Diapositiva 1

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Patellofemoral pain syndrome in Water Ski
Athletes
Dr. Lorenzo Benassa , Dr. Paola Maccalli
Physical Medicine and Rehabilitation
Specialist, Sports Medicine Specialist, Chairman
of International Water Ski Federations medical
commission, Chairman of Italian Water Ski
Federations medical commission Sports
Medicine Specialist, Member of Italian Water Ski
Federations medical commission
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FORCE TRACTION
REACTION
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PATELLOFEMORAL STRESS POSITION
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IMPACT
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THE KNEE
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INFILTRATION PROTOCOL 3 - 6 INFILTRATIONS WITH
OXIGEN/OZONE (O2/O3) 1-3 INFILTRATIONS WITH
HYALURONIC ACID
TO REDUCE KNEES INFLAMMATION
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PATELLOFEMORAL SYNDROME IS A PAIN SYNDROME DUE TO
ABNORMAL PATELLA-FEMOR ALIGNMENT THAT CAUSES
DISCOMFORT IN KNEES FLEXION AND EXTENSION
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MCCONNELL TAPING
THE PURPOSE OF MCCONNELL TAPING PROCEDURES IS TO
CORRECT ABNORMAL PATELLAR TRACKING AND MAINTAIN
IT THROUGHT PHYSICAL THERAPY EXERCISE.
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TERAPEUTIC TAPE (FIXOMULL STRETCH ON SKIN
OMNITAPE 3.75 CM) WAS APPLIED BY TRAINED
PHYSIOTHERAPIST.
TAPING
THE ORIENTATION OF THE TAPE DEPENDS ON SPECIFIC
NEEDS OF THE PATIENT
GLIDE-CORRECTION
AP-TILT CORRECTION
PUSHING THE SUPERIOR PART OF PATELLA, WE CAN
UNLOAD THE FAT PAD THAT CAUSE PAIN
THE GLIDE OF PATELLA MUST BE CORRECT TO HELP A
RIGHT GLIDE.
ONCE APPLIED, THE PATIENTS SHOULD EXPERIENCE A
RESOLUTION OF SYNTOMPS ASSOCIATED WITH PFPS, THUS
ENABLING THEM TO ENGAGE IN PHYSICAL THERAPY
EXERCISE.
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REHABILITATION EXERCISE

• STRETCHING

Lateral manual stretching of patella
Vastus lateralis muscle stretching
Posterior chain muscle stretching
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REHABILITATION EXERCISE

• POTENTIATION

General quadriceps muscle Potentiate
Hip adductor strengthening
EMG vastus medialis m.
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RESULTS
AFTER INFILTRATIONS, MCCONNELL TAPING AND
REHABILITATION PROTOCOLS APPLICATION, ATHLETES
HAD RESOLUTION OF SYMPTOMATOLOGY IN 7-10 DAYS AND
THEY RETURNED TO THEIR RACE (INCLUDING JUMPING,
TOURNAMENT AND SLALOM) IN 20 - 25 DAYS.
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CONCLUSION
IN OUR EXPERIENCE THE ASSOCIATION OF INFILTRATION
THERAPY, MCCONNELL TAPING AND REHABILITATION
PROTOCOL IS A RELEVANT PHYSIOTERAPEUTIC
INSTRUMENT THAT ACCELERATES THE RESTART OF THE
SPORTS ACTIVITY IN PATELLOFEMORAL PAIN SYNDROME.