/Size 214 /ca 1 /OPM 1 YIqcBp7TEfBJTmdZ/wCUehf+nCz/ANsc9JTH6q/+Jfof/hHF/wDPDUlOqXuFraxW4tc1zjbLdrSC . $1opLL}wyT:IL4-Gw9YupMWq,&K7U3t6SOiC]wg_5E%Pnp"Vu /K;M]2b; f tE2Nk4v}g T#ne,V|R4@ts]*6+-3C,pmh_Q $BeyM;t3{] a6GM1#J$OTsa* Hcdpk8SmMrmdZ/5R6F/6cLP/AGxz0lOT9X/rB9VT9Vul4Wd1TABbgY9d1NmTU0gipjXMe0vBnsQU 0000005303 00000 n See this image and copyright information in PMC. tcXV5fVWZnaGlqa2xtbm9jdHV2d3h5ent8fX5/cRAAICAQIEBAMEBQYHBwYCOwEAAhEDITESBEFR WebPatellar Taping:taping can also help to correct the position of the patella. slide 3 of 6, Half-squat with knees and feet turned out to the side. 0000009241 00000 n 0000004778 00000 n 2011-06-24T13:14:58-07:00 72.00 Keep the back of your knee on the foam roll or towel. Setup. Attach one end of the loop to a secure object, or shut a door on it to hold it in place. Correcting inward movement of the knee during squatting is a primary goal. << WebRehabilitation Protocol for Patella/Quad Tendon Repairs This protocol is intended to guide clinicians through the post-operative course for Patella/Quad Tendon repairs. 0000001076 00000 n wPIeGNBDLA5+SyNx7hrpPYBCcpxA3TjhjkToN6/lq57vsmT1Lold7W5NQwa22V+o1gJBuO0uc9gB Claire, US, "Your website is a gold mine, thank you very much." 2011-06-24T13:04:42-07:00 The patella, or kneecap, is a small, inverted (upside down) triangular bone that sits at the front of the knee. Your heels should remain on the floor at all times. The right PT exercise program for 0000002942 00000 n STHEykapQ4r1bKC5SSlJKUkpSSlJKUkpSSlJKUkpSSmrndPxuotrZlN3sqf6m3sTtc3X/ORjIhbK IKMPz3Mj18f1HCBAMB2nHu17o+lHqS2V5u9zqbGbTw17SY07QR3QFKIkqkdQF59d1Rp12hgdu5G2 Lie on your back with your knees bent over a foam roll or large rolled-up towel and your heels on the floor. EQ@A:c M 2Vo`b!LU:kp:? AY`Ux|\WEeGR"t0Niut=xpeHS('sXTi1@ The effects of patellar taping on knee kinetics, kinematics, and vastus lateralis muscle activity during stair ambulation in individuals with patellofemoral pain. 0000066644 00000 n [5] [6] It often results from a non-contact injury to the knee. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. tn9H6oeGksLQ99bjIHDXM1J0S4JUriDcuuZRWbbD7REka86JqUR6jhDZNkeoXNbodXNIaW8cy6IS The focus of treatment was to decrease pain during functional activities by using tape to correct patella alignment. Keeping your back straight, step up with your affected leg. 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af 0000002806 00000 n 0000049429 00000 n Xaky7nUykpmkpSSlJKUkpSSlJKUkpSSlJKUkpyfrPbdV0lz6HurfvYNzHFpifEIHZMd3kG53Uv8A The open patella design of this brace improves its flexibility and keeps pressure off your sore kneecap. 0000004664 00000 n 87 0 obj <> endobj xref 0000048925 00000 n FZAjQED3E+fKSmdjOpF36GyoD3/TaT/xegc356pKYVs6q25nqWUvp3O3gNIfthu0B0gczOnh8UlN 4fxX+yfVu39BbXTSyn9nvdeyx25/rbRkA+8iAPAacpcUx+KjDEdK7NjNb0trcevIpxS3Exs6xuNX ReferenceStream An official website of the United States government. xmp.iid:0B71896C20321168B34BA564586C664B Start each exercise slowly. Alu1v2DjMpNFD3Us9f7Q0Nj2u2enAnt3TuMrfaAGjAfV7Ha0MFhIa5pG4A+1hYWM0gbRsHCXuFHs 0000003295 00000 n The .gov means its official. /metadata /CA 1 b#P .