patella alta exercises pdf

This dip is known as the patellofemoral groove, aka patella groove, trochlear groove or intercondylar groove. And as nurse (25yrs exp) its written expertly and is very explanatory and easy to understand. JPEG To perform this exercise: Lie on your side with your hips, knees, and ankles stacked on top of each other, with your knees bent. WebHOME EXERCISE PROGRAMME This home exercise programme is divided up into specific sections, each addressing different issues that can cause PFPS. - Exercise where you have poor balance and control of your lower limb movement can also increase your risk of developing patellar tendinopathy. kDRJSGs9RDGvswsf1y55O2yA1u47fd6ZJO2JSUyAyannZg1Ev9z3NeGzJcI+hqdoE/FJTFrc8X7X 0000004350 00000 n kSU5fWf+Uehf+nCz/wBsc9JTH6q/+Jfof/hHF/8APDUlOk70/tdc+p6npv2xv9Lbur3bo/R7uNs6 vIq6Y2u2vc5m24NDS4FsODYB7acTryElNt2T1ABm3Cku3b/0rQGwRt7ayDKSnO+tD7D0D1Lm+nYT Adobe InDesign CS4 (6.0.6) 6USUr/nT9VP/AC6wf/Yyv/0okpX/ADp+qn/l1g/+xlf/AKUSUr/nT9VP/LrB/wDYyv8A9KJKV/zp 0000013749 00000 n FZAjQED3E+fKSmdjOpF36GyoD3/TaT/xegc356pKYVs6q25nqWUvp3O3gNIfthu0B0gczOnh8UlN << /;/metadata 0000001472 00000 n False xmp.iid:74117FE92007116883808B8213850D82 Bethesda, MD 20894, Web Policies Patella Alta: A Comprehensive Review of Current Knowledge. -EMGJ , dmg40>KI&Cw:v}e;u}im!xLCZOXL^oz?tOwv2UUuG=N1enT9fheUJacq{gYUZG3h;T@[H"^#6;QOS^I=M 5dLx9!B"Fs3EEE/ s\ k?yCpr>>AEOg'Y ,}}>>AqN1S`2~iq#>! 6F/6cLP/AGxz0lMfqr/4l+h/+EcX/wA8NSU2uoUUW21erVbY6Za+p9jNu326uqIjSwoiRCCLROpp /BM /Normal sb9ssIEb5B7zMJKa/wCztux7On4xcww0aN2ggs9rg0x7I7eISUmqxTWfbisG39Kwl5dFjtu4NBBg On/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZ The advice and information contained in this website is not intended as a substitute for medical counseling. 0000002669 00000 n Taping the patella medially: a new treatment for osteoarthritis of the knee joint? Rest for up to 10 seconds between repetitions. However, this exercise will increase rectus femoris activation (Soderberg and Cook, 1983) and as a result, it may worsen patella alta in patients with this disorder. Patella alta is one of the factors which can cause knee pain (Holtzman and Harris-Hayes, 2012). Stress is force divided by the area the force is applied over. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000055930 00000 n 0000009026 00000 n YOUR GUIDE TO CHONDROMALACIA PATELLA h2SU3TiuJcfXtG524QR7fpaDTjVJShinY6t11p3CN26HDzBEJKWOHYQR9pt14MiR8NElJq2Fjdpc /FontFamily (Interstate) JT4lhjjML0/tbT6fq27JdSMPGa37dbhh4tf/ADOzeLf5yJ3cHhNudb9LX8OK6ob00up4XQqvq9Xd endobj 0000038541 00000 n Picture illustrating the patellar alignment of the right (a) and left (b) knee of the patient. eNZ/BJTEuFhYcbqAivY6we14c3SJJmN2ny48UlMzZXdbvqzgG6PLW7SNsbuZ4O4GUlJmZeMyv9Jk This information does not replace the advice of a doctor. Loop the other end of the exercise band around the knee of your affected leg. Wall squat: Stand with your Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. 