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The anatomy and physiology of the knee paper
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The increase in participation in sports among children and adolescents has led to an increase in sports related injuries; therefore, increasing the use of physiotherapy and taping. Taping has been used by physical therapists to rehabilitate injuries and stabilize the patella. The purpose is to lessen the intensity of the pain or the likelihood of recurrent injuries on the knee post-injury; especially if the athlete chooses to continue their participation sports. In most studies, knee injuries result from organized sports at the high school, college, or professional level. Females are more inclined to seek the attention of a Doctor of Physical Therapy (DPT) than males post-knee injury or knee pain.
Individuals who experience anterior knee pain are more likely to seek care. Anterior knee pain and other knee issues have many causes. Muscle imbalances, poor running form, misaligned hips or poor posture, poor nutrition, overtraining, compensation for another injury, hyperextension, arthritis, and blunt trauma to ligaments are just a few of the most common causes of knee pain. Biomechanical causes of knee pain are poor mobility of the joints, torn or pathologic menisci, arthritis, plica, chondromalacia patellae or any other bone related problems. Common effective treatments for these conditions increasing circulation, providing support, reducing pressure, and maintaining range of motion.
Physical Therapists (PTs), or physiotherapists, provide services that aim to restore the patient to full mobility with little to no effort that have suffered from injuries or disease. PTs work closely with patients and clients to promote, restore, and maintain their overall health and wellness for fitness and more active lifestyles. Patients may i...
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...ll not against the cartilage using a special form of athletic tape, helps to decrease the amount of pain in patients with knee pain and knee injuries like ACL tears, PFPS and in patellofemoral osteoarthritis.
The purpose of this study is to determine if the risk and severity of knee injuries in female athletes will influence participation in sports and the likelihood that female athletes will pursue preventative measures. Although there are precautions that should be taken and exercises that can be done to lower the chances of suffering from tears and overuse and underuse injuries, there are no guarantees that female athletes will follow the instructions prescribed by a doctor. However, females that have previously suffered from injuries would take the precautions seriously in order to continue full participation, without restrictions, in their respective sports.
The incidence and prevalence rate of anterior cruciate ligament (ACL) injuries in female athletes continues to increase over time (Prodromos, Han, Rogowski, Joyce, & Shi, 2007). With the growing rate in the amount of young women participating in sports, data has shown that the rate of ACL injury increases linearly with this participation ("The Relationship Between Static Posture and ACL Injury in Female Athletes," 1996). This epidemic of ACL injuries in female athletes, young or old, continues to be problematic in the athletic world. This problem not only affects the athlete themselves, but also the coaches and the sports medicine community.
The anterior cruciate ligament (ACL) is one of the most important of your four major knee ligaments. The function of the ACL is to provide stability to the knee and minimize stress across the knee joint. It restrains excessive forward movement of the lower leg bone (the tibia) in relation to the thigh bone (the femur). It also limits rotational movements of the knee. “Greater external knee valgus and internal rotation moments have been shown to increase loading on the ACL in vitro and are thought to be associated with the increased risk of noncontact ACL injury” (Effects 2011). A tear to the anterior cruciate ligament results from overstretching of this ligament within the knee. It’s usually due to a sudden stop and twisting motion of the knee, or a “...
Tearing the ACL is now considered an epidemic in the United States over 100,000 recorded incidences are reported each year (Moeller). While such a finding may be good for orthopedic doctors and surgeons, this is not good for millions of athletes’ competing these days in high intensity sports. This is especially a problem for female athletes who are two to four times more likely to tear their ACL than men (Moeller). This is one of the biggest mysteries about ACL tears is the difference between the number of injuries seen in women and men. Women tend to tear there ACL far more frequently then men. While not everyone agrees that gender itself is the source of the problem, evidence is growing that females are learning too late that participating in sports can also become the first step to ruining an active lifestyle.
