Knee-Rehab UK Specialists

Lead Clinician : Lee Herrington : MSc MSCP CSCS :

Currently, Lecturer in Sports Rehabilitation, University of Salford; Visiting Lecturer in Sports Physiotherapy, Manchester Metropolitan University and Prince Faisal Sports Medicine Hospital, Riyadh, Saudi Arabia; Lead Physiotherapist, Esprit Exercise and Sports Rehabilitation; Member of the International advisory board to the journal of Physical Therapy in Sport.

He has worked with elite sportspersons for the last fifteen years including time with Great Britain Rugby League and Wigan Warriors Rugby League Club. Also, consultative work for a number of professional football clubs and individual elite level sportspersons from a multitude of sports including athletics, climbing, martial arts, sailing, swimming, and triathlon.

Specialist areas of clinical interest are the treatment and rehabilitation of sports injuries, specifically Patellofemoral joint pain and rehabilitation following knee surgery (principally ACL and complex ligament reconstruction). Lee has taught nationally and internationally on topics related to knee injury and post-surgical rehabilitation and is a featured expert on the physioroom.com website (www.physioroom.com).

Current research interests include: assessment and treatment of lower limb motion control (proprioceptive) deficits; assessment and treatment of Patellofemoral joint pain; lower limb patho-neurodynamics and muscle injury. Lee has had over thirty five peer reviewed articles published in the field of exercise rehabilitation and has presented his research at many international conferences. A full research publication list can be found below by clicking the following links:

Publications and Presentations

Lee Herrington :: Publications and Presentations

Herrington, L., Payton, C. 1997 The effect of corrective taping of the patella on patients with Patellofemoral pain Physiotherapy 83,11,566-572

Herrington, L. 1998 The role of Vastus Medialis Oblique in Patellofemoral Pain Syndrome Critical Reviews in Physical and Rehabilitation Medicine 10(3),257-263

Herrington, L. 2000 Anterior knee pain, diagnosis and management Sport Ex Medicine 6,September,26-29

Herrington, L. 2000 Patellofemoral joint pain Sport Ex Medicine 6,September,30-33

Herrington, L. 2000 The effect of Patellofemoral joint taping; a review Critical Reviews in Physical and Rehabilitation Medicine 12,3,271-276

Herrington, L. 2001 The effect of patellar taping on quadriceps peak torque and perceived pain: A preliminary investigation Physical Therapy in Sport 2,1,23-28

Anderson, G., Herrington, L. 2003 A comparison of eccentric isokinetic torque production and velocity of knee flexion angle during step-down in Patellofemoral Pain Syndrome patients and normal controls. Clinical Biomechanics 18,6,500-504

Herrington, L. 2002 The reliability of a clinical measurement used to determine the medial/lateral orientation of the patella Manual Therapy 7,3,163-167

Herrington, L. 2004 The effect of patella taping on quadriceps strength and functional performance in normal subjects Physical Therapy in Sport 5,1,33-36

Herrington, L., Williams, S., George, K. 2003 The relationship between arthroscopic findings and isokinetic quadriceps performance in Patellofemoral pain syndrome patients: an initial investigation Research In Sports Medicine 11,1,1-9

Herrington, L., Nester, C. 2004 Q-angle undervalued? The relationship between Q angle and medio-lateral position of the patella Clinical Biomechanics 19,10,1070-1073

Herrington, L., Malloy, S., Richards, J. 2005 The Effect Of Patella Taping On Vastus Medialis Oblique & Vastus Laterialis EMG Activity And Knee Kinematic Variables During Stair Descent Journal of Electromyograpy and Kinesiology 15,604-607

Herrington, L., Pearson, S. 2006 Does level of load affect relative activation levels of Vastus Medialis Oblique & Vastus Laterialis? Journal of Electromyograpy and Kinesiology (in press)

Herrington, L., Blacker, M., Enjuanes, N., Smith, P., Worthington, D. 2006 The effect of hip position, exercise mode and contraction type on overall activity of VMO and VL Physical Therapy in Sport (in press)

Herrington, L., McEwan, I., Thom, J. 2006 The validity of a clinical measure of patella position Manual Therapy (in press)

