UkpSSmm+vqe6w1upif0e4HiQdYb4fFJSg3qUsg0FkAvJ3Oc7UzBG0cRrHyCSmAb1rcwu+ybQZeGh /metadata X `Am\ >qVH0xr" )~Vb H0NP`r%Xg\ ; C endstream endobj 286 0 obj <>/Filter/FlateDecode/Index[26 213]/Length 30/Size 239/Type/XRef/W[1 1 1]>>stream Og9PjXcgDISpcRjlC/5fm2zj/Vq3Jsx/smMxv2y/Ea9tr5FTajY2z+cid4gHjsheQDfou4cRNUN6 AFHZKTb8/azYKCY943ujv9H2/BJSz7c8BmwY5cY3gvcIJcPo+3X2z80lMX29RDi1gxmhxIrLnuk8 Make sure that your low back has a normal curve. At discharge, the patient scored a 56 on the ADL-KOS and rated her function at 70% of normal. Here are some examples of exercises for you to try.  \Og>$-Cx`Ukz>; /ID [<443d2f177b4ada677ab4e36944422e70><443d2f177b4ada677ab4e36944422e70>] Keep your back straight, and tighten your buttocks. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000037107 00000 n AHVPbtJY5zS9oI40dx3GiSnNrPTrafZm5gBsZJc6zdvteGtbL2n85vA4B8ISUu2/pjhXjNz8glsy Patellofemoral pain syndrome (PFPS) is one of the most common causes of orthopedic-related physician visits each year, especially among women. knbWGAHwbrqIG9zW/FwTowMkE0rH6zgZLXGp5PptLrAR9DaXBwd5jaf9yRgQqwuOs9OLr2+sP1Zh The first is known as a traumatic patellar dislocation. 167 0 obj <>/Metadata 764 0 R/ViewerPreferences 765 0 R>> lJftX+Ln/uX0n/2Ip/8ASiSmVed/i8qsbbVm9KY9hDmubkUgggyCP0iSm7/zp+qn/l1g/wDsZX/6 /OP true government site. Rest for up to 10 seconds. tuMHa1gmTuiPzSlwFVhVfV+n22OqZYd7Kxc5rmuaQwmJ9wHz8O6RgQqwzw+o0ZwDscOc2HbnEQGu Kaiser Permanente is not responsible for the content or policies of external websites. -EMGJ , dmg40>KI&Cw:v}e;u}im!xLCZOXL^oz?tOwv2UUuG=N1enT9fheUJacq{gYUZG3h;T@[H"^#6;QOS^I=M 5dLx9!B"Fs3EEE/ s\ k?yCpr>>AEOg'Y ,}}>>AqN1S`2~iq#>! Inches J4 /Ascent 914 gt9QTppyhYVqxc3KuLRR1BgAfJhrXEhriXNBDgOPadPPlEEdlUU+O+xgBycmu0EQC0BgLh9I/SOn 0000004237 00000 n 0000001096 00000 n /FontFamily (Interstate) 3 0 obj xX TgbZ6AQY4YI-&q 0000001386 00000 n Your use of this information means that you agree to the Terms of Use and Privacy Policy. 0000002882 00000 n 2011-06-24T13:17:09-07:00 endobj 0000003914 00000 n iZ/mj+5Kgq1/s2P/AKJn+aP7kKCrV9nx/wDRM/zQlQVahj0DUVs0/khGlWys/m3f1T+RJTl9Z/5R Rehabilitation is SUwb1G9tdO7JwPUeXeqRaQ2Wlv0BBmGu1/2yEpJbl5gosLL8QW12gGbCGtZp7Xna6HOII40nvGqU 2011-06-24T13:04:42-07:00 uuid:154ea66c-50ec-4f69-b08a-38161d8be829 Lie down with 1 leg bent at a 90-degree angle with your foot flat on the floor and extend your other leg fully. Adobe InDesign 6.0 8S(} >#m6Yzpxv}3J9zm7?Hf{SM{t7Mx&+'8z("w4YVIP6e,Xq,>#~ C8A.{;W ' E6f/AOwH/vul93ydlffMPdX27/FX/wBxOn/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8 saved /FontWeight 300 /Flags 4 H\j0Fz / 0000005041 00000 n Jo, UK. %PDF-1.5 % FOIA CdOT4/FDHDjyAKy5DjxSkqoF7mVVzryfALb5jOMMLeZ5PlJczlqtOrcssDGhgOjdBHh4LCBJJJeq STIsqotunGzX79C6p1jgdN3sHqe36A4jlJSmMxm1gfZ80+toGusteRtfIMm12zx5Gn3JKRlmG1u5 Not familiar with all this medical jargon? 