1. Knee Rehabcurrent Concepts&ApplicationDR.KANNABIRANSenior consultant physiotherapistProfessor in physiotherapy

2. CRITICAL THINKING22YEAR OLD MALE COLLEGE FOOTBALL PLAYER RECEIVED A BLOWTO POSTERIOR RIGHT KINEE AS HEWAS TACKLED FROM BEHIND. 3. Bad tackle 4. On fieldPAIN WAS EXCRUCIATING LOCALISED TOTHE POSTEROLATERAL ASPECT OF KNEE 5. UNABLE TO STAND WITHOUTSUPPORT EVALUATED BY THE PHYSICAL THERAPIST ADVISED REST AND NWB WITH CRUTCHES 6. ACLR 7. WHAT PHYSICAL THERAPY AFTER ACLRECONSTRUCTIONAGETYPE OF INJURYRECONSTRUCTION- GRAFT,SURGEONSPROFILE,TYPE OF FIXATIONPRE OP STATUSSCOPE FOR SUPERVISED PTRECENT BIOMECHANICAL UPDATEFUNCTIONAL APPROACH 8. Existing Home VersusSupervised Therapy Home Exercise VersusWeight Machines Aquatic Therapy Open Versus ClosedChain Exercise Progression Based onObjective CriteriaWhat's new? 9. General impression regarding existing ACLRprotocolsBased onMuscleStrengthIgnoredProximalMuscle control6 monthsToo early toreturn to sports 10. Biomechanical updateHIP & KNEE STRATEGIESKNEE STRATEGYKNEE EXTENSOR MOVEMENTQUADRICEPS ACTIVATIONHIP EXTENSOR MOVEMENTHIP ENERGY ABSORPTIONHIP STRATEGYKNEE EXTENSOR MOVEMENTQUADRICEPS ACTIVATIONHIP EXTENSOR MOVEMENTHIP ENERGY ABSORPTION 11. KNEE STRATEGY 12. HIP STARTEGY 13. IMPAIRED GLUTEUS MAXIMUS MUSCLEPERFORMANCESagittal Plane Frontal/Transverse Plane 14. THOUGHT PROCESS NEED FOR CHANGE DUE TO INCREASINGRESPONSIBILITY 15. A functional approachin KNEE Rehabilitation 16. Developing a functional program1. The focus on functionalmovement2. The principle ofskill/ability levelrehabilitation3. The code for motoradaptation.that ought toparticipate in thisparticular movement& accompany thestabilization of thebody. 17. MOTOR COMPLEXITY MODEL FOR FUNCTIONALPROGRAM 18. Developing a functional programSimplified complexity in tensional fields.Shaded circles represent tension created bymuscle groupsADAPTIVE CODE & PHYSICALSTIMULATION FOR PROPRIOCEPTION 19. merge adaptive code Rehabilitation Similarityspheres 20. Amazing clinical shortcut 21. Challenging Environment 22. Functional approach composite abilities 23. Functional Approach Rehabilitation(Reabilitation) 24. Functional Approach Re-abilitation 25. Functional approachAdvanced composite workouts 26. Balance/postural stability challenge. 27. Balance/postural stability challenge. 28. Take Home Rehabilitation with current concept Enhance hip strategy Functional re-abilitation motor complexity Differentiate demand & risk in rehab. Think movement not muscles Team work 29. Depends on how we see things 30. INVESTIGATE THE BIG TALK !