Most injuries will be caused in the ECCENTRIC phase of motion so ECCENTRIC OVERLOAD training is a very good Injury prevention tool. In the case of rehabilitation the DESMOTEC Flywheel devices increase muscle activation and coordination by recruiting those high-threshold motor units and thus aids a quicker recovery whilst decreasing Muscle stress. They also reduce inflammation and pain in Tendons. Because of its low-impact and non-weight bearing nature, The Desmotec equipment is particularly useful in the rehabilitation from ACL and Rotator Cuff Injuries where there is less strain in the knee and shoulder compared with other methods of rehab. With the Desmotec Devices you have one complete system for recovery. The Integrated Load cells in each device measure the force in each leg or arm so immediately the physiotherapist can see impbalances The Eccentric overload(breaking) produced from the the isoinertial technology of the flywheel activates the high -level motor units producing stability and strength accelerating recovery in and around the wounded area Eccentric Power and Return to sport after ACL reconstruction CASE STUDY 1 SQUAT WITH INSTABILITY FUNCTIONAL RECOVERY PATELLAR TENDINOPATHY PROBLEM: Pain in bearing weight on specific limb on descent Pain in breaking after movements TREATMENT: 1° phase: Isometric tests on Dline and Vline to see the deficits – which will be repeated at the end of the path. Incremental speed work with average loads in Closed kinetic chain. 2° phase: – with positive results and TEST Eccentric work in closed kinetic chain involving the leg in flexion with different working angles at high speed Closed kinetic chain work with different working angles combined with specific monopodalic exercises. Functional work on Dline with low loads that progressively increase and high speeds. CASE STUDY 2 ACL FUNCTIONAL RECOVERY PROBLEM: Left – Right imbalance Specific work on semitendinosus TREATMENT: 1° phase Balance and isometric tests on Dline to see the % of static and dynamic imbalance and deficits – which will be repeated at the end of the course. Low speed work with medium/high loads with initially open kinetic chain and then closed too. 2° phase – Eccentric exercises involving the leg in flexion, extension and abduction/adduction weight shift in multiple floors at increased speeds. Closed kinetic chain work focusing on balance and different ROM Functional work on Dline and Vline aimed at the harmonizationof the specific gesture. Case Study 3 Shoulder: Functional Recovery PROBLEM: supraspinatus cuff weakness, loss of center of rotation of humeral head on the glenoid limited external rotation. TREATMENT: 1° phase Isometric tests on Vline to identify and define the problem and the deficits – which will be repeated at the end of the treatment. Work at low speed with medium / high loads while respecting the instantaneous center of rotation. 2° phase – with positive results and TEST Exercise on tonic components to brake the head of the humerus and work between the districts involved aimed at harmonization of the specific gesture work involving the shoulder within a muscular chain with a constant work with maximum excursion. ACL RECOVERY In the case of a patient facing an ACL rehabilitation; the whole rehab program was based on a specific path focusing on muscular reinforcement, using mainly the Desmotec D and V. TREATMENT During the first phases, Desmotec devices played a very important role in monitoring the patient’s progresses on shifting the load from healthy to operated limb, using D for balance and isometric tests, followed by exercises with specific strap on the V. The last phase of the rehab process was focused on achieving the complete leg extension, complete balance recovery and full load on the limb, using the V for functional movement equipped with a specific tool and isometric works. Balance test on D -shifting load exercise Isometric extension at specific knee angle on v Knee stand rotation All Exercises performed on V Functional sagittal Lateral functional movement RESULTS Desmotec devices -D,E and V, helped the athlete recover from surgery by analysing and testing balance and strength with the E board and training with both the D and V devices. The athlete returned to play quicker than normally stipulated due to the excellent response of the High Motor Units from the ECCENTRIC training Shoulder Recovery from Rotator Cuff surgery The Eccentric overloading activates the high-threshold motor units in the complex shoulder region promoting strength stability and also encouraging the the Latismus Dorsi muscle to take some of the strain. Elderly Much work has been done with the elderly to prevent falls. The Desmotec Eccentric training activates motor units, long atrophied(sarcopenia), in the elderly allowing them to regain the ability to sit and stand without distress. It also prevents them from being so susceptible to falling.
