QUADRACEPTS STRENGTH AND REHABILITAION STORYBOARD

In this case we aim to investigate physiotherapy rehabilitation of the quadriceps muscle and a knee ligament after injury you will determine. One way to do this is, at standing position, to bend and extend in the knees.

• Depict the leg of a subject at different degrees of knee flexion and external forces (F).
• Adjust the size of the image to-scale (eg. 1:5).
• Find a way to add femur, tibia, patella and the patellar ligament to the image.
• Mark centers of rotation in the knee and centers of gravity for the lower leg and for the foot. Mark out external added force vector if applicable.
• For the various situations, compute the static external torque, the muscle force, the compression load in the tibiofemoral and the patellofemoral joints. Depict the joint compression vectors for detection of shearing forces.
• Compare muscle force to joint compression.
• Select a single ligament in the knee that will be damaged and the extent of that damage.  Formulate a treatment plan for this injury and summarize the current best practices.
• Produce a labeled video demonstrating this injury.
• Try to estimate MVC force for the quadriceps muscle and compute used %-age in the exercise.
• Using SIMM, estimate the moment on your affected ligament.
• Do similar steps for the standing training. Try adding load in the hands or on the shoulders.
•  What is the relationship between the quadriceps and your injured ligament?
• Evaluate the different rehabilitation methods and give recommendation about flexion degrees and external load for your chosen ligament injury.