Welcome to DR. MOTION Innovative Technology Ltd
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    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health
  • Home 主頁
  • B-Free Products 必飛產品
    • B-Free Ranger 必飛越野號
    • B-Free Flash 必飛閃電號
    • B-Free Flash Plus 必飛閃電號升級版
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health
Tel: 2899 2893

Crisis Plan Series
Patello-femoral (knee cap) joint dysfunction

Picture
Patello-femoral (knee cap) joint dysfunction is a very common knee problem in Hong Kong. The main cause could well be repetitive strain of the patello-femoral joint often from prolong walking especially stairs and hills without warm-up and stretches. The lack of general exercises and stretches causes general joint stiffness, muscle tightness and weakness (muscle imbalance) . The tightness in the calf (lower leg) muscles, hamstrings (back of the thigh), lateral quadriceps (front of the thigh), iliotibial band (side of the thigh) and hip flexors (front of the hip) increases the whole knee joint compression force. More importantly, such tightness pulls the patella (knee cap) laterally (outward), increasing mal-tracking and tension to the patellar tendon and its insertion (where it attaches to). The lack of or the poor instructions on strengthening exercises enhance such imbalance. As a result, the supra-patellar (above the knee cap) and lateral (outside) ligaments and soft tissues of the patella are often tight; the patellar (knee cap) tendon and its surrounding soft tissues are often thickened and tender; and the patello-femoral joint is often swollen with crepitus (clicking) . Such joint signs could persist for years before the patient gradually becomes aware of the symptoms or be acutely aggravated by some minor triggering incidence.
Although the patient will have to rest from painful activities, immobilization is detrimental as the knee will only stiffen up and degenerate more. Knee full range flexion (bending) and extension (straightening) mobility exercises should be performed as often as possible. Crepitus may increase initially but it may 'smooth out' as the joint loosens. Daily muscle stretches, especially rectus femoris, iliotibial band, hamstrings and calf muscles, are important. Deep friction massage to the thickened ligaments and soft tissues could be painful but the patient should be reassured of its importance, 'no pain no gain'. Passive patello-femoral joint mobilizations are necessary to reduce stiffness and help its re-alignment. Some of these mobilization techniques could be taught to patients who may perform their self-treatment at home so as to encourage more proactive treatment approach to promote recovery and prevent aggravation and deterioration. Specific strengthening exercises could then be taught if progression is satisfactory. Patient may range from teenagers to seniors. Most patients will respond to such treatment as long as they follow instructions.


​Luck LI
Musculoskeletal Physiotherapist

Location

What Our Clients Are Saying

Professional and dedicated. The Health Information is truly amazing, helping me to recover from my low back pain. I’m sure Dr. Motion is going to help a lot more people."

客戶的話
“專注專業。 健康資訊到位,幫助我從腰痛中恢復過來。 我相信動博士能夠幫助更多人。”
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  • Home 主頁
  • B-Free Products 必飛產品
    • B-Free Ranger 必飛越野號
    • B-Free Flash 必飛閃電號
    • B-Free Flash Plus 必飛閃電號升級版
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health