今次分享呢個痛症，根本上好多運動員都會有，💥𝐏𝐚𝐭𝐞𝐥𝐥𝐚𝐫 𝐓𝐞𝐧𝐝𝐨𝐧💥 中文叫髕骨肌腱炎，亦都有啲人會叫跳躍膝，我喺功課都有做過呢個 Topic😆 好多時有啲人覺得膝頭哥痛，都係因為佢地臏筋發炎，我有好多學生客都有呢個痛症。 第一個原因：佢地練波時間好密，一星期練6日波，而且強度高，休息時間又唔夠，唔夠時間比膝頭哥修復。🌟調整休息時間 第二個原因：拉筋唔夠，好多時佢哋熱身或者打完波之後，都好懶同無拉筋既習慣，導致大腿肌肉長期崩緊，從而令膝頭哥負荷更加大。🌟注重拉筋放鬆肌肉 第三個原因：肌肉不足，通常我哋透過四頭肌去保護我哋嘅膝頭哥，如果肌肉唔夠，同時會為膝頭哥造成負荷。🌟加強訓練四頭肌肌肉 希望呢啲資訊都幫到大家🌟 髕腱炎是經常做跳躍動作的運動員或運動愛好者，常發生的一種病狀，因為只要你「反覆做膝蓋彎曲伸直的動作」，加上大腿肌肉無力或是活動量太大，可能使髕腱受到股四頭肌的拉扯，引起疼痛症狀。 但髕腱炎並非只發生在上述兩者身上，因為以下四個日常生活常用到的動作，如：走路、跑步、跳躍或蹲下都需要靠髕腱才能完成。所以只要你在上述四個動作的過程中姿勢不正確、用力不當都可能會引發髕腱炎。 髕腱炎在觸診時髕骨下緣疼痛最常見，一般在運動時或是運動結束後疼痛加劇，運動前通常不會有太明顯症狀，經過短暫休息後就能舒緩疼痛不適，因此容易被人忽略。但如果不稍加注意而繼續參與運動訓練或活動，可能會演變成為慢性的運動傷害。 髕腱炎的處理可以分為三階段，如下： 第一階段： 急性期先冰敷消除腫脹，並減緩運動量，貼紮可以使用肌貼給予髕骨支持並放鬆大腿前側的肌肉，或使用運動貼布(白貼)針對痛點壓迫、支持髕骨，護具方面則可以使用髕骨加壓帶。 第二階段： 等腫脹消除後，可以開始熱敷，增加受傷部位的血液循環，加速廢物排除，並做一些大腿前側低強度的伸展， Posted @withregram • @rehabscience 💥𝐏𝐚𝐭𝐞𝐥𝐥𝐚𝐫 𝐓𝐞𝐧𝐝𝐨𝐧💥 —— 🔎Patellar tendinopathy is characterized by pain at the anterior aspect of the knee, especially near the inferior pole of the patella, that is worsened as knee extensor (quadriceps) demand increases. - 👉This condition is more common in males and in sports such as basketball, volleyball, football and tennis as these activities require the patellar tendon to repetitively store and release energy. When the tendon is challenged beyond its capacity or not allowed sufficient rest, the risk of developing symptoms increases. - ✅In general, the exercises below progress from less stressful to more stressful on the tendon. When you are trying to figure out where you should start, begin with exercise one and see how your symptoms respond. Let me know if you have any questions. . 1️⃣Isometric Wall Squat 2️⃣Eccentric Focused Decline Squat 3️⃣Unilateral Leg Extension 4️⃣Forward Lunge 5️⃣Unilateral Leg Press 6️⃣Step Up 7️⃣Single-Leg Squat . #rehabscience

💥 Pectoralis Tear(附中文) “What do you need to know” - Allan came forward to me last week suffering from pain after trying for his bench press PR. He was worried that his injury might to be risky to keep training. So he decided to consult a physical therapist before going back to training - Upon initial observation, we can see a small bruise on the left anterior shoulder, and a bulge of muscle lateral to the pectoralis major. I asked Allan to raise his arm up and pain resulted. I followed with a series of resistance test of the shoulder joint. There was weakness in horizontal adduction of the arm and when the arm is outstretched to the side - To determine the severity of tendon injury, I follow the general grading for tendon rupture: Grade I : Overstretching of a tendon without a loss of function Grade II : Continuity