#shoulder flexion and abduction

[darkwood-sleddog]

You had mentioned awhile back that you massage and stretch your dogs because Sig seemed to feel a little better after his soft tissue injury so you kept doing it. What kind of exercises do you do?

We do a couple basic exercises, with shoulder flexor stretches being the main one for Sigurd. They are described in THIS veterinary article along with a couple other stretches I do.

THIS chart by FitPaws is a great resource with good photo examples of each aspect of the stretch. I particularly like how they show flexion, extension, and abduction for each. Stretches of these kinds are what I do on each dog after extensive exercise since it’s very easy to do once they’re relaxed post workout. I should do it pre-workout more but it’s difficult when they’re excited.

My vet also recommended what she calls “bicycle stretches” where you slowly rotate the limb in a natural movement. We do this for Sigurd more so that the other dogs.

[madrivervalleyicelandics]

When liberty is easier than tack 🤔

(Note: footing had a hard crust of ice over it, we are doing our best with 👎❄️ conditions!)

I’ve had some interesting messages / discussions since my last Sylgja post, which was about how complicated I’m finding training Sylgja without a bit.

Here’s the thing. It’s not HARD to train horses to do things bitless, or bridleless. I train EVERYTHING at liberty first bc I use R+. R+ reverses the order you deliver info to your animal.

R- is cue first, & the cue getting louder until the horse figures out the right corresponding behavior.

R+ is behavior first, THEN pair with cue.

That’s why, btw, when people train w R- & give a reward after, THEY’RE STILL USING R-, not R+. Good R- training exists but I get 😤 when ppl mislabel it. Anyway.

My horses learn things without tack first, & then once they KNOW the behavior, I add the tack cue. Actually, there’s often a step in between - a vocal cue gets paired first, THEN I cue transfer AGAIN to the tack cue.

That’s why my tack cues don’t ever need to escalate. The horse already knows & owns the behavior. The tack cue is given once, same as you tell your dog “sit” once & he sits (ideally 😂).

Bitless is complicated ONLY bc of the physical mechanics of the tool itself. It acts retroactively across the nose. There’s no other way to use it. Every action has an equal opposite reaction. Even a light action.

🔙 on reins = ➡️ balance

Snaffles used in the French style CAN get around this by being used ⬆️. If you lift your bitless reins, your horse still feels 🔙.

I can ride this young mare without tack. But adding tack - that’s complicated. What should I cue transfer to, to avoid the 🔙 effect sending her onto the forehand?

Enter the neck rope.

My current cues on the REINS (nose):

1️⃣ Action-reaction (neck extension)

2️⃣ Lateral flexion

On the neck rope:

1️⃣ Pause & rebalance/ raise shoulders (half-halt)

2️⃣ Shoulder control /forelimb abduction

Using these TOGETHER we can put the pieces together for more coordinated work WITH tack.

But don’t get it twisted! Anything we can do with tack, we can do without first 🧠

#clickertraining #icelandichorse #horsesoficeland #usihcproud

[freeformboard]

This is a great exercise by @protom_fitness for the shoulder internal and external rotators and also the deltoids and requires a certain level of pectoral, serrates anterior and core activation as well.

An important point to add is to allow for the consequence of “failure” in any exercise and with this one, you could perform it above some sort of shelf or net that can catch the board if it slips.

Also notice that this board is locked so the internal bearing can’t rotate. This provides a greater level or rotational resistance relative to board being unlocked.

Shoulder, pec, and core force activation are required to press the board into the wall and overcome the force of gravity on the 5.5 kg board.

Apart from pure rotation there is scope here to perform small ROM flexion / extension, abduction / adduction and circumduction.

#freeformboard #shoulderrotation #shouldergirdle #shoulderstability #shoulderrehab #shoulderrehabilitation #shoulderstability #corestability #shoulderprehab #physiotherapy #physicaltherapy #fyp #bristol #bristolpt #bristolfitness

[bionicpno]

Functional Prosthetic Shoulder and Below Elbow Prosthesis Parts for BionicPNO

Introduction

BionicPNO, a leader in advanced prosthetic technology, has made significant strides in developing functional prosthetic shoulders and below-elbow prosthesis parts. These innovations mark a pivotal step in prosthetic design, offering unprecedented mobility and functionality to individuals with upper limb amputations. This article delves into the components and workings of these prostheses, highlighting their impact on the lives of users.

Functional Prosthetic Shoulder: A Leap in Prosthetic Design

The functional prosthetic shoulder by BionicPNO represents a groundbreaking advancement in prosthetic technology. This prosthetic shoulder is designed to mimic the natural movement of a human shoulder, providing a range of motion that was previously unattainable in upper limb prosthetics.

Key Features:

Anatomical Movement: The prosthetic shoulder allows for movements similar to a natural shoulder, including abduction, adduction, flexion, extension, and even rotational capabilities.

Muscle Signal Control: Utilizing advanced myoelectric sensors, the prosthetic shoulder responds to muscle signals from the residual limb, enabling intuitive and seamless movement.

Customizable Fit: Each prosthetic shoulder is tailored to fit the unique anatomy of the user, ensuring maximum comfort and functionality.

Lightweight Design: The use of cutting-edge materials makes the shoulder component light, reducing the overall weight of the prosthesis and decreasing user fatigue.

Impact on Users:

The functional prosthetic shoulder significantly enhances the quality of life for users. It allows for more natural and fluid arm movements, enabling users to perform tasks that were challenging or impossible with traditional shoulder prostheses. This advancement not only improves physical capabilities but also boosts the psychological well-being of the users by restoring a sense of normalcy in their daily activities.

