Desmotec D.Full in the return to sport activity process after Broken ACL injury

INTRODUCTION

  • Presentation of the data about one of our patietiens, GZ, that used DESMOTEC D.Full in his ACL rehabilitation process
  • The subject is an athlete who performs skiing and ski mountaineering
  • GZ did not have any particular problem, articular mobility of knee was complete and the functionality of the articulation was good.
  • The aim of this process was to improve his neuro.muscular profile:
  1. Qualitative point of view (maximum syimmetrical expression of both limbs)
  2. Quantitative point of view (improving power and strength)

SUBJECT

Gender Male
Age 30
Job Student
Lifestyle

Active

 

 

PROBLEM :

Broken right knee ACL, April 2016
Relapse, May 2019
Surgery, October 2019

REHABILITATION AND TRAINING PLAN

Functional recovery with Physiotherapist
Mobility recovery Manual, Kinetec
Proprioceptive reprogramming  Riva Method
Open and closed kinetic chain exercises

Lower Limbs

Isometric, slow speed dynamic

ISOINERTIAL PROTOCOL

Desmotec
Device D11 Full
Test Squat, Split Squat,
Proposed exercises Squat, Split Squat, Side Squat, Hinge
Tool Harness – Bar
Disks Medium – Large – Pro
Series 3 – 5
Repetitions 5 -12

 

 

PROTOCOL

  • A) Warm Up, 15 Minutes
  • B) First Approach to the device
  • C) Bipodalic exercises
  • D) Monopodalic exercises

 

Proposed activities during sessions with D11 Full
General Warm-up, 15 minutes.
First approach to the device 2 slow series per exercise, using the Medium Disk
Monopodalic exercises using Small – Medium Disk
Bipodalic exercises using Large – Pro Disk

GZ RESULTS

These images were downloaded from D.Soft

 

 

 

On 29th November 2019, it is clear a disequilibrium to the left, with the superimposition of the unloaded force and with the derivative of the differential between the two limbs

On 3rd March 2020, the disequilibrium to the left has been reduced, with the superimposition of the unloaded force and with the derivative of the differential between the two limbs

 

 

 

 

 

 

BIPODALIC SQUAT DATA

 

 

 

POWER PEAKS BIPODALIC SQUAT

PC= Conc Peak; MC= Conc Mean
PE= Ecc Peak; EM= Ecc Mean

CONCLUSIONS

  • Isoinertial training with Desmotec D.11 allowed the subject to achieve his goal, improving his beuro-muscular profile.
  1. From a qualitative point of view, the force expression reached symmetry
  2. From a Quantitative point of view, the growth of force, during the eccentric phase, will allow the subject to icrease work loads, allowing him to express more power.

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Eccentric Force Training and Rotulean Tendinopathy

INTRODUCTION

  • The aim of this training project is to allow the subject GG, 22 yo, 196cm, 76 kg, to restart his sport activity as amateur volleyball player
  • The athlete, affected by bilateral rotuleous tendinopathy, came to our centre in order to be treated.
  • Our intervention was based on physioterapic sessions, then, once the subject achieved a complete return to functionality, he started a strength conditioning training in November 2019, in order to increase his load capacity, needed for his full recovery.
  • The strength conditioning training was based on isometric exercises (ex. Spanish squat) during the pre-training phase, according to the program proposed by J. Cook, integrated with isoinertial training with Desmotec D.full, in order to improve the subject’s eccentric response which is fundamental in the jumps landing phase, an high impact and frequent situation while palying volleyball.

SUBJECT

Gender Male
Age 22
Job Volleyball Player
LIFESTYLE

 

PROBLEM 

Returning to sport activity, recovering from rutulean tendinopathy

PROTOCOL

Functional recovery with Physiotherapist
Opened and closed kinetic chain exercises Isometric, dynamic, low speed
Lower Limbs Isometric, Isotonic

 

Isoinertial Protocol Start
Device Desmotec D-Full
Test Balance, Isometric Max, First Approach, Power Max

 

Isoinertial Protocol next steps
Device Desmotec D-Full
Test/exercise Bilateral Squat,

Split Squat.

Hip Hinge,

Side Squat,

Inertia Medium, High

(Medium, Large, Pro)

ISOMETRIC – ISOTONIC EXERCISES

Spanish Squat different angles, 30 secs. Dor 5 repetitions, 3 times per day, Squat depth based on subject’s pain. Volleyball pre-training.

 

Bulgarian Squat, 3 slow series, 10 repetitions, focus on tension. Squat depth based on the subject’s pain. Volleyball pre-training.

ISOINERTIAL EXERCISES

 

Bilateral Squat, complete extension

 

Bilateral Squat, not complete extension

 

Iso Step-Up

Iso Split Squat

ISOINERTIAL PROTOCOL

Week 1 Sessions n.3
Series 3
Repetitions 15
Speed Low
Rec. time 60 sec. minimum
Inertia Medium – High
Target Learning the exercise

Ipertrophy

Week 2-3 Sessions n.6
Series 3
Repetitions 10 + 3
Speed Medium – High
Rec. Time 60 secs. minimum
Inertia Medium-High
Target Ipertrophy – Power
Week 4-5 Sessions n.6
Series 5
Repetitions 5+3
Speed Max
Rec. Time 90 secs. minimum
Inertia Medium
Target Develpment Power and Resistence

CONTROL TESTS

Initial Bipodalic Isometric Test, Squat 120°, 15 seconds.
Idem for Monopodalic squat

 

Max power TEST 02.12.2019 13:26
 Device: D11 Full
 Pattern: Squat Bipo
 Method: repetition
 Repetitions: 10
 Inertia: 0,6 kg/m2

 

Improved power peak in concentric work (1282w to 1414w) and eccentric work (1198 to 1734w), diminished variable in concentric work (from 25% to 5%) and eccentric work (from 23% to 13%)

 

 

Max Power test TEST05.03.2020 11:51
 Device: D11 Full
 Pattern: Squat Bipo
 Method: repetition
 Repetitions: 10
 Inertia: 0,6 kg/m2

 

 

CONCLUSIONS

 

 

  • The results were excellent, the subject felt his post- training and post-game pain gradually diminishing. The pain was almost unbearable before the treatment.
  • No cases of Tendinean Algia after the Isoinertial
  • Feeble pain (2-3 on a 10 scale) during isotonic monopodalic exercises At the end of the treatment, an exercises program was provided to the athlete, based on 5 sessions per week, to perform before training.
  • We were not able to perform the final isometric tests because of the COVID-19 emergency.

Would you like to know more about DESMOTEC technology, devices and training methods?