patella alta exercises pdf

-EqD3-%i!} nd8}+-`5znk6]t]3~MTy6zWUx1]+^RkGbwv8_|k\o=Y^\O%/r YJV=&3 7o`})xAS)x The patient was a 56 year-old female with bilateral knee pain associated with PA. bvHu2Rx93CSmdWSy1/phr2u2h/uaQIIB+lxOvCSnjfrt1nq3T+sU0YOS+ip2O17mtiC4vtE6jwCB xmp.iid:EC423A7620251168B34BA564586C664B Hcdpk8SmMrmdZ/5R6F/6cLP/AGxz0lOT9X/rB9VT9Vul4Wd1TABbgY9d1NmTU0gipjXMe0vBnsQU 0000097272 00000 n /Length 4218 zruWDd847apSH1/rHJiiiCWgacD37if0/k370lMrbvrBWGiumm4ktlwGwNDnHdobnTsaP7U9o1Sm The right PT exercise program for 8xOobPl38UlM24+TQ30sQU1VNc706w2AGbPaIaB/hNfh3SUsxvVw4FzsXbuMgNfO2XbRu3ckRJj5 proof:pdf 72.00 AQBIAAAAAQAB/+4ADkFkb2JlAGQAAAAAAf/bAIQADAgICAgIDAgIDBALCwsQFA4NDQ4UGBITExMS >> saved Start each exercise slowly. J4 cf8A/Jxi/wDpmr/9tU/F84Y8/wDNy8ny1abiKSUpJSklKSUpJT2/Uuq4OVl19Ec/1mXuxHPfk2Tj endobj official website and that any information you provide is encrypted N73h@S+"Ob+@i+2H] 0c;J9RB==^";Gg!#Uwo{A>a) /OPM 1 1.1 Slowly step down with your good leg, allowing your heel to lightly touch the floor. xmp.iid:D4656DF4201B1168B34BA564586C664B If you have any questions about treatment for a specific condition, please check with a health care professional. 0000000016 00000 n The authors report no declarations of interest. 72.00 Adobe InDesign 6.0 ReferenceStream SelD/DZH+cz/ANJoe0Fe4VH6k9JP+GyP85n/AKTS9oK9wt3pnQ8ToteQcV9j/XaN3qEGNgdEbWt/ saved Brandon, Colin R. Smith, Tom F. Novacheck, [1] Numerous studies have interpreted anatomic and biomechanical factors for PFPS. AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3E6f/AOwH/vul93ydlffMPdnTk/4sMi5lFOF091lrgxjR ;TtLKA^JGv(1s7G.+|MOd6ck_vv=M{n~S#omxav#L_`T?GD!obd'n>~sdi: f+{CVy$'#35XljKcy=R\pd[Od';iKG :s8W6 36`'A4f`S&7>O(e)q)KsGJ1sm:/!eU4tz-]i=oN^vdw>ObXMY)k|Dx-(:A> H'j /BaseFont /BKSOIY+Interstate-Light Y+n2cCkpdubVXdtvzqJY4sfWS1pl0Fo1dMj8UlPEf4xbAzrlP/hRn/ny5Nkvjs4NGT6ePZa47QYa AAy4y4/MpKXDK+AG6+AGsJKW+z48FvpMg8jaIOs/lSUuaajyxpnTgeX9ySlelUdCxvM8DkCPyJKV 2cn7pV+wut/+V+V/2zZ/5FL3Id1ezk/dKv2F1v8A8r8r/tmz/wAil7kO6vZyfulX7C63/wCV+V/2 Adobe InDesign 6.0 / 165 0 obj nJKRV9T6LlPcKc6w+sbIaHGJrDn2bZHA+7wSUxtz+i/pAMq1hoLLbdrnNhu9rPcdJEgSkpn+0eh5 0000039437 00000 n BMJ. xmp.iid:0B71896C20321168B34BA564586C664B kfelZTShYxxa9uE+WFoaS1ocBDmy3XtuI7cpWVNqgNbSwMZ6TdoiuANun0YHggpIkpSSlJKUkpSS 2011-06-24T13:13:29-07:00 Therefore, it is important to strengthen the muscles, such as your thigh muscles (quadriceps), that stabilize your kneecap (patella). Hold your leg in this elevated position for a second or 2 before slowly lowering it back to the ground. 87 0 obj <> endobj xref LDusBaCHEay7TVJS/wBmxoI9JkE7iNo5JJnjxKSl6MejFr9LHY2pkl21ogAuMmAkpIkpSSlJKUkp saved Gavril, Denmark, "I LOVE your website. saved 0000029195 00000 n Adobe InDesign 6.0 Step 3: Circle the leg in a clockwise direction 20 times. 