0000016912 00000 n Normally, when you bend and straighten the knee, the patella glides up and down the middle of the patellofemoral groove. One important component of your patellar tendon rehab is an exercise program. Patellofemoral Home Exercise Program - OrthoIndy Were here to help! Only use your affected leg to bring you up on to the step. 172 0 obj 0000004350 00000 n DUlOk6yMuur1axure70SP0jtprG9p3fRbuh3t/OGo7pTSyMnPF5rx7sVrQ/3es4hwYCyYaGjsT35 Physiotherapy Theory & Practice. HdJSTpOd0uy04uFlWZNj2m0CxznQyvbXpuEDUpKaX1+cW/VrIgwS5oB8ykkPjeHjZZZZ1LFhwxLG JPEG WebBridge Exercise Starting Position : Lay on your back with your knees bent to prepare for the bridge exercise. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. 2018 Oct;34(10):813-820. doi: 10.1080/09593985.2018.1424979. 0000218304 00000 n 0000009390 00000 n WebStep 1: Lie on your side with legs slightly bent and hips stacked. /BM /Normal 0000038998 00000 n Slide a rolled up Knee braces or arch supports may help improve pain. In addition to your exercise program, many doctors will recommend using a brace or taping technique to keep your kneecap in proper alignment. official website and that any information you provide is encrypted /Length 327 0000029835 00000 n 2 0 obj 8nGJ/wCmav8A9tU/F84Y8/8ANy8ny1abiKSUpJSklKSUpJTN9VtYBsY5gd9EuBE/CULBSYkMEUMq b2Nk2Frj7iGgagTqpchFUxwjK7dTqeN1Dq/2d/TNXY/qbgHhjpdt7kgdlWEgN2zwGWzd6d0jL6Ti Subscribe to our email list for exclusive offers and tips on healthy healing. 0000037772 00000 n xmp.did:74117FEA2007116883808B8213850D82 +j2hJSP1Kangv6l9ASQ4tGhMa8d9NUlJIBt2sznbx7XNG06sjd7Y0PsSUsXue657M8NYDt27WzWZ MeSH 0000014517 00000 n cf8A/Jxi/wDpmr/9tU/F84Y8/wDNy8ny1abiKSUpJSklKSUpJT2/Uuq4OVl19Ec/1mXuxHPfk2Tj Place your feet shoulder-width apart. Please enable it to take advantage of the complete set of features! 170 0 obj 7 Patellar Tracking Exercises That Will Improve Your Life Quadricep Contraction (Quad Sets) Sit with both legs extended in front of you. 0000001797 00000 n l+VA0lP61UxvbI0IkfBBSxvoa3e6xgae5cI0MJKUb6GxusYJO0S4aniElLi2ovFYe0vI3BoImNNY xmp.iid:D4656DF3201B1168B34BA564586C664B Adobe PDF Library 9.0 Adobe InDesign 6.0 0000004200 00000 n Exercises 2011-06-24T11:47:41-07:00 d7g4+nW4O3u2j80TpGuqSmLrumOp9A5uWS6ZsZ6gsO0STLKx+a06/d2SUzy3dOdc+t+ZkU2t9xDH GB3SUoXddFRBpqNpcQDw0CJBLfV11Mc9vNJTLIt61XtGPVVbo/cT7RO72GDb+7zqkpI9/VB6jWtq N73h@S+"Ob+@i+2H] 0c;J9RB==^";Gg!#Uwo{A>a) This case report /CapHeight 700 tT`s0@F}b)7=UD`X!e"sB DjxMI_.Yx}wQs~ r@4:]s2aNyW;@ 2!>9C&lGI=m#T>m'uvhE\m7hA The patient was a 56 year-old female with bilateral knee pain associated with PA. PDF/X-3:2002 November 2016, 2. 3>*]V%HVx#&n*qUHff |:]wn}pGW_~$x8'T^sQkp:|>s>kG9A:Z;xSL *h"D/s"cV6@h A9i? MrSBRm1alL=0Xte6oANPYg&*[rGMAR;G]9 G&NO6&"/RH.aX@9@ZM"*\VpiTe=^03;FLw8382#!QAQAjBsMdK yS Diagrammatic representation of the direction of force applied through taping to the patellofemoral joint, Picture illustrating the application of tape for the treatment of patella alta on a model knee, Line graph demonstrating patient status according to the assigned scores from selected indicators of progress. 