Patellar and Hamstring Injury: Optimizing Collagen Tissue Health

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Video Runtime: 73 Minutes; Learning Assessment Time: 26 Minutes

This course provides a detailed exploration of advanced rehabilitation strategies for patellar and hamstring tendinopathy. This course is designed to help athletic trainers and physical therapists integrate tissue-specific mechanotherapy, progressive loading protocols, and sports manual therapy techniques into their clinical practice. Participants will learn to address biomechanical, neurological, and biochemical influences on tendon health, tailoring interventions for both simple and complex cases. With a focus on safe progression from tissue repair to high-load tolerance training, this course equips clinicians to optimize recovery and performance outcomes for their patients, ensuring a safe return to sport and reducing the risk of reinjury.

Learning Objectives

Analyze tendon-specific rehabilitation strategies for hamstring and patellar tendinopathy
Determine exercise dosages to support tissue repair and progression to high-load tolerance training
Construct rehabilitation programs addressing both local impairments and spinal contributions in complex tendon cases
Integrate biopsychosocial considerations into advanced rehabilitation protocols for lower extremity tendon pathologies

Course Series Overview

Meet your instructor

A person with spiky hair in a light suit and patterned tie stands indoors, representing modern hybrid care for medbridge.

Jim Rivard

Jim Rivard received his bachelor of science in physical therapy from the University of Puget Sound in 1988. He then completed four years of postgraduate residency and fellowship training at the Ola Grimsby Institute (OGI) and a chronic pain management certificate program at McGill University. Jim is the founder of MTI…

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Chapters & learning objectives

1. Advanced Tissue Training Concepts for Hamstring Strain

This chapter focuses on rehabilitation strategies for hamstring strains, from initial tissue repair to progressive tolerance training. Participants will examine the biomechanical, neurological, and biochemical factors that influence recovery. Practical techniques include venous pump activation, eccentric loading, and motor control strategies. Special attention is given to injury grading, anatomical considerations, and the role of sports manual therapy in managing acute and chronic hamstring injuries.

2. Advanced Tissue Training Concepts for Proximal Hamstring Tendinopathy

This chapter explores the management of proximal hamstring tendinopathy (PHT) with an emphasis on tissue sparing, progressive loading, and functional return-to-sport strategies. Participants will learn to integrate isometric exercises, spinal manual therapy, and neuromuscular training to address pain, stiffness, and impaired motor control. Biopsychosocial factors influencing recovery are highlighted, along with tailored interventions for complex cases.

3. Advanced Tissue Training Concepts for Patellar Tendinopathy

In this chapter, participants will delve into the rehabilitation of patellar tendinopathy, focusing on the unique demands of tendon remodeling at the patellar and tibial insertion sites. Topics include mechanotherapy for tissue repair and tolerance, motor control optimization, and addressing contributing factors such as biomechanical imbalances and training errors. Evidence-based protocols for return-to-sport progression and in-season management are discussed to enhance patient outcomes and minimize recurrence.

More courses in this series

Rehab to Resilience: Transforming Sports Therapy Outcomes

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Tissue Repair Training in Rehabilitation and Athletic Performance

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Seven Core Principles of Sports Manual Therapy

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Precise Loading: Optimizing Dosage for Tissue Repair and Rehabilitative Exercise

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Advanced Tissue Training: Lower Extremity Tendon Pathologies

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