Mp 4 Kinesiology Upper Extremity

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NURYANI SIDARTA

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Transcript of Mp 4 Kinesiology Upper Extremity

  • NURYANI SIDARTA

  • THE ORIGIN OF THE KINESIOLOGY ARE FROM THE GREEK.KINESIS : TO MOVE AND OLOGY : TO STUDYANATOMY, BIOMECHANICS AND PHYSIOLOGY

  • A BRANCH OF MECHANICS THAT DESCRIBES THE MOTION OF A BODY WITHOUT REGARDS TO THE FORCES THAT MAY PRODUCE THE MOTIONCONTAINS : PLANES OF MOTION, AXIS OF ROTATION AND DEGREE OF FREEDOM

  • SAGITAL PLANEFRONTAL PLANEHORIZONTAL PLANE

  • FLEXION AND EXTENSIONDORSIFLEXION AND PLANTAR FLEXIONFORWARD AND BACKWARD BENDING

  • ABDUCTION AND ADDUCTIONLATERAL FLEXIONULNAR AND RADIAL DEVIATIONEVERSION AND INVERSION

  • INTERNAL (MEDIAL) AND EXTERNAL (LATERAL) ROTATIONAXIAL ROTATION

  • THE UPPER LIMB HAS EVOLVED INTO A MOBILE ORGAN OF MANIPULATION THAT, ALONG WITH THE BRAIN, ALLOWS HUMAN NOT ONLY TO RESPOND TO THEIR ENVIRONMENT BUT TO MANIPULATE AND CONTROL THEM TO A LARGE DEGREE

  • THE UPPER LIMB IS COMPOSED OF FOUR INCREASINGLY MOBILE SEGMENTS, THE PROXIMAL THREE (SHOULDER, ARM AND FOREARM) SERVING PRIMARILY TO THE POSITION THE FOURTH (HAND), WHICH IS FOR GRASPING, MANIPULATION AND TOUCH

  • SHOULDERARM (BRACHII)FOREARM (ANTEBRACHII)HAND (MANUS)

  • A SET OF FOUR ARTICULATION INVOLVING THE STERNUM, CLAVICLE, RIBS, SCAPULA AND HUMERUSPROVIDES EXTENSIVE RANGE OF MOTION TO THE UPPER EXTREMITY TO MANIPULATE OBJECTS

  • STERNOCLAVICULARACROMIOCLAVICULARSCAPULATHORACICGLENOHUMERAL

  • CLAVICLE/CLAVICULASCAPULAHUMERUSRADIUS ULNACARPAL BONESMETACARPAL BONES

  • ELEVATION AND DEPRESSIONPROTRACTION AND RETRACTIONAXIAL ROTATION

  • CONNECTS THE UPPER LIMB TO THE TRUNKDOUBLE CURVEMEDIAN HALF : CONVEX ANTERIORLY, ARTICULATES WITH THE MANUBRIUM STERNI AT THE STERNOCLAVIULAR JOINT(SC JOINT)LATERAL HALF : CONCAVE ANTERIORLY, ARTICULATES WITH THE ACROMION OF THE SCAPULA AT THE ACROMIOCLAVICULAR JOINT (AC JOINT)

  • ALLOW THE SCAPULA TO MOVE ON THE THORACIC WALL AT THE SCAPULOTHORACIC JOINTINCREASING THE RANGE OF MOTION OF THE LIMBAFFORD PROTECTION TO THE NEUROVASCULAR BUNDLE SUPPLYING THE UPPER LIMBTRANSMITS SHOCKS FROM THE UPPER LIMB TO THE AXIAL SKELETON

  • SUPERIOR SURFACEINFERIOR SURFACETHE CONOID TUBERCLETRAPEZOID LINESUBCLAVIAN GROOVE

  • A TRIANGULAR FLAT BONE LIES ON THE POSTEROLATERAL ASPECT OF THE THORAXOVERLYING THE 2ND-7TH RIBS

  • FRACTURE OF THE SCAPULA IS USUALLY THE RESULT OF SEVERE TRAUMAUSUALLY THERE ARE ALSO FRACTURED RIBSMOST FRACTURE INVOLVE THE PROTRUDING SUBCUTANEOUS ACROMION

  • 2 MAJOR COMPARTMENT:POSTERIOR/SCAPULAR COMPARTMENTANTERIOR/PECTORAL COMPARTMENT

  • MOVE OR STABILIZE THE CLAVICLE, SCAPULA AND HUMERUSCONNECT THE UPPER LIMB TO THE VERTEBRAL COLUMN

  • M. DELTOIDEUS (ANTERIOR PART)M. CORACOBRACHIALIS

  • PM :M. LATISSIMUS DORSIM. TERES MAJORM. DELTOIDEUS (POSTERIOR)

    ACESSORY MUSCLES:M. TERES MINORM. TRICEPS BRACHII

  • PM : M. DELTOIDEUS (POSTERIOR PART) M. SUPRASPINATUSM. INFRASPINATUSM. TERES MINOR

  • M. PECTORALIS MAJOR (PRIMER MOVER)M. DELTOIDEUS (ANTERIOR PART)

  • PRIME MOVER :M. INFRASPINATUSM. TERES MINOR

    ACCESSORY MUSCLE:M. DELTOIDEUS (POSTERIOR PART)

  • PRIME MOVER:M. SUBSCAPULARISM. PECTORALIS MAJORM. LATTISSIMUS DORSIM. TERES MAJOR

  • SERVE BOTH DYNAMIC AND POSTURAL FUNCTIONS AS THEY MOBILIZE SEGMENTS OF THE UPPER LIMB AND STABILIZE SEGMENTS BY RESISTING THE ACTIONS OF OPPOSING MUSCLES OR OUTSIDE FORCES, INCLUDING GRAVITY.THE SYNERGY OF THE MUSCLE ACTIONS IS ESPECIALLY IMPORTANT IN THE UPPER LIMB BECAUSE IT ALLOWS THE EXECUTIONS OF THE FINE, SMOOTH MOVEMENT THAT CHARACTERIZE THE LIMBS PRECISE PREHENSILE FUNCTION.