0000005775 00000 n VtNEWUVX7rSWvbY973A1iNRY9zddvM66cpEkpprj7OwhwwswG8Fz/Tc/a03Dc8wbWwfeRoJEeQQU Hold for about 6 seconds, slowly lower your leg back down, and rest a few seconds. 0000039340 00000 n Setup. /;/metadata Retinacular and Ligamentous Structures In early knee flexion from 0 to 20 of terminal extension, the patella is out of the confines of the femoral trochlea. /FontWeight 300 The patient was also instructed on specific exercises and mobilizations. KZ0PynPczIra0BoIe10gklwLY50AH3pKTpKUkpxLsMuybSOlNeXWB7rTbBcJe3c0/DUtkcpKZjDe w91fbv8AFX/3E6f/AOwH/vul93ydlffMPdX27/FX/wBxOn/+wH/vul93ydlffMPdX27/ABV/9xOn 0000004664 00000 n 0000037864 00000 n 85 40 saved >> Patellar instability occurs when the kneecap moves outside of this groove. 0000004778 00000 n xmp.iid:61B952D220301168BC05A9DFDBC72DD4 0000039970 00000 n / endobj wSOXe6g6uSUr7Hk+pvOddBAGzbTtkNDZH6HdyJ57+CSmdOPfXYX2ZNlzSI9N7aw0eY2VtP4pKbCS The explanations are so clear. /Filter /FlateDecode Picture illustrating the patellar alignment, Picture illustrating the patellar alignment of the right (a) and left (b) knee, Lateral radiograph of the subjects left knee used to examine patella alignment, Diagrammatic representation of the direction, Diagrammatic representation of the direction of force applied through taping to the patellofemoral, Picture illustrating the application of tape for the treatment of patella alta on, Line graph demonstrating patient status according to the assigned scores from selected indicators. /FirstChar 1 aQNpnvr/AK6IGJCgbbSCVJKUkpSSlJKUkpSSmoOl4AfbYKRvvn1HSZM7gdZ0+meElL4fTcPAc92K Xaky7nUykpmkpSSlJKUkpSSlJKUkpSSlJKUkpyfrPbdV0lz6HurfvYNzHFpifEIHZMd3kG53Uv8A 1 0 obj <>]/Pages 3 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2 0 obj <>stream 0000001797 00000 n 8xOobPl38UlM24+TQ30sQU1VNc706w2AGbPaIaB/hNfh3SUsxvVw4FzsXbuMgNfO2XbRu3ckRJj5 Verify here, This is one of the best self-help & info sites of any medical condition I've ever seen. GwP9fPRKSWWZLqgcfIoDhy5wLmkmCOHt7eaSlqbMp9m1+RQ7j218xHm53f8A3pKU2rqoIL76iZBI 0000004200 00000 n Patellar and Quadriceps Mechanism: Clinical, Imaging, and CdOT4/FDHDjyAKy5DjxSkqoF7mVVzryfALb5jOMMLeZ5PlJczlqtOrcssDGhgOjdBHh4LCBJJJeq Around 30% of cases of recurrent patella dislocation are thought to be due to patella alta. An official website of the United States government. ])zf i@E-`u$Je| zGx%EA=#kJa6"2yCJr|VeXNR,N>5(A4{`? /Filter /FlateDecode Slowly bend your knees so that you squat down like you are going to sit in a chair. vbu2Dc+AQ0t8jx8UlNuvqOJbcMdhf6hJbBrsAkbvziwD81JTw/8AjAH+XaD/AN1Wf+fLk0rouNj1 See this image and copyright information in PMC. 7 Patellar Tracking Exercises That Will Improve Your Life Quadricep Contraction (Quad Sets) Sit with both legs extended in front of you. Patella Alta: A Comprehensive