Anterior knee pain plagues the athletic community, the most common being runner’s knee or patellofemoral pain syndrome (PFPS). One point or another in an athlete’s career they have experienced this kind of pain. When comparing between male and female athletes and who has the higher chance of knee pain, female athletes have a higher prevalence than male athletes (Dolak KL). There are several different mechanisms of patellofemoral pain a few being: pes planus,an increased Q angle, weak, tight or an imbalance in the quadriceps or hip muscles. Recently in my clinic site as the spring sports such as, baseball, soccer and track and field the athlete’s perform a lot of squatting, running, and kneeling which load the patellofemoral joint. We are now starting to see several and treat several athletes with patellofemoral knee pain. Each of them experiencing the pain from a different mechanism. As an athletic trainer we want to treat not only the symptoms, but the mechanism of injury to prevent further injuries down the road. If patellofemoral pain syndrome is not properly treated it can develop into chronic diseases such as chondromalacia or arthritis, maybe eventually leading to a total knee plan. (Lee SE) Treatment while the athletes are young and symptoms aren’t severe is key to preventing further injury.
As we are creating a rehabilitation routine using modalities and therapeutic exercises, we have to remember each athlete is different and find the best option for them. Just as there are several causes of patellofemoral pain, there are several ways to treat and manage the pain, but which treatments are best. You can strengthen the quadriceps muscles specifically the vastus medialis and vastus lateralis or you can focus on strengthening ...
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...cated foot orthoses on pain and function in individuals with patellofemoral pain syndrome: a cohort study. Physical Therapy in Sport. 2011;12:70-75
Willy RW, Scholz JP, Davis IS. Mirror gait retraining for the treatment of patellofemoral pain in female runners. Clinical Biomechanics. 2012;27:1045-1051
Rixe JA, Glick JE, Brady J, Olympia RP. A review of the management of patellofemoral pain syndrome. The Physician And Sports Medicine. 2013;09:2023
Crowell MS, Wofford NH. Lumbopelvic manipulation in patients with patellofemoral pain syndrome. The Journal of Manual & Manipulative Therapy. 2012;20(3):113-120
Lee SE, Cho SH. The effect of McConnell taping on vastus medialis and lateralis activity during squatting in adults with patellofemoral pain syndrome. Journal of Exercise Rehabilitation. 2013;9(2):326-330
Starkey C, Brown SD, Ryan JL. Orthopedic and athletic injury
Achilles tendinopathy and its contributing pathologies has been a heavily researched topic throughout multiple professions. Although a unified consensus and classification on the underlying pathology is yet to be reached, a shift from the term tendinitis to tendinosis has slowly been adopted, and is now believed to follow a continuum. Previous incorrect belief of an inflammatory pathophysiology has lead to the development of treatment options that are inappropriate and unsuccessful, leaving the tendon unable to adequately heal or strengthen increasing its risk of repetitive re-injury and the development of chronic Achilles tendinopathy. As a result an understanding of the pathophysiology, its effect on lower limb function and biomechanical risk factors contributing to the development of Achilles tendinopathy need to be considered when developing a rehabilitation program to coincide with new research and to address the underlying degeneration and failed healing of the tendon.
The incidence and prevalence rate of anterior cruciate ligament (ACL) injuries in female athletes continues to increase over time (Prodromos, Han, Rogowski, Joyce, & Shi, 2007). With the growing rate in the amount of young women participating in sports, data has shown that the rate of ACL injury increases linearly with this participation ("The Relationship Between Static Posture and ACL Injury in Female Athletes," 1996). This epidemic of ACL injuries in female athletes, young or old, continues to be problematic in the athletic world. This problem not only affects the athlete themselves, but also the coaches and the sports medicine community.
Tearing the ACL is now considered an epidemic in the United States over 100,000 recorded incidences are reported each year (Moeller). While such a finding may be good for orthopedic doctors and surgeons, this is not good for millions of athletes’ competing these days in high intensity sports. This is especially a problem for female athletes who are two to four times more likely to tear their ACL than men (Moeller). This is one of the biggest mysteries about ACL tears is the difference between the number of injuries seen in women and men. Women tend to tear there ACL far more frequently then men. While not everyone agrees that gender itself is the source of the problem, evidence is growing that females are learning too late that participating in sports can also become the first step to ruining an active lifestyle.
This article is about the results of a survey conducted by three PhD’s; Janet Simon, Matthew Donahue, and Carrie Docherty, and was published by the International Journal of Athletic Therapy and Training. The purpose of the survey was to determine Athletic Trainers current utilization of ankle support, and to determine ATs current attitudes towards the use of ankle taping and bracing. It gives some history and benefits of ankle bracing and taping, and how it has become a multimillion dollar industry, considering that 66-73% of all college athletes have reported an ankle sprain. Also, a third of people with ankle sprains will either re-sprain the ankle or report feelings of instability after the initial sprain. Ankle taping has become essential part of sports medicine,
My name is Lakitta Beverly. I am a junior at Mississippi State University majoring in Kinesiology with a concentration in CLEP (Clinical Exercise Physiology). Throughout high school, I experienced patellar dislocation, which is the topic for today’s Technical Research Report. Patellar dislocation is an injury of the knee. Typically, it is caused by a direct blow or a sudden twist of the leg. It occurs when the patellar slips out of its normal position in the Patellofemoral groove and causes intense pain and swelling of the knee. Patellar dislocation can be characterized as objective patellar instability, potential patellar instability, and episodic patellar instability. (Cerciello, 1) Episodic patellar instability is one of the major categories
“In 1903, Robert Osgood (1873-1956), a US orthopedic surgeon, and Carl Schlatter (1864-1934), a Swiss surgeon, concurrently described the disease that now bears their names (Sullivan). Osgood-Schlatter disease (OSD) is a common cause of knee pain in active adolescents (Sullivan).”