of the tendon is intact but strength is significant reduced Grade III : Complete disruption of a tendon - From my objective evaluation, Allan’s injury is a typical Grade I to II pectorals tendon tear. I suggested an MRI with the orthopedic doctor for a follow-up. In the next video I will be posting what exercises I gave him. —————————————— 💥 胸大肌拉傷 “個案分享" - Allan 上禮拜嘗試卧推PR後，因為胸大肌的疼痛來就診。他很害怕這個受傷會讓他不能繼續訓練，決定先找一個物理治療師評估一下，看看專業的意見，給他訓練上的建議 - 在初步的客觀評估，我們可以看到左肩前外側有一個小瘀青，左胸大肌的外緣也有一塊肌肉凸出來。我請Allan把雙手往上舉高，在舉到快180度的時候他說會有明顯疼痛感。接著我針對肩關節週邊肌群做阻力測試，明顯的看到在左手往內夾(飛鳥夾胸的動作)會有無力感，當手往外打開的時候也會有疼痛 - 要如何決定拉傷的嚴重度？我參考一般臨床肌腱拉傷的分級: 第一級: 輕度拉傷，功能不受影響 第二級 : 中度拉傷，肌纖維中度損傷，但肌纖維不完全斷裂，肌力明顯受影響 第三級 : 重度拉傷，肌肉完全斷裂 - 從我的客觀評估，明顯的能判斷Allan的疼痛是因為胸大肌肌腱第一到第二級拉。我建議他找骨科醫生做進一步諮詢，照核磁共振確認受傷的狀況。下一篇發文我會告訴大家胸大肌拉傷的運動 . #jamesthephysio signing out . #physicaltherapy #physiotherapy #rehab #dpt #prehab #physio #exercises #workout #functionalfitness #strengthandconditioning #functionaltraining #personaltraining #injuryprevention #fisio #fisioterapeutas #fitness #pectear #tendon #物理治療 #運動醫學 #肌腱拉傷 #重訓 #概念 #相信專業 #預防 #健康促進

💥”Congenital” Anterior Pelvic Tilt(附中文) “Not scary at all” - Should we be scared if I tell you we are born with anterior pelvic tilt? Absolutely not. Let’s talk about the angle of tilting and how we should measure it - If we look at the body from the lateral side on a X-ray image, draw an imaginary line from the PSIS to the ASIS , and the angle formed with the transverse plane is the pelvic angle. It measures the pelvic tilting position in a natural relaxed state. Normal range for pelvic angle is 13° ± 6° [J. C. Le Huec et al., 2011] - We are born with a slight forward tilted pelvis. So if we do correct the tilting angle, to what extent can we correct it? Correction of pelvic angle does not solve it all. I often heard physios scam the public by telling there is ‘quick-fix’ to anterior pelvic tilting. We should start to think of the body as a whole integration rather than individual working parts . Feed the dysfunction with whole body movement to re-introduce kinesthetic awareness of pelvic position ————————————— 💥”先天” 骨盆前傾 “骨盆角度” - 常常聽到別人說自己骨盆有前傾，聽起來好像很糟。不過我告訴你，每個人天生骨盆便是前傾的，這樣是不是更可怕。我們來講一下什麼是骨盆角度 - 骨盆角度一般是從正常放鬆站姿下的X光片去做測量。從側面觀看，髂後上棘與髂前上棘的假想線，與水平面形成的夾角，就是骨盆角度。正常的骨盆角度是13° ± 6° [J. C. Le Huec et al., 2011] - 每個人的骨盆都有點前傾，真有需要做調整訓練嗎。做了後傾的訓練，疼痛就可以得到改善嗎。我常聽到某些治療師會說，單純調整骨盆的位置，或宣稱這樣能解決下背痛。針對下背痛的問題，應該給的是脊椎跟骨盆相對的運動，將身體想成一個個體，做整體性的運動，增加大腦對骨盆動作的控制 - - 希望能透過更多主題，改變大家對身體的既有想法。物理治療沒有”一次就搞定”或什麼”兩招就能解決”，與其欺騙大眾，我更鼓勵的是著實的進行運動治療，透過整體性的運動，讓病人知道長期運動才是維持健康的方式。喜歡這樣的主題，歡迎分享。有其他想探討的主題，歡迎在下面留言 - #jamesthephysio signing out