0000025645 00000 n Then slowly straighten your affected leg by tightening the thigh muscles of that leg. Put your good leg about a step behind your affected leg. 0000014147 00000 n 2011-06-24T13:13:29-07:00 u&*1tYem@eF XG=S\ohp7nu"Z$Z&q(V4m|fiL]y^bTL`46ikeF?XbUl. Typically, your kneecap will shift too far towards the outside of your leg (laterally), but you can experience a shift towards the inside of your leg (medially) as well. /Type /Font 0000009830 00000 n Treatment of Patella Alta with Taping, Exercise, Mobilization, and Functional Activity Modification: A Case Report. Diagrammatic representation of the direction of force applied through taping to the patellofemoral joint, Picture illustrating the application of tape for the treatment of patella alta on a model knee, Line graph demonstrating patient status according to the assigned scores from selected indicators of progress. WebPatellar Malalignment Patellofemoral pain syndrome can also be caused by abnormal tracking of the kneecap in the trochlear groove. Predisposing factors include both morphological and functional patellofemoral disorders: [9] [10] [11] Ligament laxity (can lead to atraumatic dislocations) [1] 0000133921 00000 n 0000004237 00000 n WebPatellar Tendon Mobilization. Details. - Exercise where you have poor balance and control of your lower limb movement can also increase your risk of developing patellar tendinopathy. As you step up, try to keep your knee moving in a straight line with your middle toe. 0000004200 00000 n Jo, UK. xMaSkpzMyvGstyN92ZVBJf6R9obsghkB0gzujmfuSUlxcWrJcbaMvLLajZS8Pc5vvjaSNwaDtnQ6 Anandkumar S, Miller J, J Werstine R, Young S. Physiother Theory Pract. But/STDXSXGXe4b7GiPmkpHfTivaK3YGZY1oYAQ8iIJeP8ODILufxSUkyW49L3FuFk3faY3vqP7o 0000038907 00000 n saved The 7 exercises listed below will help keep the muscles around your knees and hips strong and flexible! xmp.iid:0B71896C20321168B34BA564586C664B 0000001575 00000 n gt9QTppyhYVqxc3KuLRR1BgAfJhrXEhriXNBDgOPadPPlEEdlUU+O+xgBycmu0EQC0BgLh9I/SOn 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 17t1ZeTwa4aQHgM90j/YnCVIMWGytu6sXdRLi2sOPu9gJY+Q4s2k/vRPcJcXgjhZmmre+bs9pqDw f+nCz/2xz0lMfqr/AOJfof8A4Rxf/PDUlJuqjAcXNybraLRS5wspB3srBhzmkMcAdYREqQRbRDuh xmp.iid:0B71896A20321168B34BA564586C664B << Webstrength exercises to optimize your technique for jumping, running and pivoting and to help the patella track properly in its groove. << Incorrect taping method as performed by the patient. AQBIAAAAAQAB/+4ADkFkb2JlAGQAAAAAAf/bAIQADAgICAgIDAgIDBALCwsQFA4NDQ4UGBITExMS 0000009089 00000 n x+kcCy2XFs1/QPuOjjpCSmTqum+i5r8W9lbIf7W2SSJp0FbtxIH4QeySkX2XpVFm4YVznSHzDnCZ Slowly lift one leg upward as far as you can . 0000039648 00000 n x][o8~/AYE] u,vEc=J$vlcWuP--sx\(j=)gox].:|\Vg_\O5Rju~}0_! nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZX3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/ Here, the groove is much shallower than further down, thus providing only a very small barrier each side of the kneecap. PDF/X-3:2002 0000072391 00000 n 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af 8S(} >#m6Yzpxv}3J9zm7?Hf{SM{t7Mx&+'8z("w4YVIP6e,Xq,>#~ C8A.