Anatomy 101: Anterolateral ligament & rotational stability of the knee

Over the past four years there has been a resurgence in interest about a small little lateral ligament of the knee known as the anterolateral ligament (ALL). I’m not even sure I remember learning much about it during school, but with the number of ACL reconstructions associated with chronic rotational instability rising, researchers and surgeons have been diverting focus to understand what impact an ALL-deficient knee has on ACL recovery and regaining rotational stability. This blog is a refresher about the anatomy and biomechanical function of the ALL and what we currently know to be true about it’s role in rotational stability of the knee.

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Physical Therapy in California part 5 - the finishing touches

I sat the NPTE October 27th 2016, almost 12 months ago, and this week was officially given my Californian License. This blog explains the final steps involved in gaining a license for Physical Therapy, while reflecting on the time which has past. 

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Anatomy 101: The windlass mechanism & great toe extension

Last month there was a strong focus on the foot and ankle complex and it is time to come back to an old biomechanical concept - the windlass mechanism. This time we look back at 1954, when J.H Hicks wrote about the plantar aponeurosis and proposed a biomechanical model explaining how diverse the function of the joints of the foot are between weight bearing and non weight bearing. 

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Calving it up

The first aim for this blog was to highlight how we can break down the components of a dynamic balance test such as the SEBT, or understand the requirements for normal gait and stair navigation. The second is to emphasise the importance of making sure that our early stages of rehabilitation allow for sufficient time to help our patients develop the range of movement, muscle length and neuromuscular control to allow them to be successful when integrating these components together. I recognise that these exercises aren't radically new or fancy, heck they can be just down right boring, but when done right and combined with the education as to why, they can be hugely impactful

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