I have chosen to compare a personal story to the story I Am Not a Patella in the book Privileged Presence. I found that these two stories illustrate two completely different approaches to an injury. In the situation in the story I Am Not a Patella, the writer found that she was ignored as a person and she was defined as her injury. In contrast, the doctor attending to my injury took the time to see me as a whole person. I feel personally that the way my injury was handled was much more effective. As a result, a large portion of this paper will discuss the importance of developing a therapeutic relationship with patients. There will also be a focus on treating a patient as a whole person with a life story and a family instead of a collection
The word patella comes from the great latin language meaning shallow pan or shallow dish. The description of that word could not be more correct, it was meant in reference to balance of food but in anatomy’s case a balance of the body. The patella is a small bone located in front of the knee joint where the thigh bone (femur) and shinbone (tibia) meet. It protects the knee and connects the muscles in the front of the thigh to the tibia. The patella is one of two sesamoid bones found in the body, roughly triangular shaped in size. It’s thick consistency allows for the articulation of the femur, which in turn allows for body support and balance. The patella has multiple body functions with the primary being knee extension. The patella is essential for basic body functions including locomotion;
The number of girls and women participating in all levels of sports has risen greatly in recent years, and the way they play has changed too. Women's sports used to be played by a slow defensive style. Today, the sports are played with speed, precision, and power. With these changes have come increased injuries, and female athletes have higher injury rates than men in many sports. Knee injuries have been rising in female sports. Anterior crutiate ligament (ACL) injuries have become the most common injury in the knee to female athletes. Females are four times more susceptible to injury then men.
The most common musculoskeletal disorder and a major cause of disability in people over 65 years is osteoarthritis (OA) (Felson DT et al, 1987) (1). According to World Health Organization (WHO) report, OA of knee is more likely to become the fourth most important cause of disability in women, and the eighth most important cause in men (Murray CJL, Lopez AD, 1997)(2) . Primary prevention of knee OA has become a major health care aim and a clear understanding of the risk factors is required to design preventive strategies. Many investigations reported obesity, previous history of knee injury, sedentary life style, hand OA (Heberden’s nodes), and a familial history of the disease are major risk factors for OA of knee (Cyrus Cooper et al, 2000) (3). In spite of recent advancements the causes and pathogenesis of knee OA remains largely unknown (A Teichtahl, A Wluka, F M Cicuttini, 2003) (4) but however there is increasing research interest in the contribution of biomechanical variables on progression and management of the disease (Andriacchi TP, 1991) (5).
Donna A. Lopiano “Modern Hisory of Women In Sports” Clinics in Sports Medicine19.2 (2000): 163-173. Academic Search Premier. Web. 1 April. 2000.
A 16 year old, female high school soccer player, Lindsey Robinson tore her anterior cruciate ligament (ACL) from a soccer game. Interestingly, she was not the only one in her team who injured her ACL, but also several of her teammates have torn the same ligament as well during the soccer season. Lephart (2002) found that women involved in physical activity are more susceptible to acquire the ACL injuries than men who are involved in the same physical activity (as cited in Ogden, 2002). According to “ACL Injury Prevention” (2004), the numbers on female ACL ruptures have been increased for the past ten year. Over 1.4 million women have been suffered from the ACL rupture which is twice the rate of the previous decade. Therefore, female ACL injuries are now a growing problem in the nation (Anonymous, 2004). Back in 1950s and 1960s, female participation in sports was rare; therefore, the rate of injuries was very low. However, according to “ACL Injuries and Female Athletes” (n.d), as Title IX was implemented in 1972, female participation in numerous sports has dramatically increased. Moreover, the rate of acquiring injuries to the ACL also has dramatically increased (Anonymous, n.d). In terms of comparing the rate of acquiring ACL injuries between two genders, females have higher rate than males do. According to the “Physical Therapy Corner” (2007), “women suffered anterior cruciate ligament injuries more often than men, nearly 4 times as often in basketball, 3 times as often in gymnastics, and nearly 2 and a half times as often in soccer” (Knee Injuries section, para.1). There are various risk factors that contribute to the high rate of acquiring injuries to the ACL for female athletes. External factors such as improper sh...
Studies have shown taping an ankle can limit range of motion if done correctly.1, 5 Another study done by Reut...
An estimated 50 million Americans have suffered or are suffering knee pain or injuries. Most of these pains, sprains, and strains could probably have been avoided with proper conditioning (Fox, 147). I have had knee pain since my freshmen year of high school and have finally taken the initiative to find some exercises that will help ease this pain, and build muscle strength in the surrounding areas to avoid another possible injury.
The purpose of the squat is to train the muscles around the knees and hip joints, as well as to develop strength in the lower back, for execution of basic skills required in many sporting events and activities of daily living. Because a strong and stable knee is extremely important to an athlete or patient’s success, an understanding of knee biomechanics while performing the squat is helpful to therapists, trainers, and athletes alike (11). Because most activities of daily living require the coordinated contraction of several muscle groups at once, and squatting (a multi-joint movement) is one of the few strength training exercises that is able to effectively recruit multiple muscle groups in a single movement, squats are considered one of the most functional and efficient weight-bearing exercises whether an individual’s goals are sport specific or are for an increased quality of life