Below Elbow Prosthesis Parts: Precision and Control

Below elbow prosthesis parts developed by BionicPNO are engineered to offer precise control and natural-looking movements for users with forearm amputations.

Components:

Articulated Fingers: The fingers are individually powered and controlled, allowing for complex gripping and holding actions.

Palm and Wrist Unit: The palm is designed to be durable yet flexible, while the wrist unit provides rotation and flexion similar to a natural wrist.

Touch Sensitivity: Some models include touch-sensitive fingertips, providing feedback to the user about the texture and temperature of objects.

Customizable Grips: The prosthesis can be programmed with various grip patterns, tailored to the user's daily needs and activities.

User Benefits:

These advanced below elbow prosthesis parts empower users to perform delicate tasks requiring fine motor skills, such as typing, writing, or cooking. The lifelike appearance and movements of the prosthesis also play a crucial role in social interactions, helping users feel more confident and less self-conscious.

Conclusion

BionicPNO’s functional prosthetic shoulder and below elbow prosthesis parts represent a significant leap forward in prosthetic technology. These advancements not only enhance the functional capabilities of prostheses but also positively impact the lives of users by improving their independence, confidence, and overall quality of life. The integration of these advanced prosthetics is a testament to the incredible potential of modern technology in transforming the lives of individuals with limb differences.

[orthopedicsurgeonpeoriaaz]

Shoulder injuries | Davis Orthopaedics - Phoenix | Phoenix, AZ

If you experience shoulder pain that persists for more than 3 weeks, it is highly recommended that you seek medical attention. The causes of shoulder pain can worsen over time and may require surgical intervention.

The best way to keep your shoulders healthy and prevent injuries is by increasing strength and flexibility. It is important to concentrate on the correct form while performing exercises instead of focusing on the amount of weight. Poor exercise technique can cause additional damage and create more trouble. You can try exercises such as Standing Row with Resistance Bands, External Rotation with Arm Abducted, Internal and External Rotation, and Elbow Flexion and Extension.

Resting, using ice therapy, and physical therapy can help reduce swelling and prevent future injuries. If you have injured your shoulder and the aforementioned techniques are not helping improve your pain levels or range of motion, it is time to seek medical attention. Our team provides advanced orthopedic care, and we are committed to helping you get back to doing what you love.

If you have shoulder pain that persists, please see us. Orthopedic Surgeon in Phoenix AZ.

Davis Orthopaedics - Phoenix 34406 N 27th Dr, Building 6 Ste 140 (office #123) Phoenix, AZ 85085 https://phoenixboneandjoint.com/

[orthopedic-surgeon-prescott-az]

About your shoulder | Davis Orthopaedics | Prescott Valley, AZ

If you have shoulder pain and it persists for more than 2 weeks, it is recommended to seek medical attention. Causes of shoulder pain can worsen over time and may require surgical intervention.

Increasing strength and flexibility is the best way to keep your shoulders healthy and prevent injuries. It's important to focus on form rather than the amount of weight when performing exercises. Poor exercise technique can cause additional damage and create more trouble. You can try exercises like Standing Row with Resistance Bands, External Rotation with Arm Abducted, Internal and External Rotation, and Elbow Flexion and Extension.

Resting, using ice therapy, and physical therapy can help minimize swelling and prevent future injuries. If you've injured your shoulder and the above techniques aren't helping improve your pain levels or range of motion, it's time to seek medical attention. Our team provides advanced orthopedic care, and we're dedicated to helping you return to doing what you love.

If you have any questions or to schedule an appointment with Dr. Mark Davis D.O. Please call us. Orthopedic Surgeon in Prescott Valley AZ.

Davis Orthopaedics 3237 North Windsong Drive, Prescott Valley, AZ 86314 https://prescottazorthopedics.com/

[fitliferegime]

Best Back and Bicep Workout for Muscle Growth

Training your back and biceps together in the same workout is something very common in bodybuilding training routines. It doesn’t matter whether you are a beginner or an advanced gym lifter. You need a good workout routine to optimize your muscle gains. The combination of back and bicep exercise helps to increase your muscle strength and endurance in the back and bicep. Back and bicep is a muscle pairing as old as the Pull-ups, lats pull down and rows. The back muscle is the main targeted muscle in most row exercises, and the bicep and rear delt are crucial synergistic muscles. In this article, you will learn everything you need to know about  - Back And Bicep Muscle Anatomy - Why You Should Train Back and Biceps Together - How To Train Chest And Tricep Together - 12 Best Back and Bicep Exercises - Set and Reps - How To Plan A Back And Biceps Workout Routine - Workout Routine for Beginner - Workout Plan for Intermediate - Back and Bicep Superset Workout Plan - FAQs

Back And Bicep Muscle Anatomy

The back or upper posterior chain (Backside of the body) is composed of many different muscles, which include. - Trapezius -Muscles near the neck responsible for neck rotation/lateral flexion, scapular retraction/depression, shoulder stabilization, and arm rotation. - Rhomboids - Located below the traps and responsible for scapular retraction. - Latissimus Dorsi - The largest muscle of the upper body which performs the functions of adduction, extension, and horizontal abduction of the humerus.  - Erector Spinae - Muscles located along the spinal column responsible for lumbar spine function like lateral flexion, bending, and twisting. Read the full article

[technicallyhappyarcade]

How to Incorporate Shoulder Motion into Your Daily Routine

Shoulder motion refers to the various movements that can be performed by the shoulder joint, allowing for a wide range of actions and functionalities. These movements include shoulder flexion, extension, abduction, adduction, rotation, and circumduction. Shoulder range of motion is crucial for daily activities, sports performance, and overall upper body function. It can be affected by injuries, stiffness, or muscle imbalances. To maintain optimal shoulder function, individuals can engage in shoulder range of motion exercises and stretches. Physical therapists often use goniometry to measure and assess shoulder motion. Understanding shoulder movements and the muscles involved is essential for rehabilitating injuries and improving shoulder strength and flexibility.