173 0 obj Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Joan Rigg PT, OCS - Physical Therapy. HdHs5P3Sr9hdb/8AK/K/7Zs/8il7kO6vZyfulX7C63/5X5X/AGzZ/wCRS9yHdXs5P3Sr9hdb/wDK Inches Claire, US, "Your website is a gold mine, thank you very much." pjZ/Nu/qn8iSnL6z/wAo9C/9OFn/ALY56SmP1V/8S/Q//COL/wCeGpKdNzm/aWNmzca3kAB3pwCy aA2zprQW2Ne2tl5LSS107jtbxxHEx4SkplZjWPxWUu6duYCa3Um//BvG58mYI3NAg8jySUszEcyy Little did she know, s Plus Size Supports for Obesity & Weight-Related Pain, What is Acute Pain And When to Take it Seriously, 5 Tips To Help Keep Your Gardening Pain-Free, Tearing Your ACL: Advice from Former College Athlete and Athletic Trainer. 0000038146 00000 n 164 0 obj Lower yourself about 6 inches. 2011-06-24T11:44:09-07:00 Alu1v2DjMpNFD3Us9f7Q0Nj2u2enAnt3TuMrfaAGjAfV7Ha0MFhIa5pG4A+1hYWM0gbRsHCXuFHs X-rays or MRI scans are typically used for definitively diagnosing patella alta. However, you should begin exercising once your symptoms resolve and youre cleared to exercise by your doctor or physical therapist. Rehabilitation is Tighten the quadriceps (thigh muscle) within your straightened leg and raise it to a 45-degree angle. Disclaimer. hb```a``g`c`Y B@2LmYLFVu.)7\%?uSg!M\*:@ cR1! P 0000038054 00000 n This information does not replace the advice of a doctor. xmp.iid:EC423A7B20251168B34BA564586C664B Hold for about 6 seconds, slowly lower the leg back down, and rest a few seconds. Predisposing factors include both morphological and functional patellofemoral disorders: [9] [10] [11] Ligament laxity (can lead to atraumatic dislocations) [1] This makes the knee less stable and prone to dislocation and anterior knee pain. This abnormality may cause increased pressure between the back of the patella and the trochlea, irritating soft tissues. AKp/Ikpy+s/8o9C/9OFn/tjnpKY/VX/xL9D/APCOL/54akps9ROO57Kb8W7JGxzw6tpLWxtBBO5v WebPATELLAR INSTABILITY Home Exercises When the knee bends, the patella slides evenly up and down within a groove at the end of the femur. ifgkpKzpLGOa/wC1ZbiwAe650Ej84gQCTHw8klJnYLXzN10O9QEb9CLBqPl+b4JKQnpDCwtdlZR0 Written By:Chloe Wilson, BSc(Hons) PhysiotherapyReviewed by:KPE Medical Review Board. uuid:91a0aa47-95d2-452f-b780-8e237f0ee657 / AObWONoF1hDSw7XwQfTdvYHRHEn70vcKvZC9X1bw6gIO4tLS0vaCQG+nDdIMD00jkKhhAdRwIpcH sB/77qT7vk7MH3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98 I will be putting the stretches and exercises into practise. 0000009830 00000 n But/STDXSXGXe4b7GiPmkpHfTivaK3YGZY1oYAQ8iIJeP8ODILufxSUkyW49L3FuFk3faY3vqP7o iMY+41Uube17N3quj1mvByS8/D0hHinQlMz1Y8kMYxWP5fj+xxeif8tYH/hqn/z41S5PkPkwYf5y ZJS6SlJKaNl7/VdT9torfubsrgbwDw0h1mu6PAJKYvyLXBjK8/GbYdrT7QdziZhrfV/OHbVJS9We xmp.did:61B952D320301168BC05A9DFDBC72DD4 % across. Lie on your side with the leg you are going to exercise on top. Og9PjXcgDISpcRjlC/5fm2zj/Vq3Jsx/smMxv2y/Ea9tr5FTajY2z+cid4gHjsheQDfou4cRNUN6 /BaseEncoding /WinAnsiEncoding 0000024765 00000 n One important component of your patellar tendon rehab is an exercise program. Adobe InDesign 6.0 0000003483 00000 n / Before Slowly lift one leg upward as far as you can . %PDF-1.4 % 0000007900 00000 n 0000069557 00000 n /AIS false 169 0 R /GS2 170 0 R >> /Font << /T1_0 171 0 R /T1_1 175 0 R /T1_2 179 0 R SSlJKRsx6K63VV1tYx5c5zWgNBdYS55IHdznElJSNmBhscXsqaHHdJ/4wy/70lLP6bhPMuqGoLSN The C-shaped buttress of this knee brace can be moved for either lateral or medial patellar misalignment. 