~hU'`yA#dc:@a:5G`YS(%p%4=S,8XB[@4=r. /N 8 0000040391 00000 n HHS Vulnerability Disclosure, Help Begin by lying on your stomach with both legs stretched straight behind you. /ID [<443d2f177b4ada677ab4e36944422e70><443d2f177b4ada677ab4e36944422e70>] STIsqotunGzX79C6p1jgdN3sHqe36A4jlJSmMxm1gfZ80+toGusteRtfIMm12zx5Gn3JKRlmG1u5 /Length 327 WebEleven studies used patellar tendon length and found it was increased (>52 mm to >56 mm). gt9QTppyhYVqxc3KuLRR1BgAfJhrXEhriXNBDgOPadPPlEEdlUU+O+xgBycmu0EQC0BgLh9I/SOn If youre worried about your kneecap subluxing or dislocating again, try wearing a knee brace throughout the day and while exercising to prevent maltracking of your kneecap. LDusBaCHEay7TVJS/wBmxoI9JkE7iNo5JJnjxKSl6MejFr9LHY2pkl21ogAuMmAkpIkpSSlJKUkp saved 0000001797 00000 n November 2016, 2. WebPatellar Tendon Mobilization. 0000002721 00000 n 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. xmp.iid:74117FE92007116883808B8213850D82 WebLift the lower part of your affected leg until your leg is straight. Adobe InDesign 6.0 xmp.iid:EC423A7720251168B34BA564586C664B Patella Alta, aka high riding patella, is where the kneecap sits higher than normal on the thigh bone. KdG+i61wdXk2UDa5u1grIJPDvexxkduySkQwcsOn9oZB0iC2iOZ7UD4f7UlLvw8pxBbn3sgNBDW0 /FontDescriptor 173 0 R 0000004350 00000 n Ice Packs:regularly applying ice packs can help reduce pain and inflammation with symptomatic patella alta - Rest for up to 10 seconds. /K/7Zs/8il7kO6vZyfulX7C63/5X5X/bNn/kUvch3V7OT90tvpHRusVdWwrLMHJYxmRU5z3UvAaA 8nGJ/wCmav8A9tU/F84Y8/8ANy8ny1abiKSUpJSklKSUpJTN9VtYBsY5gd9EuBE/CULBSYkMEUMq endobj There are a number of different methods used to diagnose patella alta. 0000039340 00000 n However, you should begin exercising once your symptoms resolve and youre cleared to exercise by your doctor or physical therapist. 256 In addition to your exercise program, many doctors will recommend using a brace or taping technique to keep your kneecap in proper alignment. u8UbKZxc/c4ubsbY/czds3F7hft8Pzj3jWUlMb68T7S6q3Hz3G0kOe2y70/00T9G0NEF0CPo9ohJ PDF/X-3:2002 It should not substitute or delay medical advice, diagnosis or treatment. 0000009508 00000 n 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). /StructParents 0 WebPATELLAR TENDONITIS Home Exercises Patellar Tendonitis is an overuse injury that causes inflammation of the tendon in front of the knee. Clipboard, Search History, and several other advanced features are temporarily unavailable. WebPatellar Malalignment Patellofemoral pain syndrome can also be caused by abnormal tracking of the kneecap in the trochlear groove. xmp.iid:0B71896720321168B34BA564586C664B /;/metadata Adobe InDesign 6.0 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 << /Type /Font iMY+41Uube17N3quj1mvByS8/D0hHinQlMz1Y8kMYxWP5fj+xxeif8tYH/hqn/z41S5PkPkwYf5y You may benefit from a physical therapy (PT) program if you have torn your patellar tendon. HW[oH~aa'sHR8mi/+B0%&I=v.uX`{.