Progress report – SFIPD
from 14/3/2017 to 6/7/2017
Main diagnosis: right chondromalacia patellae
Secondary diagnoses: bilateral patellar tendinopathy
Therapeutic work
Pilar Domínguez Method group classes:
• Overall strengthening work, global stretching and loosening of the muscle chains.
• Integration of normal movement patterns through postural awareness.
Physiotherapy:
• Patellar tendinopathy: offloading massage therapy for the lower limb muscles, Cyriax deep transverse friction massage on the patellar and quadriceps tendons. Stretching of the muscles involved (iliopsoas, quadriceps and triceps surae) and patellar mobilisations.
• Lower back pain: relaxing massage therapy for the back and manual techniques to release the iliopsoas muscle.
Conclusions of the IPD Physiotherapy Service
Overall favourable progress.
• Regarding the main diagnosis, chondromalacia patellae, increased quadriceps flexibility is observed, allowing correct positioning and alignment of the kneecap and reducing the pressure on the cartilage and patellar tendon on both sides.
Beyond the conditions presented, notable improvements are seen in other areas:
• Improved foot support, with a better distribution of load when standing and walking.
• Increased abdominal muscle tone, with functional improvement of the abdominal wall, improving the appearance of the abdominal area thanks to isometric contraction of the deep abdominal muscles (transversus abdominis).
• Improved body axis alignment and neutral pelvic position.
• Increased flexibility of the posterior muscle chain.
• Correction of increased lumbar lordosis and better harmony of the spine's sagittal curves through improved balance between muscle chains.
• Improvement of spinal curve imbalances in the frontal plane.
• Improvement of muscle asymmetries in the frontal plane.
At a functional level, the main improvements are:
• Greater body awareness.
• Improved overall posture during activities of daily living (ADL).
• Improved overall posture during sport.
• Fewer poor postural habits.
• Fewer technical errors.
• Reduced intensity and frequency of pain.