1 0 obj <>]/Pages 3 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2 0 obj <>stream endobj Gz+?X$mg}s6g_(D\s 6S;^m=:&$dJU,7k-S9:>8R6I`*S55xD>'``Q|H22t1a:}jm 9{Z|C@m&z/}KK$|ii!>QI+. f/lflf8AbNn/AJFaHuQ7uR7OT90q/YXW/wDyvyv+2bP/ACKXuQ7q9nJ+6VfsLrf/AJX5X/bNn/kU >> /XObject << /X1 184 0 R /X2 210 0 R /X4 211 0 R >> >> 1r6qdN69kDJzX3NcKxVtrc0NLQXO/OY7X3JpiCkSpqVfULo1LG11W5DWsAa0bmaAf9aQ9sLuMpB9 0000005329 00000 n NideY7pKcrK6j0T1b678q3Hdj2Obbte5skse90bZ0iTpqCPFJSfIv6XRkubkZVjXj2moPIDZB7N8 /;/metadata 0000008474 00000 n /Differences [ 1 /w /y /v /r /p /o /t /e /d /i /u /S /n /G /space /U /Y /E 0000040663 00000 n e2x9bK+s0EyGEBlRc8kNj87kz28UlNt2J1F0xnFss26VM0dr7hM/ckpuDQAEz5pKXSU5dtOOfVc/ Lie on your back with your good knee bent so that your foot rests flat on the floor. 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af H\n0y +LnOFlbt9TrLbAGvDmbXM9Z4khp+HkUlOnRRXQzbXvhx3e97nmT5vc4/JJSVJTk5FdNjX1Ouz6S+ WQyp3TiWEknRpaC9znuJH9Zu4/GUlMMl1RrAf0t94saLH17WOhzi8wdx2zJ8e6Sm7XjYzxXa7Hax This site needs JavaScript to work properly. /StemV 76 saved Place a single-step footstool on the floor. When your knee is bent past this point, your kneecap will have more contact with your thighbone, causing more pressure, pain, and possible cartilage damage. G&NO6&"/RH.aX@9@ZM"*\VpiTe=^03;FLw8382#!QAQAjBsMdK yS To be eligible for discounts, please enable JavaScript for your browser. 6u+tw2l8h7SNomXc8aJUVWsc/BG6ciobTDpe3QyBrr4lLhKrYftTpsWO+10RTPqn1GwyOd2uiXCe 8{$d4|ilh @^HyC a~[A?zdcR@ Uu\XL8|/h^/n`6Z\q0^ Q 0000049429 00000 n ])zf WXsmdrjyJHMIS2THd4JmW027Q4EjkSmMjevd9roaC9otYRG8gEtHhPJ1UvJzGLKCdmD4jhlzPLmI In this condition, the patella is pushed out to one side of the groove when the knee is bent. Rachel L. Lenhart, Scott C.E. 0000014990 00000 n Begin by standing with your heels about 6 inches away from a wall and your feet about a foot apart. It has a C-shaped buttress and versatile strapping system, which supports and helps ensure proper movement of your kneecap. KEY POINTS The goal of surgery is to restore normal tracking of the patella and restore stability. Knee-Pain-Explained.comis a trading name of Wilson Health Ltd.All rights reserved. application/pdf Picture illustrating the patellar alignment, Picture illustrating the patellar alignment of the right (a) and left (b) knee, Lateral radiograph of the subjects left knee used to examine patella alignment, Diagrammatic representation of the direction, Diagrammatic representation of the direction of force applied through taping to the patellofemoral, Picture illustrating the application of tape for the treatment of patella alta on, Line graph demonstrating patient status according to the assigned scores from selected indicators. Lie down with 1 leg bent at a 90-degree angle with your foot flat on the floor and extend your other leg fully. If you struggle with medial or lateral patella misalignment, we strongly recommend this short and lightweight knee brace. 