[madrivervalleyicelandics]

Training horses that give you a headache is good for you, it turns out 🤓😅🧠😵‍💫

Sylgja is now in her 3rd (non-consecutive) month of formal training, exclusively R+ of course 🍪

In month 1, over the summer, I taught her the basics: emotional regulation, boundaries, expectations, vocal cues, & basic aids.

Month 2 was spent helping her diagonalize & land heel-first after years spent in defensive lateralization & toe-first landing, which we suspect began initially to protect a shoulder issue (now long-healed & no longer painful) sustained (most plausibly) during birth trauma. She does have one visibly funny rib which has been examined & is not painful now. Foals heal so well, it’s hard to know exact details, & she grew up free in the mountains of northern Iceland for her first 2 years with minimal supervision. That was a choice I made for her, believing it to be best, because it has worked well for my other foals and for so many horses in Iceland. It was not the best choice for this individual, however, & I am unlikely to raise more foals in Iceland after this experience - not because I think it’s BETTER to have constant supervision, but because I breed so few horses & really can’t afford to have injuries like this fly under the radar & become longterm maintenance problems if I can avoid it in the future. In this case, I have lived & learned & made a new choice for my own program going forward. Anyway.

Month 3, we are now doing what I normally would have done in month 1: putting the French classical aids together with movement to teach her to balance & travel in a variety of positions for optimum soundness, comfort, & strength.

She certainly has challenged me to expand my toolbox & approach things through new access points. Presented with shoulder atrophy, loss of ROM, a toe-first landing & a total loss of diagonalization, I expected to use French classical mouthwork techniques early on to help access her thoracic sling via freeing the hyoid & TMJ. Instead, she immediately demonstrated that she cannot comfortably carry a snaffle 😵‍💫 Back to the drawing board…

I’ve used various postural rehab exercises (some of which I learned from the #balancethroughmovementmethod have been particularly helpful especially early on!), & now have put the French style half-halt & shoulder control on neck rope cues, & put lateral flexions & action/reaction cues on the bitless bridle reins.

So far it seems to be working, & I’m liking the results!

Progress is slow, but her shoulders are improving steadily. Previously she could not travel forward with any bend, or any forelimb abduction. Instead she would stop, or step backwards, if asked to bend her neck or or abduct a forelimb while in motion.

I particularly treasure the 2-way communication we’ve developed. She confidently communicates “yes” when she likes something, as well as “no” when she can’t do something, & I believe her & find a new access point when she says no.

To me, that’s trust ❤️

[energyfitness]

Shoulder Exercises in Gym: A Comprehensive Guide by The Best Gym in Salem

Shoulder muscles are an essential component of your upper body strength, and it is crucial to exercise them regularly to maintain a healthy physique. However, not all shoulder exercises are created equal, and choosing the right ones is vital to avoid injury and achieve the desired results. In this blog post, we will explore the best shoulder exercises in gym, with a focus on Energy Fitness, the best gym in Salem, to help you get the most out of your workouts. Before we dive into the specific exercises, let's briefly discuss the anatomy of the shoulder muscles. The shoulder joint is a complex structure composed of four main muscles: the deltoid, rotator cuff, trapezius, and serratus anterior. The deltoid muscle is the largest and most visible muscle in the shoulder, responsible for shoulder abduction, flexion, and extension. The rotator cuff is a group of four muscles that help stabilize the shoulder joint and rotate the arm. The trapezius muscle is located in the upper back and neck, responsible for shoulder elevation and retraction. The serratus anterior muscle is located on the side of the chest, responsible for stabilizing the shoulder blade. Now that we have a basic understanding of the shoulder muscles, let's dive into the best shoulder exercises in gym.

Overhead Press

The overhead press is a classic shoulder exercise that targets the deltoid muscles. This exercise is performed by standing with a barbell or dumbbells at shoulder level and then pressing the weight overhead. The overhead press can be done in various forms, including standing, seated, and with a variety of equipment, including barbells, dumbbells, or resistance bands. At Energy Fitness, we recommend the standing overhead press with a barbell or dumbbells. This exercise engages multiple muscle groups, including the deltoids, trapezius, and triceps, making it an effective exercise for building overall upper body strength. To perform this exercise, stand with your feet shoulder-width apart and hold the barbell or dumbbells at shoulder level. Push the weight overhead, making sure to keep your core engaged and your elbows close to your body. Lower the weight back down to shoulder level and repeat.

Lateral Raises Lateral raises are another excellent shoulder exercise that targets the medial deltoid muscles, responsible for shoulder abduction. This exercise is performed by standing with dumbbells at your sides and lifting the weights out to the side until they are level with your shoulders. At Energy Fitness, we recommend lateral raises with dumbbells to help strengthen and tone your shoulder muscles. To perform this exercise, stand with your feet shoulder-width apart and hold a dumbbell in each hand. Raise your arms out to the side until they are parallel to the floor, then lower them back down and repeat.

Front Raises Front raises are a great exercise for targeting the anterior deltoid muscles, responsible for shoulder flexion. This exercise is performed by standing with dumbbells at your sides and lifting the weights out in front of you until they are level with your shoulders. At Energy Fitness, we recommend front raises with dumbbells to help build strength and size in your shoulder muscles. To perform this exercise, stand with your feet shoulder-width apart and hold a dumbbell in each hand. Lift the weights out in front of you until they are parallel to the floor, then lower them back down and repeat.