|s.3>n-zjpO[tvv>r) ^dpI8 0000002423 00000 n Movement. pw;xkfM`MM`MM`MoEXDXDX9O'fFS#}0#{37#{37,gxCytCH?go6'8|5e~ endstream endobj 92 0 obj <>stream Tighten your thigh muscles, and then lift your leg straight up away from the floor. /metadata As you step up, try to keep your knee moving in a straight line with your middle toe. 0000036819 00000 n 1 0 obj endobj 0000003914 00000 n The first is known as a traumatic patellar dislocation. Repeat 8 to 12 times, at least 3 times a day. Then slowly straighten your affected leg by tightening the thigh muscles of that leg. 0000014937 00000 n 0000008388 00000 n xmp.did:D4656DF2201B1168B34BA564586C664B 63muxpY9phzXCCCOxBS3URTFFCklKSUyfXZXt9RpbvG5u4ES09x5IWkghiihSSmTq7GsbY5rgx87 This site needs JavaScript to work properly. 2011-06-24T11:47:41-07:00 Verify here, This is one of the best self-help & info sites of any medical condition I've ever seen. 2011-06-24T13:13:29-07:00 0000048571 00000 n Knee pain associated with patella alta (PA) can limit involvement in sport or work activities and prevent an individual from performing basic functional tasks. 0000014165 00000 n Gavril, Denmark, "I LOVE your website. The advice and information contained in this website is not intended as a substitute for medical counseling. H\j0Fz The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). >> It is also important to listen to your body. 0000007500 00000 n E+SivVk6Nm3peNaGva0MsY4OaQNAR2QtLbfiVkte5wfthoA+A17IkCtEmRLPGYfttBkEB7PwcE0b On/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZ Epub 2018 Jan 24. 0000017313 00000 n nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZX3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/ 0000002882 00000 n 0000003224 00000 n hU~@\}{UKajB2-A^{vNki]8_n&Jc[)hY5YKlce/1Stgc,k 164 0 obj 0000039225 00000 n 0000039437 00000 n Visit the front knee pain diagnosis section to find out more. 170 0 obj The 7 exercises listed below will help keep the muscles around your knees and hips strong and flexible! saved 0000013982 00000 n 0000003483 00000 n Supportive braces. eToxEVpkSx6z/wAo9C/9OFn/ALY56chj9ViB9VuiEmAMDFkn/iGpKb1znueHU5LGAD6JggnXlEEI /AIS false xmp.iid:61B952D320301168BC05A9DFDBC72DD4 For recommended treatments, please consult with your health care provider. /S 400 Top Tips On Getting Up & Down Stairs With Knee Pain. 0000007927 00000 n nJKRV9T6LlPcKc6w+sbIaHGJrDn2bZHA+7wSUxtz+i/pAMq1hoLLbdrnNhu9rPcdJEgSkpn+0eh5 There are two types of patellar instability. xmp.iid:D4656DF2201B1168B34BA564586C664B VtNEWUVX7rSWvbY973A1iNRY9zddvM66cpEkpprj7OwhwwswG8Fz/Tc/a03Dc8wbWwfeRoJEeQQU 256 3a2LsFljnzH0THIPzVr4nPiMaaHwPFwQnxDW6XogZ+NtduDrGeI/PhZ8TZdiUafUrf5t/wDVP5FK fqp/5dYP/sZX/wClElK/50/VT/y6wf8A2Mr/APSiSlf86fqp/wCXWD/7GV/+lElK/wCdP1U/8usH 1, 2 Patellofemoral pain syndrome can be caused by direct trauma to the knee, or Hold your leg straight for about 6 seconds, then slowly bend mkc+9tjq3Ydxh+1rmQWluvul2xO4R3Ra7M29zWl+Ja0uEwIMGSPEeEpUO6rSNybbMZ17KHh4aS2p / 0000038146 00000 n 2011-06-24T13:15:27-07:00 Adobe InDesign 6.0 0000016912 00000 n Then lift your other leg on to the step. To perform this exercise: Lie on your side with your hips, knees, and ankles stacked on top of each other, with your knees bent. stream >> Here are some examples of exercises for you to try. 0000005329 00000 n Inches This information does not replace the advice of a doctor. Effect of mobilization with movement on lateral knee pain due to proximal tibiofibular joint hypomobility. ACvyv+2bP/Ipe5Dur2cn7pV+wut/+V+V/wBs2f8AkUvch3V7OT90q/YXW/8Ayvyv+2bP/Ipe5Dur Written By:Chloe Wilson, BSc(Hons) PhysiotherapyReviewed by:KPE Medical Review Board. Only use your affected leg to bring you up on to the step.  \Og>$-Cx`Ukz>; Rest for up to 10 seconds between repetitions. This website uses JavaScript to apply discounts. saved In patella alta, the kneecap sit higher than normal in the patella groove. WebPain during exercise and activities that repeatedly bend the knee, such as climbing stairs, running, jumping, or squatting. 6USUr/nT9VP/AC6wf/Yyv/0okpX/ADp+qn/l1g/+xlf/AKUSUr/nT9VP/LrB/wDYyv8A9KJKV/zp Do not drop your hip back. 0000038541 00000 n Adobe InDesign 6.0 Having patella alta also increases the risk of developing knee arthritis and inflammation in the infrapatellar bursa or fat pad. Be sure to make and go to all appointments, and call your doctor if you are having problems. 0000218507 00000 n /Filter /FlateDecode Webthe exercise. 0000037107 00000 n 0000007772 00000 n stream 0000039648 00000 n 652 587 588 618 272 575 678 788 650 658 688 705 688 628 569 0 0 0 0 0 0 0 0 endobj Each one involves taking different measurements at the knee and working out their ratios: Treatment for patella alta aims to reduce knee pain and instability and restore full knee function. /AIS false Gardening and yard work can be a great form of both exercise and stress relief if done correctly Jennifer Keitel, a native of Dewitt, Iowa, grew up as an Iowa Hawkeye fan. default xMaSkpzMyvGstyN92ZVBJf6R9obsghkB0gzujmfuSUlxcWrJcbaMvLLajZS8Pc5vvjaSNwaDtnQ6 For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. 0000006882 00000 n 87 39 Adobe InDesign 6.0 in normal and crouched walking. 40LhPCfqIy82PQzheujb+wdFNnUiWUPPTHfaf0Jd6dtb6dvpD9JZ9G7bPuPJ1TeKeniv4Mdy29Ov /CropBox [ 0 0 836.22 595.276 ] /ca 1 xref sb9ssIEb5B7zMJKa/wCztux7On4xcww0aN2ggs9rg0x7I7eISUmqxTWfbisG39Kwl5dFjtu4NBBg Hhorj3QQC0nzlJSzftHpNsf1hgD2Q1zW07d4Jre5pI19zmiOx8ZhJSau6uH1O6iyw3NDaj+jDmk6 The primary outcome measure was the ADL subscale of the Knee Outcome Survey (ADL-KOS). cf8A/Jxi/wDpmr/9tU/F84Y8/wDNy8ny1abiKSUpJSklKSUpJT2/Uuq4OVl19Ec/1mXuxHPfk2Tj 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 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. saved XuQ7q9nJ+6UlfS/rFVVbRXhZja79otaKbIcGnc2fb2KBnAncJGPKBVFH+wut/wDlflf9s2f+RR9y 0000003566 00000 n It's also a good idea to know your test results and keep a list of the medicines you take. Move back to the starting position, with both feet on the floor. endobj 1CIMjRN7qIjHiAA2/l1Z4uP0HCyOl34fpj317cgPZLt1Nht9Sch7vpR/g2xwgTMg2mMccTEj+Wnm Around 30% of cases of recurrent patella dislocation are thought to be due to patella alta. 2006-2023 Healthwise, Incorporated. The kneecap is surrounded by the quadriceps tendon and rests in a dip on the front of the lower thigh bone, the femur, forming the patellofemoral joint. Adobe InDesign 6.0 Register. /CA 1 /BM /Normal /SMask /None Hold for about 6 seconds, then return to the starting position, with your knee somewhat bent. SUwb1G9tdO7JwPUeXeqRaQ2Wlv0BBmGu1/2yEpJbl5gosLL8QW12gGbCGtZp7Xna6HOII40nvGqU Your affected leg should be straight. It has a C-shaped buttress and versatile strapping system, which supports and helps ensure proper movement of your kneecap. wSOXe6g6uSUr7Hk+pvOddBAGzbTtkNDZH6HdyJ57+CSmdOPfXYX2ZNlzSI9N7aw0eY2VtP4pKbCS Lower to starting position, then repeat for 1015 repetitions. Salsich GB, Brechter JH, Farwell D, Powers CM. You should be able to slip your hand in between the floor and the small of your back, with your palm touching the floor and your back touching the back of your hand. /;/metadata ;TtLKA^JGv(1s7G.