PRESENTATIONS

Herrington, L., Payton, C. 1997 The effect of corrective taping of the patella on patients with Patellofemoral pain Management of Sports Injuries Conference, Royal College of Surgeons, London, November

Herrington, L. 2000 Patellofemoral pain and break phenomena Second regional seminar on current issues in sports injury, surgery and rehabilitation, John Moores University, Liverpool, December

Herrington, L. 2001 Patellofemoral pain and break phenomena 1st International Conference on Movement Dysfunction, Edinburgh, September

Herrington, L. 2003 The inter-tester reliability of a clinical measurement used to determine the medial/lateral orientation of the patella World Confederation of Physical Therapy 14th International Conference, Barcelona, June

Herrington, L. 2003 The effect of patella taping 2nd International conference on Biomechanics of the lower limb in Health Disease and Rehabilitation, Salford, September

Herrington, L. 2003 The effect of patella taping: A review Fourth regional seminar on current issues in sports injury, surgery and rehabilitation, John Moores University, Liverpool, December

Herrington, L. 2004 Is Vastus Medialis a discrete functional entity? Physiotherapy Research Society Autumn Conference, Salford, November

Herrington, L., McEwan, I., Thom J. 2005 The reliability and validity of a clinical measure of medial/lateral position of the patella 3rd International Conference on Biomechanics of the lower limb in Health Disease and Rehabilitation, Salford, September

Herrington, L. Munro, S., Rivett, N. 2005 The relationship between patella position and length of the Iliotibial band as assessed using Ober’s test 2nd International Conference on Movement Dysfunction, Edinburgh, September

Herrington, L. 2006 The relationship between Q-angle and medio-lateral position of the patella Commonwealth Games International Sports Science and Medicine Conference, Melbourne, March

Herrington, L. 2006 Does exercise type affect overall activity levels of Vastus Medialis Oblique & Vastus Laterialis? Commonwealth Games International Sports Science and Medicine Conference, Melbourne, March

Herrington, L., McEwan, I., Thom, J. 2006 The validity of a clinical measure of patella position 10th Meeting International Patellofemoral Study Group, Boston, May

Herrington, L., McEwan, I., Thom, J. 2006 The quantification of patella position by ultrasound scanning and its criterion validity 10th Meeting International Patellofemoral Study Group, Boston, May

Herrington, L., Pearson, S. 2006 Does vastus medialis oblique and vastus medialis longus show discrete emg activity? 10th Meeting International Patellofemoral Study Group, Boston, May

ACL / Knee Ligament

Herrington, L. 2000 Rehabilitation of Anterior Cruciate Injury Sport Ex Medicine 7,December, 13-20

Herrington L., Turner, M., Horsley, I. 2003 The relationship between break phenomena and functional instability in ACL deficient knees Isokinetics and Exercise Science 11,4,239-244

Herrington, L. 2004 The rehabilitation of two patients with functionally unstable ACL deficient knees; a case report Physical Therapy in Sport 5,4,175-178

Herrington, L. 2005 Knee joint position sense: the relationship between open and closed kinetic chain tests Journal of Sports Rehabilitation 14,356-362

Herrington, L., Simmons, C., Hatcher, J. 2005 The effects of a neoprene sleeve on knee joint proprioception Research in Sports Medicine 13,1,37-46

Herrington, L., Wrapson, C., Matthews, M., Matthews, H. 2005 Anterior Cruciate Ligament reconstruction, Hamstring versus Bone Patella Tendon Bone grafts: a systematic literature review of outcome from surgery The Knee 12,41-50

Herrington, L., Fowler, E. 2006 A systematic literature review to investigate if we identify those patients who can cope with anterior cruciate ligament deficiency The Knee (in press)

PRESENTATIONS

Simmonds, C., Hatcher, J., Herrington, L. 2003 The effects of a neoprene sleeve on knee joint position sense 2nd International conference on Biomechanics of the lower limb in Health Disease and Rehabilitation, Salford, September

