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KNEE INJURY PREVENTION TIPS & EXERCISES Healthy Knee Techniques Avoid twisting movements; move feet to pivot. Twisting movements increase stress on the knee. Watch your step; be careful stepping off of steps, curbs, and uneven surfaces. Be careful on slippery surfaces; water, gravel, ice, & snow. Wear proper footwear to prevent slips. Stay alert! Train for Sport Activities; if you enjoy playing sports make time for strengthening and flexibility exercises in your daily routine. Be careful kneeling on hard surfaces; use knee pads. Shoes: shoes play an important role in proper body alignment, including the knee joint. They also help to work as shock absorbers for the body. Body Alignment – over pronation of feet Muscle Balance: maintain muscle balance throughout the body. The knee joint requires strength and flexibility in the muscles in the back and front of the leg. Maintain a healthy weight: Extra pounds equal extra pressure on your joints, especially the knees. This added pressure causes faster deterioration of the joints. Quiz Yourself: 1. 2. 3. 4. ________ cartilage is the most common knee injury. Muscle ___________ around the knee joint helps prevent injury. The ___________ are the shock absorbers of the knee. If you are 20 percent overweight or greater you are at _________ risk for knee problems. 5. ________________ occurs in most people with past knee injuries. 6. Weekend warrior activities increase risk for injury if you do not _______________ specifically for those sport activities. 7. A majority of RTD work related _____________ are due to slips, trips or falls. Answers 1. Torn 2. Balance 3. Menisci 4. Increased 5. Osteoarthritis 6. Train 7. Knee injuries KNEE INJURY PREVENTION EXERCISES Stretching Exercise Guidelines (*): Easy muscle movement 5-10 minute warm-up Stretch muscle until you feel slight discomfort. Avoid exercises to injured areas, unless advised by your physician. Hold stretch for 15-30 seconds. Do not bounce. Perform daily and as needed Strengthening Exercise Guidelines: Perform 2-3 times weekly 8-12 Repetitions 1-3 times (sets) Slow and controlled movement 2 seconds up and 4 seconds down. Stop exercises if they cause pain and consult your physician. Avoid exercises to injured areas, unless advised by your physician. ABDOMINAL CURL UP Keep head & neck straight. Knees bent & back flat. Bring hands to knees, and then return shoulders to floor. OBLIQUE CURL UP Keep head & neck straight. Knees bent & back flat. Side-to-side motion PELVIC TILT Pull in belly button to tilt lower back into floor using lower abs. Try not to use buttocks muscles. PELVIC TILT WITH LEG RAISE Maintain pelvic tilt then lift and lower leg slowly. LOW BACK LEG LIFT Lift leg and squeeze buttocks muscles at the top of the movement. Return and alternate legs. *LOW BACK STRETCH Bring both knees into chest and relax head and back. SUPINE LEG LIFT Maintain a supporting bent leg while lifting the opposite leg. Keep leg straight, but not locked out. Do not allow back to arch as you are lifting leg. See pelvic tilt above. REVERSE LEG LIFT Use chair for balance. Lift one leg to rear. Do not lean torso forward. Keep support leg slightly bent. BALANCE ON ONE LEG Stand on one leg with a slight bend in knee and balance for one minute. Use chair or wall as needed. *CALF STRETCH Lean up against wall with one foot to the rear and keep heel on floor. Keep front foot under shoulders. *HAMSTRING STRETCH Extend leg out and point toe up. Do not put pressure on the extended leg. Keep back straight. Lean forward over extended leg. HAMSTRING CURL Stand with upright posture using a chair for balance. Keeping knees side by side curl one leg up. Support leg should have a slight bend in the knee. *GLUTEAL (BUTTOCKS) STRETCH Cross leg over support leg. Do not push on crossed leg. Keep back straight and lean forward over leg. *HIP FLEXOR STRETCH Lunge forward on one foot. Keep upright posture and support knee at a 90-degree angle. Place weight on support leg. Place shoelaces of straightened leg on floor and press hips forward. *Always consult your physician before beginning an exercise program *QUADRICEPS STRETCH Use chair for balance. Balance on one leg with a slight bend in your knee. Keep knees parallel. Bring foot up and press hip forward. STEP UPS Step up onto a stable step. Press up through heel and return to floor. Do not allow knee to move inward or outward. HEEL RAISES Use wall for balance. Stand on one leg and lift heel and raise onto ball of foot. Keep knee slightly bent. *ILIOTIBIAL BAND STRETCH Cross leg to be stretched behind other leg and keep feet flat on floor. Gently press hip out to side you want to stretch. WALL SQUAT Lean up against a sturdy wall. Place feet shoulder width apart. Heels need to be out far enough so knees do not go forward over toes as you squat. Keep back against wall and slide down into sitting position. Never allow buttocks to drop below knees. Press through heels and keep knees straight ahead to return to up position. BACK INJURY PREVENTION TIPS & EXERCISES Answers 1. T 2. T 3. D 4. F 5. T 6. T