Patient is having decreased terminal knee Extension after 6 months of repair at the knee Joint. Therapist did not find any complain of pain during movement or any weakness or tightness of the muscles surrounding the Knee Joint. Which of the following Intervention will help to Correct the problem ?
1-Stretch the muscles pulling the patella Inferiorly during extension
2-Strengthen the muscles , Pulling patella Superiorly
3-Provide superiomedial Glide to patella
4-Provide Posterior glide at the anterior Proximal Tibia during Terminal Knee Extension
The correct answer is 4-Provide Posterior glide at the anterior Proximal Tibia during Terminal Knee Extension.
Decreased terminal knee extension can be caused by scar tissue formation or joint stiffness after a knee surgery. Providing a posterior glide at the anterior proximal tibia during terminal knee extension can help improve joint mobility and facilitate full extension. This technique helps to restore normal joint mechanics and promote normal movement of the patella. Stretching or strengthening exercises may not be effective for addressing the specific issue of decreased terminal knee extension in this case.
Based on the provided information, it seems that the patient is experiencing decreased terminal knee extension after a repair at the knee joint, without any accompanying pain, weakness, or tightness of the surrounding muscles.
In this case, the appropriate intervention would be option 4: Provide posterior glide at the anterior proximal tibia during terminal knee extension.
This intervention focuses on providing a posterior glide at the proximal tibia, which can help promote normal joint mechanics and improve terminal knee extension. It can help address any restrictions or limitations in the joint that may be contributing to the decreased range of motion.