Knee treatment: patellar or patellofemoral syndrome, flessum correction and sequelae of anterior cruciate ligament rupture

Knee pathologies

The knee joint has a specific role: it is mainly involved in absorbing shocks and leg stability. The synergy and quality of muscle contractions, as well as the integrity of its bone and ligament system, guarantee these functions.

The knee pathologies treated by the Allyane protocols are generally those that can cause compensatory phenomena that are sometimes painful, and more particularly those that will persist over time, and thus slow down functional rehabilitation, or even disrupt the reathletisation of an athlete.

Regaining knee mobility with Allyane's intervention

The Allyane method will help to restore the disorders and defects in muscle activation that can occur after several types of knee operations or trauma. An operation on the anterior cruciate ligament, for example, can cause the quadriceps to become sidelined and the appearance of a sometimes resistant flessum. The installation of a partial or total knee prosthesis will also sometimes induce balance problems in the patient, or a lack of confidence when walking, or even a limp.

Many other pathologies that require knee rehabilitation can also be treated by Allyane certified practitioners. They accompany patients suffering from patellar syndrome (or patellofemoral syndrome), but also the aftermath of patellar or tibial plateau fractures, knee sprains, as well as any other functional disorder of a non-mechanical nature.

Knee pathologies causes

Generally of traumatic origin or linked to wear and tear in relation to repetitive movements, the following injury mechanisms can be distinguished for most of these pathologies:

• Deceleration associated with valgus stress and external rotation of the knee, or associated with hyperextension stress and internal rotation for all ACL sprains or injuries, but also hyperflexion (called "buttocks") which can create too much drawer leading to ACL rupture (during a kite landing for example), [1].
• Repeated flexion/extension movements in so-called "in-line" sports (long-distance running, cycling, etc.), which cause an inflammatory reaction of a portion of the Fascia Lata tensor (TFL) on the external condyle of the knee, for all that is "ice wiper syndrome", [2]
• Wear and tear related to professional or sporting activity, through the repetition of movements and the load or stress borne by the joint. It should be noted that wear and tear of joint structures is also dependent in the long term on environmental factors such as diet.

Management of knee pathologies with Allyane

The specific Allyane sessions are generally integrated into the current rehabilitation programme, or even sometimes long afterwards, if the functional disturbances are chronic and persist.
Finally, it is possible to have recourse to sessions without any particular problems in relation to the rehabilitation in progress, simply to accelerate the rehabilitation process and the "return to play" in the case of sportsmen and women for example.
It is important to note that the study of each patient's case is based on a precise anamnesis and the analysis of the motor patterns in their entirety; it is therefore not limited to the knee region alone.