Knees

Diagnosis:

1. ACL (stops bone from moving forward) anterior cruciate ligament

• injuries caused by planting foot and twisting knee (unstable)
• lockmans test-secure femur & pull forward (25deg)
• anterior draw test (90deg) palpate joint

1. meniscus tear test (cartledge)

• Thesaly test: hold wall stand on one leg and twist (pain?)
• pain along joint line
• is there full extension?
• does it "click into place"?
• prone, bend knee & push through hell as you turn it

1. innervation

• straight leg lift -ostrasana or supine
• leg straightening in dandasana
• leg straightening sitting
• bridge
• prone knee bend (flexion)
• bow pulling (flexion)

2. lunging

• chair lift/block
• skandasana
• weight transfer

3. squats

• with chair (up to 60 deg)
• with block support

Meniscus rehab?

1. isometrics (creating tension without contraction) -maintained
2. side leg lifts/outer and inner
3. isotonic: creating contraction through movement

Arthritis of the knee

1. mulligan technique ---helps tibia turn inward with flexion (lunging on a chair)-no pain (flexion)
2. mckenzie technique ---straighten leg/pressure on and pressure off (thai technique) (extension)
3. strengthening
1. straight leg raises (isometric)
2. straight leg raises with external rotation (isometric)
3. setu bandha on a chair (starting with isometrics)
4. shallow squats