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    Relationship Between Hip, Knee and Ankle

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    shivnair
    Greg Cadichon is a licensed athletic trainer and founder of Rebound Fitness and Rehabilitation with over 19 years of experience. His accomplishments include developing injury prevention and rehabilitation protocols for industrial workers and athletes as well as designing exercise programs for special populations. He holds two patents related to orthopedic stabilizers. The document discusses joint relationships between the hip, knee, and ankle and how muscle imbalances can lead to injuries like bursitis, tendonitis, osteoarthritis, and ACL tears. It emphasizes the importance of functional exercises that engage the three joints working together dynamically.

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    Relationship Between Hip, Knee and Ankle

    Uploaded by

    shivnair
    258 views47 pages
    Greg Cadichon is a licensed athletic trainer and founder of Rebound Fitness and Rehabilitation with over 19 years of experience. His accomplishments include developing injury prevention and rehabilitation protocols for industrial workers and athletes as well as designing exercise programs for special populations. He holds two patents related to orthopedic stabilizers. The document discusses joint relationships between the hip, knee, and ankle and how muscle imbalances can lead to injuries like bursitis, tendonitis, osteoarthritis, and ACL tears. It emphasizes the importance of functional exercises that engage the three joints working together dynamically.

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    Anatomy

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    Greg Cadichon is a licensed athletic trainer and founder of Rebound Fitness and Rehabilitation with over 19 years of experience. His accomplishments include developing injury prevention and rehabilitation protocols for industrial workers and athletes as well as designing exercise programs for special populations. He holds two patents related to orthopedic stabilizers. The document discusses joint relationships between the hip, knee, and ankle and how muscle imbalances can lead to injuries like bursitis, tendonitis, osteoarthritis, and ACL tears. It emphasizes the importance of functional exercises that engage the three joints working together dynamically.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    258 views47 pages

    Relationship Between Hip, Knee and Ankle

    Uploaded by

    shivnair
    Greg Cadichon is a licensed athletic trainer and founder of Rebound Fitness and Rehabilitation with over 19 years of experience. His accomplishments include developing injury prevention and rehabilitation protocols for industrial workers and athletes as well as designing exercise programs for special populations. He holds two patents related to orthopedic stabilizers. The document discusses joint relationships between the hip, knee, and ankle and how muscle imbalances can lead to injuries like bursitis, tendonitis, osteoarthritis, and ACL tears. It emphasizes the importance of functional exercises that engage the three joints working together dynamically.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 47

    Greg Cadichon, A.T.

    C/L Bio
    Licensed and certified Athletic Trainer for more than 19 years.
    Founder and Director of Rebound Fitness and Rehabilitation.
    Accomplishments in the field include:

    The development and implementation of injury


    prevention and rehabilitation protocols for
    industrial workers.
    Performance training for amateur, world-class
    and professional athletes.
    The design of functional exercise protocols for
    spinal cord injury and stroke patients.
    Inventor holds two patents for an orthopedic
    shoulder stabilizer and a patella stabilizer.

    Overview

    Relationship between
    the three joints
    (hip, knee, ankle)

    Effects of muscle
    imbalances

    Causes of bursitis,
    tendonitis,
    osteoarthritis, and ACL
    tears

    Functional exercises

    Energy does not dissolve, it transfers

    Anatomy and Joint Relationships

    Gluteus medius
    Gluteus
    maximus

    Tensor fasciae latae


    Iliotibial band
    Quadriceps
    Quadriceps
    tendon
    Hamstrings

    Patella

    Primary Joint Movements


    Ball and Socket
    (Hip joint) Flexion/Extension,
    Adduction/Abduction,
    Internal/External rotation

    Hinge Joint
    (Knee) Flexion/Extension,
    3-10 degrees of rotation
    to protect the joint

    Hinge Joint
    (Ankle )
    Plantarflexion/Dorsiflexion
    Condyloid Joint
    (Talocalcaneal) Inversion/Eversion
    Gliding Joint
    (Intertarsals) Gliding or plane
    movement

    M
    S

    Stable Mobile Stable

    Credit: Mike Boyle and Gray Cook

    Mobile Stable Mobile

    Joints in Motion

    Effects of Tight Hips

    Tight/weak muscles, Tension on bursae around the knee

    Tight Hips

    Decreased stride

    Tight quadriceps

    Suprapatellar bursa
    Quadriceps
    tendon
    Patella
    Weak
    hamstrings

    Infrapatellar bursa
    Tibia

    Suprapatellar bursa

    Superficial prepatellar bursa


    Pes anserine bursa
    Deep infrapatellar bursa
    Superficial infrapatellar bursa

    Tight/contracted rectus femoris

    Inflamed bursa

    Knee Injuries

    Osteoarthritis of the knee, ACL tear

    Anterior cruciate ligament

    Posterior cruciate
    ligament

    Lateral meniscus

    Medial collateral
    ligament
    Medial meniscus

    Lateral collateral
    ligament

    Anterior cruciate ligament


    Posterior meniscofemoral

    Posterior cruciate
    ligament

    Meadial collateral
    ligament
    Lateral meniscus

    Lateral collateral
    ligament

    Medial meniscus

    Joint Movement of the Knee


    Hinge Joint
    (Knee) Flexion/Extension,
    3-10 degrees of rotation

    Joint Movement of the Knee

    Female Q-angle

    Male Q-angle

    Healthy Knee Video

    The Three Joints Must Work Together

    Slow motion

    Three Joints Must Work Together


    Foot is planted,
    Knee is mobile (3-10 rotation)

    SMS

    Foot rotates,
    Knee must remain stable

    MSM

    The Three Rules of Enagagement


    - No Time Delay
    - Moderate Stretch
    - Faster Stretch = More Energy
    Credit: Neuromechanical Basis of Kinesiology, Roger Enoka

    SMS

    What happens when the


    Three joints dont
    work together

    Tight hip muscles


    prevents mobile
    movement, movement
    is transferred to knee

    Mobile

    Stable

    Mobile

    ACL Tear
    ACL
    PCL

    Degenerative Knee

    Ankle Injuries

    Swollen ankle, Achilles tendonitis

    Peroneus
    longus
    muscle

    Peroneus
    brevis
    muscle
    Retinacula

    Common sheath
    of peroneus
    longus and
    brevis tendons

    Wheres the injury?

    Peroneal Tendonitis

    Video Jump In Motion

    Achilles Tendonitis

    Tight
    gastrocnemius

    Inflamed
    achilles tendon

    Bracing For Injury Only

    Functional Rehabilitation

    Stretch & Mobilization

    Strengthen The Movement

    Stabilize Without Delay

    Conclusion
    Energy does not dissolve, it transfers.
    Remember M-S-M and S-M-S relationships.
    Maintain healthy joint relationships with
    flexibility exercises.
    Braces slow natural movement and interfere
    with balance and reaction time.

    Rebuilding Your Physical Health


    246 East Janata Boulevard, Lombard, IL 60148
    666 Dundee Road, Suite 1002 Northbrook, IL 60062
    www.reboundfitnessinc.com

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