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Disclaimers
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Return to Play
Following Knee Injury
or Surgery
None to Report
Mike Ryan, PT,ATC,CES,PES
Take Home Points
Evaluation & Rehab 101
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1. Know Basic Pillars of Knee Function.
2. Ask the Right Questions to Reveal Details
of Pain, Limitations & Concerns.
3. Determine Key Issue(s).
4. Resolve Issue(s).
5. Educate Athlete.
1.
2.
3.
4.
5.
6.
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Knee Injuries vary in
many ways:
Anatomy
MOI
Evaluation
Secondary Injury(s)
Observation
ROM
MMT
Special Test
Palpation
Dx
7. Rehab Plan
8.Implement the Rehab
Plan
9. Re-Assess the
Athlete
10. Adjust the Rehab
Plan
11. Re-Implement
Rehab Plan
The Best Evaluators
Master the Skill
of Asking Great
Questions…
….then the Art of
Shutting Up.
1
“It’s Just a Knee Sprain”
“It’s Just a Knee Sprain”
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Are any two
knee injuries
ever the same?
Are any two
knee injuries
ever the same?
“It’s Just a Knee Sprain”
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Sport/Position
Other LE Injury Hx
Brace
Need for
Stability/Mobility
Location of
Symptoms
Are any two
knee injuries
ever the same?
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My to
Rule
for Any
Player
Varying Factors for a Knee Injury
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Returning to Play
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My to
Rule
for Any
Player
Returning to Play
“Can the player protect themselves?”
2
Elements of Knee RTP
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1. Subjective
2. Special Ortho Tests
- X-Ray/MRI
- Stability Tests
-Functional Tests
3. Symmetrical Walking
4. Progressive Running
5. Quad Strength
6. “Get Off’s”
7. Progressive Agility Drills
8. Circle Drills
9. “Pushing on a Fat Guy”
10. Positional Drills
11. Repeat Ortho Exam
12. Subjective Dialogue
The Rehab Game Changers
The Rehab Game Changers
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Injury
The Rehab Game Changers
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Injury
The Player
Injury
The Player
Human Factor
The Rehab Game Changers
The Rehab Game Changers
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Injury
The Player
Human Factor
Environment
Injury
The Player
Human Factor
Environment
$$$
3
The Rehab Game Changers
The Rehab Game Changers
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Injury
The Player
Human Factor
Environment
$$$
The WTF’s
Injury
The Player
Human Factor
Environment
$$$
The WTF’s
TBD
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Don’t
beMaster
Afraid
Say:
“I Don’t Know”
In Closing…..
Care & Educate
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Have a Plan & Plenty of Backups
4
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5