AP Joint Mobilisation for Knee Flexion | Tim Keeley | Physio REHAB
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- เผยแพร่เมื่อ 18 ก.ค. 2020
- #kneepain #kneerehab #kneetreatment
Back in the clinic to show those practitioners out there how we do some clever AP mobilisation help with increasing flexion ROM in the knee. I use this a lot with knee clients who are either post-surgical or have OA with joint effusion and chronic ROM problems. Watch your forearm angles and use the body as the movement.
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Good job
So well done
Thanks 🙏
Hi, I can't straighten my knees , due to L4/L5 Prolapse followed by Surgery as I couldn't walk ( Complex Issues ) then followed by further Spinal Surgery, always in Severe Pain had to keep 2 pillows under knees. They do not straighten flat nor can I bring them back up to my buttocks.
I'm Pàralysed Paraplegic & Bed Bound since 1997, can you help of suggest advice for severe cases and what is proper medical term.
THANK You
Can this be done for someone who's had a knee replacement?
Can someone after 6 months of post op knee flexion restricted to 90• can have advantage after getting some physiotherapy session?
Such a good video
Glad you liked it
Good
Thanks for the great instruction,
Can i apply this to a senior who has knee pain at 100’ degree knee flexion limit, post op (femoral neck fx), general muscle weakness,, .?
Yes, absolutely
Very good 👍
Thanks
Tq sir
Pls guide for POST ACLR:
*knee stiffness &
*thigh thinning...
*ankle strengthening to enable knee hold/ lock
Half squats.
Removable ankle weights 4kg
post ACLR
Best way to guide you is via my program:
physiorehab.com/rehab-programs-acl-knee-surgery-rehab
Thank u !!could u show thise mob.in real case rather in demonstration
It looks like you, as a patient, would need someone to help you with this exercise? Cannot see how I could do on my own knee! Am I wrong?
Hi Tim, what about the tape job you mentioned here to "lift" the patella? Is that in another video?
Yep just have a look in the channel under the taping playlist
@@physiorehab thanks Tim!
Can i use this mobilization with post acl reconstruction patients ? Specially in first weeks
Yeah it’s safe and what we do too
hello, I wanted to ask if you have had cases where even after a year after the operation the patient does not have flexion, I even had 2 manipulations under anesthesia and I still have no movement, I can flex passively (with great pain) but it is not active, always returns to the initial 100°, after the second manipulation there was a sharp pain in the ankle joint that extends to the entire fibula(sorry for my bad english)the position of the tunnel and graft was checked and everything is fine
Yes sometimes and then you have to work hard with the physio for many months get the movement improved
Can loss of range of flexion be caused by a too short graft in an ACLR?
I doubt it’s a too short graft, maybe capsular scarring / capsulitis if severe loss of flexion long term
Can we give this glide in case of post op patella fracture ?!
Yes as you are not mobilising the patella but make sure it’s not painful into flexion
So if the pt has a hyper extension injury and lacks both extension and flexion of the knee, would it be appropriate to do an AP glide?
Yep
6 months ago I broke my femur, the break was a mid-shaft spiral fracture that descended into the knee area. I lost my range of motion and have just had hardware at the knee removed and an MUA, I am 53 degrees flexion and not improving.
Have a look at my rehab program ms at physiorehab.com
I hv undergone ACLR teo months ago. I could hardly bend my leg when i am standing with solely the bad leg.I could bend it when it is not weighted as it is already flexible. Anything i can do to make me get downstairs normally. I could feel it so pressured when i bend while standing. Thanks!!
Are you on a good rehab program or seeing a physio? Take a look at my program here: www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
It's a journey I think 2 months 1 week post ACLR and still I can't bend my knee back when standing too, I fee a burning pain on the site or my ACL when I do so, kindly update me how you went about this please
Tim, I just love your videos. Is there anyway I could do this to myself, using a strap to pull in that same direction?
Perhaps yes - not a bad idea!
I had MPFL surgery 3 months ago. How long does it take to get full flexion in knee getting my heel to my butt.
Everyone is different, and there are manny factors
My issue is with the hamstring very tight preventing me to do a flexion over 95 degrees. What should I do. Thinking of hamstring needling.
Hamstring tightness causing flexion issues? Do you not mean quadriceps?
can we applied this after 6 week of pcl nd mcl surgery, nd left untreated acl ?? patient having multilgament knee surgery .. acl remains to be repair..
Not good for a PCL injury at 6 weeks
I had 2 way tibial plateau fracture. It’s been 6 weeks post surgery and now starting to bend. I tried to bend and it’s only at 30 degree, I can feel the stiff knee like u mentioned and I can’t go past any further. With the physio first attempt, i felt sooooo much stiffness. Is force bending the only way to break thru the scar tissue? Is my progress fine so far?