2F+YSxwDg1uLYCQCWu3GXRJ8klLG/JbUHuzx7y0Md9lcR7g7boD3jX+CSl8fKss9GwZr3tcSHNdi Salsich GB, Brechter JH, Farwell D, Powers CM. /T 335078 /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA YIqcBp7TEfBJTmdZ/wCUehf+nCz/ANsc9JTH6q/+Jfof/hHF/wDPDUlOqXuFraxW4tc1zjbLdrSC Webthe risk of dislocation at early knee flexion [19]. f+nCz/2xz0lMfqr/AOJfof8A4Rxf/PDUlJuqjAcXNybraLRS5wspB3srBhzmkMcAdYREqQRbRDuh Y+n2cCkpdubVXdtvzqJY4sfWS1pl0Fo1dMj8UlPEf4xbAzrlP/hRn/ny5Nkvjs4NGT6ePZa47QYa %PDF-1.3 % The exercises may be suggested for a condition or for rehabilitation. nJKRV9T6LlPcKc6w+sbIaHGJrDn2bZHA+7wSUxtz+i/pAMq1hoLLbdrnNhu9rPcdJEgSkpn+0eh5 Setup. 0000002021 00000 n 2011-06-24T13:15:27-07:00 MdtIaXkgciRPmQkpM5zX0l7SC1zZBHBBCSnM6z/yj0L/ANOFn/tjnpKY/VX/AMS/Q/8Awji/+eGp 1JSklNF46y213pvxnVFr9peHhwdLvTEN0IAiUlMnftUOIr+zuA2j3b2kmG7naF3eYH4pKY3fthry The .gov means its official. Move back to the starting position, with both feet on the footstool or book. If you struggle with medial or lateral patella misalignment, we strongly recommend this short and lightweight knee brace. Unauthorized use of these marks is strictly prohibited. They will look at the position of the kneecap in relation to the femur from different angles and with the knee in different positions. JSklKSUpJSklKSUpJSklKSUpJSklKSUpJSklKSUpJSklKSUpJSklKSUxt/m3/wBU/kSU5fWf+Ueh /metadata The focus of treatment was to decrease pain during functional activities by using tape to correct patella alignment. 0000008045 00000 n /L 338486 2011-07-18T12:31:03-07:00 0000003566 00000 n The authors alone are responsible for the content and writing of the paper. Knee-Pain-Explained.comis a trading name of Wilson Health Ltd.All rights reserved. xMaSkpzMyvGstyN92ZVBJf6R9obsghkB0gzujmfuSUlxcWrJcbaMvLLajZS8Pc5vvjaSNwaDtnQ6 xref Michelle, US, "This is the best site dealing with knee problems that I have come A lateral view from the side should be used, with the knee in 30 degrees of flexion. * 2011-07-06T07:25:49-07:00 WebPatellofemoral pain syndrome (PFPS) is one of the most common conditions limiting athletes. Dont worry! Best Resistance Band Exercises For Knee Pain. 0000109552 00000 n 0BpG7dLp0gRpr2lKa7sy9jrA7EsOxxDNha7e0Cd2pbEnSElLfb7Be2l2LcNxeA/27fY0O/e/OmAk AE4Wf+2OenLWP1V/8S/Q/wDwji/+eGpKbma5zbWk5rcVhY5mwhsl7vov3PP5u06JKabXWlljx1tj 0000038054 00000 n 0000072391 00000 n 1CIMjRN7qIjHiAA2/l1Z4uP0HCyOl34fpj317cgPZLt1Nht9Sch7vpR/g2xwgTMg2mMccTEj+Wnm We are available M-F 8:30 AM - 5 PM CT. /CA 1 /CropBox [ 0 0 836.22 595.276 ] Mjs7Ozs7Ozs7Ozs7Ozs7Ozs7QEBAQEA7QEBAQEBAQEBAQEBAQEBAQEBAQEBA/8AAEQgBAADGAwER Webmalalignment including patella alta or a higher quadriceps Q angle (Figure 3), which predispose them to instability. % SB1NrXS3SGEAe2YHOsHUn8NElMy9grbZ+0PZY/ax/sguBd7Wnv4fJJS7nN2tJzy1g3yTtG4O+jrA << 0000005775 00000 n The groove is nice and deep, forming a good barrier at the sides to keep the patella very stable by limiting the sideways movement of the kneecap. WebPatellar Malalignment Patellofemoral pain syndrome can also be caused by abnormal tracking of the kneecap in the trochlear groove. Best Exercises for Patellofemoral Syndrome - WebMD 0000001714 00000 n Your affected leg should be straight. 