0000014937 00000 n 0000002504 00000 n There are a number of different surgical options for patella alta: Following surgery for patella alta you will: It usually takes around six months to fully recover from patella alta surgery and get back to high impact activities and sports. 174 0 obj Lie on your back with your knees bent over a foam roll or large rolled-up towel and your heels on the floor. /H [ 1603 418 ] The kneecap is surrounded by the quadriceps tendon and rests in a dip on the front of the lower thigh bone, the femur, forming the patellofemoral joint. 0000072321 00000 n Crossley K, Cowan SM, Bennell KL, McConnell J. saved saved If /MediaBox [ 0 0 836.22 595.276 ] %PDF-1.4 % Michelle, US, "This is the best site dealing with knee problems that I have come AFHZKTb8/azYKCY943ujv9H2/BJSz7c8BmwY5cY3gvcIJcPo+3X2z80lMX29RDi1gxmhxIrLnuk8 0000002721 00000 n 0000014147 00000 n endobj Treatment of Patella Alta with Taping, Exercise, Mobilization, and Functional Activity Modification: A Case Report. Unable to load your collection due to an error, Unable to load your delegates due to an error. Out of all the others, yours is so informational and easy to read." Adobe InDesign 6.0 tT`s0@F}b)7=UD`X!e"sB DjxMI_.Yx}wQs~ r@4:]s2aNyW;@ 2!>9C&lGI=m#T>m'uvhE\m7hA The material on this website is intended for educational information purposes only. 2016 Jan;31:74-8. doi: 10.1016/j.clinbiomech.2015.09.018. No worries, youre not alone! 0000078511 00000 n ACvyv+2bP/Ipe5Dur2cn7pV+wut/+V+V/wBs2f8AkUvch3V7OT90q/YXW/8Ayvyv+2bP/Ipe5Dur 0000039780 00000 n 0000007892 00000 n 0000033949 00000 n ]xFo% # endstream endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj [107 0 R] endobj 98 0 obj <>stream You might also be interested in the following articles: Page Last Updated: 03/22/22Next Review Due: 03/22/24, 1. Accessibility / This dip is known as the patellofemoral groove, aka patella groove, trochlear groove or intercondylar groove. Here, the groove is much shallower than further down, thus providing only a very small barrier each side of the kneecap. Hold your leg straight for about 6 seconds, then slowly bend 0000048925 00000 n 0000005303 00000 n << 1 << 0000133921 00000 n There are a number of other conditions which cause anterior knee pain and present with similar symptoms to patella alta. )$*&SQ5G 2,(o*@j0CF(D))IyQ*JKEHQr"K$OeyejTO+Uf5Lkf#lq"UU,FZZ,8aq,[n. %PDF-1.3 % Hold that position for about 5 seconds, and then slowly slide back up to the starting position. endstream endobj 3 0 obj <> endobj 6 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 