Rear Deltoid Fly The rear deltoid fly is a great exercise for targeting the posterior deltoid muscles, responsible for shoulder extension. This exercise is performed by standing with dumbbells and bending forward at the waist, then lifting the weights out to the side until they are level with your shoulders. At Energy Fitness, we recommend the rear deltoid fly with dumbbells to help strengthen and tone the back of your shoulder muscles. To perform this exercise, stand with your feet shoulder-width apart and hold a dumbbell in each hand. Bend forward at the waist until your upper body is parallel to the floor, then lift the weights out to the side until they are level with your shoulders. Lower the weights back down and repeat.

Upright Row The upright row is a compound exercise that targets the deltoids, trapezius, and biceps. This exercise is performed by standing with a barbell or dumbbells in front of your body, then lifting the weight up to your chin while keeping your elbows high. At Energy Fitness, we recommend the upright row with a barbell or dumbbells to help build overall upper body strength. To perform this exercise, stand with your feet shoulder-width apart and hold the barbell or dumbbells in front of your body. Lift the weight up to your chin while keeping your elbows high, then lower the weight back down and repeat.

Shoulder Press Machine The shoulder press machine is a great option for beginners or those with limited mobility. This exercise targets the deltoids and triceps and is performed by sitting in a machine with your back against the pad, then pushing the weight overhead. At Energy Fitness, we have a shoulder press machine available for those looking for an alternative to free weights. To perform this exercise, sit in the machine with your back against the pad and grasp the handles. Push the weight overhead, making sure to keep your core engaged and your elbows close to your body. Lower the weight back down and repeat.

Cable Face Pull The cable face pull is a great exercise for targeting the rear deltoids and upper back muscles. This exercise is performed by attaching a rope handle to a cable machine and pulling the weight towards your face while keeping your elbows high. At Energy Fitness, we recommend the cable face pull to help strengthen and tone the back of your shoulder muscles. To perform this exercise, attach a rope handle to a cable machine and stand facing the machine. Pull the weight towards your face while keeping your elbows high, then lower the weight back down and repeat. In addition to the exercises listed above, it's also important to consider proper form and technique when performing shoulder exercises. Incorrect form can lead to injury and hinder progress, so be sure to consult a personal trainer or research proper technique before beginning your workout. At Energy Fitness, we prioritize proper form and technique in all of our workouts. Our certified personal trainers are always available to provide guidance and support, ensuring that our members are performing exercises safely and effectively. Furthermore, it's important to gradually increase weight and resistance as your strength improves. Consistency is key, so aim to incorporate shoulder exercises into your workout routine at least two to three times per week. And don't forget to include rest days in your routine to allow your muscles time to recover and grow. In addition to weight training, cardio and proper nutrition are also important factors in building overall fitness and achieving your fitness goals. At Energy Fitness, we offer a variety of cardio equipment, as well as nutrition guidance from our certified nutritionist to help our members achieve optimal health and wellness. Lastly, finding a gym that fits your needs and goals is essential in maintaining a consistent workout routine. Energy Fitness, the best gym in Salem, offers a welcoming and supportive community, top-of-the-line equipment, and expert guidance from certified personal trainers and nutritionists. Our goal is to empower our members to achieve their fitness goals and live their best lives. In conclusion, incorporating shoulder exercises into your gym routine is essential for building overall upper body strength and achieving a balanced physique. At Energy Fitness, we recommend a variety of exercises targeting all four muscle groups of the shoulder, proper form and technique, gradual increase in weight and resistance, consistency, cardio and nutrition, and finding a gym that fits your needs and goals. With dedication, hard work, and expert guidance, you can achieve your fitness goals and live your best life.  At Energy Fitness, the best gym in Salem, we recommend incorporating a variety of shoulder exercises, including the overhead press, lateral raises, front raises, rear deltoid fly, upright row, shoulder press machine, and cable face pull. By targeting all four muscle groups of the shoulder, you can achieve a well-rounded and balanced upper body. Remember to always warm up before beginning your workout and consult a personal trainer or physician if you have any concerns or injuries. Happy lifting!

[bionicpno]

Shoulder Prosthetic Parts

Introduction

The development of shoulder prosthetics represents a significant advancement in the field of prosthetic technology. These devices aim to restore functionality and improve the quality of life for individuals who have lost their arms or shoulder function due to injury, disease, or congenital conditions. This article delves into the various parts that constitute a shoulder prosthetic, outlining their functions and how they contribute to the overall effectiveness of the prosthesis.

Components of Shoulder Prosthetics

1. Socket

The socket is the component that connects the prosthesis to the wearer's body. It is custom-made to fit the residual limb snugly and comfortably. The design of the socket is crucial as it ensures the distribution of weight across the area, minimizing discomfort and allowing for greater control and movement.

2. Suspension System

The suspension system is responsible for keeping the Shoulder prosthetic parts in place. Various methods like straps, suction, or a harness are used, depending on the level of amputation and the individual's needs. This system is essential for providing stability and ensuring that the prosthesis remains attached during different activities.

3. Prosthetic Joint

The prosthetic shoulder joint is a critical component that allows for the movement of the artificial limb. Advanced shoulder prosthetics often include highly articulated joints that can mimic the range of motion of a natural shoulder, including abduction, adduction, flexion, and rotation.

4. Control System

The control system can be either body-powered or electronic. Body-powered systems use cables and harnesses controlled by the movement of other body parts, usually the other shoulder or chest. Electronic systems, on the other hand, employ myoelectric sensors that detect muscle movements in the residual limb and translate these into movements of the prosthetic.

5. Artificial Limb

The artificial limb, or the 'hand' part of the shoulder prosthetic, can range from simple, hook-like devices to advanced robotic hands with individually moving fingers. The choice of limb depends on the wearer's needs, lifestyle, and the tasks they wish to perform.

