LEVEL 1 · LESSON 03Tendons
Tendons
& Ligaments
Dua-dua ialah connective tissue, tetapi tugasnya berbeza. Lesson ini ajar perbezaan praktikal supaya practitioner faham load, stability dan kenapa tissue tidak patut dipaksa.
BY THE END OF THIS LESSONBezakan tendon vs ligamentFaham load transfer & joint stabilityKenal response asas kepada loadFaham bila perlu stop & refer
Same family. Different jobs.
TENDONLIGAMENT
ConnectsMuscle → BoneBone → Bone
Main roleTransfer muscle forceSupport & guide joint stability
During movementAccepts/transmits load as muscle worksHelps restrain excessive joint motion
Practical focusLoad tolerance & symptom responseJoint safety & stability
Load is information.
TOO LITTLEinsufficient stimulus
→APPROPRIATE LOADtolerable + controlled
→TOO MUCHirritation / overload risk
Dalam rehabilitation, “lebih kuat” bukan semestinya “lebih baik”. Dos perlu sesuai dengan current tolerance, quality of movement dan response selepas activity.
What changes your decision?
Apa yang mencetuskan, mengurangkan atau mengubah complaint?
Berapa banyak movement/load boleh diterima dengan control yang baik?
Aktiviti apa yang limited dalam kehidupan atau kerja client?
Ada acute trauma, severe swelling, deformity atau inability to bear load?
Load-awareness drill
Gunakan calf raise sebagai contoh movement jika sesuai dan selesa. Fokus observation — bukan “test kekuatan maksimum”.
1OBSERVE START2MOVE SLOWLY3NOTE RESPONSE4STOP / COMPARE
Jangan lakukan jika terdapat recent injury, significant swelling, severe pain atau movement tidak selamat.Don't treat every tissue the same.
Menganggap tendon dan ligament mempunyai fungsi yang sama.
Memaksa stretching atau pressure pada kawasan acute/painful.
Menambah load hanya kerana client boleh “tahan sakit”.
Progress berdasarkan tolerance, movement quality dan reassessment.
Quick Knowledge Check
Struktur yang terutama menghubungkan muscle kepada bone ialah:
Client reports sudden ankle pain after a twist, with marked swelling and difficulty bearing weight.
Apa tindakan paling sesuai untuk practitioner?
Acute significant trauma, obvious deformity, rapidly increasing swelling, inability to bear weight, severe unexplained pain, neurological or vascular symptoms memerlukan penilaian lanjut yang sesuai. Jangan cuba “confirm” diagnosis melalui treatment.