Treatment for internal rotation of the knee typically involves a combination of exercises and stretches to improve control and stability of the knee joint. One exercise that I often start with is performed while the patient is seated in a chair with their foot flat on the floor.
To begin, it is important to ensure that the foot can easily slide, so I recommend doing this on a hardwood or tile floor and placing a towel under the foot for added traction. This will allow for smooth movement during the exercise.
The first step is to have the patient sit up straight with their shoulders relaxed and their core engaged. This helps to establish a stable base for the exercise.
Next, I instruct the patient to focus on the position of their knee. They should aim to keep the knee in a neutral alignment, avoiding any excessive inward or outward rotation.
To engage the muscles responsible for controlling internal rotation, I ask the patient to gently press their foot into the floor, as if they are trying to push the floor away from them. This activates the muscles in the hip and thigh, which help to stabilize the knee and prevent internal rotation.
While maintaining this pressure, I encourage the patient to slowly and smoothly slide their foot forward, away from the chair. This movement should be controlled and deliberate, with a focus on maintaining the alignment of the knee.
As the foot slides forward, the patient should feel a gentle activation of the muscles in the hip and thigh. This is a good sign that they are effectively controlling internal rotation.
Once the foot is fully extended, I have the patient hold this position for a few seconds before slowly sliding the foot back to the starting position.
I usually recommend starting with a few repetitions of this exercise and gradually increasing the number as the patient becomes more comfortable and confident in their ability to control internal rotation. It is important to emphasize the quality of movement over quantity, as maintaining proper form and control is key.
In addition to this exercise, I may also incorporate other exercises and stretches that target the muscles involved in knee stability, such as the quadriceps, hamstrings, and glutes. Strengthening these muscles can help to improve overall control and stability of the knee joint.
It is worth noting that individualized treatment plans may vary depending on the specific needs and goals of the patient. Therefore, it is always recommended to consult with a healthcare professional, such as a physical therapist, for a comprehensive assessment and personalized treatment plan.