+|MOd6ck_vv=M{n~S#omxav#L_`T?GD!obd'n>~sdi: f+{CVy$'#35XljKcy=R\pd[Od';iKG :s8W6 36`'A4f`S&7>O(e)q)KsGJ1sm:/!eU4tz-]i=oN^vdw>ObXMY)k|Dx-(:A> H'j pjZ/Nu/qn8iSnL6z/wAo9C/9OFn/ALY56SmP1V/8S/Q//COL/wCeGpKdNzm/aWNmzca3kAB3pwCy Crossley K, Cowan SM, Bennell KL, McConnell J. If you do not have a footstool, you can use a thick book, such as a phone book, a dictionary, or an encyclopedia. 0000033122 00000 n Many options exist for treating patellar instability. 0000014594 00000 n kDRJSGs9RDGvswsf1y55O2yA1u47fd6ZJO2JSUyAyannZg1Ev9z3NeGzJcI+hqdoE/FJTFrc8X7X Note: For straight-leg raise exercises, your physiotherapist may have you add light ankle weights as you become stronger. 0000014147 00000 n January 2012, This site complies with the HONcode Standardfor trustworthyhealth information. WebKeep that leg somewhat bent at the knee. /Type /Catalog /BaseFont /BKSOIY+Interstate-Light 0000002504 00000 n saved /Subtype /Type1C Adobe InDesign 6.0 kSNvOnEpKSMPUPdvbSOdkOcdJ0n2jskpar9pS31xRGm7YXdyZAkdgkpgw9YJBe3GaD9IBz3beODs JPEG 8600 Rockville Pike Adobe InDesign 6.0 >> /XObject << /X1 184 0 R /X2 210 0 R /X4 211 0 R >> >> Slide a rolled up towel or blanket under one knee so that it is slightly bent. WebBridge Exercise Starting Position : Lay on your back with your knees bent to prepare for the bridge exercise. The patient was a 56 year-old female with bilateral knee pain associated with PA. As a result, the groove provides very little sideways stability for the kneecap. Adobe InDesign 6.0 0000239475 00000 n 2011-06-24T11:32:51-07:00 ;4vGAJL*|"vV/Dz*'YtyGV&8,t F2IMW(bVfjhTgyNFOa?q{U':E`S~m|3. /Rotate 0 Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Stand with your hands lightly resting on a counter or chair in front of you. 0000046076 00000 n /Pages 162 0 R +aSmaSmNn827+qfyJKcvrP8Ayj0L/wBOFn/tjnpKY/VX/wAS/Q//AAji/wDnhqSm3nX59VldeDXX This case report /Prev 335066 November 2017, 3. 0000078771 00000 n >> Adobe InDesign 6.0 Put your good leg about a step behind your affected leg. Influence of patellar position on the knee extensor mechanism PSUx+qv/AIl+h/8AhHF/88NSU6pNvqtAa30tri5xcdwdLdoDdsEETJnw0M6JTVsf1H9Kw49VzHEi saved 2011-06-24T13:05:19-07:00 Tn7y ?) y~$?'WoQ|MtS)nJ7MtS)nJ@NG'MsI)4`Jh. Rachel L. Lenhart, Scott C.E. 0000004154 00000 n AD8A6joXQvqpV9U+m9R6h0vBd/k/Huvufi12OJ9Fr3vd+jc4nklEAk0iUhEWUH27/FX/ANxOn/8A tuMHa1gmTuiPzSlwFVhVfV+n22OqZYd7Kxc5rmuaQwmJ9wHz8O6RgQqwzw+o0ZwDscOc2HbnEQGu 174 0 obj 0000122315 00000 n f+nCz/2xz0lMfqr/AOJfof8A4Rxf/PDUlJuqjAcXNybraLRS5wspB3srBhzmkMcAdYREqQRbRDuh Disclaimer. Roy N, Gaudreault N, Tousignant M, Vzina F, Boudreau N. Clin Biomech (Bristol, Avon). At discharge, the patient scored a 56 on the ADL-KOS and rated her function at 70% of normal. 7 Patellar Tracking Exercises That Will Improve Your Life Quadricep Contraction (Quad Sets) Sit with both legs extended in front of you. i@E-`u$Je| zGx%EA=#kJa6"2yCJr|VeXNR,N>5(A4{`? Hold for about 6 seconds, then lower your leg slowly. 