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performance skills
motor skills
process skills
social interaction skills
the 4 pillars of occupational performance
goal-directed actions
performance skills
physical contribution to occupation
motor skills
cognitive, emotional, and psychosocial functioning
process skills
communicating
social interaction skills
habits
routines
roles
rituals
4 performance patterns
bone
made of collagen and calcium
cortical bone
have a greater mineral content and offer rigid support
cancellous bone
“spongy”, has a higher collagen content
hyaline cartilage
what eventually diminishes due to osteoarthritis
connect bone to bone
ligaments…
contract bones
tendons…
muscle spindles
where muscle tone comes from
isometric
muscle contraction with no change in length
isotonic
muscle contraction with a change in length
eccentric
lengthening of the muscle
concentric
shortening of the muscle length
load rate
how quickly force is applied to tissue
passive insufficiency
muscle cannot elongate enough to allow full range of motion
active insufficiency
adjacent fibers are maximally shortened and can’t contract further
synovial
joint for mobility
shoulder
area of the body with synovial joint
fibrous
joint for strength
head and neck
area of the body with fibrous joint
cartilaginous
joint for stability
pelvis
area of the body with cartilaginous joint
close-packed joint
a joint is at maximum extension (ex. locked knee)
open-packed joint
a joint is more mobile
ball and socket
most mobile joint
gliding
least mobile joint
gliding
rotation
tilt
the scapulothoracic joint allows for these 3 movements
elevation/depression
protraction/retraction
posterior/anterior rotation
the sternoclavicular joint allows for these 3 movements
gliding - anterior/posterior and superior/inferior
the acromioclavicular joint allows for this one movement
flexion/extension
abduction/adduction
internal/external rotation
horizontal abduction/adduction
the glenohumeral joint allows for these 4 movements
labrum
the ring that connects the ball and socket of the glenohumeral joint
stabilizes and mobilizes scapula
the trapezius does this
elevation and downward rotation of the scapula
the levator scapulae does this
elevation, downward rotation, and adduction of the scapula
the rhomboids do this
reaching behind you
essentially, the rhomboids are responsible for…
keeps scapula against ribs
the serratus anterior does this
stabilizes the scapula against the rib cage
the pectoralis minor does this
infraspinatus
teres minor
subscapularis
supraspinatus
4 muscles that make up the rotator cuff
rotation (reaching behind you)
the infraspinatus and teres minor do this
internal rotation of humerus
the subscapularis does this
abducts the humerus (reach above the head)
the supraspinatus does this
ADLs
the rotator cuff muscles are very active during…
flexion, abduction, and extension
the deltoid does this
adduction and internal rotation (holding things to the body)
the teres major does this