You can only view 3 videos without an account. Become a Member to access all videos on the website.
Knee Mobilization
Knee Mobilization is a physical therapy technique used to improve motion in the knee joint. It can help increase range of motion, reduce pain and improve the effectiveness of other treatments. During the procedure, the therapist uses manual manipulation to move the knee joint in specific directions and hold it in particular positions in order to improve mobility and reduce stiffness.
Transcript
00:00:0500:00:10
This is Brent coming at you
00:00:0500:00:10
live from Rick Ritchie's Independent
00:00:1000:00:14
Training Spot, the new home of the Brookbush Institute. Very excited to continue
00:00:1400:00:19
with our self-administered mobilization techniques. In this video we're going
00:00:1900:00:23
to start breaking down at knee mobilization. So we going to look past some of
00:00:2300:00:26
the muscular dysfunction we talked about in the past. I know we've already talked
00:00:2600:00:32
about VMO activation, and how the biceps femoris affects knee motion, and the
00:00:3200:00:36
gluteus medius and how important that is to femoral control. But at some point we
00:00:3600:00:41
still have to address our arthrokinematic dysfunction. The dysfunction at
00:00:4100:00:48
the knee generally speaking, is the tibia can't move from posterior to anterior as
00:00:4800:00:54
we move into terminal extension. So what we're going to do, is we're going to use
00:00:5400:00:59
one of these monster bands, take that VMO activation exercise we used in a
00:00:5900:01:03
previous video, and we're going to turn it into a mobilization, and then i'm
00:01:0300:01:06
going to show you guys a fancy little trick at the end, to start focusing on
00:01:0600:01:10
lateral compartment mobilization. I'm going to have my friend Jordan come out,
00:01:1000:01:15
trainer here at the Independent Training Spot. He's going to take this band and put
00:01:1500:01:21
it around the back of his calf. Now in the VMO activation video, I had you guys
00:01:2100:01:27
put it around the femur, so that we can increase load during knee extension. This
00:01:2700:01:31
one I'm not so concerned with load. As much as I'm concerned with creating that
00:01:3100:01:37
posterior to anterior force, that posterior to anterior glide on the tibia
00:01:3700:01:42
as I have him squeeze his quad. Now you can see we have a little step set up here,
00:01:4200:01:47
that's just to keep this leg soft, keep his knee bent, so that he doesn't rest in
00:01:4700:01:52
terminal knee extension on his other side. Make sure the rest of this kinetic
00:01:5200:01:57
chain checkpoints are in line here, so he's nice and standing up tall, he's
00:01:5700:02:03
going to go soft knee, and then he's just going to squeeze his quad. Now Jordan
00:02:0300:02:07
doesn't have knee dysfunction, and this looks probably pretty easy for him, but
00:02:0700:02:10
you guys will find that those individuals who are missing that last
00:02:1000:02:15
five or ten degrees of terminal extension, this exercise is extremely
00:02:1500:02:20
challenging. In fact you may find that they can't even get to the
00:02:2000:02:26
terminal knee extension he has, and rather than this larger motion, that
00:02:2600:02:30
maybe we could call a grade three mobilization. Sometimes what you end up
00:02:3000:02:35
with is somebody who's stuck about here, and then what you're going to do is, this
00:02:3500:02:39
will still pull posterior to anterior, and we'll just work on a quad
00:02:3900:02:44
contraction for a couple seconds. Good and then relax, right so this is kind of
00:02:4400:02:47
equivalent to those grade fours we learned in school. We're going to get to
00:02:4700:02:52
end range, just work on some muscle contraction, and getting these little
00:02:5200:02:58
oscillations at the end range. How's that feel, doing great, Alright, now a little
00:02:5800:03:01
trick if we're going to get really really technical with our arthrokinematic
00:03:0100:03:05
dysfunction, it's not just that the tibia can't move posterior to
00:03:0500:03:11
anterior, but in fact that the lateral compartment gets stuck posterior, that
00:03:1100:03:14
creates some of that knee turn out we see in that overhead squat assessment.
00:03:1400:03:18
Right so as somebody gets down their knee can't shift into position, and it goes
00:03:1800:03:24
further and further into tibial external rotation. All Jordan has to do to focus
00:03:2400:03:29
more on the lateral compartment, is he's going to move this way, we're going to
00:03:2900:03:33
turn the band a little bit here,
00:03:3700:03:39
alright.
00:03:4000:03:44
You guys could look at this as a progression two, we could start with the straight arm
00:03:4400:03:50
mobilization, and then move to this. So now I have this band creating two
00:03:5000:03:55
vectors right, posterior to anterior, as well as lateral to medial, and providing
00:03:5500:04:02
he can get his glute to contract and maintain his femur parallel, so he's not
00:04:0200:04:08
adducting right, give me a good squeeze, that'll force a little tibial internal
00:04:0800:04:13
rotation, and the posterior to anterior force will force motion in that lateral
00:04:1300:04:19
compartment. So now we've taken a knee mobilization from posterior to anterior,
00:04:1900:04:26
to lateral posterior to anterior. Same thing here guys, think about all those
00:04:2600:04:29
different principles we learned in our mobilization classes right. Like if we're
00:04:2900:04:34
going to go to just up to pain free, or up through pain free range of motion. We
00:04:3400:04:38
don't want to go into pain, so you could use this with somebody with a painful
00:04:3800:04:42
knee, just adjust your range of motion accordingly. If you're going to do grades
00:04:4200:04:47
three, you can work through larger ranges of motion. You could do just end range
00:04:4700:04:52
oscillations. I would start with 15 to 20 repetitions and see how somebody feels,
00:04:5200:04:56
and of course you could use two oscillations per second for 30 seconds,
00:04:5600:05:00
as we often do in our manual techniques. How you feeling Jordan? Great, alright go
00:05:0000:05:04
ahead and step out, make sure with all of these techniques you're doing them for a
00:05:0400:05:11
good reason, and you are reassessing. So let's see your squat, and as I reassess
00:05:1100:05:13
Jordan here, I hope you guys enjoy this video and get a lot from these
00:05:1300:05:16
techniques.
Related Videos
Talocalcaneal Manipulation
Talonavicular and Cuneonavicular Joint Manipulations
Proximal Tibiofibular Joint Manipulation
Open Books - Self-administered Spine Rotational Mobilizations
Knee Mobilization
Sacroiliac Joint Chicago Technique
Thoracic Pistol Manipulation
Shotgun (Pubic Symphysis) Manipulation
Lumbar Spine Joint Manipulation (High Velocity Thrust)
Quadruped Crawl Sled Pull
Elbow Mobilization (Self-administered)
Self-administered Hip Mobilization: Anterior to Posterior with Flexion
Crucifixion Stretch (Static Pec Stretch, Sub-occipital Release & Gentle Thoracic Mobilization)
Thoracic Spine Self Administered Mobilization
Hip Joint Lateral Manual Mobilization