Review of Current Knowledge. pJTWuqxsbDuDKC6uLLHU0t9z3PJe+GiJc5xJ+KSnKtxOlEknpmUQAHSwObuJPqa7bASZ8e6Sk76O - Excessive plyometric exercises (e.g. 72 Tn7y ?) y~$?'WoQ|MtS)nJ7MtS)nJ@NG'MsI)4`Jh. 2011-07-18T12:31:03-07:00 0000001276 00000 n l+VA0lP61UxvbI0IkfBBSxvoa3e6xgae5cI0MJKUb6GxusYJO0S4aniElLi2ovFYe0vI3BoImNNY % 0000049524 00000 n pI7Ksa1rhj2OL9NoAke7brrHGqSkL+pPYyx5xLz6UbhDe8cS6DG7VJTdBkA+KSl0lKSUpJSklKSU This abnormality may cause increased pressure between the back of the patella and the trochlea, irritating soft tissues. The patella, or kneecap, is a small, inverted (upside down) triangular bone that sits at the front of the knee. AHVPbtJY5zS9oI40dx3GiSnNrPTrafZm5gBsZJc6zdvteGtbL2n85vA4B8ISUu2/pjhXjNz8glsy WebBridge Exercise Starting Position : Lay on your back with your knees bent to prepare for the bridge exercise. Patella is the largest sesamoid bone in the body that increases biomechanical pull of the quadriceps through the aforementioned tendons to extend the knee (Tecklenburg et al. 0000003984 00000 n Slide a rolled up towel or blanket under one knee so that it is slightly bent. mwhjNSU0mgvAJLZ+zYltjfRva51ANkuENLoc1zQT5FTS5TIcQlW5a8PiGGPMGF7DfxQ1Yz6Kh6kF saved h}pWnKA|@5+F+nb(lV/}Q.fe qPMR5-(U}ci'TZn\0~$c= x0HkYe0J. 0000004567 00000 n zruWDd847apSH1/rHJiiiCWgacD37if0/k370lMrbvrBWGiumm4ktlwGwNDnHdobnTsaP7U9o1Sm SklKSUpJSAWZDcd9l/pMc1zzIcdgrDjtLnOaIOznsCkprW5PU6qrbf1TbUN291rmtgDc7f7Dt2j/ 0000004237 00000 n 5lh+V9Xs/m3f1T+RWmu5fWf+Uehf+nCz/wBsc9JTH6q/+Jfof/hHF/8APDUlNrqHV8Xpt1FF7Xuf s6g4fpMathER+k3DmP3B+br+CSkrbMk3+m6kCqB+k3A6+G3nw/15Sk21vgElK2t8AkpW1vgElLpK 0000008601 00000 n endobj +JDvwSU1sb9pfaLbLcOisWFrQ5rvdtE/Td354hK1NhlmY60tfjMbXL9r98nQkMJG384a+XnrCUxr Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Knee-Pain-Explained.comis a trading name of Wilson Health Ltd.All rights reserved. jxupWn1vtOZgPcydraXxABmbCS6PaROiSk2Db1G4l9tmNZU07f0Ly86Bsy7Y0TqdPgkp0ElKSUpJ H\j0Fz X3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3 2011-07-18T12:31:03-07:00 Patella Alta, aka high riding patella, is where the kneecap sits higher than normal on the thigh bone. Follow us on these external social media sites that will open in a new browser window. uuid:91a0aa47-95d2-452f-b780-8e237f0ee657 uuid:154ea66c-50ec-4f69-b08a-38161d8be829 There are a number of other conditions which cause anterior knee pain and present with similar symptoms to patella alta. uuid:db03cf78-26df-4a78-abaa-f236e97c1c97 lJftX+Ln/uX0n/2Ip/8ASiSmVed/i8qsbbVm9KY9hDmubkUgggyCP0iSm7/zp+qn/l1g/wDsZX/6 Hold for 5 seconds then slowly lower your knee back to the starting position. It's also a good idea to know your test results and keep a list of the medicines you take. Ice Packs:regularly applying ice packs can help reduce pain and inflammation with symptomatic patella alta - xref Step OcLq8y9uxzGt2l+1vta4Ma3YQJA90c90eMqpsPf0mq1+Q7IuaXlt72g2Ae+uutpcA392sfS7kpcR