Parts of Above Knee Prosthesis

1. Socket

Similar to the shoulder prosthetic, the socket in an above-knee prosthesis is custom-fitted to the user's residual limb. It is designed to offer comfort and optimal load distribution during various activities.

2. Knee Joint

The Parts of above knee prosthesis joint is a complex component that needs to balance flexibility and stability. Advanced models feature microprocessor-controlled joints that adapt to different walking speeds and terrains, providing a more natural gait.

3. Pylon

The pylon serves as the support structure of the prosthesis, connecting the socket to the foot. It is usually made from lightweight, durable materials like carbon fiber or titanium.

4. Suspension System

The suspension system for an above-knee prosthesis is vital to keep the prosthesis aligned and secure. Options include suction, pin/lock systems, or a belt and harness arrangement.

5. Prosthetic Foot

The prosthetic foot is designed to mimic the function and appearance of a natural foot. It absorbs shock, provides stability, and aids in propulsion. There are various types of prosthetic feet available, tailored to different levels of activity and lifestyle needs.

Conclusion

The field of prosthetics has made remarkable strides, particularly in the development of shoulder and above-knee prostheses. The various parts of these prosthetics work in harmony to restore mobility and functionality, significantly improving the lives of amputees. Continuous innovation and research in this field promise even more advanced and lifelike prosthetics in the future.

[lethiwebhengu]

OT FIELDWORK BLOG 3

Strikes on Monday only made us go to prac at Albert Luthuli on Wednesday and Thursday. It’s been a rough road academically for this week and it’s a pity it will only get worse next week. I decided to do my demo on Wednesday as my patient changes his dressings on Monday and Thursdays. For my demo, a lot went wrong. Knowing myself to be a quiet and introverted person has cost me my handling skills with my patient. I had imagined the session and how it would go. Critical planned over the weekend and made it meet my aims.

 The activity I did was a dressing activity, and it would have met my aims, only if my aims were correct and matched my assessment findings and presentation of my patient. The assessment findings of my patient showed that he had a contracture on his RUL of 45 degrees of shoulder abduction and 90 degrees flexion of the elbow joint. How could I possibly think the patient would be able to be extend his limb to his back or his chest to wear the shirt and button the buttons? Logically it does not make any sense, but I did not think of it. It was not a realistic aim for my patient. Activity analysis is important but it wont help if you do not implement assessment findings to your treatment session. I am able to link aims to a session but I’m just not linking aims that are relevant to my patient. I have learnt how to integrate my assessment findings critically and include them in planning my treatment session.

I also learnt the importance of assessing and treating an area of occupation. There is not much time to assess these, but it is important to not only focus on improving client factors but to improve the skills of areas of occupation. That is the meaning of OT, to focus on independence of areas of occupation and not just client factors that affect them. It is not sufficient to only assess client factors and link them to areas of occupation and assume how the patient would struggle only to be surprised when assessing it that they struggle with something else. These areas of occupations can be assessed in one session and even during treatment sessions because there is no time on prac.

For my demo, there was no mirror, no introduction to my supervisors. My poor handling skills had also affected my structuring. Principles do affect each other as well. I was not firm enough to the patient to do the activity where curtains are closed to allow for privacy as the activity itself is very intimate. I had also had the TV on and the other patient distracting and watching the session. He was standing by the window, and he had asked to do the activity there as it was next to couch. I allowed him to do so as I thought it was an element of client centeredness, but it wasn’t. The scene was distracting for a session. I need more self-confidence and assertive skills. The sign at the door. I had completely forgot about that! I also had to inform the nurses that there was a session in place but that’s how we learn, through mistakes.

Multidisciplinary teamwork refers to working as a team with other healthcare practitioners to benefit our patients. Every practitioner playing their role. Which I think is the whole point of having hospitals and clinics and other healthcare facilities. I did have a couple of encounters of working as a team with the nurses, physio and doctors. The doctor gave me as an OT a diagnosis of Burns (which we have to check are accurate according to the merk manual if they are fitting) and let me play my role to bringing about independence in patient and putting a splint on him. The nurses are there to supervise and monitor the patient and physiotherapist help with doing exercises and massages to hep heal scars and work on his ROM and muscle strength. This is how we all got to play our part as health practitioners on treating our burns patient.

Multidisciplinary teamwork can also take place at the same time on the patient not separately like I explained above. I experienced this a couple of times first hand with the nurses and physiotherapists. I had experienced when my time with patient and the physiotherapist’s time was the same time. She was very welcoming and allowed me to also do therapy during her session. She had taught me different ways to scar massage a patient, I had never done it on a person but only watched videos so that was the first time doing on someone. I learnt about going up and down and doing “J” patterns. I had only known doing side to side and circular motions. I had also known the importance of pressure, but she taught me that it was important to also be aggressive during these massages in order to get to the muscles and structures underneath. So that was interesting.

 My main interactions with the nurses in terms of teamwork is asking them to give me different materials for my sessions, like aqueous creams, bowels, shirts and pants. They have been very helpful. My patient had also told me that the ROM exercises are much better when the bandages are off, unfortunately by the time I get to the hospital and have a session with him, his dressing is done already. I had spoken to 2 of the nurses to allow the patient to do these exercises when his dressing his off, to make him do it himself as I had educated him to. The patient did report that the nurses do allow him to do so when they are still waiting for the doctor to assess his progress of the burns. The other teamwork I’ve had with the patient is when the nurses give the patient their medication or meals to take.

