Diapositiva 1 - BAASYS Biomecánica Aplicada.

The importance of biomechanical assessment in rehabilitation and return to
work. Clinical case
Esther Martín (1), Mónica Bonilla (1), Catalina Piqueras (2)
1. BAASYS Madrid, Spain; 2. BAASYS Barcelona, Spain
CLINICAL CASE
INTRODUCTION
Knee´s biomechanical assessment in patients with knee pain without good clinical-radiological diagnostic, provide us good
functional information and allows us to objectify the physiotherapy treatment.
The study purpose is to register the improvement after the individualized physiotherapy treatment according the biomechanical
assessment.
MATERIALS AND METHODS
One male patient, 27 years, police. Knee unspecific pain. Sick leave for 12 month. No abnormalities on NMR. The patient does not improve with physiotherapy and
pharmaceutical treatment
Biomechanical assessment before and after physiotherapy treatment with EMG for the muscle activity, dynamometric stage and implemented templates for the human gait
analysis and isokinetic system for the muscle strength
The patient makes individualized physiotherapy treatment once a week with PT by analytical strengthening and specific stretching of the affected muscles and manual
therapy
The patient makes every day specific exercises ruled by physiotherapist as objectified deficits in the biomechanical assessment
RESULTS
Before the treatment the patient has an irregularity human gait, with deficit at the heel crash and overpressure at footprint. The patient presents deficit and imbalance in
the hamstring and he has knee muscle imbalance in agonist / antagonist that improves with physiotherapy treatment
After the treatment the patient has an irregularity human gait with normal heel crash. Hamstring balance is normal.
CONCLUSIÓN

Knee stability is fundamental to the correct human gait.

Biomechanical assessment promotes early and effective treatment of injuries, preventing the onset of chronicity and functional deficiencies

Biomechanical studies support individualized physiotherapy, accelerating the return to work and reduce healthcare costs
BIBLIOGRAFÍA
Crespo A, Jorge FJ et al. Estudio electromiográfico de los fascículos superficiales del músculo cuádriceps en los movimientos de la articulación de la rodilla. Rehabilitación 1999; 33:150-5.
Nordin M, Frankel VH. Biomecánica de la rodilla. En: Biomecánica básica del sistema musculoesquelético (3º edición). Mc Graw-Hill Interamericana. Madrid 2004.
Neuman DA. Knee. En: Kinesiology of the Musculoskeletal System. Ed Mosby 2002: 434-76.
Aagaard P, Simonse EB, Andersen JL, Magnusson SP, Bojsen-Moller F, Dyhre-Poulsen P. Antagonist muscle coactivation during isokinetic Knee extensión. Scand J Med Sci Sports 2000; 10: 58-67.