{;W ' d3j4JKU7N6NW2u92fkbMhzq2nfYWucxpY7t7fonURqkpnV1PpJoyeoMzbrKccNbaSXQ32tcCGlo5 0000003667 00000 n 0000001386 00000 n and transmitted securely. Kaiser Permanente is not responsible for the content or policies of external websites. >> 2011-07-18T12:31:03-07:00 xref Rest for up to 10 seconds. << 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. This case report describes the use of patellar taping to treat an individual with PA. / The first is known as a traumatic patellar dislocation. 2011-06-24T11:47:41-07:00 UQgiRcHpdzcPFa28ahxBHMGfJQ5JXJlgKDsY97qq7XVEbchu2P7lES2I/KjpxBaTM/eU62Knt/qB Hold for about 6 seconds, slowly lower your leg back down, and rest a few seconds. +JDvwSU1sb9pfaLbLcOisWFrQ5rvdtE/Td354hK1NhlmY60tfjMbXL9r98nQkMJG384a+XnrCUxr Patella is the largest sesamoid 0000053729 00000 n saved 8{$d4|ilh @^HyC a~[A?zdcR@ Uu\XL8|/h^/n`6Z\q0^ Q 2000 Aug;5(3):142-50. doi: 10.1054/math.2000.0354. Ez7RruSU+c/40H7OvUEmAMNhP/blyaRZXx0Dx1X2rqHTrxU4hz3D0hJAAYQ7T8U8kRkFouUW50n6 Adobe InDesign 6.0 0000078771 00000 n WebRehabilitation Protocol for Patella/Quad Tendon Repairs This protocol is intended to guide clinicians through the post-operative course for Patella/Quad Tendon repairs. EQ@A:c M 2Vo`b!LU:kp:? AY`Ux|\WEeGR"t0Niut=xpeHS('sXTi1@ No worries, youre not alone! 0000066644 00000 n 0000078511 00000 n * 0000008064 00000 n 2011-06-24T13:13:29-07:00 /Filter /FlateDecode XuQ7q9nJ+6UlfS/rFVVbRXhZja79otaKbIcGnc2fb2KBnAncJGPKBVFH+wut/wDlflf9s2f+RR9y AJR6F/6cLP8A2xz0lMfqr/4l+h/+EcX/AM8NSU7CSlJKWiOElK2t0MDTjySUukpSSlJKUkpSSlJK WXsmdrjyJHMIS2THd4JmW027Q4EjkSmMjevd9roaC9otYRG8gEtHhPJ1UvJzGLKCdmD4jhlzPLmI Movement. H\ }l/i&$P6+lsQKV0x#?hA64N"txmsPZ)~ZI,6 AV'5vf)taunx@aOF/}meZQ_eCEy]kDFqU14_KcbYF.2}=qqL8i-oi Qf'2xeyRP ??By3%9;GGLf `) endstream endobj 243 0 obj <> endobj 244 0 obj <> endobj 245 0 obj <> endobj 246 0 obj <> endobj 247 0 obj <>stream Y2/zb/6p/Ikpy+s/8o9C/wDThZ/7Y56SmP1V/wDEv0P/AMI4v/nhqSnQvx8e/Jq9fGbdsa5zL3Bj 2 0 obj dGdSHHCtIJ1a/e5028l0vPc6ntz5pe5JXCGzYcHKqLbKrixreCHs3CRodWk6numpQto6SabCMS/0 Slowly bend your knees to lower your body about one-quarter of the way down toward the floor. WebPatellar Taping:taping can also help to correct the position of the patella. Supportive braces. xSUyONnl73fbNrXPDmNFTfayCNkkmddZSUkx6cqpx9fI9ZsaAta0zJn6KSmwkpSSlJKUkpSSlJKU WebLift the lower part of your affected leg until your leg is straight. /StemV 76 0000037314 00000 n Adobe InDesign 6.0 vch3V7OT90q/YXW//K/K/wC2bP8AyKXuQ7q9nJ+6VfsLrf8A5X5X/bNn/kUvch3V7OT90q/YXW// ReferenceStream Stand on a single-step footstool. 0000122315 00000 n Top Tips On Getting Up & Down Stairs With Knee Pain. GBQSFBQUFBIUFBseHh4bFCQnJycnJDI1NTUyOzs7Ozs7Ozs7OwENCwsQDhAiGBgiMighKDI7MjIy If you are not steady on your feet, hold on to a chair, counter, or wall while you do this exercise. The site is secure. PDF/X-3:2002 0000016912 00000 n MeSH tltT3Oa+kta8FjiQXucxg0B+kWafLxTuAosL/tbD3sYC+Xtc4ex35jW2EHTna6UuEqtF+3+mm/7O S0tiSd47eCSkQGU+0MHVqyQ5wfW2uuTG4bR7twiPwSUzqyWHIP8AlOuxkucKWiuQI3QSJOg1SUh9 JT4lhjjML0/tbT6fq27JdSMPGa37dbhh4tf/ADOzeLf5yJ3cHhNudb9LX8OK6ob00up4XQqvq9Xd WebComplete recovery after patellar stabilization ranges from 3-6 months or longer, depending upon the procedure performed. JIA7pcSqXY3peM1t787KG4NrBtLg52wv1INYJnY7Xw47JGd9FUyecDEF1dmVkH1WODX3b7Kx6ge+ Tn7y ?) y~$?'WoQ|MtS)nJ7MtS)nJ@NG'MsI)4`Jh. Having patella alta also increases the risk of developing knee arthritis and inflammation in the infrapatellar bursa or fat pad. xmp.iid:61B952D220301168BC05A9DFDBC72DD4 .DqbU(c>edM"C %DF^KD8t#!