2011-07-18T12:32:34-07:00 H\j0~ saved %PDF-1.4 % The patient was also instructed on specific exercises and mobilizations. Patella is the largest sesamoid %PDF-1.5 % uuid:91a0aa47-95d2-452f-b780-8e237f0ee657 Initially, the patient scored a 50 on the ADL-KOS and rated her function at 30% of normal. saved The authors report no declarations of interest. xmp.iid:0B71896A20321168B34BA564586C664B Wall squat: Stand with your xmp.iid:EC423A7920251168B34BA564586C664B }ylnm?-D*pCrqBvU:3U*8L#itDf'*|;OMv=YGgt.Fj*dHF,:c*|20 c$`1y3I[':b JOn7N#CS%xIBSDeH#Q{>qdz[ > 48UBqOh;luzAwdUDmdS>u2-vsmo S&};umbNC>bInyl>Am+6s64ih6'!FwS=a:Gcolbl- q~!a~7_-J]v At first, directly following an injury or flare-up of patellar tracking disorder, patellar subluxation, or patellar dislocation, knee activity should be reduced. C1q 2T99[AS?cL>C. nb?-zmCr J8Zs3OPA)4r76sNiK0@=`c";Y*hs.P8*2q /;/metadata tT`s0@F}b)7=UD`X!e"sB DjxMI_.Yx}wQs~ r@4:]s2aNyW;@ 2!>9C&lGI=m#T>m'uvhE\m7hA 0000248494 00000 n ]xFo% # endstream endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj [107 0 R] endobj 98 0 obj <>stream PMC Webmalalignment including patella alta or a higher quadriceps Q angle (Figure 3), which predispose them to instability. They will look at the position of the kneecap in relation to the femur from different angles and with the knee in different positions. Michelle, US, "This is the best site dealing with knee problems that I have come One important component of your patellar tendon rehab is an exercise program. /;/metadata b29OF5oPTcmwXEuda1jtvvaHGSXAj6cfFJTFlfRbcN7a8C3Zj2Fr8esHew+ntPsY+YLW7dOT96Sl Cl] 43`tz5vcI[Ig,.?ln`o`X5K5+)&{=s09?998[sJxndKTN w%it6+I#4J(N. 0000039970 00000 n 0000001575 00000 n /OPM 1 0000069177 00000 n 1 Webstrength exercises to optimize your technique for jumping, running and pivoting and to help the patella track properly in its groove. af6ykpH9h3A78GknVmr925n0RuJb+6TokpevDf8Apm2YdTWmx1rQ2wkPdJG4tiGy06pKXqqya9kY SelD/DZH+cz/ANJoe0Fe4VH6k9JP+GyP85n/AKTS9oK9wt3pnQ8ToteQcV9j/XaN3qEGNgdEbWt/ X3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3 Treatment of Patella Alta with Taping, Exercise, Mobilization, and Functional Activity Modification: A Case Report. Your use of this information means that you agree to the Terms of Use and Privacy Policy. /SA true K12 HD055931/HD/NICHD NIH HHS/United States, UL1 TR000448/TR/NCATS NIH HHS/United States. DUlOk6yMuur1axure70SP0jtprG9p3fRbuh3t/OGo7pTSyMnPF5rx7sVrQ/3es4hwYCyYaGjsT35 Jo, UK. hbbe`b``` } endstream endobj 86 0 obj <>/Metadata 15 0 R/Pages 14 0 R/StructTreeRoot 17 0 R/Type/Catalog/ViewerPreferences<>>> endobj 87 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 88 0 obj <> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj <>stream /FontName /BKSOIY+Interstate-Light +qn/AJdYP/sZX/6USUr/AJ0/VT/y6wf/AGMr/wDSiSlf86fqp/5dYP8A7GV/+lElK/50/VT/AMus saved 2F1v/wAr8r/tmz/yKXuQ7q9nJ+6VfsLrf/lflf8AbNn/AJFL3Id1ezk/dKv2F1v/AMr8r/tmz/yK jumping, hopping, sudden stop/start and stepping up/down drills). endobj 7vSe1+w7XbTMGA6D8iChSWaSlJKUkpSSlJKaznZcO20sOrol3b3bT89ElKa7M3AmpkFzZh2rWlvv /metadata 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.