Case Study

Athlete Profile:

16-year-old female track and cross country athlete on the varsity high school team, practicing 4-5 times a week during track season.

The Injury:

The athlete had a 3 year history of knee pain with running, where sharp and shooting pain would develop early on in her runs. She was able to continue running with intermittent pain, and experienced pain after running, which continued when walking, climbing stairs, and with squatting and lunging.

The Initial Treatment:

The patient was under the care of a pediatric orthopedic specialist and diagnosed with kneecap pain. She had undergone previous physical therapy at another facility which included stretching, strengthening exercises to the knee, and running on an underwater treadmill to address the pain. Rest from running eased pain, but it returned each time she returned to running.

The Pro•Motion Performance Program

1.

Diagnosis:

The patient was referred to Pro Motion Physical Therapy and the initial evaluation revealed many factors causing the knee pain, including strength impairments hip and knee, poor muscle control in the trunk, hip and knee, decreased core stability of the lower back, and tightness in the lower back and pelvis. Additionally, a psychological questionnaire to assess patient confidence to return to running was rated 85 on a 0-100 scale, demonstrating she had minimal fear of return to play, but a diminished ability to do so.

2.

Sport-Specific Rehabilitation:

The patient was treated by the same physical therapist in the Pro Motion Performance Program for an 8-week period. Her treatment initially included core stabilization exercises to the lower back, stabilization and strengthening exercises to the hip in supported non-weight bearing positions, and specific re-education of the muscles around the knee, controlling the kneecap.

3.

Optimal Loading:

At week 4, a sports specific optimal loading program was introduced, that included upright, and functional based exercises, such as single leg squats off a 12 inch step, while maintaining good trunk, hip and knee control, hip strengthening in weight bearing positions, step ups, and balance exercises, with further progression to more global muscle strengthening to include lunges and running drills.

At 6 weeks patient was running with mild pain of short duration, pain free with walking and stair climbing.

4.

Return to Play:

At 8 weeks, the patient was running in practice and competitions pain free and had won one of her competitions.

5.

Re-Injury Prevention:

The athlete was discharged with a sports specific home exercise program, with exercises to be included in her warm up routines and practices to assist with re-injury prevention.

THE RESULT: After returning to play, this athlete continued to be free of knee pain and was able to run track and cross country!

Testimonials

Took my daughter here to work out a softball injury, they gave her excellent care and guidance. Paul and Jane are very good at what they do, fixed her shoulder up and taught her how to keep it from reoccurring . friendly and personable I would recommend pro motion to anyone who needs physical therapy.

James D.

My daughter went here for rehab after a back fracture on pars L5. We had gone to other therapy places, but it's different here, much BETTER. Paul worked with her EVERY single time. He was great with her and helped her to become pain free and return to soccer. She had therapy elsewhere before, but the therapists would change and they would be working with multiple people at the same time. HERE, that did not happen. Paul watched Lauren do her exercises and corrected her if she was not doing them the right way. We drove 45 minutes to get here, but it was well worth it. I HIGHly recommend!

Brian S.

My daughter sprained her ankle three days before the state basketball championship , Paul at ProMotion got. my daughter. ready to play and she played the entire game !!!! Great job Pro Motion. My family and I will not use any other physical therapy provider.

Dan P.

I highly recommend Pro Motion for any physical therapy needs. They are attentive, very knowledgeable, and always serve with a smile. They're especially great with kids and student athletes.

Karen S.

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Transportation


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