About Thursday. During my demo, the patient said that he would go for skin grafting on Thursday and there won’t be much to do as he was going to change his dressing. I planned to do assessments again with him regardless, hoping that with the strikes happening, his skin grafting would be postponed. Fortunately for me, he was told he would go next week. I managed to do my ROM assessments to check his improvement but unfortunately there wasn’t. My therapy must not have been working. This was sad. But maybe he was going to improve gradually. I hope. I went to my second patient with flap cover. His stitch seemed to be closing onto the skin well but still no progress with his hand function. The progress would obviously be there after his surgery that is due next week. I also forgot about the precautions of his condition when deciding on which activity I was going to do with him. The main precaution was to not strain the flap cover too much. The activity was face washing and brushing teeth.

Research on a condition is important to know which assessments to prioritise but precautions are even more imperative. As OTs we are there to promote independence not cause complications that take them away! The diagnosis of this patient is quite long and foreign to me. This was a chance for me to gain more experience and learn about it.

The research of the diagnosis: right forearm debridement and para-umbilical perforator based truncal wall flap cover (this is just half of the diagnosis) showed me an interesting article on the diagnosis that mainly mentioned that the paraumbilical perforator flap has reliable blood supply, good texture, sufficient area, and is convenient to transfer. It's an ideal choice for the repair of the deep soft tissue defect in the hand and forearm. Wang. J, Wang. M, Xu.Y, GAO. Y, Cul. L, Wang.J, Hong. Z & Yaun. S. 2017). Some of the precautions I had researched some of them after discovering the importance of them are: If possible, try to elevate the wound so it is above your heart. This helps reduce swelling. Avoid any movement that might stretch or injure the flap or graft. Avoid hitting or bumping the area. avoid strenuous exercise for several days. Ask your provider (doctor) for how long. The site may become itchy as it heals. Do not scratch the wound or pick at it. (Hoss. E, 2022)

I had met with my mentor Wednesday afternoon, where she was explaining how to write a write up and she also emphasized on the importance of precautions for different diagnoses. She explained her experience on how she realised how important they are when she was on prac and given a spinal cord patient. She was going to first do assessments and sit the patient up. Luckily the doctor walked in right in time to tell her to not sit the patient up as they had been lying down for a long time and they could have Orthostatic hypotension and they had not yet done the spinal fusion, so it was very important to keep the patient immobile in order to keep the spinal cord immobile. So that also emphasized that not all precautions can be found online immediately, therefore before touching a patient it is important to ask the nurses and doctors if they are around to move, speak or touch the patient to prevent any further complications. 

 I only focused on making sure his upper limb is not abducted to much which could result in it coming off and getting as much bilateral hand function as possible. Little did I know that I could have caused a complication.

A lot went wrong this week, but this is a learning curve, no one is perfect, and I will get right someday but I’m glad I made mistakes because now I will carry these experiences as constant reminders of what to do and what not to do. One thing I have learned ever since going to prac is how to take criticism as it is and use it to improve in order to not repeat the same mistakes.

Wang. J, Wang. M, Xu.Y, GAO. Y, Cul. L, Wang.J, Hong. Z & Yaun. S. 2017. Paraumbilical Perforator Flap: A Good Choice for Repair of The Deep Soft Tissue Defects in the Hand and Forearm. Retrieved from Journal Of General Practice (https://www.hilarispublisher.com/open-access/paraumbilical-perforator-flap-a-good-choice-for-the-repair-of-the-deepsoft-tissue-defects-in-the-hand-and-forearm-2327-4972-1000334.pdf )

 (Hoss. E, 2022. Skin Flaps and Skin Grafts. Retrieved from MedlinePlus https://medlineplus.gov/ency/patientinstructions/000743.htm )

[orthopedicsurgeon2]

Rehabilitation after Bankart procedure

The Bankart procedure is performed to increase anterior stability of the shoulder. The following is a guideline for progression of post-operative treatment. The program may however be modified based on your situation and operative findings.

Time required for full recovery is between 4-6 months.

General Information

There may be a loss of external rotation when compared to the other side, but the motion is usually adequate for most activities.

Capsular repair becomes stressed with external rotation. Since the repair is made with the arm in neutral rotation, external rotation must be limited during early rehabilitation.

Sling:

Sling should be worn most of the times for 6 weeks, especially in uncontrolled environments (around dogs, kids, in crowds, Immobilization etc.).

Sling should be worn while sleeping for 6 weeks.

Sling may be removed in controlled environments for light activities like movement of the elbow and wrist.

It takes roughly 6 weeks to discontinue the sling.

Personal hygeine and clothing:

To wash under the operated arm, bend over at the waist and let the arm passively swing away from the body. It is safe to wash under the arm in this position. Keep your elbow slightly in front of your body; do not reach behind your body. When putting on clothing, lean forward. and pull the shirt up and over the operated arm first. Then put the other arm into the opposite sleeve. To remove the shirt, take the unoperated arm out of the sleeve first, and then slip the shirt off of the operated arm.

0-6 weeks after surgery:

Rehabilitation Goals:

Protect the post-surgical shoulder

Activate the stabilizing muscles of the gleno-humeral and scapulo-thoracic joints

Full active and passive range of motion for shoulder flexion, abduction, internal rotation and external rotation to neutral.

Precautions:

Hypersensitivity in axillary nerve distribution is a common occurrence

No shoulder external rotation with abduction for 8 weeks to protect repaired tissues

Exercises:

Begin week 5,

Gentle shoulder isometrics for internal rotation and external rotation, flexion, extension, adduction and abduction

Active assisted and passive range of motion for shoulder flexion, abduction, internal rotation and external rotation to neutral, progressing to active range of motion at week 7

Hand gripping

Elbow, forearm, and wrist active range of motion

Cervical spine and scapular active range of motion

Desensitization techniques for axillary nerve distribution

Postural exercises

6-12 weeks after surgery: Goals:

Full shoulder active range of motion in all cardinal planes

Progress shoulder external rotation range of motion gradually to prevent overstressing the repaired anterior tissues of the shoulder

Strengthen shoulder and scapular stabilizers in protected position (0° – 45° abduction)

Begin proprioceptive and dynamic neuromuscular control retraining

Precautions:

Avoid passive and forceful movements into shoulder external rotation, extension and horizontal abduction.

