I have a question for anyone who is knowledgeable in the area. Here is the situation. I am 5 days post op of a bilateral knee scope for chondromalcia. I am limited per M.D for about 6 weeks to rehab work no more than 70 degrees of knee flexion. During this period I am working on 1. hip/hamstring/gastroc/IT band flexibility,(with foam roller work),
2. hip ABD/ADD strength
3. limited ROM Leg press, step ups, step downs, retro treadmill etc…
4. McConnell taping before ex.
5.NMS at VM/VMO
This has been a long standing problem and the I have laterally tracking patella bilaterally. This is a least partially if not mostly due to a lack of VMO firing or imbalance.
Now here is my question. In many of the journals is read and with most of the PTs I work with, there is general agreement that VMO cannot be emphasized and rehab is centered on exs mentioned above. I have read many of the coaches’ articles here that suggest deep squats/deeper split squats etc… emphasize VM/VMO. This is relatively contraindicated with most patella femoral problems. What would be the suggestion as a way to effectively address this and suggestions as I progress back to Full ROM exercises in several weeks.
I apologize for the length of the post and appreciate any feedback.