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18 Apr 2006

exercise programs for people who have chondromalacia patellae
I have been searching the internet for exercise programmes on chondromalacia patallae. I'm currently studying to become a Sports Massage Therapist and am struggling to find illustrated exercise programs for patients who suffer from chondromalacia patellae. I want basic and easily applicable programmes. I would truly appreciate any asssistance.
Thanking you,
Puzzled
Answer 2,931 views
Expert
FitnessDoc
fitnessdoc

01 Jan 0001

Hi Puzzled

I'm sure that you are well aware what the condition is all about - degeneration of the cartilage in the knee, as a result of many contributing factors.

The treatment that is prescribed for the condition differs depending on who you ask - ask a podiatrist, and they have slightly different ways to treat compared to an orthopaedic surgeon. However, what most agree on is that the first part is conservative, then you look at surgical methods if needed. The physical treatments that you adopt could vary widely, and the following comes from a good site that I was able to find on the net, where it explains a number of the treatments:

* Stretching
Stretching is vital to maintain good range of motion around a joint. If a patient has stiff joints, normal activities such as opening a jar or climbing stairs can be severely affected. By proper stretching, these functions can be preserved. After an injury or surgery, scar tissue forms, and soft-tissue contracts; this is when stretching is most important.


* Strengthening
Strengthening exercises are performed to help the patient improve the function of their muscles. The goal is to improve strength, increase endurance, and maintain or improve range of motion. Common types of strength training include:

o Closed Chain
The closed chain exercises are performed with the foot locked in position on the ground--for example a leg squat. These exercises a performed to help balance the muscle strength. By performing closed chain exercises, the weak muscle (e.g. the quadriceps) and its antagonist (e.g. the hamstrings), will both be exercised and balanced. Open chain exercises, such as a leg extension, do not balance the muscles this way.

o Proprioceptive
Proprioception is the sense of knowing where a body part is in space. This can be a difficult concept to grasp until you lose it, because so much proprioception occurs without out conscious thought. When you lose proprioception of, for example, an ankle joint after a sprain, patients often complain of an unstable sensation of the joint. Proprioception training reteaches your body to control the position of an injured joint.

* Ice and Heat Therapy
Ice and heat are useful to warm up and cool off muscles. In addition, these modalities can stimulate blood flow and decrease swelling. These can be important aspects of the therapeutic process.

* Ultrasound
Ultrasound uses high frequency sound waves (not within the range we can hear) to stimulate the deep tissues within the body. By passing an ultrasound probe over the body, deep tissues are stimulated by the vibration of the sound wave. This leads to warming and increased blood flow to these tissues.


I hope this helps somewhat
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