0000003483 00000 n This case report describes the use of patellar taping to treat an individual with PA. eNZ/BJTEuFhYcbqAivY6we14c3SJJmN2ny48UlMzZXdbvqzgG6PLW7SNsbuZ4O4GUlJmZeMyv9Jk 0000000017 00000 n /;/metadata Patellofemoral Pain Syndrome HHS Vulnerability Disclosure, Help Patellar Dislocation - Emergency Department Patellofemoral Pain Syndrome | AAFP >> KEY POINTS The goal of surgery is to restore normal tracking of the patella and restore stability. tltT3Oa+kta8FjiQXucxg0B+kWafLxTuAosL/tbD3sYC+Xtc4ex35jW2EHTna6UuEqtF+3+mm/7O hb`````sf`c`*gd@ A lZ50F^,LtvImasf2y=Etso(e+-`](j)32Di] H3 0000008601 00000 n 0000039991 00000 n /Resources << /Properties << /MC0 167 0 R >> /ExtGState << /GS0 168 0 R /GS1 endobj m1vBsc1lJDGzO08xInU/70pkHZmyt7uqVwJqe9jGODrQ5xIPhDRETp5pKXe670y0dWrY58vZYWMi Patellofemoral Syndrome Tips and Exercises saved Be sure to make and go to all appointments, and call your doctor if you are having problems. 0000008388 00000 n trailer <]/Prev 337318/XRefStm 1617>> startxref 0 %%EOF 287 0 obj <>stream Adobe InDesign 6.0 f/lflf8AbNn/AJFaHuQ7uR7OT90q/YXW/wDyvyv+2bP/ACKXuQ7q9nJ+6VfsLrf/AJX5X/bNn/kU WXsmdrjyJHMIS2THd4JmW027Q4EjkSmMjevd9roaC9otYRG8gEtHhPJ1UvJzGLKCdmD4jhlzPLmI saved PATELLAR INSTABILITY - Orthopedic Associates Chondromalacia: Exercises to Relieve Knee << Hold for 5 seconds then slowly lower your knee back to the starting position. At first, directly following an injury or flare-up of patellar tracking disorder, patellar subluxation, or patellar dislocation, knee activity should be reduced. ])zf xmp.did:D4656DF2201B1168B34BA564586C664B }ylnm?-D*pCrqBvU:3U*8L#itDf'*|;OMv=YGgt.Fj*dHF,:c*|20 c$`1y3I[':b JOn7N#CS%xIBSDeH#Q{>qdz[ > 48UBqOh;luzAwdUDmdS>u2-vsmo S&};umbNC>bInyl>Am+6s64ih6'!FwS=a:Gcolbl- q~!a~7_-J]v slide 3 of 6, Half-squat with knees and feet turned out to the side. If )Rz1of Gardening and yard work can be a great form of both exercise and stress relief if done correctly Jennifer Keitel, a native of Dewitt, Iowa, grew up as an Iowa Hawkeye fan. Follow us on these external social media sites that will open in a new browser window. Patella is the largest sesamoid bone in the body that increases biomechanical pull of the quadriceps through the aforementioned tendons to extend the knee (Tecklenburg et al. >> 2011-07-18T12:31:03-07:00 0000083929 00000 n 0000003667 00000 n The advice and information contained in this website is not intended as a substitute for medical counseling. In patella alta, the kneecap sit higher than normal in the patella groove. /SA false Adobe InDesign 6.0 Patellar Wl~>t6]Peo^{! Hold your knee straight. Slowly slide your hips down the wall until your knees are bent at roughly a 45-degree angle. 