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Trail guide to the body book
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Where on the hand is skin the thinnest?
Where on the hand is skin the thickest?
Why is does the palm feel different than the back of the hand?
How many bones can you locate?
Can you sense where the bones begin and end?
How much pressure or squeezing do you need to apply to feel things?
Do you notice the pad of muscle at the base of thumb? Why is it so big?
Can you distinguish individual muscles? (Believe it
or not, five muscles are packed in there.)
Palpation
To examine or explore by touching (an organ or area of the body), usually as a diagnostic aid. It is an art and skill that involves:
locating a structure
becoming aware of its characteristics
assessing its quality or condition so you can determine how to treat it
Requirements of palpation:
receptive fingers and hands
open eyes
listening ears
calm breath
quiet mind
Active Movement
performed by partner or patient- should be slow and smooth
Passive Movement
partner or patient is relaxed while you do the movement
Sagittal Plane
divides the body into left and right halves; medial and lateral descriptions; actions of flexion and extension in this plane; midline/midsagittal runs down the center of the body symmetrically into two halves
Frontal/Coronal Plane
divides the body into front and back portions; anterior and posterior descriptive terms; actions of adduction and abduction in this plane
Transverse Plane
divides the body into upper and lower parts; superior and inferior descriptions; actions of rotation in this plane
Superior
closer to the head
Inferior
closer to the feet
Cranial
closer to the head
Caudal
closer to the buttocks
Posterior/Dorsal
further towards the back of the body
Anterior/Ventral
further towards the front of the body
Medial
closer to the midline or center of the body
Lateral
further away from the midline
Distal
further away from the trunk or body’s midline
Proximal
closer to the trunk
Superficial
closer to the body’s surface
Deep
further/deeper into the body
Extension
movement that straightens or opens a joint
Flexion
movement that bends a joint or brings bones closer together
Adduction
brings the limb medially toward the midline
Abduction
moves limb away from midline
Medial/Internal Rotation
limb turns toward the midline
Lateral/External Rotation
limb turns away from midline
Rotation
axial skeleton (head and neck) rotation looking from side to side in transverse plane
Circumduction
combination of flexion, extension, adduction, and abduction to create a cone=shaped movement in the shoulder and hip joints
Lateral Flexion
occurs in the axial skeleton (neck and vertebral column) bends side to side
Elevation
jaw and scapula; movement superiorly
Depression
jaw and scapula; movement inferiorly
Supination
forearm and feet; “carrying soup”; when the radius and ulna are parallel to each other
Pronation
forearm and feet; “prone to spill”; when the radius crosses over ulna turning the palm down
Inversion
“turn in”; elevates the foot’s medial side and brings the sole of the foot medially; see plantar side of foot/bottom of foot facing the midline; big toe up in air
Eversion
“turn out”; elevates the foot’s lateral side and moves the sole of the foot laterally; plantar side of foot facing down and away from midline; big toe rolled in and touching the ground
Plantar Flexion
moving the ankle to point your foot down to the ground; stepping on gas pedal
Dorsiflexion
moving the ankle up towards leg/shin; letting off the gas pedal
Protraction
“protrude”; moves anteriorly; scapula/head/clavicle/jaw
Retraction
“retreat”; movement posteriorly; scapula/head/clavicle/jaw
Deviation
wander from the usual course; lateral deviation occurs at the mandible during talking or chewing
Opposition
happens only at the carpometacarpal joint of thumb when the thumbpad crosses the palm toward the last digit (pinky)
Prone
laying face down; on stomach face down
Supine
laying on back; on back face up
Side -Lying
laying on either side of body with chest facing that direction and back the other way
Joint/Articulation
point of contact between bones
Origin
attachment to a stationary bone
Insertion
connection to a more mobile bone