Tibial Plateua

THE APPLICATION OF NEUROMUSCULAR TAPING IN PATIENTS WITH TIBIAL PLATEAU FRACTURE AND MCL TEAR

Angela Ciurleo
Chiropractor, Laboratorio ALBARO
Genoa, Italy
3/07/2011

Tibial Plateau Fracture

This case describes a 49-year-old male with a previous epiphysal fracture of the proximal left tibia with MCL tear. Therapy included motor re-education therapy with active physio-kinesitherapy exercises with gradual adjustment of brace flexion in line with achieved articular flexibility.

The patient continued to complain of pain, poor muscle performance of the left knee with evident local inflammation and parasthesia in the region of the fourth and fifth metatarsal during specialist examination, subsequent to four cycles of ten sessions of the above-mentioned therapy. At this time, the flexion and extension angles of the joint were measured using an appropriate measurement system, generating the following data: angle of flexion – 74° and angle of extension – 163°. In view of these findings, the therapist decided to treat the symptoms with the draining technique by NeuroMuscular Taping of the affected knee.

Applications were carried out as shown in the photographs on the next page. Specifically an anterior 25 cm long double fan, one laid on top of the other, beginning 10 cm above the knee cap, with a 20 cm long posterior fan positioned symmetrically to the longitudinal axis of the limb 10 cm above the popliteal line were placed.

Following twice-a-week applications of NeuroMuscular Taping, as described, for four weeks, measurements were taken again. These were to verify improvements the patient had indicated since treatment began: increased feeling in the left foot, better movement of the involved leg and noticeable reduction of the swelling to the left knee and ankle, due to better vascularization. On checking the new angles of flexion and extension, using the same instruments and procedures as before, the following results were obtained: angle of flexion – 110° and angle of extension – 176°. In conclusion, this clinical case further supports application of NeuroMuscular Taping as a fundamental technique in resolving post-operative issues as it improves lymphatic drainage.

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