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Greg Cadichon, A.T.C/L Bio • Licensed and certified Athletic Trainer for more than 19 years.

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

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

Energy does not dissolve, it transfers

Anatomy and Joint Relationships

Anatomy and Joint Relationships

Gluteus medius Gluteus maximus Tensor fasciae latae Iliotibial band Hamstrings Quadriceps Quadriceps tendon Patella

Gluteus medius

Gluteus

maximus

Gluteus medius Gluteus maximus Tensor fasciae latae Iliotibial band Hamstrings Quadriceps Quadriceps tendon Patella

Tensor fasciae latae

Iliotibial band

Gluteus medius Gluteus maximus Tensor fasciae latae Iliotibial band Hamstrings Quadriceps Quadriceps tendon Patella

Hamstrings

Quadriceps

Quadriceps

tendon

Gluteus medius Gluteus maximus Tensor fasciae latae Iliotibial band Hamstrings Quadriceps Quadriceps tendon Patella

Patella

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

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

S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M

S

M

S

S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M S
S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M S
S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M S

Stable – Mobile – Stable

Credit: Mike Boyle and Gray Cook

M

S

S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M S

M

S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M S
S M S Stable – Mobile – Stable Credit: Mike Boyle and Gray Cook M S

Mobile – Stable – Mobile

Joints in Motion

Joints in Motion

Joints in Motion
Effects of Tight Hips Tight/weak muscles, Tension on bursae around the knee

Effects of Tight Hips

Tight/weak muscles, Tension on bursae around the knee

Tight Hips Decreased stride

Tight Hips

Tight Hips Decreased stride

Decreased stride

Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Patella Infrapatellar bursa Tibia

Tight quadriceps

Weak

hamstrings

Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Patella Infrapatellar bursa Tibia
Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Patella Infrapatellar bursa Tibia
Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Patella Infrapatellar bursa Tibia

Suprapatellar bursa

Quadriceps

tendon

Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Patella Infrapatellar bursa Tibia

Patella Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Infrapatellar bursa Tibia
Patella

Infrapatellar bursa

Tight quadriceps Weak hamstrings Suprapatellar bursa Quadriceps tendon Patella Infrapatellar bursa Tibia

Tibia

Suprapatellar bursa Superficial prepatellar bursa Pes anserine bursa Deep infrapatellar bursa Superficial

Suprapatellar bursa

Superficial prepatellar bursa

Pes anserine bursa

Deep infrapatellar bursa

Superficial infrapatellar bursa

Tight/contracted rectus femoris Inflamed bursa
Tight/contracted rectus femoris Inflamed bursa

Tight/contracted rectus femoris

Inflamed bursa

Knee Injuries Osteoarthritis of the knee, ACL tear

Knee Injuries

Osteoarthritis of the knee, ACL tear

Anterior cruciate ligament Lateral meniscus Lateral collateral ligament Posterior cruciate ligament Medial collateral

Anterior cruciate ligament

Lateral meniscus

Anterior cruciate ligament Lateral meniscus Lateral collateral ligament Posterior cruciate ligament Medial collateral

Lateral collateral ligament

ligament Lateral meniscus Lateral collateral ligament Posterior cruciate ligament Medial collateral ligament

Posterior cruciate ligament

Medial collateral ligament

Medial meniscus

Anterior cruciate ligament Posterior meniscofemoral Lateral meniscus Lateral collateral ligament Posterior cruciate

Anterior cruciate ligament

Anterior cruciate ligament Posterior meniscofemoral Lateral meniscus Lateral collateral ligament Posterior cruciate

Posterior meniscofemoral

Lateral meniscus

Lateral collateral ligament

meniscofemoral Lateral meniscus Lateral collateral ligament Posterior cruciate ligament Meadial collateral ligament

Posterior cruciate ligament

Meadial collateral ligament

Medial meniscus

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

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

Joint Movement of the Knee

Female Q-angle

Male Q-angle

Healthy Knee Video

Healthy Knee Video

Healthy Knee Video
The Three Joints Must Work Together Slow motion

The Three Joints Must Work Together

Slow motion

Three Joints Must Work Together Foot is planted, Knee is mobile (3-10º rotation) S –

Three Joints Must Work Together

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

S – M – S

The Three Rules of Enagagement

- No Time Delay

- Moderate Stretch

- Faster Stretch = More Energy

Foot rotates, Knee must remain stable

M – S – M

Credit: Neuromechanical Basis of Kinesiology, Roger Enoka

S – M – S

What happens when the Three joints don’t work together Mobile Tight hip muscles prevents mobile

What happens when the Three joints don’t work together

Mobile

Tight hip muscles prevents mobile movement, movement is transferred to knee

Mobile Stable
Mobile
Stable
ACL Tear ACL PCL

ACL Tear

ACL

ACL Tear ACL PCL
ACL Tear ACL PCL

PCL

Degenerative Knee

Degenerative Knee

Degenerative Knee
Ankle Injuries Swollen ankle, Achilles tendonitis

Ankle Injuries

Swollen ankle, Achilles tendonitis

Peroneus longus muscle Common sheath of peroneus longus and brevis tendons Peroneus brevis muscle Retinacula

Peroneus

longus

muscle

Peroneus longus muscle Common sheath of peroneus longus and brevis tendons Peroneus brevis muscle Retinacula

Common sheath of peroneus longus and brevis tendons

Peroneus brevis muscle
Peroneus
brevis
muscle

Retinacula

Where’s the injury?

Where’s the injury?

Where’s the injury?
Peroneal Tendonitis

Peroneal Tendonitis

Peroneal Tendonitis
Video – Jump In Motion

Video – Jump In Motion

Video – Jump In Motion
Achilles Tendonitis Tight gastrocnemius Inflamed achilles tendon

Achilles Tendonitis

Tight

gastrocnemius

Inflamed achilles tendon

Achilles Tendonitis Tight gastrocnemius Inflamed achilles tendon
Achilles Tendonitis Tight gastrocnemius Inflamed achilles tendon
Bracing For Injury Only

Bracing For Injury Only

Functional Rehabilitation

Functional Rehabilitation

Functional Rehabilitation
Functional Rehabilitation
Stretch & Mobilization

Stretch & Mobilization

Stretch & Mobilization
Stretch & Mobilization
Stretch & Mobilization
Stretch & Mobilization
Strengthen The Movement

Strengthen The Movement

Strengthen The Movement
Stabilize Without Delay

Stabilize Without Delay

Conclusion • Energy does not dissolve, it transfers. • Remember M-S-M and S-M-S relationships. •

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
Rebuilding Your Physical Health 246 East Janata Boulevard, Lombard, IL 60148 666 Dundee Road, Suite

Rebuilding Your Physical Health

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