PDF/X-3:2002 2011-06-24T11:55:42-07:00 saved Thanks for your help and excellent work." Patellar Do not drop your hip back. Note: For straight-leg raise exercises, your physiotherapist may have you add light ankle weights as you become stronger. The site is secure. National Library of Medicine Patellar 213 0 obj )Rz1of The C-shaped buttress of this knee brace can be moved for either lateral or medial patellar misalignment. 467 539 0 0 0 0 0 0 0 0 0 0 0 0 848 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 356 ] <>/Metadata 764 0 R/ViewerPreferences 765 0 R>> 2006; Flandry and Hommel 2011). HW[oH~aa'sHR8mi/+B0%&I=v.uX`{.|s.3>n-zjpO[tvv>r) ^dpI8 saved [5] [6] It often results from a non-contact injury to the knee. Keep the back of your knee on the foam roll or towel. Lower to starting position, then repeat for 1015 repetitions. Effect of mobilization with movement on lateral knee pain due to proximal tibiofibular joint hypomobility. E6f/AOwH/vul93ydlffMPdX27/FX/wBxOn/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8 Be sure to make and go to all appointments, and call your doctor if you are having problems. At first, directly following an injury or flare-up of patellar tracking disorder, patellar subluxation, or patellar dislocation, knee activity should be reduced. If you struggle with medial or lateral patella misalignment, we strongly recommend this short and lightweight knee brace. paivpz27W9OyK2F7rSHsc0bqtG+0u4cHHaElLZWNg2lr7umZFzrve7byCXSGum1oHw4CSmd1eC5p 4fxX+yfVu39BbXTSyn9nvdeyx25/rbRkA+8iAPAacpcUx+KjDEdK7NjNb0trcevIpxS3Exs6xuNX endobj WebPatellar Taping:taping can also help to correct the position of the patella. /ViewerPreferences << /Direction /L2R >> You may benefit from a physical therapy (PT) program if you have torn your patellar tendon. 0000037683 00000 n iMY+41Uube17N3quj1mvByS8/D0hHinQlMz1Y8kMYxWP5fj+xxeif8tYH/hqn/z41S5PkPkwYf5y Knee braces limit any damaging movements while enhancing kneecap stabilization during recovery. Having patella alta also increases the risk of developing knee arthritis and inflammation in the infrapatellar bursa or fat pad. /O 166 saved uuid:154ea66c-50ec-4f69-b08a-38161d8be829 The material on this website is intended for educational information purposes only. 0000006268 00000 n Many options exist for treating patellar instability. QCHcyAdUlLjBwxW6kVN2P0c2NDqTr/nFJSx6dgusbaaW72OL2O7tc7dLh4E7ykpspKUkpSSlJKUk 0000053729 00000 n /Resources << /Properties << /MC0 167 0 R >> /ExtGState << /GS0 168 0 R /GS1 WebRehabilitation Protocol for Patella/Quad Tendon Repairs This protocol is intended to guide clinicians through the post-operative course for Patella/Quad Tendon repairs. AAIRAQMRAf/EAUIAAAEFAQEBAQEBAAAAAAAAAAMAAQIEBQYHCAkKCwEAAQUBAQEBAQEAAAAAAAAA or 72.00 /;/metadata 2011-06-24T13:15:27-07:00 saved Salsich GB, Brechter JH, Farwell D, Powers CM. 2016 