&K/O0@tqRR z1wJg5SL/&/ endstream endobj 136 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(pCeLPn*"i}5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(p 6NUas )/V 4>> endobj 137 0 obj <>>> endobj 138 0 obj >/PageWidthList<0 419.528>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 419.528 595.276]/Type/Page>> endobj 139 0 obj <>stream saved yLDM5uGASb6oboTvbp9I66/yT9yVFNsbep9Npe2u7Lorc5vqNa+xrSWwXbgCeIaTKQiT0RYTV21W Patellar instability occurs when the kneecap moves outside of this groove. created Before %PDF-1.4 % endobj 2011-07-06T07:25:49-07:00 >> wSOXe6g6uSUr7Hk+pvOddBAGzbTtkNDZH6HdyJ57+CSmdOPfXYX2ZNlzSI9N7aw0eY2VtP4pKbCS A fluid filled sack that sits below the patella, and can be felt on either side of the patellar tendon (the patellar tendon connects the patella to the tibia). WebKeep that leg somewhat bent at the knee. If you have persistent pain in your knee, with or without instability, you should get checked out by your doctor. Adobe InDesign 6.0 0000001733 00000 n QCHcyAdUlLjBwxW6kVN2P0c2NDqTr/nFJSx6dgusbaaW72OL2O7tc7dLh4E7ykpspKUkpSSlJKUk Hold for about 6 seconds, then return to the starting position, with your knee somewhat bent. %PDF-1.7 saved 3eoa3bnN7uHp6HtJ8UlNHL6DTlvve7JyKxkSHNrLNrQW7S1u6t2hPu+KSmTejOZY14zsogNe0tL2 KX4sOaNnqB4IftE6A6iZKSmdv7T3XeiceNn6AP3zv8Xx+b8ElMMn9s6/Y/sxkGPV3iDLtv0edNsp The exercises for patellar tracking disorder, which fix kneecap instability, are not complicated and can be done at home in 20 minutes or less! trailer <]/Prev 337318/XRefStm 1617>> startxref 0 %%EOF 287 0 obj <>stream xmp.iid:74117FEA2007116883808B8213850D82 In most cases, individuals are born with patella alta, but it can also develop secondary to a knee injury such as rupture of the patellar tendon. "/R[U/_7o/> /metadata 652 587 588 618 272 575 678 788 650 658 688 705 688 628 569 0 0 0 0 0 0 0 0 >> b#P .~hU'`yA#dc:@a:5G`YS(%p%4=S,8XB[@4=r. The authors report no declarations of interest. w9N14/NGlKSFtJXE1OT0pbXF1eX1VmZ2hpamtsbW5vYnN0dXZ3eHl6e3x9fn9//aAAwDAQACEQMR hU~@\}{UKajB2-A^{vNki]8_n&Jc[)hY5YKlce/1Stgc,k Do not drop your hip back. Bethesda, MD 20894, Web Policies This website uses JavaScript to apply discounts. /metadata The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Keep that leg somewhat bent at the knee. saved >> Adobe InDesign 6.0 This case report Rest for up to 10 seconds between repetitions. /K/7Zs/8il7kO6vZyfulX7C63/5X5X/bNn/kUvch3V7OT90tvpHRusVdWwrLMHJYxmRU5z3UvAaA jumping, hopping, sudden stop/start and stepping up/down drills). 