Another New Distraction: Neurocog
Knee rehab is rife with shallow work. Historically, we have been distracted by the idea of "neuromuscular control" -- people standing on unstable surfaces with a 30 deg knee flexion angle, being perturbed, in search of the holy grail of hamstring co-contraction. And we forgot to ask people to bend and straighten their knee. To develop knee extensor strength -- THE KEY TO KNEE HEALTH. We now (again) have to use isokinetic devices to tell us what the knee extensor strength is because we have lost the skill and ability to program and observe movement that develops and is indicative of that strength & capacity. Note: I am not saying it isn't important to inform RTS with objective measurement. I am saying that many clinicians now rely on those occasional measures solely because they do not have the ability to design in session challenges / progressions that ask the patient to demonstrate and express the necessary capacities and movement competencies. Now, there is a new d...