relationship between hip, knee and ankle

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Anatomy

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  • Greg Cadichon, A.T.C/L Bio

    Licensed and certified Athletic Trainer for more than 19 years.

    Founder and Director of Rebound Fitness and Rehabilitation.

    Accomplishments in the field include:

    The development and implementation of injury prevention and rehabilitation protocols for industrial workers.

    Performance training for amateur, world-class and professional athletes.

    The design of functional exercise protocols for spinal cord injury and stroke patients.

    Inventor holds two patents for an orthopedic shoulder stabilizer and a patella stabilizer.

  • Relationship between the three joints (hip, knee, ankle)

    Effects of muscle imbalances

    Causes of bursitis, tendonitis, osteoarthritis, and ACL tears

    Functional exercises

    Overview

  • Energy does not dissolve, it transfers

  • Anatomy and Joint Relationships

  • Hamstrings

    Quadriceps

    Gluteus maximus

    Quadriceps tendon

    Tensor fasciae latae

    Iliotibial band

    Gluteus medius

    Patella

  • Primary Joint Movements

    Ball and Socket (Hip joint) Flexion/Extension, Adduction/Abduction, Internal/External rotation

    Hinge Joint (Knee) Flexion/Extension, 3-10 degrees of rotation to protect the joint

    Hinge Joint (Ankle ) Plantarflexion/Dorsiflexion Condyloid Joint (Talocalcaneal) Inversion/Eversion Gliding Joint (Intertarsals) Gliding or plane movement

  • Stable Mobile Stable Mobile Stable Mobile

    S

    M

    S

    S

    M

    M

    Credit: Mike Boyle and Gray Cook

  • Joints in Motion

  • Effects of Tight Hips

    Tight/weak muscles, Tension on bursae around the knee

  • Tight Hips

    Decreased stride

  • Weak hamstrings

    Tight quadriceps

    Tibia

    Suprapatellar bursa

    Quadriceps tendon

    Patella

    Infrapatellar bursa

  • Superficial prepatellar bursa

    Suprapatellar bursa

    Deep infrapatellar bursa Pes anserine bursa

    Superficial infrapatellar bursa

  • Inflamed bursa

    Tight/contracted rectus femoris

  • Knee Injuries

    Osteoarthritis of the knee, ACL tear

  • Anterior cruciate ligament

    Lateral collateral ligament

    Lateral meniscus

    Posterior cruciate ligament

    Medial collateral ligament

    Medial meniscus

  • Anterior cruciate ligament

    Lateral collateral ligament

    Lateral meniscus

    Posterior cruciate ligament

    Meadial collateral ligament

    Medial meniscus

    Posterior meniscofemoral

  • Joint Movement of the Knee

    Hinge Joint (Knee) Flexion/Extension, 3-10 degrees of rotation

  • Joint Movement of the Knee

    Male Q-angle Female Q-angle

  • Healthy Knee Video

  • The Three Joints Must Work Together

    Slow motion

  • Three Joints Must Work Together

    S M S M S M

    Foot is planted, Knee is mobile (3-10 rotation)

    Foot rotates, Knee must remain stable

    The Three Rules of Enagagement - No Time Delay - Moderate Stretch - Faster Stretch = More Energy Credit: Neuromechanical Basis of Kinesiology, Roger Enoka

    S M S

  • What happens when the Three joints dont work together

    Mobile

    Mobile

    Stable

    Tight hip muscles prevents mobile movement, movement is transferred to knee

  • PCL

    ACL

    ACL Tear

  • Degenerative Knee

  • Ankle Injuries

    Swollen ankle, Achilles tendonitis

  • Retinacula

    Peroneus longus muscle

    Peroneus brevis muscle

    Common sheath of peroneus longus and brevis tendons

  • Wheres the injury?

  • Peroneal Tendonitis

  • Video Jump In Motion

  • Achilles Tendonitis

    Inflamed achilles tendon

    Tight gastrocnemius

  • Bracing For Injury Only

  • Functional Rehabilitation

  • Stretch & Mobilization

  • Strengthen The Movement

  • Stabilize Without Delay

  • Energy does not dissolve, it transfers.

    Remember M-S-M and S-M-S relationships.

    Maintain healthy joint relationships with flexibility exercises.

    Braces slow natural movement and interfere with balance and reaction time.

    Conclusion

  • 246 East Janata Boulevard, Lombard, IL 60148 666 Dundee Road, Suite 1002 Northbrook, IL 60062

    www.reboundfitnessinc.com

    Rebuilding Your Physical Health

    Slide Number 1Slide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12Slide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Slide Number 18Slide Number 19Slide Number 20Slide Number 21Slide Number 22Slide Number 23Slide Number 24Slide Number 25Slide Number 26Slide Number 27Slide Number 28Slide Number 29Slide Number 30Slide Number 31Slide Number 32Slide Number 33Slide Number 34Slide Number 35Slide Number 36Slide Number 37Slide Number 38Slide Number 39Slide Number 40Slide Number 41Slide Number 42Slide Number 43Slide Number 44Slide Number 45Slide Number 46246 East Janata Boulevard, Lombard, IL 60148666 Dundee Road, Suite 1002 Northbrook, IL 60062www.reboundfitnessinc.com