Im in the same boat! PLEASE tell me how you feeling now, have you been able to go past 30° with PT or you need a surgery to break the scar tissue 🤔
@@gixxerjim1324 same here.
@@gixxerjim1324I wonder how both of you guys are doing now lol I hope you were able to get full mobility!
Is that useful for tibia nail implanted person
👍
Hi, 6 weeks post op after ACL reconstruction and meniscus resection. I can bending my knee 60 then I have pain. Is it okay or is it arthrofibrosis?
Have you been having mobilisation treatment from the physio?
@@physiorehab I did exercises at home yourself
You didn't mention osteoarthritis. Is this good for oa too?
Yes I use it for OA a lot
@@physiorehab thanks
Sir I have distal femur communicated. Fracture 4 month passed knee bending 20 degree what should I do for knee movement plz suggest bone is not healing due to improper fixtatio n
Perhaps you need to see the surgeon and a physio?
When I move my left knee up and down a crack sound comes from it. IS THIS EXERCISE WILL HELP ME TO STOP THAT SOUND
Not necessarily
I had a ORIF due to tib fib fracture last month and due to 1.5 month of leg immobalization, my knee is locked at 30°. I am doing all these exercises but its not improving. Any suggestions ?
Perhaps see the physio for hands on
Have you gotten it any better? If so how.
Hey How are?
How your knee now? Can you bending knee fully?
I experienced motor accident 3 months ago and did not undergo surgery. My leg was in cast within 2 months and worn knee immobilizer for 1 month. Now that I'm allowed to gradually bend my knee, what should I do first? My leg was just placed straight for months after the incident.
See my other comment on your other post
Hey were u able to bend it I'm going through the same thing
Pls reply I am 17 and I am lot worried cause I have loud 🔊 knee popping on my left side during knee flexion on middle to slight outside of knee during squats and lunges and loud crack during full rom knee flexion without any pain from around 1and a half year how can I fix it
*It's not crepitus
Left is my strong leg
Pls reply
Sounds like a tracking and tightness issue in your patellofemoral joint. My program here should address those issues: www.physiorehab.com/rehab-programs-knee-patello-femoral-rehab
Great video! As a road marathoner for the past 5 years, I'm always looking for new tips on motivation, getting stronger and preventing dreaded injuries. This post is very inspirational. As a fellow TH-camr, I love sharing my experiences and knowledge as well. I just posted an interview with Physiotherapist, Brodie Sharpe all about pain and injury. I know how much goes into these videos! Keep posting - I just subscribed!
Cheers
☕
What causes an overly tight knee capsule?
Swelling for one!
I have complete tear of acl and my knee s stiff...wat should i do sir???
Have you seen an orthopaedic surgeon for a review?
So this is safe for a tibia fracture?
If it’s healed
Thanks a lot
No problem!
Who dislikes this? Lol, great information.
Got me confused too! Lol
A load of bs.
I had surgery in 2016 illizov and latest knee stiffness surgery arthoscopy in june my knee only bend 45 Degree plz help me . How I increase my knee bending ( Physio is continue)
Do you do regular quad stretching and strength work as well?
@@physiorehab yes
Starting physio next week, really nervous 😓 it will be ok though
💪
Hows your shoulder doing?
Great! See my recent post
Hi... My brothers has a accident.. And his had a distanl femur fracture. And get surgery on his leg Last 2 months before.. Now he is can not put load on his leg. And his knee can not bend it. Please give a advice.
Is he getting physio post-operatively?
Little bit
how can I do this to my knee by my self
I have done a exercise video for that: www.physiorehab.com/rehab-exercise-library/ks-knee-flexion-assisted-ap-tibia
I can’t find the video can you post it please
@@thunter1003 did you see my link above?
Can’t play the link
Leg will im mobilize permanent at last stage please give me answer anyone...it will never bend?????
Watch my new video next week
@@physiorehab before my accident i never heard physiotherapy......past people what did when thier leg broken
....i heard only ayurvedic, alop ethic...what is this therepy verepy...everyone called it as a yoga that's it....
Hye sir this lessonfull vedio..
Hope you get a lot out of it
I have a kneel problem
I had surgery since 2018 and till August 2021 I still can't bend my knee please help
Sure - either see a physio or follow my rehab program: www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
@@physiorehab thanks so much because the pain it is too much
The knee joint is a condyloid joint, not a hinge joint. Very informational though!
Screaming, screaming inside thinking on what this would feel like and what would it do to my new $108,000 new knee…
Gd video.content is really supportive
But talk too much
This doesn’t work
For you perhaps
@@physiorehab A female patient had operated in multiple ligaments ( ACL , MCL, meniscus) can do only 62 degree active flexion, I tried this but not get much results. Can you suggest anything for ?
@@GawhadevickyVaibhavgawhade Sounds like she might need a MUA
Good
Great!
May knee after opretion bending only 120 digri, whay possible more 20digri please riplay mi