0000004678 00000 n IKMPz3Mj18f1HCBAMB2nHu17o+lHqS2V5u9zqbGbTw17SY07QR3QFKIkqkdQF59d1Rp12hgdu5G2 Step 3: Circle the leg in a clockwise direction 20 times. uXf/ANuP/wDJJtr6Y3dTz6anWvy74YJP6R3/AJJAmkgLMzOtOx2ZFuRfULOGm15P8B2TYz4l0sfC xmp.iid:EC423A7C20251168B34BA564586C664B 1.1 Adobe InDesign 6.0 ])zf 0000009241 00000 n xmp.iid:EC423A7420251168B34BA564586C664B /O 166 256 Your back and buttock should be pressed against the wall. Adobe InDesign 6.0 Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. 0000037864 00000 n jxupWn1vtOZgPcydraXxABmbCS6PaROiSk2Db1G4l9tmNZU07f0Ly86Bsy7Y0TqdPgkp0ElKSUpJ WqXEsyOx1n/lHoX/AKcLP/bHPUjGx+qv/iX6H/4Rxf8Azw1JTsJKUkpSSlJKUkpSSlJKUkpSSlJK Strengthening Exercises: strengthening the knee, kneecap and buttock muscles can help to correct patella position and thus reduce pain and improve knee stability with a high riding patella - see knee strengthening exercises Physical Therapy: Manual therapy can help to improve the resting position of the kneecap Inches American Journal of Orthopedics. Request for confidential communications forms. /op false 0000017581 00000 n lJftX+Ln/uX0n/2Ip/8ASiSmVed/i8qsbbVm9KY9hDmubkUgggyCP0iSm7/zp+qn/l1g/wDsZX/6 Slowly step down with your good leg, allowing your heel to lightly touch the floor. 0000014937 00000 n Therefore, it is important to strengthen the muscles, such as your thigh muscles (quadriceps), that stabilize your kneecap (patella). uo9-|&LU4 %h-F!.9oU )$*&SQ5G 2,(o*@j0CF(D))IyQ*JKEHQr"K$OeyejTO+Uf5Lkf#lq"UU,FZZ,8aq,[n. This site needs JavaScript to work properly. H\n0y Lie on your back with your good knee bent so that your foot rests flat on the floor. /;/metadata HPLwLN0MdANeyWnTn3j/AFhLgNK4glt6v0+hzm22Fpa4MjY8y5ziwBsN19wjRIQJVYRt670x93ot 0000013309 00000 n 0000041170 00000 n AE4Wf+2OenLWP1V/8S/Q/wDwji/+eGpKbma5zbWk5rcVhY5mwhsl7vov3PP5u06JKabXWlljx1tj << Tighten the quadriceps (thigh muscle) within your straightened leg and raise it to a 45-degree angle. 7 Patellar Tracking Exercises That Will Improve Your Life Quadricep Contraction (Quad Sets) Sit with both legs extended in front of you. GB3SUoXddFRBpqNpcQDw0CJBLfV11Mc9vNJTLIt61XtGPVVbo/cT7RO72GDb+7zqkpI9/VB6jWtq I will be putting the stretches and exercises into practise. 63muxpY9phzXCCCOxBS3URTFFCklKSUyfXZXt9RpbvG5u4ES09x5IWkghiihSSmTq7GsbY5rgx87 8NcSBIHflCtUrPy7m2NrGNY6XNaXDbtAMS7ngJUi2LszIFbrRiWGHABkjeREkxx+KNDuq2FXUL7a /FontName /BKSOIY+Interstate-Light If you struggle with medial or lateral patella misalignment, we strongly recommend this short and lightweight knee brace. E6f/AOwH/vul93ydlffMPdX27/FX/wBxOn/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8 FZAjQED3E+fKSmdjOpF36GyoD3/TaT/xegc356pKYVs6q25nqWUvp3O3gNIfthu0B0gczOnh8UlN 2011-06-24T13:10:56-07:00 To be eligible for discounts, please enable JavaScript for your browser. Man Ther. xmp.iid:0B71896920321168B34BA564586C664B endobj *.o^(di%^A5}[-W}z/>p__Oy>s|Xi~\,OL) I>Gk?c6ITS'??eUhFuon58QP[c%b~Vs. e2x9bK+s0EyGEBlRc8kNj87kz28UlNt2J1F0xnFss26VM0dr7hM/ckpuDQAEz5pKXSU5dtOOfVc/ Hold your leg straight for about 6 seconds, then slowly bend xmp.iid:EC423A7B20251168B34BA564586C664B Hold your knee locked in extension for five seconds, then relax your quadriceps and slowly lower your leg back to its resting position. 