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STEP1

7. juli 2011Osgood-Schlatter deseaseurtehave_com

GENOPTRÆNING

TRAINING LADDER FOR CHILDREN AND ADOLESCENTS:
FOR OSGOOD-SCHLATTER
(OSGOOD-SCHLATTER)

STEP 1

The majority of young patients can manage with relief until the pain subsides, following which the sports activity can be slowly resumed. The period of relief is usually quite short if the relief treatment is started soon after the onset of the symptoms. The following rehabilitation program will cover the needs for the vast majority of children with Osgood-Schlatter. Older teenagers involved in sports at a high level can advantageously use the rehabilitation program for adults.

Unlimited: Cycling with weak load and raised saddle. Swimming.

(5 min)

Stand with support from the back of a chair or the wall. Using your hand, bend the knee and draw the foot up and your knee slightly backwards so that the muscles in the front of the thigh become increasingly stretched. Hold the position for 20 seconds and relax for 20 seconds before repeating. The exercise can also be done lying down. If you lie on your stomach you can draw the foot up by using a towel.

(5 min)

Stand with the elastic around the injured leg, facing away from the elastic. Move the leg forwards and slowly backwards. The elastic can be moved up and down the leg depending upon the strength of the knee – the stronger the knee, the lower the elastic should be.

Sit on a chair with the injured leg on a stool or similar. Lift the leg above the stool with the foot flexed at a maximum, and hold the position for 10 seconds, followed by 10 seconds rest. The exercise should be repeated for approx. 3 minutes.

Stretching is carried out in the following way: stretch the muscle group for 3-5 seconds. Relax for 3-5 seconds. The muscle group should subsequently be stretched for 20 seconds. The muscle is allowed to be tender, but must not hurt. Relax for 20 seconds, after which the procedure can be repeated.

The time consumed for stretching, coordination and strength training can be altered depending on the training opportunities available and individual requirements.

Anatomy(PHOTO)

7. juli 2011Osgood-Schlatter deseaseurtehave_com

Examination

7. juli 2011Sinding-Larsenurtehave_com

Comming soon..

tape-description

7. juli 2011Sinding-Larsenurtehave_com

Tapening

Type:

Objective: The load on the tendon fastening can be adjusted with use of tape, so that the maximum load is moved to another part of the tendon fastening allowing the injured part to be relieved.

Application: One or two tape “anchors” are applied around the lower leg just below the lower edge of the kneecap. The tape must not be fixed so tightly so as to cause any discomfort from the lower leg or foot (cold sensation, sleeping sensation).

STEP4

7. juli 2011Sinding-Larsenurtehave_com

GENOPTRÆNING

[Back]

TRAINING LADDER FOR CHILDREN AND ADOLESCENTS:
FOR SINDING-LARSEN
(SINDING-LARSEN)

STEP 4

The treatment primarily comprises relief. This “treatment” is quite sufficient on smaller children, and the sports activity can be cautiously resumed when the pain has diminished. The period of relief is usually quite short if the relief treatment is started soon after the onset of the symptoms.

Unlimited: Cycling. Swimming. Running on a soft surface.

(10 min)

Stand with support from the back of a chair or the wall. Using your hand, bend the knee and draw the foot up and your knee slightly backwards so that the muscles in the front of the thigh become increasingly stretched. Hold the position for 20 seconds and relax for 20 seconds before repeating. The exercise can also be done lying down. If you lie on your stomach you can draw the foot up by using a towel.

(10 min)


Lie on the floor with slightly bent knees. Put the elastic under the foot and hold firmly with your hands. Stretch the knee so that the elastic is drawn tight and slowly bend the knee again.

Go up and slowly down from the stool. Go up with the healthy leg first and down with the same leg first. The load can be increased by putting on a rucksack and gradually increasing the ballast in the rucksack.

The time consumed for stretching, coordination and strength training can be altered depending on the training opportunities available and individual requirements.

STEP3

7. juli 2011Sinding-Larsenurtehave_com

GENOPTRÆNING

[Back]

TRAINING LADDER FOR CHILDREN AND ADOLESCENTS:
FOR SINDING-LARSEN
(SINDING-LARSEN)

STEP 3

Unlimited: Cycling with weak load. Swimming. Running with increasing distance on a soft surface.

(10 min)

Stand with support from the back of a chair or the wall. Using your hand, bend the knee and draw the foot up and your knee slightly backwards so that the muscles in the front of the thigh become increasingly stretched. Hold the position for 20 seconds and relax for 20 seconds before repeating. The exercise can also be done lying down. If you lie on your stomach you can draw the foot up by using a towel.

(10 min)


Sit on a chair and lift the knee to a horizontal position. Hold for 1 minute, lower the leg to approx. 45 degrees for 30 seconds. Lower again to the starting position.

The time consumed for stretching, coordination and strength training can be altered depending on the training opportunities available and individual requirements.

