Effect of Static electrical stimulation and exercise in the treatment of Chondromalacia patellae

Physicaltherapy For Chondromalacia Patellae

Physicaltherapy is helpful To increase quadriceps strength and decrease swelling and pain. Patient education is an important part of treatment because chondromalacia patella is a chronic condition.
The aim of rehabilitation for patellar chondromalacia is to control symptoms and increase function. Rehabilitation of the knee will vary depending on the underlying origins and causes (etiology) of the excess pressure on the undersurface of the patella.
In general, rehabilitation of patellar chondromalacia focuses on strengthening the knee musculature.
If knee mobility is limited by pain, the physical therapist may initially use modalities, such as electrical stimulation and cold, for pain control. Once pain has decreased, the individual may progress with an exercise program. Quadriceps stretches become a vital part of the recovery program because of the force this muscle group exerts on the patella.
Strengthening exercises should also be included, including isometrics as well as open and closed chain activities.
Selective strengthening of the inner portion of the quadriceps muscle helps normalize the tracking of the patella. Cardiovascular conditioning can be maintained by stationary bicycling (low resistance but high rpms) and swimming.
Stretching and strengthening the quadriceps and hamstring muscle groups is critical for an effective and lasting rehabilitation of chondromalacia patella. “Quad sets” are the foundation of such a physical therapy program.

Calf Stretch

calf stretch
Stand facing a wall and keep both feet firmly on the ground.

Stretch the right leg at the back and bend the left leg.

Extend both arms in the front and push the wall.

You’ll feel a stretch in your calf muscles. Hold for 10-15 seconds and release.

Do 5 repetitions. Repeat with the other leg.

Hamstring Stretch

hamestring stretch
Use the support of a chair and place one leg, fully extended on it.

Balance yourself well before slowly bending forward at the hips and holding the ankles of the extended leg with your hand.

Do this till you feel a stretch in the calf.

Hold for 15 seconds and repeat 5 times. Repeat the same with the other leg.

Wall Slide

Wall Slide
Stand with your to a wall.

Maintain a distance of 12 inches between your feet and 6 inches from the wall.

Slowly bend at the knees and start to slide down the wall till you achieve a 45 degree flex.

Stay in this position for 5 seconds and slide back up.

Short-arc extensions

short arc ext
Are done sitting up or lying down.
Use a rolled-up towel to support your thigh while you keep your leg and foot in the air for 5 seconds.
Lower your foot as you bend your knee slowly.
Repeat 10 times for each leg, twice a day.

References

http://www.ipcphysicaltherapy.com/Chondromalaciapatella.aspx
http://www.physio-pedia.com/Chondromalacia_Patellae
http://www.orthoseek.com/articles/chondromp.html



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