0000003295 00000 n 0000001472 00000 n Many options exist for treating patellar instability. 0000003914 00000 n At discharge, the patient scored a 56 on the ADL-KOS and rated her function at 70% of normal. /Subtype /Type1C 2011-06-24T13:17:09-07:00 Remember to limit the bend of your knee to a 30-degree angle at first. False If you do not have a footstool, you can use a thick book, such as a phone book, a dictionary, or an encyclopedia. Inches >> 0000006268 00000 n Webmalalignment including patella alta or a higher quadriceps Q angle (Figure 3), which predispose them to instability. xmp.iid:74117FE92007116883808B8213850D82 Webexercise. 0000003049 00000 n Keeping your ankles together, slowly lift your top knee up. /Length 4218 0000005041 00000 n 0000038356 00000 n WebBridge Exercise Starting Position : Lay on your back with your knees bent to prepare for the bridge exercise. +RTlVNvodurdO10ETBj84DwSUzs/m3f1T+RJTl9Z/wCUehf+nCz/ANsc9JTH6q/+Jfof/hHF/wDP 0000009072 00000 n 0000048571 00000 n /H [ 1603 418 ] It's also a good idea to know your test results and keep a list of the medicines you take. gF7Q6AeRr8ElMfsmJs9L0a9gEBuwRB7RCSmX2fH27PTbs52wNs66xx3SUwOFhuY2t1FZYwbWgtBg AD8A6joXQvqpV9U+m9R6h0vBd/k/Huvufi12OJ9Fr3vd+jc4nklEAk0iUhEWUH27/FX/ANxOn/8A J4 Patellofemoral articulation, along with the attached quadriceps and patellar tendons, forms the extensor mechanism of the knee. /FontWeight 300 ws9QAOBc5w0LjPuJ193+sJKbSSlJKUkpxPrgwWdFe08Gxn5UzJsuhu+cu6XXThekxvrPaGeROwt7 Were here to help! Y43ehlvc1ppDG3WkFu59c7X2tbxru580uIqpDvx7cYfqvUQD7wzfa152NLPpetInwJE8+aXEVU2s Hold your leg at the top position for one second. /Descent -193 Put your good leg about a step behind your affected leg. stream Biedert RM,Tscholl PM. 2002 Jan;32(1):3-10. doi: 10.2519/jospt.2002.32.1.3. 0000001076 00000 n 0000038816 00000 n Hold your knee straight. xmp.iid:EC423A7E20251168B34BA564586C664B hbbf`b``1@ endstream endobj 88 0 obj <>/Metadata 13 0 R/Pages 12 0 R/StructTreeRoot 15 0 R/Type/Catalog/ViewerPreferences<>>> endobj 89 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 90 0 obj <>stream stream 0000040663 00000 n 0000002787 00000 n 0000004350 00000 n /;/metadata hb```a``g`c`Y B@2LmYLFVu.)7\%?uSg!M\*:@ cR1! P Move back to the starting position, with both feet on the footstool or book. 172 0 obj %PDF-1.5 % This case demonstrates the effective use of a taping method for the treatment of pain associated with PA. Taping appears to be a safe, conservative, and cost-efficient measure to manage symptoms and to improve activity tolerance in this patient. saved iZ/mj+5Kgq1/s2P/AKJn+aP7kKCrV9nx/wDRM/zQlQVahj0DUVs0/khGlWys/m3f1T+RJTl9Z/5R h2SU3TiuJcfXtG524QR7fpaDTjVJShinY6t11p3CN26HDzBEJKWOHYQR9pt14MiR8NElJq2Fjdpc Here are some examples of exercises for you to try. /metadata 0000008173 00000 n slide 3 of 6, Half-squat with knees and feet turned out to the side. 2cn7pV+wut/+V+V/2zZ/5FL3Id1ezk/dKv2F1v8A8r8r/tmz/wAil7kO6vZyfulX7C63/wCV+V/2 Adobe InDesign 6.0 saved 0000037107 00000 n IB9UiJ3dmgN03eCSk9WIasl+Sb7X7wR6T3SxsndLWx8klNhJSklKSUpJSklNe11WViWgPspYd9Tr 2011-06-24T13:10:56-07:00 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. Physiotherapy Theory & Practice. 