Jan;31:74-8. doi: 10.1016/j.clinbiomech.2015.09.018. Visit the front knee pain diagnosis section to find out more. Gk7jMzCmy8rLDr0LW5bn48yKB1G7HGI+20f8Yz/qgomwX0uz+bd/VP5FIxOX1n/lHoX/AKcLP/bH [1] Numerous studies have interpreted anatomic and biomechanical factors for PFPS. Attach one end of the loop to a secure object, or shut a door on it to hold it in place. % 0000026239 00000 n Here, the groove is much shallower than further down, thus providing only a very small barrier each side of the kneecap. AE4Wf+2OenLWP1V/8S/Q/wDwji/+eGpKbma5zbWk5rcVhY5mwhsl7vov3PP5u06JKabXWlljx1tj +LnOFlbt9TrLbAGvDmbXM9Z4khp+HkUlOnRRXQzbXvhx3e97nmT5vc4/JJSVJTk5FdNjX1Ouz6S+ wPIeGNBDLA5+SyNx7hrpPYBCcpxA3TjhjkToN6/lq57vsmT1Lold7W5NQwa22V+o1gJBuO0uc9gB %PDF-1.4 No worries, youre not alone! saved WebPatellofemoral pain syndrome (PFPS) is one of the most common conditions limiting athletes. /FontStretch /Normal %PDF-1.7 Little did she know, s Plus Size Supports for Obesity & Weight-Related Pain, What is Acute Pain And When to Take it Seriously, 5 Tips To Help Keep Your Gardening Pain-Free, Tearing Your ACL: Advice from Former College Athlete and Athletic Trainer. In some people, the patella is XuQ7q9nJ+6UlfS/rFVVbRXhZja79otaKbIcGnc2fb2KBnAncJGPKBVFH+wut/wDlflf9s2f+RR9y saved WebStep 1: Lie on your side with legs slightly bent and hips stacked. Patellar Tendinitis (Jumper's Knee): Exercises - Kaiser Permanente MdtIaXkgciRPmQkpM5zX0l7SC1zZBHBBCSnM6z/yj0L/ANOFn/tjnpKY/VX/AMS/Q/8Awji/+eGp knbWGAHwbrqIG9zW/FwTowMkE0rH6zgZLXGp5PptLrAR9DaXBwd5jaf9yRgQqwuOs9OLr2+sP1Zh 30HQ!A^1!!Clq b+PPgj\VUi|?le`_\v02l0 #; endstream endobj 123 0 obj <>/Filter/FlateDecode/Index[17 68]/Length 21/Size 85/Type/XRef/W[1 1 1]>>stream 0000038146 00000 n Patellar Dislocation - Emergency Department GBQSFBQUFBIUFBseHh4bFCQnJycnJDI1NTUyOzs7Ozs7Ozs7OwENCwsQDhAiGBgiMighKDI7MjIy xmp.did:74117FEA2007116883808B8213850D82 Alu1v2DjMpNFD3Us9f7Q0Nj2u2enAnt3TuMrfaAGjAfV7Ha0MFhIa5pG4A+1hYWM0gbRsHCXuFHs Slowly step down with your good leg, allowing your heel to lightly touch the floor. xmp.did:61B952D320301168BC05A9DFDBC72DD4 Adobe InDesign 6.0 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Register. 0000048571 00000 n 0000001556 00000 n Knee braces or arch supports may help improve pain. /CA 1 0000008391 00000 n 0000037501 00000 n 0000004043 00000 n 0000006726 00000 n 0000009072 00000 n endobj Non-operative treatment for a high riding patella will include: In severe cases of patella alta where the kneecap keep dislocating, or when conservative treatment fails, then surgery is necessary to effectively treat the condition. /MarkInfo << /Marked true >> PmH1frP/ACj0L/04Wf8AtjnrMdtzsSuy7/F5hVVNc97+kVtaxokuJxYAACfjNTDHmBOOXk+dfsLr Y43ehlvc1ppDG3WkFu59c7X2tbxru580uIqpDvx7cYfqvUQD7wzfa152NLPpetInwJE8+aXEVU2s H\j0~ 0000001096 00000 n ifgkpKzpLGOa/wC1ZbiwAe650Ej84gQCTHw8klJnYLXzN10O9QEb9CLBqPl+b4JKQnpDCwtdlZR0 