STEP2

7. juli 2011Sinding-Larsenurtehave_com

GENOPTRÆNING

[Back]

TRAINING LADDER FOR CHILDREN AND ADOLESCENTS:
FOR SINDING-LARSEN
(SINDING-LARSEN)

STEP 2

Unlimited: Cycling with weak load. Swimming. Light running on a smooth surface.

(10 min)

Stand with support from the back of a chair or the wall. Using your hand, bend the knee and draw the foot up and your knee slightly backwards so that the muscles in the front of the thigh become increasingly stretched. Hold the position for 20 seconds and relax for 20 seconds before repeating. The exercise can also be done lying down. If you lie on your stomach you can draw the foot up by using a towel.

(5 min)


Sit on a chair and lift the knee to a horizontal position. Hold for 1 minute, lower the leg to approx. 45 degrees for 30 seconds. Lower again to the starting position.

The time consumed for stretching, coordination and strength training can be altered depending on the training opportunities available and individual requirements.

STEP1

7. juli 2011Sinding-Larsenurtehave_com

GENOPTRÆNING

TRAINING LADDER FOR CHILDREN AND ADOLESCENTS:
FOR SINDING-LARSEN
(SINDING-LARSEN)

STEP 1

Unlimited: Cycling with weak load and raised saddle. Swimming.

(5 min)

Stand with support from the back of a chair or the wall. Using your hand, bend the knee and draw the foot up and your knee slightly backwards so that the muscles in the front of the thigh become increasingly stretched. Hold the position for 20 seconds and relax for 20 seconds before repeating. The exercise can also be done lying down. If you lie on your stomach you can draw the foot up by using a towel.

(5 min)

The time consumed for stretching, coordination and strength training can be altered depending on the training opportunities available and individual requirements.

Tendonitis at the ischiatic bone

7. juli 2011Tendinitis at the ischiatic boneurtehave_com

Diagnosis:

(ENTESOPATIA TUBER ISCHIADICUM

Anatomy: The large posterior thigh muscles (hamstring muscles) have a common muscle tendon fastening on the ischiatic bone (tuber ischiadicum). The posterior thigh muscles flex the knee and stretch the hip.

Bursa trochanterica m. glutei maximi
M. gluteus maximus
M. biceps femoris (caput longum)
M. semitendinosus
M. semimembranosus
M. adductor magnus
M. gracilis
M. quadratus femoris
Bursa ischiadica m. glutei maximi

(Photo)

RIGHT GLUTEAL MUSCLES
FROM THE REAR

Cause: Inflammation of the tendon fastenings (tendinitis) at the ischiatic bone (tuber ischiadicum) occurs following repeated uniform (over)loads (e.g. running, sprinting) causing microscopic ruptures in the tendon, and especially at the tendon fastening. Tendinitis is a warning that the training performed is too strenuous for the muscles in question, and if the load is not reduced a rupture of the posterior thigh muscle fastening on the ischiatic bone (“pulled muscle”) may occur. This will result in a considerably prolonged rehabilitation period.

Symptoms: Pain in the ischiatic bone can occasionally radiate down into the rear of the thigh. The pain is aggravated when applying pressure on the bone (e.g. sitting position), stretching and activating the posterior thigh muscles (flexing the knee against resistance).

Acute treatment: Click here.

Examination: In slight cases with only minimal tenderness and no discomfort with walking, medical examination is not necessarily required. The extent of the tenderness is, however, not always a mark of the degree of the injury. In cases of more pronounced pain or tenderness, medical examination is required to ensure the correct diagnosis and treatment. The diagnosis is usually made on the basis of a normal medical examination, however, if there is any doubt concerning the diagnosis, this can be confirmed by ultrasound scanning or MR scanning (article).

Treatment: The treatment usually comprises relief, stretching and rehabilitation (article). If the rehabilitation does not progress satisfactorily, medicinal treatment in the form of rheumatic medicine (NSAID) can be considered, or corticosteroid injection in the area surrounding the inflamed tendon fastening on the ischiatic bone. As the injection of corticosteroid is always an element in the long term rehabilitation of a very serious, chronic injury, it is vital that the rehabilitation period lasts over several months in order to reduce the risk of a relapse or ruptures. The tendon can naturally not sustain maximal load after a long-term injury period and only a short-term rehabilitation period. If the diagnosis is made by use of ultrasound scanning, the injections are performed under guidance of ultrasound, and the rehabilitation is progressed in accordance with the guidelines mentioned, then the treatment involving corticosteroid injections has very few risks connected. If satisfactory progress is not made following the rehabilitation and medicinal treatment, surgical intervention can be considered. Long-term results of operations are often disappointing, despite publication of a minor series with good results (article).

Rehabilitation: INSTRUCTION

GENERAL STEP1 STEP2 STEP3 STEP4

Complications: If the treatment does not progress according to plan, it should be considered if the diagnosis is correct or whether complications have arisen. The following should in particular be considered:

Cause(PHOTO)

7. juli 2011Sinding-Larsenurtehave_com