INTRODUCTION

• Presentation of the data about one of our patietiens, GZ, that used DESMOTEC D.Full in his ACL rehabilitation process
• The subject is an athlete who performs skiing and ski mountaineering
• GZ did not have any particular problem, articular mobility of knee was complete and the functionality of the articulation was good.
• The aim of this process was to improve his neuro.muscular profile:

1. Qualitative point of view (maximum syimmetrical expression of both limbs)
2. Quantitative point of view (improving power and strength)

SUBJECT

Gender	Male
Age	30
Job	Student
Lifestyle	Active

 

 

PROBLEM :

Broken right knee ACL, April 2016
Relapse, May 2019
Surgery, October 2019

REHABILITATION AND TRAINING PLAN

Functional recovery with Physiotherapist
Mobility recovery	Manual, Kinetec
Proprioceptive reprogramming	Riva Method
Open and closed kinetic chain exercises Lower Limbs	Isometric, slow speed dynamic

ISOINERTIAL PROTOCOL

Desmotec
Device	D11 Full
Test	Squat, Split Squat,
Proposed exercises	Squat, Split Squat, Side Squat, Hinge
Tool	Harness – Bar
Disks	Medium – Large – Pro

Series	3 – 5
Repetitions	5 -12

 

 

PROTOCOL

• A) Warm Up, 15 Minutes
• B) First Approach to the device
• C) Bipodalic exercises
• D) Monopodalic exercises

 

Proposed activities during sessions with D11 Full

General Warm-up, 15 minutes.

First approach to the device 2 slow series per exercise, using the Medium Disk

Monopodalic exercises using Small – Medium Disk

Bipodalic exercises using Large – Pro Disk

GZ RESULTS

These images were downloaded from D.Soft

 

 

 

On 29th November 2019, it is clear a disequilibrium to the left, with the superimposition of the unloaded force and with the derivative of the differential between the two limbs

On 3rd March 2020, the disequilibrium to the left has been reduced, with the superimposition of the unloaded force and with the derivative of the differential between the two limbs

 

 

 

 

 

 

BIPODALIC SQUAT DATA

 

 

 

POWER PEAKS BIPODALIC SQUAT

PC= Conc Peak; MC= Conc Mean
PE= Ecc Peak; EM= Ecc Mean

CONCLUSIONS

• Isoinertial training with Desmotec D.11 allowed the subject to achieve his goal, improving his beuro-muscular profile.

1. From a qualitative point of view, the force expression reached symmetry
2. From a Quantitative point of view, the growth of force, during the eccentric phase, will allow the subject to icrease work loads, allowing him to express more power.

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INTRODUCTION

• The aim of this training project is to allow the subject GG, 22 yo, 196cm, 76 kg, to restart his sport activity as amateur volleyball player
• The athlete, affected by bilateral rotuleous tendinopathy, came to our centre in order to be treated.
• Our intervention was based on physioterapic sessions, then, once the subject achieved a complete return to functionality, he started a strength conditioning training in November 2019, in order to increase his load capacity, needed for his full recovery.
• The strength conditioning training was based on isometric exercises (ex. Spanish squat) during the pre-training phase, according to the program proposed by J. Cook, integrated with isoinertial training with Desmotec D.full, in order to improve the subject’s eccentric response which is fundamental in the jumps landing phase, an high impact and frequent situation while palying volleyball.

SUBJECT

Gender	Male
Age	22
Job	Volleyball Player
LIFESTYLE	–

 

PROBLEM 

Returning to sport activity, recovering from rutulean tendinopathy

PROTOCOL

Functional recovery with Physiotherapist
Opened and closed kinetic chain exercises	Isometric, dynamic, low speed
Lower Limbs	Isometric, Isotonic

 

Isoinertial Protocol Start
Device	Desmotec D-Full
Test	Balance, Isometric Max, First Approach, Power Max

 

Isoinertial Protocol next steps
Device	Desmotec D-Full
Test/exercise	Bilateral Squat, Split Squat. Hip Hinge, Side Squat,
Inertia	Medium, High (Medium, Large, Pro)

ISOMETRIC – ISOTONIC EXERCISES

Spanish Squat different angles, 30 secs. Dor 5 repetitions, 3 times per day, Squat depth based on subject’s pain. Volleyball pre-training.

 

Bulgarian Squat, 3 slow series, 10 repetitions, focus on tension. Squat depth based on the subject’s pain. Volleyball pre-training.

ISOINERTIAL EXERCISES

 

Bilateral Squat, complete extension

 

Bilateral Squat, not complete extension

 

Iso Step-Up

Iso Split Squat

ISOINERTIAL PROTOCOL

Week 1	Sessions n.3
Series	3
Repetitions	15
Speed	Low
Rec. time	60 sec. minimum
Inertia	Medium – High
Target	Learning the exercise Ipertrophy

Week 2-3	Sessions n.6
Series	3
Repetitions	10 + 3
Speed	Medium – High
Rec. Time	60 secs. minimum
Inertia	Medium-High
Target	Ipertrophy – Power

Week 4-5	Sessions n.6
Series	5
Repetitions	5+3
Speed	Max
Rec. Time	90 secs. minimum
Inertia	Medium
Target	Develpment Power and Resistence

CONTROL TESTS

Initial Bipodalic Isometric Test, Squat 120°, 15 seconds.
Idem for Monopodalic squat

 

Max power TEST 02.12.2019 13:26
 Device: D11 Full
 Pattern: Squat Bipo
 Method: repetition
 Repetitions: 10
 Inertia: 0,6 kg/m2

 

Improved power peak in concentric work (1282w to 1414w) and eccentric work (1198 to 1734w), diminished variable in concentric work (from 25% to 5%) and eccentric work (from 23% to 13%)

 

 

Max Power test TEST05.03.2020 11:51
 Device: D11 Full
 Pattern: Squat Bipo
 Method: repetition
 Repetitions: 10
 Inertia: 0,6 kg/m2

 

 

CONCLUSIONS

 

 

• The results were excellent, the subject felt his post- training and post-game pain gradually diminishing. The pain was almost unbearable before the treatment.
• No cases of Tendinean Algia after the Isoinertial
• Feeble pain (2-3 on a 10 scale) during isotonic monopodalic exercises At the end of the treatment, an exercises program was provided to the athlete, based on 5 sessions per week, to perform before training.
• We were not able to perform the final isometric tests because of the COVID-19 emergency.

Would you like to know more about DESMOTEC technology, devices and training methods?