Exercises:

Active assisted and active range of motion in all cardinal planes – assessing scapular rhythm (gradually progress external rotation to full range at the end of 12 weeks)

Gentle shoulder mobilizations as needed

Rotator cuff strengthening in non-provocative positions (0° – 45° abduction)

Scapular strengthening and dynamic neuromuscular control

Cervical spine and scapular active range of motion

12-18 weeks after surgery: Goals:

Full shoulder active range of motion in all cardinal planes with normal scapulohumeral movement.

5/5 rotator cuff strength at 90° abduction in the scapular plane

5/5 peri-scapular strength

Precautions:

All exercises and activities to remain non-provocative and low to medium velocity

Avoid activities where there is a higher risk for falling or outside forces to be applied to the arm

No swimming, throwing or sports

Exercises:

Motion

Posterior glides if posterior capsule tightness is present. More aggressive ROM if limitations are still present

Strength and Stabilization

Flexion in prone, horizontal abduction in prone, full can exercises, D1 and D2 diagonals in standing

Theraband/cable column/ dumbell (light resistance/high rep) internal and external rotation in 90° abduction and rowing

18-24 weeks after surgery: Goals:

Stability with higher velocity movements and change of direction movements.

5/5 rotator cuff strength with multiple repetition testing at 90° abduction in the scapular plane

Full multi-plane shoulder active range of motion

[jphospital]

Joint Aches and Knee Pain? We've Got You Covered

Joint pains are sudden, sharp pains that feel nearly like pinpricks in the knees and elbows when performing daily activities.

A fairly prevalent complaint that affects millions of people nationwide is joint discomfort. Knee pain and joint pain are catch-all phrases for symptoms that might be brought on by a number of underlying medical disorders, including osteoarthritis, rheumatoid arthritis, specific joint diseases, or other physical conditions brought on by physical strain.

According to a report, Indians are 15 times more likely than people in the west to experience joint pain and knee arthritis. It causes inflammation and is uncomfortable. One must comprehend the disease in order to treat it. The locations on the body where two or more bones contact and move are known as joints. Any portion of a limb that may be manipulated by muscles and is related to nearby ligaments, tendons, cartilage, synovial fluid, and other tissues is referred to as a joint. Visit JP Hospital for joint pain therapy if you're looking for the Best knee replacement surgeon near me.

Variety of Joints

Depending on their shape, joints are:

Joints using a ball and socket

The shoulders and hips contain these joints. The huge surfaces where the ball fits into the socket enable them to be stable while allowing for a spin in all directions.

Joint hinges

joints like your ankle, elbows, and knees that can only move up and down.

joint motion

joints in your wrists and ankles that allow for side-to-side movement

Seat joints

The only bone in the body possessing a saddle joint is the human thumb. It can move in two planes thanks to this joint: flexion/extension, which involves straightening and bending, and abduction/adduction, which involves moving away from and toward the body.

the ellipsoid joint

the joints in the elbow, the wrist's carpals, the base of the index finger, and the wrist. They permit side-to-side and up-down motions.

Joint pain: What is it?

A joint, such as the knee, hip, shoulder, or ankle, can experience considerable discomfort or inflammation. Joint pain typically relates to arthritis. However, arthritis, gout, infections, and injuries can all cause knee pain.

Joint pain can occasionally be the result of various underlying diseases, such as muscle stiffness and weakness, or a physical injury, such as a torn ligament. Joint pain and knee pain can be managed with the right information and prompt treatment.

What Leads to Knee and Joint Pain?

Joint pain is a typical symptom of serious health problems and can be as common as a headache. the following are typical reasons for joint and knee pain:

Joint pain is most frequently brought on by osteoarthritis. It's the gradual deterioration of your joints. Your joints start to hurt when you move them because the cartilage is starting to degrade.

When the body's immune system attacks the lining of the joints, it causes rheumatoid arthritis, which results in painful, inflamed joints.

Gout is the accumulation of uric acid crystals in or near your joints, which results in pain and discomfort. Typically, one or two large toes and occasionally the knee is affected by this kind of arthritis. Bursitis is an inflammation of the bursa, which are the fluid-filled sacs between the bones where the muscles attach. It can be brought on by overuse, injury, infection, or repeated motions.

Infections from bacteria or viruses make moving your joints unpleasant.

Outside factors are what cause injuries to your body. such as a mishap or harm incurred when participating in sports. You are more likely to feel joint and knee pain the more severe your injury is. ACL (anterior cruciate ligament) damage, tearing of one of the four ligaments securing the shinbone to the thighbone, is a common knee injury.

Exertion - Joint problems are frequently caused by unsupervised workouts, severe physical pressure on a particular body area, or adventure sports practiced without sufficient training and safety equipment. They might result in tendons and/or ligament injuries. They might result in tendons and/or ligament injuries. These can also cause excruciating discomfort when moving the joints.

Small rips in tendons brought on by overuse or improper conditioning lead to tendinitis. Tendons are fibers that link bones to muscles.

What dangers are connected to joint and knee pain?

With aging, many of us develop joint and knee pain. The good news is that there are numerous strategies for controlling this discomfort and leading a healthy life. Understanding the dangers of joint and knee discomfort is the first step.

Overweight

Because they place more weight on their joints than they should, people who are overweight are more likely to experience knee and joint discomfort. Additionally, being overweight puts more strain on your cartilage and knees, which over time may deteriorate.