Epub 2018 Jan 24. Journal of Biomechanics. hbbd``b`$_" SLAb z,P 1+DdH Ab``$@g, ` j; endstream endobj startxref 0 %%EOF 163 0 obj <>stream This knee brace can help with a number of injuries involving patella tracking, kneecap irritation, or patella misalignment. d3j4JKU7N6NW2u92fkbMhzq2nfYWucxpY7t7fonURqkpnV1PpJoyeoMzbrKccNbaSXQ32tcCGlo5 endstream endobj 140 0 obj <>stream HEEB0aGD3QtNFiihSSlJKbvRP+WcD/w1T/58amZPkPkyYf5yPmH1frP/ACj0L/04Wf8AtjnrMdtz /FontBBox [ -52 -193 1300 914 ] Put your good leg about a step behind your affected leg. xmp.iid:61B952D220301168BC05A9DFDBC72DD4 For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. 0000039875 00000 n DUlOk6yMuur1axure70SP0jtprG9p3fRbuh3t/OGo7pTSyMnPF5rx7sVrQ/3es4hwYCyYaGjsT35 /Type /Catalog It attaches to the apex of the patella -the lower border - and the tuberosity of the tibia bone - the bony bump you can feel under the patella. / <> STIsqotunGzX79C6p1jgdN3sHqe36A4jlJSmMxm1gfZ80+toGusteRtfIMm12zx5Gn3JKRlmG1u5 /OPM 1 In addition to your exercise program, many doctors will recommend using a brace or taping technique to keep your kneecap in proper alignment. proof:pdf 0000014274 00000 n SzAvoeDtY5wIY0ND367XloEuI+aSnXSUpJSH0nMpcx1z3FznOD3QCA5xcGDYGaCdo7x3nVJTSfa0 Yc8h4axrCW7QfiI1lLiTwtijqWH6TWMfZaawWOOxznzWG7t+1v0vcPj2TUpT1CgP9PbcT7dRTZHu 0000040181 00000 n November 2016, 2. Patellofemoral articulation, along with the attached quadriceps and patellar tendons, forms the extensor mechanism of the knee. However, you should begin exercising once your symptoms resolve and youre cleared to exercise by your doctor or physical therapist. Adobe InDesign 6.0 Your back and buttock should be pressed against the wall. 72.00 >> <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2011-06-24T13:13:29-07:00 0000039921 00000 n 0000008388 00000 n saved trailer <<86143857737144CA850C8F701D72AFD3>]/Prev 507900/XRefStm 1406>> startxref 0 %%EOF 124 0 obj <>stream saved If you have any questions about treatment for a specific condition, please check with a health care professional. bne2QdSJ2/Id5l1x7Ioqa7LG6tmbS4ktDC5oJBBebGkBwn2RHfQylcVast2V6T2jNo9QuGx5YIAn saved Would you like email updates of new search results? xmp.iid:EC423A7620251168B34BA564586C664B Patellar 012701-006 (7-11).indd 0000039991 00000 n nJKRV9T6LlPcKc6w+sbIaHGJrDn2bZHA+7wSUxtz+i/pAMq1hoLLbdrnNhu9rPcdJEgSkpn+0eh5 Do not roll your body or pelvis backward. 2018 Oct;34(10):813-820. doi: 10.1080/09593985.2018.1424979. This site needs JavaScript to work properly. Your heels should remain on the floor at all times. 17t1ZeTwa4aQHgM90j/YnCVIMWGytu6sXdRLi2sOPu9gJY+Q4s2k/vRPcJcXgjhZmmre+bs9pqDw u9SAGbfnf0cep6EueNvhJICE+YEhS6PLcPqbdl5c5Rrnsf8AF0Saep/1afyXJ0Vk3ous/wDKPQv/ trailer >> /XObject << /X1 184 0 R /X2 210 0 R /X4 211 0 R >> >> 0000049429 00000 n The 28 reviews described patella alta mostly with ISI (75%) or CDI (64%). 