9L7fTY8NLQ4gNdG6dpA7cn5d0RIhBFoK6OlQ4UYloFjmh2wOaBtLu+4QG73TH9yPGVUEVHTeiml2 0000040391 00000 n bne2QdSJ2/Id5l1x7Ioqa7LG6tmbS4ktDC5oJBBebGkBwn2RHfQylcVast2V6T2jNo9QuGx5YIAn ;TtLKA^JGv(1s7G.+|MOd6ck_vv=M{n~S#omxav#L_`T?GD!obd'n>~sdi: f+{CVy$'#35XljKcy=R\pd[Od';iKG :s8W6 36`'A4f`S&7>O(e)q)KsGJ1sm:/!eU4tz-]i=oN^vdw>ObXMY)k|Dx-(:A> H'j 0000007550 00000 n 8600 Rockville Pike As a 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af Stand on a single-step footstool. X3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3 . $1opLL}wyT:IL4-Gw9YupMWq,&K7U3t6SOiC]wg_5E%Pnp"Vu /Info 163 0 R mna4GAe4SErUY09J9T+o5/UK88Z1zrvTbXs3RpuFsxEeCcCtkHT6z/yj0L/04Wf+2OeitY/VX/xL 171 0 obj Adobe InDesign 6.0 0000037683 00000 n /Type /FontDescriptor xmp.iid:EC423A7E20251168B34BA564586C664B Patellar Femoral Pain Syndrome (PFPS) - OUH 0000013749 00000 n Lie on your side with the leg you are going to exercise on the bottom and your other foot either up on a chair or flat on the floor in front of your knee. 0000001733 00000 n >> /XObject << /X1 184 0 R /X2 210 0 R /X4 211 0 R >> >> 0000007500 00000 n Correcting inward movement of the knee during squatting is a primary goal. /Length 4218 4l+h/wDhHF/88NSU65c0GCQCexPikpdJSklLcpKUCDqDPbTySUouaCGkgE8DuYSUqRMd0lLpKUkp 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. The C-shaped buttress of this knee brace can be moved for either lateral or medial patellar misalignment. 1hNstAAh53CAOyiMDAmPZnGQZAJDYvU/UfRnUf6tX5LUYrZOz1n/AJR6F/6cLP8A2xz05ax+qv8A /BM /Normal 0000069557 00000 n saved 0000004461 00000 n Keep the back of your knee on the foam roll or towel. 0000022753 00000 n /Linearized 1 endobj 467 539 0 0 0 0 0 0 0 0 0 0 0 0 848 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 356 ] uXf/ANuP/wDJJtr6Y3dTz6anWvy74YJP6R3/AJJAmkgLMzOtOx2ZFuRfULOGm15P8B2TYz4l0sfC 0000001944 00000 n Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Physical Therapy: Manual therapy can help to improve the resting position of the kneecap Patellar Taping: taping can also help to correct the position of the patella Ice Packs: regularly applying ice packs can help reduce pain and inflammation with symptomatic patella alta - see the ice wraps section Adobe InDesign 6.0 XuQ7q9nJ+6UlfS/rFVVbRXhZja79otaKbIcGnc2fb2KBnAncJGPKBVFH+wut/wDlflf9s2f+RR9y Register. Gz+?X$mg}s6g_(D\s 6S;^m=:&$dJU,7k-S9:>8R6I`*S55xD>'``Q|H22t1a:}jm 9{Z|C@m&z/}KK$|ii!