Case Study on Volleyball Prayer Back of Knee Pain and Injury

Introduction

This case study is about a fifty-three year old male plumber. He is a volleyball player who has a pain on the right anterior of his knee, during and post activity. On observation around the injured area the right patella is higher than the right and both feet over pronate, on quick touch it is slightly warmer on injured side. It could be a chronic injury because it has bothered the client on and off for the last two months, in terms of previous injuries the client had an ankle inversion sprain nine months ago that was never rehabilitated which could play significance to the injury. On active movements and isometric testing the quadriceps and the rectus femoris flagged up negative when being tested due to pain. All of the above including signs and symptoms will be assessed in greater detail in relevance to what the injury could be.

S.I.N

Severity

This is based on the seriousness of an injury and is a measure of the client's perceptions of their symptoms; rating is scored on a scale from 1-10. 1-3 low, 4-6 moderate and 7-10 high, it also helps you determine what to do next, like having to refer them. In this particular case study, the client has 7/10 in the first pain (p1) and 3/10 the second pain (P2) on the visual analogue scale (VAS). P1 is a severe pain, where p2 is more of a dull ache. In his current situation he noticed the pain straight away after recovering from illness, it has been on and off but present condition is not improving. Primarily the pain transpired irregularly but now it is post activity. The problem is at the right patella from the top to the tibial tuberosity region.

Irritability

This relates to the amount of activity done to aggravate a client's symptoms, the scale of it and time taken for...

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...nd peroneal longus during the landing phase. This means that due to the surrounding muscles being weak the ankle is not fully stabilised which makes it vulnerable to injury again. The client did not receive any rehab therefore the surrounding muscles are not strong and reoccurrence of the injury may happen.

Conclusion

Both injuries, upon assessment indicates the client more than likely has patella femoral syndrome. The reason for this is even though patellar tendinopathy is very common injury in jumping sports, taking into consideration is the previous injury, this is a major reason in the assessment because the feet pronate the knee compensates, then in turn the knee behaves in ways it should not such as quadriceps pulling on the patella which will result in it rubbing on the femur over a long period. An MRI scan will confirm or deny this on further investigation.