7 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 27 0 obj <>stream It presents as pain just below the Anandkumar S, Miller J, J Werstine R, Young S. Physiother Theory Pract. << /OP true a03BopbUPV9N7LPUDt0BvI7lOycZhqswnHHLp4pMinouT0UZ7q2OyLy2x9jXt3Mufd76z6mUbC0M 0000018659 00000 n 2011-06-24T13:13:29-07:00 lbfXtit1rRtc5sEgu81BIC9NmxHIa13dTPcXMoqdqBWNo7CQmhOQ7L9MxGsy8cloBFrHceLh/clH WebPatellofemoral pain syndrome (PFPS) is one of the most common conditions limiting athletes. YWN6TTYBY2z3FkO9MbDVpOgPuSUytdntJFGFQ4Na30y63b7uXDSl0QUlJqWve5xyaKqyCDXtIcTI I4v/AJ4akp1SLfVa4OaKg1wczadxcS3aQ7doAJkRr4iNUpC5ma02ObcyHP3ND26MZtDdukTqN0nx /metadata The advice and information contained in this website is not intended as a substitute for medical counseling. 0000008064 00000 n stream 0000043747 00000 n nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZX3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/ It is also important to listen to your body. xmp.did:74117FEA2007116883808B8213850D82 /Pages 162 0 R STHEykapQ4r1bKC5SSlJKUkpSSlJKUkpSSlJKUkpSSmrndPxuotrZlN3sqf6m3sTtc3X/ORjIhbK Do this for 8 to 12 repetitions several times a day. KdG+i61wdXk2UDa5u1grIJPDvexxkduySkQwcsOn9oZB0iC2iOZ7UD4f7UlLvw8pxBbn3sgNBDW0 xmp.iid:0B71896620321168B34BA564586C664B The patella, or kneecap, is a small, inverted (upside down) triangular bone that sits at the front of the knee. Biedert RM,Tscholl PM. y7L]BFFcnqt]; 86sE8#v,_7Rht5DP4NvB4{_^v,lWQE-hWUm"|[g+',"db :3$1e^2Z13I4KC3lAoNjh8{'4:Tjp[JXdx;VxGw5EM=?RlM`=c&sovD"mxa+Bj2lx[m]G.ma(f ,.ei3hyh%-,:7FQ1If\lq |PlZE x1 IB9UiJ3dmgN03eCSk9WIasl+Sb7X7wR6T3SxsndLWx8klNhJSklKSUpJSklNe11WViWgPspYd9Tr Then slowly straighten your affected leg by tightening the thigh muscles of that leg. Thank you!" xmp.iid:61B952D220301168BC05A9DFDBC72DD4 WebPatellar Taping:taping can also help to correct the position of the patella. i@E-`u$Je| zGx%EA=#kJa6"2yCJr|VeXNR,N>5(A4{`? 4l+h/wDhHF/88NSU65c0GCQCexPikpdJSklLcpKUCDqDPbTySUouaCGkgE8DuYSUqRMd0lLpKUkp The exercises for patellar tracking disorder, which fix kneecap instability, are not complicated and can be done at home in 20 minutes or less! in normal and crouched walking. pJTzzuq/V/GzbTbn5DbWWWtfUXWlgdIDgGhu3SdPj9yUluyOlUfbK35+S11LWuvIe9xqDSHe0bSP Hold your knee straight. Stand with your feet about shoulder-width apart and turned out to the side about 45 degrees. This knee brace can help with a number of injuries involving patella tracking, kneecap irritation, or patella misalignment. kpSSnIvzn1ve05jwfVgBmJY8NAJbslrXT2k/H5JSfKyH4jSLclzY3P3Ch1ntdO1vsHIj4pKRDLuD 0000248494 00000 n Wf8AlHoX/pws/wDbHPSUx+qv/iX6H/4Rxf8Azw1JTqk2+s0BrTVtdueXHcHS3aA3bBBEyZ8ND2Sm /T 335078 The patellar tendon is soft tissue that connects the tibia bone to the patella. 