NASM Essentials of Corrective Exercise Training

NASM Essentials of Corrective Exercise Training

Chapter 13

NASM Essentials of Corrective Exercise Training

Lesson Plans

Chapter 13— Corrective Strategies for Knee Impairments

Goals of the Lesson:

Cognitive: Understand basic functional anatomy for the knee, common mechanisms of injury, and risk factors that can lead to knee injuries

Motor:

Affective: Incorporate systematic assessment and corrective exercise strategy for knee impairments

Learning Objectives:

The lesson plan for each objective starts on the page shown below.

13-1Knee Functional Anatomy/Common Injuries and Associated Movement Deficiencies...... 252-256

13-2Assessment and Corrective Exercise Strategies for Knee Impairments...... 257-265

You Will Need:

Gather the following materials and teaching aids for the following lessons:

13– 1&2 Computer and projector, PPt, Skeletal model of knee, copies of sample corrective strategies from Appendix A in Text

NASM provides a separate credentialing process that may add value for your students. The content

presented in the NASM Essentials of Corrective Exercise Training is in preparation for the NASM

Corrective Exercise Specialist credentialing exam.To make this available to your students, please

contact NASM directly at 800-460-6276 x1201.

Legend: PPt: PowerPoint

Objective 13-1

Knee Functional Anatomy/Common Injuries and Associated Movement DeficienciesDate:

Lecture Outline

Figures, Tables, and Features

Resources and

In-Class Activities

Outside Assignments

Evaluation

Instructor’s Notes

Content / Text page / PPt slide
Lower extremity injuries account for more than 50% of injuries in college and high school athletes
Knee is one of the most common
2.5 billion cost annually for ACL
Corrective strategies can have impact on prevention
Foot, ankle and Lumbo-pelvic hip complex play major roll in knee injury
Anatomy
Review bony anatomy
Key muscles associated with the knee – See Table 13.1 p. 268
Patellar Tendinopathy (Jumpers Knee)
Common overuse injury
Repeated stress to patellar tendon
Common to jumping sports
Risk factors include:

Knee Valgus and Varus
Increased Q angle
Poor quadriceps and hamstring flexibility’
Poor eccentric deceleration capability
Overtraining

Iliotibial Band (IT-Band) Syndrome (Runners Knee)
Result of irritation of distal portion of IT-band
May occur due to lack of flexibility of Tensor Fascia Latae (TFL)
Typically caused by overuse
Abnormal gate or running biomechanics
Weakness in hip abductors possible contributor
Patellofemoral Syndrome
Abnormal tracking of patella
May be attributed to static increased Q-angle
Also dynamic lower extremity malalignment
Anterior Cruciate Ligament Injury (ACL)
Altered lower extremity neuromuscular control attributed to ACL rupture
Peak landing forces and valgus torque
Most are non-contact deceleration injuries
Control deficits in hip and trunk found to be a factor / 267-271 / 1-9 / Figures
13.1 Bones of the knee p. 268
13.2 Proximal bones affecting knee p. 268
13.3 Distal bones affecting the knee p. 268
13.4 Patellar Tendinopathy p. 269
13.5 IT-band syndrome
13.6 Patellofemoral Syndrome p. 270
13.7A Anterior Force p. 270
13.7B Lateral Force p. 270
13.7C Rotational Force p. 270

Objective 13-2

Assessment and Corrective Exercise Strategies for Knee ImpairmentsDate:

Note: This lecture should be done in conjunction with lab activity for learning how to implement entire continuum following assessment of knee

Lecture Outline

Figures, Tables, and Features

Resources and

In-Class Activities

Outside Assignments

Evaluation

Instructor’s Notes

Content / Text page / PPt slide
Systematic Approach to determine and correct knee impairments
Assessment includes:

Static Posture Assessment
Transitional Movement Assessment
Dynamic Movement Assessment
ROM Assessments
Strength Assessment

Corrective Strategies – knee moves out, knee moves in during SLS assessment
See sample corrective Exercise Program for knee Impairment table p. 271
Sample interventions of Inhibit, Lengthen, Activate and Integrate on pp. 272-287
For knee moves inward – Appendix A p. 370
For knee moves outward – Appendix A p. 371
Summary
Lower extremity injuries account for majority of injuries at college and high school
Knee is one of the most commonly injured
Assessment is critical
Neuromusculoskeletal control deficits are identified for targeted treatment
Systematic approach can reduce the risk of injury and at the same time improve performance / 271-287 / 10-19
20 / Lab Activity
Lab Activity
Students should go through the entire continuum with lab partner. Assessment and recommendations for program implementation for knee dysfunction should be written and evaluated by instructor.
Assessment and programming should be written for when:
-Knee moves inward
-Knee moves outward