Upper extremity AKR Flashcards
Frontal Plane Axis
AP Axis
Sagittal Plane Axis
Bilateral Axis
Transverse Plane
Longitudinal Axis
What are the 3 segments of the Upper Extremity from proximal to distal?
Arm Segment
Forearm
Hand
What is the shoulder segment called?
Shoulder Girdle
What are the 6 movements of the shoulder girdle (shoulder joint)?
Elevation/depression
Upward/downward rotation
Protraction/retraction
What are the 8 movements of the shoulder joint?
Flexion/extension
ABduction/ADduction
Internal/external rotation
Horizontal ABduction/ADduction
What are the 2 movements of the elbow joint?
Flexion/extension
What are the 2 movements of the forearm?
Pronation/supination
What are the 4 movements of the wrist?
Flexion/extension
Radial/ulnar flexion
What is scapulothoracic rhythm?
Shoulder girdle movements/scapula movements
If the primary movement of the shoulder joint is ABduction, what is the secondary movement of the shoulder girdle?
Upward rotation
If the primary movement of the shoulder joint is ADduction, what is the secondary movement of the shoulder girdle?
Downward rotation
If the primary movement of the shoulder joint is Flexion, what is the secondary movement of the shoulder girdle?
Elevation/upward rotation
If the primary movement of the shoulder joint is Extension, what is the secondary movement of the shoulder girdle?
Depression/downward rotation
If the primary movement of the shoulder joint is Internal Rotation, what is the secondary movement of the shoulder girdle?
Protraction (ABduction)
If the primary movement of the shoulder joint is External Rotation, what is the secondary movement of the shoulder girdle?
Retraction (ADduction)
If the primary movement of the shoulder joint is Horizontal ABduction, what is the secondary movement of the shoulder girdle?
Retraction (ADduction)
If the primary movement of the shoulder joint is Horizontal ADduction, what is the secondary movement of the shoulder girdle?
Protraction (ABduction)
What does scapulohumeral rhythm referring to?
Secondary shoulder girdle motion
Concentric muscle contraction
Muscle force>External resistance
Shortening of muscle fibers
Eccentric muscle contraction
Muscle force<External resistance
Lengthening of muscle fibers
Isometric muscle contraction
Muscle force=External resistance
No change in length of muscle fibers
Agonist
Muscle group ACTIVE at start of movement via concentric/eccentric contraction
Antagonist
Muscle group performing an action OPPOSITE of the agonist. Passively lengthening ot shortening
Neutralizers
Muscles that cancel unwanted action from active agonist or antagonist
Stabalizers
Muscles that assist with the stability of a joint
What does it mean to have a uni-phasic muscle activation pattern?
Agonist is active during the concentric and eccentric motion (slow up/down)
What does it mean to have a bi-phasic muscle activation pattern?
Horizontal motion/potential reactivation of agonist at end
What does it mean to have a triphasic muscle activation pattern?
Fast/ballistic movement
Ipsilateral
Same side as each other
(Left leg and left arm)
Unilateral
Only one side of the body
(Single leg squat)
Bilateral
Both sides of the body
(Regular squat)
Contralateral
Opposite sides of each other
(Right arm and left leg)
Pure rotation
Axis does not move linearly
Discrete task
Pauses in movement
How are the agonist/antagonist affected when a movement is ballistic instead of discrete/uni-phasic?
The agonist in the “up phase” remains the same
The antagonist ends up becoming the agonist for the “down phase”
General motion
Linear motion
How many carpals, metacarpals, and phalanges does a hand have?
Carpals- 8
Metacarpals- 5
Phalanges- 14
What plane and axis do shoulder girdle movement happen in?
Frontal plane
AP axis
Write out the anatomical position for each upper extremity segment in the 3 planes
See screenshot in notes for answer
If the agonist is moving concentrically, what is the length change for the antagonist?
Lengthens
If the agonist is moving eccentrically, what is the length change for the antagonist?
Shortens
Review the muscles
See review key