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
To understand the importance of the ACL, the knee as a whole must be examined. The knee is formed by the femur, the tibia, and the patella. Several muscles and ligaments control the motion of the knee and protect it from damage at the same time. Ligaments are dense structures of connective tissue that fasten bone to bone and stabilize the knee. Two ligaments on either side of the knee, called the medial and lateral collateral ligaments, stabilize the knee from side-to-side. The ACL along with the posterior cruciate ligament are of a pair of ligaments in the center of the knee joint that form a cross. T...
Kids are deciding by ages 9-10 they want to excel in one sport in order to win a college scholarship. Some are trading the fun and experience of diversifying between basketball, baseball, soccer, etc. for year-round football. As a result, overuse injuries are occurring at an alarming rate among these one-sport wonders.
A 16 year old, female high school soccer player, Lindsey Robinson tore her anterior cruciate ligament (ACL) from a soccer game. Interestingly, she was not the only one in her team who injured her ACL, but also several of her teammates have torn the same ligament as well during the soccer season. Lephart (2002) found that women involved in physical activity are more susceptible to acquire the ACL injuries than men who are involved in the same physical activity (as cited in Ogden, 2002). According to “ACL Injury Prevention” (2004), the numbers on female ACL ruptures have been increased for the past ten year. Over 1.4 million women have been suffered from the ACL rupture which is twice the rate of the previous decade. Therefore, female ACL injuries are now a growing problem in the nation (Anonymous, 2004). Back in 1950s and 1960s, female participation in sports was rare; therefore, the rate of injuries was very low. However, according to “ACL Injuries and Female Athletes” (n.d), as Title IX was implemented in 1972, female participation in numerous sports has dramatically increased. Moreover, the rate of acquiring injuries to the ACL also has dramatically increased (Anonymous, n.d). In terms of comparing the rate of acquiring ACL injuries between two genders, females have higher rate than males do. According to the “Physical Therapy Corner” (2007), “women suffered anterior cruciate ligament injuries more often than men, nearly 4 times as often in basketball, 3 times as often in gymnastics, and nearly 2 and a half times as often in soccer” (Knee Injuries section, para.1). There are various risk factors that contribute to the high rate of acquiring injuries to the ACL for female athletes. External factors such as improper sh...
The number of girls and women participating in all levels of sports has risen greatly in recent years, and the way they play has changed too. Women's sports used to be played by a slow defensive style. Today, the sports are played with speed, precision, and power. With these changes have come increased injuries, and female athletes have higher injury rates than men in many sports. Knee injuries have been rising in female sports. Anterior crutiate ligament (ACL) injuries have become the most common injury in the knee to female athletes. Females are four times more susceptible to injury then men.
The meniscus is one of the most commonly injured structures in the knee. Meniscal injuries can occur in any age group, but causes are somewhat different for each age group. In younger people, the meniscus is fairly tough and rubbery, and tears usually occur as a result of a fairly forceful twisting injury. In the younger age group, meniscal tears are more likely to be caused by athletic activity (Sutton, 1999).
Besides the mechanism of an injury, injuries can be distinguished by their severity. Injury severity can be defined by whether or not the athlete lost participation time (Yang et al., 2012). The National Athletic Injury/Illness Reporting Systems (NAIRS) better differentiates injury severity by classifying injuries as either time-loss (TL) or non-time-loss (NTL) injuries. Injuries that required an athlete to miss the next scheduled event/session were identified as TL injuries, while injuries that did not restrict an athlete’s ability to play we...
An estimated 50 million Americans have suffered or are suffering knee pain or injuries. Most of these pains, sprains, and strains could probably have been avoided with proper conditioning (Fox, 147). I have had knee pain since my freshmen year of high school and have finally taken the initiative to find some exercises that will help ease this pain, and build muscle strength in the surrounding areas to avoid another possible injury.
Paddock, Catharine. "Young Athletes: Injuries And Prevention." Medical News Today. MediLexicon International Ltd, 9 Aug. 2012. Web. 15 Nov. 2013.
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.
30-50% of all paediatric sports injuries occur from overuse. 49.5% of 394 children who went to a sports injury clinic were diagnosed with an overuse injury. These athletes lost 54% more time from training and competition compared to those with acute