QUADRICEPS FEMORAL REHABILITATION ASSOCIATED WITH PATELLAR PAIN IN SPORTS ACTIVITY

Abstract

Rehabilitation of the quadriceps femoris associated with patellar pain in sporting activity is a debilitating condition for the sportsman in both the primary and secondary inflammatory phases. Aim of the study: Rehabilitation of the quadriceps femoris associated with patellar pain in sporting activity, the importance of the recovery phase in improving the time to return to playing sport. Twelve patients (24 knees) with a history of patella dislocation and / or subluxation and continuing patella symptoms were evaluated to determine the effectiveness of their rehabilitation programs. The relative muscular effort of the vastus medialis, the vastus lateralis, the vastus medialis oblique and the rectus femoris were evaluated in a series of exercises. Ten degrees of knee flexion reduced effective muscle strain. The quad set and straight leg lifting exercises in full knee extension offer the best quadriceps rehabilitation program in the sportsman with patellar misalignment syndrome and persistent symptoms. It has long been recognized that the highest torque of the knee extensor muscles in healthy males occurs with the knee at a 60 ° angle during a maximal isometric contraction. However, the mechanical and compressive forces across the patellar and femoral joint surfaces are maximized by flexed knee programs aggravating the main problem patellar pain both in the carious phase and in the load-extension phase