It was kind of hard to do just a 3 part list, as I have learned a ton this past year through my formal physical therapy educations as well as reading on my own to stay caught up in the strength, conditioning, and nutrition fields. However, the following 3 things really stood out this past year.
1. In the case of persons with lateral patellar subluxation and patellofemoral pain kinetic MRI reveals significantly more lateral displacement with non-weight bearing verses weight bearing exercise. In addition during closed chain weight bearing movements MRI revealed that the patella doesn’t actually move, rather that the femur internally rotates on the patella. The first thing I took out of this research is the importance of using weight-bearing or partial weight-bearing positions in positions to treat patients with PTFP and lateral subluxation to minimized patellar displacement and associated symptoms. Perhaps more importantly this research demonstrates the need to address the role of hip external rotators to maintain proper patellar alignment in closed chain activities. (Powers, 2003 JOSPT)
2. Breathing facilitates movement in the following ways:
- Inhalation: thoracic extension/shoulder flexion/scapular elevation and glenohumeral internal rotation
- Exhalation: thoracic flexion/shoulder extension/scapular depression/glenohumeral external rotation
Thus, when performing the preceding movements breathing should be used in conjunction to improve both quality and quantity of movement.
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