![]() ![]() ![]() I picked this case to write about because of the slightly different case history, but what provided the stimulus was a recent Pacey Performance Podcast with Philip Graham-Smith ( LINK) where Phil talks about how long it used to take him to digitise video footage and how complicated the high speed cameras were to set up ( LINK). Getting him out on a bike again was a win for me (though he still says his motorbike days are over). There is evidence to suggest that strength gains can be made rapidly when initially starting a training program, due to neurological changes, but I believe in this case the biggest gains were made in addressing the patient’s confidence in his knee. I saw the patient for four 45 minute sessions over three weeks. Once again it came down to confidence in his knee - he needed somebody to say that it was OK.Īfter a couple of sessions we retested his C-o-G during squats and it showed an improvement, but more importantly the patient himself reported an improvement in his symptoms - he had muscle aches after not having trained for so long but less of the pain and stiffness that he had initially reported. I said of course - one year post-op, with full flexion and having performed manual labour tasks every day in work of course he could ride a bicycle! Side lying abduction exercises and glute bridges were prescribed as home exercises and this is where he asked me if he could ride a bicycle. Lunges were progressed to include different directions and trunk rotations etc. Deadlifts and Romanian deadlifts were performed with Kettlebells, squats were performed with varying foot positions etc. The next step was commence a more traditional strength based rehab program. This way he couldn’t avoid loading the injured leg (albeit only slightly, the only movement being a weight shift) whilst his concentration lay on the game and not his leg.Īway from the computer we performed various balance exercises and walking with mixed gait patterns, again challenging him to trust his leg and the feedback he was getting from it. In this case it was attached to a balance board and we played games where he had to control the character by standing on the board and leaning left/right/forwards/backwards. I used the BalensoSenso system ( LINK), which is a small 3-axis tilt sensor which can be attached to pretty much any piece of equipment and comes with a selection of games that can be played using it. ![]()
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