I was doing the exercise etc. practice exam today and I came across this:
Your client has taken several days off due to inflammation of the patellar tendon. When they return you recommend:
A. Eccentric hip abduction B. Concentric hamstring strengthening C. Eccentric Quad strengthening D. Concentric hip adduction
The correct answer is C. On page 433 of the ACE manual it says "Eccentric strength training should be stressed for clients who seem predisposed to injuries in this area" (it was speaking about the patellofemoral joint)
I also found this online as part of an article about eccentric training:
A number of potentially significant differences were identified in the eccentric programmes used: drop squats or slow eccentric movement, squatting on a decline board or level ground, exercising into tendon pain or short of pain, loading the eccentric phase only or both phases, and progressing with speed then loading or simply loading. ------------------------------------------------------------------------------- Okay, so my question is, what are some ways you could do a pure eccentric quad exercise?
I found one example of doing it "mostly" eccentric by doing a leg extension where you use two legs in the concentric phase but only one leg in the eccentric phase.
I guess you could do the same sort of thing w/ a leg press, using two legs for concentric and one for eccentric.
Above it refers to "loading the eccentric phase only". I don't know if they mean this in an "actual" sense where there would be zero load in the concentric or if they meant it in the way I described w/ two legs for concentric/one for eccentric.
Wouldn't you say that the good old fasioned squat is another good one? That one is very easy on the ACL, too.
Hi Nora,
I guess one could do a one legged squat eccentrically (w/ no weight or maybe light dumbells?) and then use two legs to come up.
I also wonder if wall squats (one legged) would work for someone w/ that injury (patellofemoral). I know they are more isometric, but still I'd think they might be useful.