Therapeutic goals
Reduction of pain and inflammatory phenomena.
Improved knee mobility (flexion and extension).
Strengthening of the stabilising muscles of the knee and hip.
Prevention of joint stiffness and secondary complications.
Improved neuromuscular control and proprioception.
Prevention of recurrence and a gradual return to sporting activities.
Techniques used
Pain-relieving physical therapy as indicated. Massage therapy and myofascial release of the quadriceps, hamstrings, calves and periarticular muscles. Gentle knee mobilisations to improve flexion and extension.
Stretching of the quadriceps, hamstrings and triceps surae. Gentle knee and ankle mobilisations if necessary.
Progressive strengthening of the knee and hip stabilisers: quadriceps (vastus medialis as a priority), hamstrings, gluteus medius, gluteus maximus; lumbopelvic core work.
Single-leg balance exercises. Work on wobble boards or balance cushions. Control of hip-knee-ankle alignment.
Gradual reconditioning, first to walking and then to running. Knee control work during dynamic activities. Education on load management and prevention.
Exercise programme
- Isometric quadriceps contractions
- Open-chain or semi-closed-chain knee extension
- Controlled partial squat
- Wall sit
- Progressive step-up / step-down
- Clamshell with a resistance band
- Side-lying hip abduction
- Glute bridge
- Proprioceptive work on an unstable surface
Protocol details
Injury related to this protocol
Ce protocole de rééducation est spécifiquement conçu pour la prise en charge de meniscal injury in runners.
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