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Normally, when you bend and straighten the knee, the patella glides up and down the middle of the patellofemoral groove. Patella Treatment of Patella Alta with Taping, Exercise, Mobilization, and Functional Activity Modification: A Case Report. /Descent -193 Adobe InDesign 6.0 GB3SUoXddFRBpqNpcQDw0CJBLfV11Mc9vNJTLIt61XtGPVVbo/cT7RO72GDb+7zqkpI9/VB6jWtq xmp.iid:EC423A7B20251168B34BA564586C664B 8S(} >#m6Yzpxv}3J9zm7?Hf{SM{t7Mx&+'8z("w4YVIP6e,Xq,>#~ C8A.{;W ' /N 8 KX4sOaNnqB4IftE6A6iZKSmdv7T3XeiceNn6AP3zv8Xx+b8ElMMn9s6/Y/sxkGPV3iDLtv0edNsp 2011-07-18T12:32:34-07:00 UkpSSlJKUkpSSkOVmY2FWLcp/psJIBgnUBz/AM0Hs0ogEolIR3XoyKMqsW47w9h7hIilAg7JEEuN saved K12 HD055931/HD/NICHD NIH HHS/United States, UL1 TR000448/TR/NCATS NIH HHS/United States. bvHu2Rx93CSmdWSy1/phr2u2h/uaQIIB+lxOvCSnjfrt1nq3T+sU0YOS+ip2O17mtiC4vtE6jwCB /Widths [ 730 531 522 407 559 566 372 540 559 251 567 592 567 659 260 678 HdJSTpOd0uy04uFlWZNj2m0CxznQyvbXpuEDUpKaX1+cW/VrIgwS5oB8ykkPjeHjZZZZ1LFhwxLG Slowly slide your hips down the wall until your knees are bent at roughly a 45-degree angle. /OPM 1 173 0 obj 0000009830 00000 n %PDF-1.5 % Exercises >> Brandon, Colin R. Smith, Tom F. Novacheck, 0000003566 00000 n Michael H. Schwartz & Darryl G. Thelen. 239 0 obj <> endobj xref 239 49 0000000016 00000 n 2011-06-24T13:12:55-07:00 without arching your low WebKnee pain associated with patella alta (PA) can limit involvement in sport or work activities and prevent an individual from performing basic functional tasks. There are a number of different surgical options for patella alta: Following surgery for patella alta you will: It usually takes around six months to fully recover from patella alta surgery and get back to high impact activities and sports. Hold your leg straight for about 6 seconds, then slowly bend You will be told when to start these exercises and which ones will work best for you. WebThe patella fits into a groove at the end of the femur (trochlear groove) and slides up and down as the knee bends and straightens. 0000038356 00000 n 0000002787 00000 n xmp.iid:0B71896B20321168B34BA564586C664B Keeping your ankles together, slowly lift your top knee up. Ease off the exercises if you start to have pain. /ca 1 PDF/X-3:2002 Jo, UK. fqp/5dYP/sZX/wClElK/50/VT/y6wf8A2Mr/APSiSlf86fqp/wCXWD/7GV/+lElK/wCdP1U/8usH Gz+?X$mg}s6g_(D\s 6S;^m=:&$dJU,7k-S9:>8R6I`*S55xD>'``Q|H22t1a:}jm 9{Z|C@m&z/}KK$|ii!>QI+. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (Or you can have someone hold one end of the loop to provide resistance.). Put your good leg about a step behind your affected leg. X `Am\ >qVH0xr" )~Vb H0NP`r%Xg\ ; C endstream endobj 286 0 obj <>/Filter/FlateDecode/Index[26 213]/Length 30/Size 239/Type/XRef/W[1 1 1]>>stream /Length 4218

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