Lack of Strength and Flexibility

Because it keeps your muscles limber and less likely to pull or strain as you move through your day or engage in your activities, flexibility is crucial for minimizing joint discomfort. Inadequate muscular strength makes it harder for muscles to support joints during movement or physically demanding work, which increases the risk of joint and knee pain.

Recurrent Stress

Athletes and other people in similar professions frequently suffer from repetitive stress injuries like tendinitis.

Stress and Depression

As a result of avoiding generally enjoyable or soothing activities, persons with depression and anxiety also experience knee and joint discomfort. Additionally, they might begin to eat poorly, which would result in weight gain and worsen the pain in their joints.

How Can Knee and Joint Pain Be Prevented?

Joint and knee discomfort can be avoided by maintaining a healthy weight. Being overweight puts more strain on joints, which might cause them to age more quickly.

Develop your conditioning to ward off knee and joint problems. Strong muscles are better able to withstand the strain that comes with exercise and regular tasks like carrying groceries or walking up flights of stairs.

By using the proper technique during a workout, you can avoid knee and joint pain brought on by overusing or misusing the muscles surrounding those joints. Before beginning activities like lifting heavy objects, doing sports-specific movements, or jogging, seek the advice of professionals.

Depending on your situation, select suitable activities. Consult with the top joint pain specialist in Punjab to get guidance on the appropriate sports or activities to engage in, such as running, swimming, martial arts, and weightlifting.

Are your knees or joints hurting? Contact JP Facility, regarded as Punjab's best orthopedic hospital in Punjab. Our state-of-the-art facilities can assist patients in overcoming knee and joint pain. Our resources consist of:

Total knee replacement surgery

Total hip replacement surgery

Pediatric orthopedics

Sports injury management

ACL reconstruction

Shoulder surgery

Total shoulder replacement

Total elbow replacement

Laminectomy

Arthroscopy

Osteotomy

Pinched nerves treatment

Now that you are aware of the various problems that can cause joint pain, it is important to keep in mind that the best method to manage joint and knee pain is to prevent it and choose prompt treatment. Don't wait to visit JP Hospital now if you are suffering from knee or joint pain. Our professionals assist in identifying the source of your discomfort and help you get back on track.

[fitliferegime]

10 Best Shoulder Exercises To Build Mass And Strength

If you’re looking to build a stronger, more defined shoulder, incorporating the right shoulder exercises into your workout routine is key. Shoulder exercises help you build strength in your upper body and improve your overall body shape. A well-shaped shoulder is one of the most important qualities of a good physique. In order to achieve this, you must train with a variety of shoulder exercises to develop the anterior deltoid (in front), lateral deltoid (at the side), and posterior deltoid (behind), and you must also work the trapezius muscle in the upper back. In this blog, we will provide an in-depth overview of the following topics: - The anatomy of the shoulder muscles - Different types of Shoulder exercises - Tips for maximizing your shoulder workout. - Shoulder Muscle Training Volume - Workout plan for beginner, intermediate and advance.

Shoulders Anatomy And Function

In fitness, “shoulder exercises” refers to resistance exercises that target the deltoid muscle. The shoulder is a “ball-and-socket” joint between the humerus bone of the upper arm and the scapula bone (shoulder blade). Six main movements that occur at the shoulder are flexion, extension, abduction, adduction, internal rotation, and external rotation. The deltoid muscle of the shoulder consists of three separate sections or heads. - The anterior deltoid (In front) - Lateral deltoid (at the side) - Posterior deltoid (behind) You need to work all three of them, along with the trapezius muscle in the upper back, to build an impressive shoulder.

Anterior Deltoid It is commonly called the front delt. It arises from your collar bone and inserts into your humerus (upper arm bone). Your front delt’s main function is to move your arm up, forward, and to your center.  Lateral Deltoid It has a few common names, such as side delts, middle delts. It arises from a little area on the shoulder blade called the acromion process and inserts into the humerus. Your lateral delt’s main function is shoulder abduction, which is bringing it up to the side. Posterior Deltoid It also knows as the rear delt. It arises from the spine of the scapula (upper part of your shoulder blade) and inserts into the humerus. Your posterior delts main function is moving the arm outward and backward. Trapezius It is often called the traps, this is a large triangular shaped upper back muscle. The main function of the traps is to support head movement, stabilize certain arm motions and provide stability in pushing and pulling movements.

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[superanonymousthethird]

As far as I understand neither of them have the free part of the arm left, only the shoulder girdle remains.

They only have this nub made out of shoulderblade and collarbone. The harness has a ring and its upper part goes on top of the nub, while the rest of it is tightly secured to the body using the belts.

Millicent has those two belts on the chest and one on the back, like Malenia. The whole construction is also worn on top of clothes so it shouldn't get too sore, I believe?..

As for attaching the rest of the arm, I assume that arched part of the prosthetic (the one I circled in red) isn't purely decorative, it snaps on top of the ridge (circled in blue).

Likely, it can just kinda slide back and forth on the ridge when flexion and extension need to happen. The metal bar inside the prosthetic allows for abduction and adduction. No idea about rotation moves though.

I also have no idea to how Malenia's prosthetic holds to her in her second phase. Does it just fuse to her body?..

but millicent doesn't have a socket installed... is she just ramming the prosthetic onto bare nub? I hope whatever magic is rolled into the prosthetics has some kinda anti-blister property/maybe just a heal over time in general, because it's gonna get sore after maybe an hour 😟

I think she's fine, actually. There's no super good images that really show it off, but after Millicent gets the arm her armor mesh changes to include a harness that ends in a socket cuff identical to her mother's.