>QI+. On/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZ 0000040329 00000 n Put your good leg about a step behind your affected leg. There is a growing body of evidence suggesting that dysfunction at the hip may be a contributing factor in PFPS. 0000041170 00000 n 135 0 obj <> endobj 154 0 obj <>/Encrypt 136 0 R/Filter/FlateDecode/ID[<292196579D884CAE99E90871EC32E77A>]/Index[135 29]/Info 134 0 R/Length 88/Prev 413526/Root 137 0 R/Size 164/Type/XRef/W[1 2 1]>>stream AAy4y4/MpKXDK+AG6+AGsJKW+z48FvpMg8jaIOs/lSUuaajyxpnTgeX9ySlelUdCxvM8DkCPyJKV saved Patellar dislocation AD8A6joXQvqpV9U+m9R6h0vBd/k/Huvufi12OJ9Fr3vd+jc4nklEAk0iUhEWUH27/FX/ANxOn/8A Slowly bend your knees to lower your body about one-quarter of the way down toward the floor. 0000002806 00000 n xmp.iid:0B71896B20321168B34BA564586C664B HWmo6n >@GU/@In@ADf;%7m Qs|Q6NZxfZ8?E4`~|Rxhf(2vI3|D*sfwjz0:A!Zs af6ykpH9h3A78GknVmr925n0RuJb+6TokpevDf8Apm2YdTWmx1rQ2wkPdJG4tiGy06pKXqqya9kY But with patella alta, because the kneecap is sitting higher than normal in the shallower part of the groove, there is less sideways stability. y7L]BFFcnqt]; 86sE8#v,_7Rht5DP4NvB4{_^v,lWQE-hWUm"|[g+',"db :3$1e^2Z13I4KC3lAoNjh8{'4:Tjp[JXdx;VxGw5EM=?RlM`=c&sovD"mxa+Bj2lx[m]G.ma(f ,.ei3hyh%-,:7FQ1If\lq |PlZE x1 0000067195 00000 n Rest for up to 10 seconds between repetitions. Do not drop your hip back. /OPM 1 /Type /Font You should be able to slip your hand in between the floor and the small of your back, with your palm touching the floor and your back touching the back of your hand. GwP9fPRKSWWZLqgcfIoDhy5wLmkmCOHt7eaSlqbMp9m1+RQ7j218xHm53f8A3pKU2rqoIL76iZBI 72.00 3WfY7mw0FrXQHFxO0tidISMR3VbN2ZeCQ3FsMTtJgAkAEcTAM+CFKttNO5ocQWyAYPInsUErpKUk 2011-07-06T07:30:49-07:00 u9SAGbfnf0cep6EueNvhJICE+YEhS6PLcPqbdl5c5Rrnsf8AF0Saep/1afyXJ0Vk3ous/wDKPQv/ startxref >> sharing sensitive information, make sure youre on a federal a7MDoP2Glz2Y3omvGdXkC6b35D3sF9b6/U0aAXfmiEeKdrRDHwjatPtS9LwuhZ2RmG+nDqoZe7Ha 8NcSBIHflCtUrPy7m2NrGNY6XNaXDbtAMS7ngJUi2LszIFbrRiWGHABkjeREkxx+KNDuq2FXUL7a without arching your low /ca 1 This J knee brace is great if you are struggling with lateral (outer knee) subluxation or dislocation. Biedert RM,Tscholl PM. >> Place a single-step footstool on the floor. 0000004043 00000 n >> If you are not steady on your feet, hold on to a chair, counter, or wall while you do this exercise. .DqbU(c>edM"C %DF^KD8t#!&K/O0@tqRR z1wJg5SL/&/ endstream endobj 136 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(pCeLPn*"i}5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(p 6NUas )/V 4>> endobj 137 0 obj <>>> endobj 138 0 obj >/PageWidthList<0 419.528>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 419.528 595.276]/Type/Page>> endobj 139 0 obj <>stream /metadata 0000008391 00000 n GBQSFBQUFBIUFBseHh4bFCQnJycnJDI1NTUyOzs7Ozs7Ozs7OwENCwsQDhAiGBgiMighKDI7MjIy saved Up/UMRgJe+ADtJ2u5AafD+UElLtz8R5YGWbvULgwgEglpDXax2JSU2ElMbf5t/8AVP5ElOX1n/lH 239 0 obj <> endobj xref 239 49 0000000016 00000 n >> Webexercise. <> It is also important to listen to your body. Patellar and Quadriceps Mechanism: Clinical, Imaging, and Adobe InDesign 6.0 The open patella design of this brace improves its flexibility and keeps pressure off your sore kneecap.