The document describes a physical therapy intervention for a 64-year-old male with knee extensor/quad weakness. The intervention is sit-to-stand exercises, with the patient lowering themselves to and standing up from a table 3 sets of 20 repetitions per day. Sit-to-stand exercises functionally engage the weak knee extensors.
The document describes a physical therapy intervention for a 64-year-old male with knee extensor/quad weakness. The intervention is sit-to-stand exercises, with the patient lowering themselves to and standing up from a table 3 sets of 20 repetitions per day. Sit-to-stand exercises functionally engage the weak knee extensors.
The document describes a physical therapy intervention for a 64-year-old male with knee extensor/quad weakness. The intervention is sit-to-stand exercises, with the patient lowering themselves to and standing up from a table 3 sets of 20 repetitions per day. Sit-to-stand exercises functionally engage the weak knee extensors.
Impairment: Knee extensor/Quad weakness (CKC PRE) Intervention: Sit to stand
Intensity/Progression: low
Mock client (age/gender): 64 year old male.
Brief Description: With patient standing about half a step away
from the table, have the patient lower themself to the table in a seated position. The patient should the stand up to the starting position. The table height may be adjusted to increase or decrease the difficulty.
Dosage: 3 x 20, once a day.
Brief Rationale: A sit to stand is a functional way to engage the
patients weak knee extensors.
Reference:Reychler G, Pincin L, Audag N, Poncin W, Caty G. One-
minute sit-to-stand test as an alternative tool to assess the quadriceps muscle strength in children. Respir Med Res. 2020;78:100777. doi:10.1016/j.resmer.2020.100777
Brief Description: Have the patient stand with a slight bend in
their knee. Wrap a resistance band around their knee and secure the other end to an immovable object. Have the patient contract their quad to straighten their knee against the resistance band.
Dosage: 3 x 20, 4-5 times a week.
Brief Rationale: In order to push against the resistance band
and straighten their knee they will have to engage their knee extensors.
Reference:Alghadir AH, Anwer S, Sarkar B, Paul AK, Anwar D. Effect
of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: a randomized controlled trial (retro-walking trial). BMC Musculoskelet Disord. 2019;20(1):159. Published 2019 Apr 9. doi:10.1186/s12891-019-2537-9
Group Member Names: Austin Emig and Erin Brink
Impairment: Knee extensor/Quad weakness (CKC PRE) Intervention: squat on Bosu Ball Intensity/Progression: High
Mock client (age/gender): 64 year old male
Brief Description: pt balances on bosu ball and does a full
squat with knees reaching up to 90 degrees.
Dosage: 4x10 reps, 2-3 times a week
Brief Rationale: When your quads are weak, knee extension
becomes difficult and an increase risk for other injuries arise. Quad strengthening is important to reduce that risk and help with knee extension which you need for ambulation and many ADLs.
Reference: Escamilla RF. Knee biomechanics of the dynamic squat
exercise. Med Sci Sports Exerc. 2001;33(1):127-141. doi:10.1097/00005768-200101000-00020
Effects of Distally Fixated Versus Nondistally Fixated Leg Extensor Resistance Training On Knee Pain in The Early Period After Anterior Cruciate Ligament Reconstruction