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- Talk
- 14/07/2021
- UK
Rehabilitation Strategies and Return to Sports for Patellar Stabilizing Surgical Procedures
Description
The video presentation by Elizabeth Arendt discusses the rehabilitative strategies and return-to-sport protocols following patellar stabilizing procedures. She highlights the varying levels of athletic involvement among patients with patellofemoral instability, from non-athletic individuals to competitive athletes, emphasizing the need for tailored rehabilitation plans. Arendt covers general principles for knee rehabilitation, underscoring the importance of protecting the joint while considering pain and swelling as indicators for adjusting activity levels. She critiques the practice of open kinetic chain knee extensions, advocating for closed kinetic chain exercises in early flexion to improve patellar stability and reduce quadricep demand.
Moreover, she stresses the significance of normalizing functional kinematics in both frontal and sagittal planes, addressing common faulty movement patterns and their impact on knee health. As rehabilitation progresses, she recommends incorporating core stability exercises before advancing to more dynamic activities and single-leg exercises.
Arendt also provides insights into surgical procedures, focusing on medial patellofemoral ligament (MPFL) reconstruction and tibial tubercle osteotomies, and presents data from her own research on post-surgical outcomes and timelines for return to sport. She concludes by summarizing the findings from literature on postoperative rehabilitation, highlighting a favorable return-to-sport rate post-soft tissue procedures but noting an extended recovery period for patients undergoing bony procedures. The session ends with a reminder of the complex interplay between physical rehabilitation and psychological readiness for athletes aiming to resume their sports.