment. It is imperative that the patient’s symptoms are significantly reduced. This is often achiev
- PDF / 647,570 Bytes
- 6 Pages / 504.57 x 720 pts Page_size
- 44 Downloads / 225 Views
13
Jenny McConnell and Kim Bennell
Management of patellofemoral pain is no longer a conundrum if the therapist can determine the underlying causative factors and address those factors in treatment. It is imperative that the patient’s symptoms are significantly reduced. This is often achieved by taping the patella, which not only decreases the pain, but also promotes an
earlier activation of the VMO and increases quadriceps torque. Management will need to include specific VMO training, gluteal control work, stretching tight hip and lateral patellar structures and appropriate advice regarding the foot, be it orthotics, training or taping.
J. McConnell, BAppSci (Phty), Grad Dip Man Ther, M Biomed Eng. McConnell & Clements Physiotherapy, Sydney, Australia K. Bennell, Ph.D. (*) Centre for Health, Exercise and Sports Medicine, Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, VIC, Australia e-mail: [email protected]
V. Sanchis-Alfonso (ed.), Atlas of the Patellofemoral Joint, DOI 10.1007/978-1-4471-4495-3_13, © Springer-Verlag London 2013
97
98
J. McConnell and K. Bennell
Fig. 13.1 Common biomechanical presentation – internal rotation of the femurs
Fig. 13.3 Assessment of posterior tilt of the inferior pole of the patella
Fig. 13.2 Assessment of patellar glide
13
Conservative Management of Anterior Knee Pain: The McConnell Program
99
Fig. 13.5 Assessment of the flexibility of the anterior hip structures
Fig. 13.4 Assessment of rotation of the patella
J. McConnell and K. Bennell
100
a
b
c
d
Fig. 13.6 Taping components: (a) medial glide, (b) Medial tilt, (c) Internal rotation, (d) Anterior tilt
13
Conservative Management of Anterior Knee Pain: The McConnell Program
Fig. 13.7 (a) Tape to correct lateral glide. (b) Tuck or fold in the skin. (c) Tape in internal rotation to correct external rotation of the patella. (d, e) Unloading fat pad with tape, lift the soft tissue towards the patella
a
101
c
b
e
d
J. McConnell and K. Bennell
102 Fig. 13.8 (a) Stepping down with correct limb alignment. (b) Stepping down with incorrect limb alignment
a
b
Data Loading...
