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DR. GAJANAN BHALERAO (PT) MPTh Neuro, MIACP, MIFNR, MIAP SENIOR LECTURE Masters in physiotherapy, Neurosciences Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Mobile : 9822623701 Email:Gajanan_bhalerao@yahoo.com, gajanan.neurophysio@gmail.com PUBLICATIONS:- Comparison of Motor Relearning program versus Bobath Approach in acute stroke rehabilitation: Journal of Orthopedics And Rehabilitation, India, 2011 RESEARCH PAPER PRESENTATIONS & AWARDS:- INTERNATIONAL 1.Winner Of Young Presenters Scholarship From Epilepsy Foundation India, in the conference of“International congress on neurology and rehabilitation Goa April 2010”, STATE LEVEL: 1. Winner of best paper award in engeering and technology category In Avishkar 201o of Maharashtra university of health sciences (MUHS), Nashik India. 2.WINNER OF BEST PAPER FOR scientific paper presentation in AVISHKAR 2010 of Maharashtra University of Health Sciences (MUHS), AURANGABAD, India. REESOURCE PERSON/COURSE INSTRUCTOR:- I have conducted Conducted workshop on 1. 2D & 3D Gait Analysis and its Management 2. MOTOR RELEARNING PROGRAM- for stroke rehab 3.Spinal Cord Injury Rehabilitation

Tuesday 15 November 2011

Most of the time the hyper extension of knee is not because of quadriceps weakness in hemiplegic patients

Hemiplegic patient have a common gait deviation during their gait training is hyper-extension of knee or  genu recurvatum.
Cause of  genu recurvatum are,
1. weakness of platar flexors
2. flail foot
3. TA tightness
4. weakness in whole limb.
5. Poor trunk control and imbalance  or low postural tone ( Down & hypotonic CP}
6. bigger step length of opposite unaffected leg.
u must be surprised to know that the cause is not quadriceps weakness.
most of the time the hyper extension is not because of quadriceps weakness.

 In all above causes the patient is unable to keep the knee straight during weight bearing and they tend collapse with knee flexion. in order to prevent the knee collapse they lean forward and keep the line of gravity anterior to the knee.

In case of TA tightness it pulls the  knee in hyper extension.

In order walk fast hemiplegic patients learn to take  bigger step length of opposite unaffected leg. this cause riding of the femur over the fixed tibia causing hyper extension.

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