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Greg Cadichon, A.T.

C/L Bio
Licensed and certified Athletic Trainer for more than 19 years.
Founder and Director of Rebound Fitness and Rehabilitation.
Accomplishments in the field include:

The development and implementation of injury


prevention and rehabilitation protocols for
industrial workers.
Performance training for amateur, world-class
and professional athletes.
The design of functional exercise protocols for
spinal cord injury and stroke patients.
Inventor holds two patents for an orthopedic
shoulder stabilizer and a patella stabilizer.

Overview

Relationship between
the three joints
(hip, knee, ankle)

Effects of muscle
imbalances

Causes of bursitis,
tendonitis,
osteoarthritis, and ACL
tears

Functional exercises

Energy does not dissolve, it transfers

Anatomy and Joint Relationships

Gluteus medius
Gluteus
maximus

Tensor fasciae latae


Iliotibial band
Quadriceps
Quadriceps
tendon
Hamstrings

Patella

Primary Joint Movements


Ball and Socket
(Hip joint) Flexion/Extension,
Adduction/Abduction,
Internal/External rotation

Hinge Joint
(Knee) Flexion/Extension,
3-10 degrees of rotation
to protect the joint

Hinge Joint
(Ankle )
Plantarflexion/Dorsiflexion
Condyloid Joint
(Talocalcaneal) Inversion/Eversion
Gliding Joint
(Intertarsals) Gliding or plane
movement

M
S

Stable Mobile Stable

Credit: Mike Boyle and Gray Cook

Mobile Stable Mobile

Joints in Motion

Effects of Tight Hips

Tight/weak muscles, Tension on bursae around the knee

Tight Hips

Decreased stride

Tight quadriceps

Suprapatellar bursa
Quadriceps
tendon
Patella
Weak
hamstrings

Infrapatellar bursa
Tibia

Suprapatellar bursa

Superficial prepatellar bursa


Pes anserine bursa
Deep infrapatellar bursa
Superficial infrapatellar bursa

Tight/contracted rectus femoris

Inflamed bursa

Knee Injuries

Osteoarthritis of the knee, ACL tear

Anterior cruciate ligament

Posterior cruciate
ligament

Lateral meniscus

Medial collateral
ligament
Medial meniscus

Lateral collateral
ligament

Anterior cruciate ligament


Posterior meniscofemoral

Posterior cruciate
ligament

Meadial collateral
ligament
Lateral meniscus

Lateral collateral
ligament

Medial meniscus

Joint Movement of the Knee


Hinge Joint
(Knee) Flexion/Extension,
3-10 degrees of rotation

Joint Movement of the Knee

Female Q-angle

Male Q-angle

Healthy Knee Video

The Three Joints Must Work Together

Slow motion

Three Joints Must Work Together


Foot is planted,
Knee is mobile (3-10 rotation)

SMS

Foot rotates,
Knee must remain stable

MSM

The Three Rules of Enagagement


- No Time Delay
- Moderate Stretch
- Faster Stretch = More Energy
Credit: Neuromechanical Basis of Kinesiology, Roger Enoka

SMS

What happens when the


Three joints dont
work together

Tight hip muscles


prevents mobile
movement, movement
is transferred to knee

Mobile

Stable

Mobile

ACL Tear
ACL
PCL

Degenerative Knee

Ankle Injuries

Swollen ankle, Achilles tendonitis

Peroneus
longus
muscle

Peroneus
brevis
muscle
Retinacula

Common sheath
of peroneus
longus and
brevis tendons

Wheres the injury?

Peroneal Tendonitis

Video Jump In Motion

Achilles Tendonitis

Tight
gastrocnemius

Inflamed
achilles tendon

Bracing For Injury Only

Functional Rehabilitation

Stretch & Mobilization

Strengthen The Movement

Stabilize Without Delay

Conclusion
Energy does not dissolve, it transfers.
Remember M-S-M and S-M-S relationships.
Maintain healthy joint relationships with
flexibility exercises.
Braces slow natural movement and interfere
with balance and reaction time.

Rebuilding Your Physical Health


246 East Janata Boulevard, Lombard, IL 60148
666 Dundee Road, Suite 1002 Northbrook, IL 60062
www.reboundfitnessinc.com

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