0000004664 00000 n 0 Lift your foot off the ground so that your knee straightens fully. Thanks for your help and excellent work." 30HQ!A^1!!Clq b+PPgj\VUi|?le`_\v02l0 #; endstream endobj 123 0 obj <>/Filter/FlateDecode/Index[17 68]/Length 21/Size 85/Type/XRef/W[1 1 1]>>stream KwZ3HWUlNyjqfTqaGNbba5s7WmxtrnkuD3ge9u46MMJKXHXOmubvFjyzT3elYGmSQIJZrO3skptY /XHeight 729 6F/6cLP/AGxz0lMfqr/4l+h/+EcX/wA8NSU2uoUUW21erVbY6Za+p9jNu326uqIjSwoiRCCLROpp 0000039648 00000 n }ylnm?-D*pCrqBvU:3U*8L#itDf'*|;OMv=YGgt.Fj*dHF,:c*|20 c$`1y3I[':b JOn7N#CS%xIBSDeH#Q{>qdz[ > 48UBqOh;luzAwdUDmdS>u2-vsmo S&};umbNC>bInyl>Am+6s64ih6'!FwS=a:Gcolbl- q~!a~7_-J]v Adobe InDesign 6.0 or Remember to limit the bend of your knee to a 30-degree angle at first. Follow us on these external social media sites that will open in a new browser window. vbu2Dc+AQ0t8jx8UlNuvqOJbcMdhf6hJbBrsAkbvziwD81JTw/8AjAH+XaD/AN1Wf+fLk0rouNj1 Adobe InDesign 6.0 uXf/ANuP/wDJJtr6Y3dTz6anWvy74YJP6R3/AJJAmkgLMzOtOx2ZFuRfULOGm15P8B2TYz4l0sfC The .gov means its official. 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Rest for up to 10 seconds between repetitions. 0000009072 00000 n JT4lhjjML0/tbT6fq27JdSMPGa37dbhh4tf/ADOzeLf5yJ3cHhNudb9LX8OK6ob00up4XQqvq9Xd Do not drop your hip back. _ gZ EJVh ,C.;J|`5n?+=K:R1XV)_K39^i,?l:{t1>gk{xt6M%[ud}i%2=;>EW%eicjs,kW.7wn[#o72+r^Ws3B~_tpdU:8:8~+[=Xj,t kZAVP+t85%,,,,,,0 po{+(tV8+JgYtV8+JgYtV8%h#v-%kKDGCkqrV+ ( endstream endobj 91 0 obj <> endobj 92 0 obj <> endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <>stream /CA 1 8NcSBIHflCtUrPy7m2NrGNY6XNaXDbtAMS7ngJUi2LszIFbrRiWGHABkjeREkxx+KNDuq2FXUL7a SklKSUpJSAWZDcd9l/pMc1zzIcdgrDjtLnOaIOznsCkprW5PU6qrbf1TbUN291rmtgDc7f7Dt2j/ endobj 4 0 obj Any time the patella dislocates or subluxes (partially dislocates), the cartilage on the back of the kneecap is at risk of damage which can lead to patellofemoral pain, aka anterior knee pain, and chondromalacia. 135 0 obj <> endobj 154 0 obj <>/Encrypt 136 0 R/Filter/FlateDecode/ID[<292196579D884CAE99E90871EC32E77A>]/Index[135 29]/Info 134 0 R/Length 88/Prev 413526/Root 137 0 R/Size 164/Type/XRef/W[1 2 1]>>stream /Type /FontDescriptor Bookshelf /BM /Normal x][o8~/AYE] u,vEc=J$vlcWuP--sx\(j=)gox].:|\Vg_\O5Rju~}0_! /CapHeight 700 7vSe1+w7XbTMGA6D8iChSWaSlJKUkpSSlJKaznZcO20sOrol3b3bT89ElKa7M3AmpkFzZh2rWlvv jxupWn1vtOZgPcydraXxABmbCS6PaROiSk2Db1G4l9tmNZU07f0Ly86Bsy7Y0TqdPgkp0ElKSUpJ /wBjK/8A0okpX/On6qf+XWD/AOxlf/pRJSv+dP1U/wDLrB/9jK//AEokpX/On6qf+XWD/wCxlf8A 9L7fTY8NLQ4gNdG6dpA7cn5d0RIhBFoK6OlQ4UYloFjmh2wOaBtLu+4QG73TH9yPGVUEVHTeiml2 hU~@\}{UKajB2-A^{vNki]8_n&Jc[)hY5YKlce/1Stgc,k 0000005041 00000 n << saved Keep the back of your knee on the foam roll or towel. Adobe InDesign 6.0 0000006726 00000 n The 28 reviews described patella alta mostly with ISI (75%) or CDI (64%). 0000017313 00000 n hbba`b``3 endstream endobj 240 0 obj <>/Metadata 24 0 R/Pages 23 0 R/StructTreeRoot 26 0 R/Type/Catalog/ViewerPreferences<>>> endobj 241 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 242 0 obj <>stream

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