  • ANTEROCRANIAL FLEXOR COMPARTMENTPOSTEROCAUDAL EXTENSOR COMPARTMENT

  • PRIME MOVER:M. BICEPS BRACHIIM. BRACHIALISM. BRACHIORADIALIS

  • PRIME MOVER :M. TRICEPS BRACHII

    ACCESSORY MUSCLES :M. ANCONEUS

  • 1 brachial 2 radial 3 radial recurrent 4 superficial radial 5 deep radial 6 ulnar 7 anterior ulnar recurrent 7 posterior ulnar recurrent 8 common interosseous9 posterior interosseous 10 anterior interosseous 11 superficial branch 12 deep branch

  • Muscle Origin Insertion Action Nerve Supply biceps brachii long head short head supraglenoid tubercle of humerus coracoid process of humerus radial tuberosity flexes arm and forearm supinates hand musculocutaneous coracobrachialis coracoid process of scapula inner aspect of humeral shaft flexes and adducts arm musculocutaneous brachialis distal 2/3rds of humerus coronoid process of ulna flexes forearm musculocutaneous

  • ANTEROCRANIAL ANTEBRACHIAL FLEXOR COMPARTMENTSUPERFICIAL LAYERSINTERMEDIATAE LAYERSDEEP LAYERSPOSTEROCAUDAL ANTEBRACHIAL EXTENSOR COMPARTMENTSUPERFICIAL LAYERSDEEP LAYERS

  • Superficial group extensor carpi radialis longus extensor carpi radialis brevis extensor carpi ulnaris

  • Intermediate group extensor digitorum extensor digiti minimi

  • Deep group anconeus supinator abductor pollicis longus extensor pollicis brevis extensor pollicis longus extensor indicis

  • PRIME MOVER:M. PRONATOR TERESM. PRONATOR QUADRATUS

    ACCESSORY MUSCLES:M. FLEXOR CARPI RADIALIS

  • M. BICEPS BRACHIIM. SUPINATOR

    ACCESSORY MUSCLES:M. BRACHIORADIALIS

  • 4 THENAR MUSCLES4 HYPOTHENAR MUSCLES4 LUMBRICAL7 INTEROSSEOUS MUSCLETOTAL : 19 INTRINSIC MUSCLES

  • ABDUCTOR POLLICIS BREVISFLEXOR POLLICIS BREVISOPPONENS POLLICISADDUCTOR POLLICIS

  • PALMARIS BREVISABDUCTOR DIGITI MINIMIFLEXOR DIGITI MINIMI BREVISOPPONENS DIGITI MINIMI

  • FIRST LUMBRICALSECOND LUMBRICALTHIRD LUMBRICALFOUTH LUMBRICAL

  • ADDUCTOR OF DIGIT 2ADDUCTOR OF DIGIT4ADDUCTOR OF DIGIT 5ABDUCTOR OF DIGIT 2ABDUCTOR OF DIGIT 3 (MEDIAL)ABDUCTOR OF DIGIT 3 (LATERAL)ABDUCTOR OF DIGIT 4

  • PRIME MOVER:M. FLEXOR CARPI RADIALISM. FLEXOR CARPI ULNARIS

    ACCESSORY MUSCLE:M. PALMARIS LONGUS

  • M. EXTENSOR CARPI RADIALIS LONGUSM. EXTENSOR CARPI RADIALIS BREVISM. EXTENSOR CARPI ULNARIS

  • M. LUMBRICALESM. INTEROSSEI DORSALESM. INTEROSSEI PALMARES

  • M. FLEXOR DIGITORUM SUPERFICIALIS

  • M. FLEXOR DIGITORUM PROFUNDUS

  • M. EXTENSOR DIGITORUM M. EXTENSOR INDICISM. EXTENSOR DIGITI MINIMI

  • M. INTEROSSEI DORSALESM. ABDUCTOR DIGITI MINIMI

  • M. INTEROSSEI PALMARES

  • MCP : M. FLEXOR POLLICIS BREVISIP : M. FLEXOR POLLICIS LONGUS

  • MCP : M. EXTENSOR POLLICIS BREVISIP : M. EXTENSOR POLLICIS LONGUS

  • PRIME MOVER:M. ABDUCTOR POLLICIS LONGUSM. ABDUCTOR POLLICIS BREVIS

  • M. ADDUCTOR POLLICIS CAPUT OBLIQUUSM. ADDUCTOR POLLICIS CAPUT TRANSVERSUS

  • M. OPPONEN POLLICISM. OPPONEN DIGITI MINIMI

  • INJURY TO THE ROTATOR CUFF FROM TRAUME OR DISEASETYPICALLY RESUTS IN INSTABILITY OF THE SHOULDER JOINTTRAUME TO THE ROTATOR CUFF IS FREQUENTLY EXPERIENCED BY BASEBALL PITCHERS AND FOOTBALL QUARTEBACKSDEGENERATIVE