Answers (6)
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Hello Angela,
If you are unsure, it might be best to collaborate with her physical therapist.
I believe it is the best course of action to have the client be relatively pain free before you are able to give her a "good workout."
If you are unsure, it might be best to collaborate with her physical therapist.
I believe it is the best course of action to have the client be relatively pain free before you are able to give her a "good workout."
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I agree with Joanne, her phyical therapist is a most important contact. Definitely do not do seated leg extensions.
I would have her in a supine position, and then do unilateral leg extensions. Put any additional weight proximal to the knee.
Take care, Danny
I would have her in a supine position, and then do unilateral leg extensions. Put any additional weight proximal to the knee.
Take care, Danny
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Hello Angela,
I third the motion; a client should be pain free before doing a "good" workout. Are the squats being done with or without weight? I would look into the therapy and go from there.
Take care.
I third the motion; a client should be pain free before doing a "good" workout. Are the squats being done with or without weight? I would look into the therapy and go from there.
Take care.
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Hi angela,
I have a post-rehab protocol from a course I took years ago. I'll be happy to send you a copy of it. I would suggest that you clear those exercises with the physical therapist before implementing them.
Please contact me directly at karinsingleton@nc.rr.com.
Karin Singleton
www.meltnc.com
I have a post-rehab protocol from a course I took years ago. I'll be happy to send you a copy of it. I would suggest that you clear those exercises with the physical therapist before implementing them.
Please contact me directly at karinsingleton@nc.rr.com.
Karin Singleton
www.meltnc.com
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As with everyone else, I would work closely with this client's physical therapist. Most people who have been diagnosed with PFS have been given a list of exercises and stretches to perform by their physician or physical therapist.
A great book, CEU course and video series is Dr. Nick DeNubile's Framework. He gives exercises for strengthening common injuries.
Having suffered from PFS myself, she needs to be pain free before beginning any exercises that put stress on the knee. That means taking time off from running, cycling, stepping, etc till the pain is gone. That is often hard to hear, but until the inflammation is gone, she'll continue to have pain with any activity. Then she needs to start with strenthening of the quad, particularly the VMO, in an isometric contraction. (Isometric quad contractions, VMO contractions, etc). Flexibility of the hamstring is also usually an issue and needs attention. Then slowly build on the program. Use a shorter ROM, when pain is felt, stop or shorten the ROM, use a ball between the knees to help activate the VMO (as a side note, women usually have a VMO that does not fire as strong or quickly as men which leads more women to have PFS then men). Balance and core stability/strength, will also help even out the program. Some PFS have been caused by a weakened core in women after they've had children. Start with bridge and plank progressions, using a ball between the knees for the bridge work.
As with any injury, get doctor clearance and work closely with her medical team.
Rest, RICE and physician consult are a first course of action with any client I work with who has a prior injury.
A great book, CEU course and video series is Dr. Nick DeNubile's Framework. He gives exercises for strengthening common injuries.
Having suffered from PFS myself, she needs to be pain free before beginning any exercises that put stress on the knee. That means taking time off from running, cycling, stepping, etc till the pain is gone. That is often hard to hear, but until the inflammation is gone, she'll continue to have pain with any activity. Then she needs to start with strenthening of the quad, particularly the VMO, in an isometric contraction. (Isometric quad contractions, VMO contractions, etc). Flexibility of the hamstring is also usually an issue and needs attention. Then slowly build on the program. Use a shorter ROM, when pain is felt, stop or shorten the ROM, use a ball between the knees to help activate the VMO (as a side note, women usually have a VMO that does not fire as strong or quickly as men which leads more women to have PFS then men). Balance and core stability/strength, will also help even out the program. Some PFS have been caused by a weakened core in women after they've had children. Start with bridge and plank progressions, using a ball between the knees for the bridge work.
As with any injury, get doctor clearance and work closely with her medical team.
Rest, RICE and physician consult are a first course of action with any client I work with who has a prior injury.
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Hi Angela,
She has obviously been diagnosed. The difficulty for a trainer is that we do not know the cause of the syndrome. Is it a tight ITB band, weak quads, the angle from the hip to the knee, foot pronation, etc. If we knew this we could work a program around it. Perhaps this is your first task. Then you can focus a protocol based on the professionally suggested
cause of the pain.
She has obviously been diagnosed. The difficulty for a trainer is that we do not know the cause of the syndrome. Is it a tight ITB band, weak quads, the angle from the hip to the knee, foot pronation, etc. If we knew this we could work a program around it. Perhaps this is your first task. Then you can focus a protocol based on the professionally suggested
cause of the pain.