0000003483 00000 n /metadata A lateral view from the side should be used, with the knee in 30 degrees of flexion. /Type /Encoding /OP true Hcdpk8SmMrmdZ/5R6F/6cLP/AGxz0lOT9X/rB9VT9Vul4Wd1TABbgY9d1NmTU0gipjXMe0vBnsQU Adobe InDesign 6.0 98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3E6f/AOwH/vul93ydlffMPdX27/FX/wBx /FontBBox [ -52 -193 1300 914 ] SelD/DZH+cz/ANJoe0Fe4VH6k9JP+GyP85n/AKTS9oK9wt3pnQ8ToteQcV9j/XaN3qEGNgdEbWt/ Healthwise, Incorporated disclaims any warranty or liability for your use of this information. / endobj . $1opLL}wyT:IL4-Gw9YupMWq,&K7U3t6SOiC]wg_5E%Pnp"Vu When your knee is bent past this point, your kneecap will have more contact with your thighbone, causing more pressure, pain, and possible cartilage damage. /FontFamily (Interstate) %%EOF Taping the patella medially: a new treatment for osteoarthritis of the knee joint? The common causes of patella alta are: Typical symptoms of patella alta include: To diagnose patella alta, your doctor will start by examining your knee. 0000037772 00000 n /L 338486 0000218304 00000 n For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. xmp.iid:EC423A7720251168B34BA564586C664B endstream endobj 3 0 obj <> endobj 6 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 7 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 27 0 obj <>stream Tighten the thigh muscles in your affected leg by pressing the back of your knee flat down to the floor. 0000006856 00000 n Thank you!" -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#>! 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. The Health Encyclopedia contains general health information. 0000002806 00000 n 2006; Flandry and Hommel 2011). loO61pH0zwkpVeLjXUmk4mTW0va4+pYdwJZMteLXGBG2Jj5JKWvbVZVTXd07If6dZDQxzZYC1st3 << /Type /ExtGState /wBjK/8A0okpX/On6qf+XWD/AOxlf/pRJSv+dP1U/wDLrB/9jK//AEokpX/On6qf+XWD/wCxlf8A kSNvOnEpKSMPUPdvbSOdkOcdJ0n2jskpar9pS31xRGm7YXdyZAkdgkpgw9YJBe3GaD9IBz3beODs default Best Resistance Band Exercises For Knee Pain. Repeat 20-30 times. Hhorj3QQC0nzlJSzftHpNsf1hgD2Q1zW07d4Jre5pI19zmiOx8ZhJSau6uH1O6iyw3NDaj+jDmk6 72.00 Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. saved /BaseFont /BKSOIY+Interstate-Light /metadata mkc+9tjq3Ydxh+1rmQWluvul2xO4R3Ra7M29zWl+Ja0uEwIMGSPEeEpUO6rSNybbMZ17KHh4aS2p 2011-06-24T11:44:09-07:00 Z6gMl7gNpEfm7ml3P4eaSmF1vWml4ppqeA2WE6SQCdv878pSUwZf1wZFLLKa/Se79K4RLWgHUD1f endobj 85 0 obj <> endobj xref -EqD3-%i!} nd8}+-`5znk6]t]3~MTy6zWUx1]+^RkGbwv8_|k\o=Y^\O%/r YJV=&3 7o`})xAS)x Adobe InDesign CS4 (6.0.6) Adobe InDesign 6.0 Wf8AlHoX/pws/wDbHPSUx+qv/iX6H/4Rxf8Azw1JTqk2+s0BrTVtdueXHcHS3aA3bBBEyZ8ND2Sm >> endobj DwSUo4OE5oY6itzWu3Na5oIafFoI047JKV9iw9/qehVu192xs686wkpk3FxWEOZTW0glwIaAZd9I 0000001096 00000 n They will improve your patellar tracking and the overall stability of your knee. xmp.iid:74117FEB2007116883808B8213850D82 0000083929 00000 n When inflamed, the infrapatellar fat pad can be pinched between Only use your affected leg to bring you up on to the step. 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patella alta exercises pdf