Andrew:
I tend to think PCL rehabilitation is a complex problem, and probably more
difficult than the ACL issues we have become accustomed to.
One of the issues is subluxation of the tibia posterior on the femur in
the non-weight bearing position. As you are aware, the tibial sag test is
indicative of how little force is required to disrupt normal joint
congruity. As the person hammers the quads or puts weight on the injured
lower extremity, compression forces during translation of the tibia
forward
on the femur can't be doing good things to the joint surface. I watch for
the alignment of the inferior pole of the patella and the anterior tibial
tubercle.
Sometimes people learn to co-contract the muscles prior to weight bearing,
but sometimes they don't.
I would enjoy hearing about other people's experiences because I don't
think I am very successful with the PCL injured knee.
Murray
On Thu, 8 Feb 2001, Darc wrote:
>
> Any ideas for PCL gym rehab apart from hammering quads, closed-chain exercises,
> etc??
>
> Andrew, Adelaide
>
________________________________________________________________
Murray Maitland PhD PT
Associate Professor and Physical Therapist
Faculty of Kinesiology
Sport Medicine Centre
University of Calgary
2500 University Drive NW
Calgary, Alberta
T2N 1N4
(403) 220-8943 office
(403) 220-8232 clinic
(403) 282-6170 fax
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