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Occupation is
meaningful and purposeful
What are performance skills?
motor, process & social interactions
what are motor skills?
Physical contribution- reaching, stabilizing, manipulation & walking
Process Skills
cognitive, emotional & psychosocial skills
social interaction skills
speaking
Functional anatomy
underlying body structures that contribute to movements for ADLS
relates to motor performance
functional mobility
moving from one place to another
kinesiology
study of human Anat mechanics & relation to human movement
Anatomica Pos
upright, feet apart, head foward, arms at sides
posterior
back
dorsal
back
anterior
front
volar
front
ventral
front
medial
towards middle
lateral
away from middle
proximal
close to trunk
distal
away from trunk
superior
above
inferior
below
cranial
direction of skull
caudal
beneath on toward tail
ipsilateral
same side of body
contralateral
opp side of body
sagittal plane
divides to right and left side, midline, flexion & extension
frontal plane (coronal plane)
divides body into anterior and posterior, adduction, abduction
transverse plane
divides body into inferior & superior, rotatory movements
Axes of motion
joints rotate around this
frontal axis
medial & lateral
sagittal axis
anterior to posterior
vertical axis
inferior to superior
closed chain
stable, functional movement occurs @ proximal joint, no distal joint movement
example of closed chain movements
crawling, squats, push ups
open chain
functional movement @ distal joint, joints can move independently
Examples of open chain
handwriting, waving hands
joint reaction force
Force generated within the joint in response to external forces acting upon it
what is a force that is always on body
gravity
static
nonmoving forces
kinetic
forces on an object causing movement
tensile force
pulling motion
tendon contraction
compressive force
pushing
spine and lower extremities
linear force
2 or more forces acting on a line
Parallel force
2 or more forces in the same plane
why do you have to be carful when stretching a patient?
can stretch a ligament too far, causing a sprain
Torque
rotary force around an axis
linear force acting on an object at a certain distance from axis of rotation
levers
bone + axis of rotation (joint) + 2 opposing forces (effort & resistance)
longer levers do what?
increase magnitude of torque
mechanical advantage
the further the muscle & amount of force from the axis the grater the leverage
first class levels
resistance & effort on opp ends & balanced between axis
If one side is heavier than the other, the object will need to be shortened to maintain balance
Second class lever
The resistance is in the center, between the applied force and the fulcrum
small force can move a large weight
third class lever
The most common levers in the body
The applied force is in the center between the resistance and the fulcrum
requires a greater force to move a smaller resistance, but maximizes speed & distance traveled
grater mechanical advantage
effort arm (muscle) is greater than load arm (weight)
where do biceps have mechanical advantage
90 degree angle
force couple
2 equal but opposite direction
Stress
Amount of applied force per area
Strain
amount of material displacement under specific amounts of stress
Elasticity
The ability to stretch & return to the original shape
Elastic deformation
Ability to return to normal shape after strain
Yield point
maximum stress that can be sustained before tissue failure
plastic deformation
permanent deformation of tissue but retains continuity = joint instability
sprain
cortical bone
grater mineral content than collagen
shaft of long bones
rigid support
spongy bones
higher collagen content
found in marrow cavity & at end of long bones
articular (hyaline) cartilage
covers ends of long bones
dense connective tissue ti absorb force between bones
tendons
connect muscle to bone
transfer force
ligaments
connect bone to bone
joint stability
joint capsule
dense fibrous sleeve around synovial joint
passive stability
contains synovial fluid (within membrane)
aponeurosis
fiderous insertion that connects adjacent muscles
skeletal muscle
move bones of skeleton
provides force for functional & purposeful movements
myofibrils (long cylindrical strands of contractile proteins)
Sarcomeres (contractile units of muscle)
muscle is strongest in
midrange position
motor unit
a single motor neuron & the muscle fibers it innervates
commands are all or none
strength of muscle is because of
number of motor units contracting not on strength of signal
fascia
noncontractie (passive) tissues within the muscle
flaccid muscle
results from loss of innervation to muscle
hyoertonia
muscle with increased tone
muscle spindles
elongated & encapsulated structures within muscle fibers
in muscle belly
sensory receptors-signal detects changes in muscle length
protects muscle- activates agonist if over stretched
Golgi tendon organs
proprioceptive stretch receptors
more sensitive than spindles
@ junction of muscle & tendon (located in tendon)
slow twitch fibers
Type 1 fibers
low force over long period of time
more resistant to fatigue
good for control (sitting @ desk)
fast twitch fibers
type 2 fibers
powerful contraction
typing on your computer
why is length-tension balance important
Mandible
mobile floor of mouth
Hyoid
attachment for the muscles involved for swallowing & speech
not attached to bones only muscles
elevates & depresses when swallowed
Paranasal Sinuses
decreases the weight of the head
voice quality
vary in size
larynx
voice box
not a bone
Epiglottis
protects from aspiration
oral cavity
mouth to soft palate
beginning of the digestive tract
inhalation/respiration
pharynx
leads to esphagus & larynx
formed by 2 layers of muscle for swallowing
respatory/digestive
Temporomandibular Joints (TMJ)
synovial joint, move together, functional mandible
Functional motions of mandible
Elevation, Depression, Protraction, Retraction, Lateral Deviation
What is the mandible essential for
Essential for eating, hygiene, singing, facial expression
How many times does TMJ move a day
2000-3000
Masseter
Elevates and protrudes mandible
Temporalis
Elevates and retracts mandible
Medial Pterygoid & Lateral Pterygoid
deviation of mandible to grind food
Suprahyoids
elevates hyoid bone, depresses mandible
Infrahyoids
depress hyoid during speech & swallowing
Zygomatic Arch
bong ridge composed of parts of the zygomatic maxillary Bone that form the Superior Skeletal Border of the cheek
Foramen magrum
in the occipital bone for the spinal for the spinal cord and vertebral artries
external auditory metus
passage of sound to eardurm
Supraorbital Foramen
in the frontal bone for the Supraorbital vein, artery, and nerve (branch of trigeminal nerve)
Infraorbital Foramen
In the maxilla for the infraorbital nerve