Hatcher, J., Herrington, L. 2006 Star Excursion Balance Test performance in ACL deficient patients and asymptomatic controls Commonwealth Games International Sports Science and Medicine Conference, Melbourne, March

Hatcher, J., Herrington, L. 2006 Joint position sense in ACL deficient patients and matched asymptomatic controls Commonwealth Games International Sports Science and Medicine Conference, Melbourne, March

Graham-Smith, P., Herrington, L. 2006 The relationship between Star Excursion Balance Test performance and other measures of postural control Commonwealth Games International Sports Science and Medicine Conference, Melbourne, March

Lower limb injury

PAPERS

Ball, D., Herrington, L. 1998 Training and overload: adaptation and failure in the musculoskeletal system Journal of Bodywork and Movement Therapies July,161-167

Harradine, P., Herrington, L., Wright, R. 2001 The effect of Low Dye taping upon rearfoot motion and position before and after exercise Foot 11,2,57-61

Hemmingway, A., Herrington, L., Blower, A. 2003 An investigation of the changes in muscle strength and pain in response to Sportsman's Hernia repair and rehabilitation British Journal of Sports Medicine 37,1,54-58

Herrington, L., 1996 EMG Biofeedback: What can it actually show? Physiotherapy 82,10,581-583

Herrington, L. 2000 Patients with hamstring muscle strains returning to sport in less than fourteen days, a report of the treatment used. Physical Therapy in Sport 1,4,137-138

Herrington, L. 2001 Diagnosis and management of posterior thigh pain SportEx-Medicine 10,6-9

Herrington, L. 2001 Rehabilitation for hamstring muscle strains SportEx-Medicine 10,10-14

Zammit, E., Herrington, L. 2005 Ultrasound therapy in the management of acute lateral ligament sprains of the ankle joint Physical Therapy in Sport 16,3,116-121

PRESENTATIONS

Herrington, L. 1998 You're okay its only a bruise, a review of Rugby League Injuries First regional seminar on current issues in sports injury, surgery and rehabilitation, John Moores University, Liverpool, December

Herrington, L. 2003 The relationship between open and closed kinetic chain assessment of quadriceps strength and functional performance 2nd International conference on Biomechanics of the lower limb in Health Disease and Rehabilitation, Salford, September

Preece, S., Graham-Smith, P., Nester, C., Howard, D., Herrington, L. 2005 An alternative approach to understanding abnormal rearfoot motion 2nd International conference on Biomechanics of the lower limb in Health Disease and Rehabilitation, Salford, September

Shoulder / Upper Limb

PAPERS

Herrington, L. 1998 Glenohumeral Joint internal and external rotation range of movement in Javelin throwers British Journal of Sports Medicine 32,3,226-228 Presentations

Herrington, L. 2006 The difference in glenohumeral joint flexion between canoeists and non-caneoists Commonwealth Games International Sports Science and Medicine Conference, Melbourne, March

Spine / Neurodynamics

PAPERS

Herrington, L., Davis, R. 2005 The influence of Pilates training on the ability to contract the Transversus Abdominis muscle in asymptomatic individuals Journal of Bodywork and Movement Therapies 9,512-57

Herrington, L. 2006 The effect of different neurodynamic mobilisation techniques on knee extension range of movement in the slump position Journal of Manual and Manipulative Therapy (in press)

PRESENTATIONS

Herrington, L. 2004 The effect of different neurodynamic mobilisation techniques on knee extension range of movement in the slump position 8th International Scientific conference of the International Federation of Orthopaedic Manipulative Therapists, Cape Town, March

Herrington, L. 2004 An investigation into the ability of normal subjects to activate Transversus Abdominis muscle 8th International Scientific conference of the International Federation of Orthopaedic Manipulative Therapists, Cape Town, March

Herrington, L. 2004 What is a normal neurogenic response to the Slump test? 8th International Scientific conference of the International Federation of Orthopaedic Manipulative Therapists, Cape Town, March

Herrington, L. Bendix, K., Cornwell, C., Fielden, N., Hankey, K. 2005 What is the normal neurogenic response to slump and SLR tests? 2nd International Conference on Movement Dysfunction, Edinburgh, September