Wk 1: (Ch 1 & 6) Planes, Axes, Directions, Joint movements & Nervous Syst. relation to movement Flashcards
Describe anatomical position
- standing erect
- arms at side
- palms forward
- feet flat, parallel
Proximal means
- towards the trunk
- closer to midline/trunk
Distal means
away from trunk
Proximal and distal typically refer to____?
the extremities
Medial means
toward midline
Lateral means
away from midline
Superior(cranial) means____or___?
towards the head or above another structure
Inferior(caudal) means ___or___?
toward the ground or below another structure
Anterior means
toward front of body/toward front
Other terms meaning anterior include ___and___
ventral
volar
Give an example of an anterior structure
the heart is anterior to the vertebral column
Posterior means
toward back of body/toward back
Dorsal refers to
the back
Example of a posterior strcuture
the heart is posterior to the sternum
where if the dorsal surface located on the foot?
on the top of the foot
location of the ventral surface of the foot?
the bottom of foot
Dorsum faces
up towards ceiling
Ventral surface is
plantar
Prone refers to
on stomach
Supine refers to
on back
What is pronation of the hand?
hand facing down
Magnus and Maximus refer to
a large surface
Minimus & Minimi refer to
a smaller surface
Longus means
long
Brevis means
short
Describe scapula protraction
rounding the shoulders forward
Describe Radial deviation
moving hand to thumb side
Sagittal plane
divides body into left & right
What motions occur in the sagittal plane
flexion and extension
Frontal Plane
divides body into front & back
Motions that occur in the frontal plane
ABDuction & ADDuction
Transverse plane
divides body into top & bottom
Another name for transverse plane
horizontal plane
What are the axes of the body?
points that run through the center of a joint around which a part rotates
Motion occurring in the transverse plane
Rotation
Another way to say axis is always perpendicular to its plane
joint movement occurs IN a plane and AROUND an axis
TRUE or FALSE
Axes are always perpendicular to their plane
TRUE
The frontal(X) axis passes
horizontally-side to side
The frontal plane always intersects with
the sagittal axis
The frontal(X) axis passes___from___
horizontally, side to side
example of frontal(x) axis movement
hip flexion
The Sagittal(Z) axis runs from
side to side
example of sagittal(Z) axis movement
Arm abduction
The Sagittal(Z) axis runs___from___
horizontally, front to back
Example of sagittal(Z) axis movement
arm ABDuction
Example of sagittal(Z) axis movement
arm ABDuction
The Vertical axis is also called
the Y-axis
The vertical (Y) axis runs___from____
vertically, top to bottom
The vertical (Y) axis runs___from____
vertically, top to bottom
Example of Vertical(Y) axis movement
shaking head “no”
Sagittal(Z) axis is a point that runs through a joint from
front to back
Frontal (X) axis runs through a joint from
side to side
Vertical(Y)(Longitudinal) axis runs through a joint from
top to bottom
Flexion/Extension will always occur in the____plane around the____axis
Sagittal, Frontal
Abduction/Adduction will always occur in the____plane around the____axis
Frontal, Sagittal
Radial and Ulnar deviation of the wrist will also occur in the____plane around the____axis
Frontal, Sagittal
TRUE OR FALSE
The thumb’s movements(flexion/extension & abduction/adduction) do not occur in the traditional planes
TRUE
List all the joint motions of the Sagittal Plane/Frontal(X) axis
Flexion
Extension
List all the joint motions of the Frontal Plane/Sagittal(Z) axis
Abduction/Adduction
Radial/ulnar deviation
Eversion/Inversion
List all the joint motions of the Transverse Plane/Vertical/Longitudinal (Y) axis
- medial-lateral Rotation
- Supination/Pronation
- right/left Rotation
- Horizontal abduction/adduction
Plane and Axis for each movement:
Cervical flexion
Sagittal Plane
Frontal (X) Axis
Plane and Axis for each movement:
Glenohumeral internal rotation
(Elbow flexed at side 90 degrees)
Transverse Plane
Vertical (Y) Axis
Plane and Axis for each movement:
Trunk side bending
Frontal Plane
Sagittal (Z) Axis
Plane and Axis for each movement:
Radial/Ulnar Deviation
Frontal Plane
Sagittal (Z) Axis
Plane and Axis for each movement:
Hip abduction
Frontal Plane
Sagittal (Z) Axis
Plane and Axis for each movement:
Elbow Flexion
Sagittal Plane
Frontal (X) Axis
TRUE or FALSE
Only part of the Nervous System plays a role in movement
FALSE
ALL/Whole Nervous systems plays a role in movement
TRUE OR FALSE
Dysfunction of the Nervous System does not alter or affect movement
FALSE
Dysfunction of any part of the Nervous System can alter or affect movement
The Autonomic Nervous System(ANS) includes
1.___2.___
The Sympathetic and Parasympathetic nervous systems
The Sympathetic NS generally
initiates flight/flight responses
The Parasympathetic NS generally
initiates relaxation responses
The Peripheral Nervous System(PNS) Includes
- Cranial nerves
- Brachial Plexus
- Spinal nerves
- Lumbosacral Plexus
Can cranial nerves regenerate? Why?
No
The Central Nervous System (CNS) includes
the brain and spinal cord
The Nervous System is organized into the
1___2___3___
- Autonomic NS
- Peripheral NS
- Central NS
Dendrites are___structures and___info from the environment
sensory, get
Axons are___structures and___to the body
motor, send/give info
Nodes of Ranvier are found
between synapses
Myelin sheath is
fatty sheath that helps increase communication speed between neurons
Synapses are where
chemical or electrical communication between neurons occurs
Afferent neurons: sensory or motor?
Sensory
Efferent neurons: sensory or motor?
Motor
What are tracts?
myelinated nerve fibers in CNS that carry specific types of info
(pain, temperature, proprioception)
Motor neurons are
efferent neurons
Sensory neurons are
afferent neurons
the Anterior Horn
motor
the Posterior Horn
more sensory
Neuron pathway in muscle
Dorsal Nerve root> posterior horn> anterior horn for efferent/motor response
Proprioceptors are found in which 3 places
- muslces
- joints
- connective tissue
Proprioception refers to
the body’s position in space
The stretch reflex happens where? fx?
- in muscle spindles of muscle
- regulates mm stretch
What happens when a muscle is stretched too much? Which reflex is responsible?
- Too much stretch triggers the muscle to contract in order to prevent injury
- Stretch reflex
The Golgi Tendon Reflex happens where?
Golgi Tendon Organ in the tendon close to where muscle meets
Describe the fx of the Golgi Tendon Reflex?
trigger muscle relaxation when contraction is too forceful
Summarize reflexive movement steps
- fast
1) Sensation is felt in the prefrontal cortex
2) plan is sent to the motor cortex
3) Plan sent to muscle
4) plan checked w/ cerebellum
brain’s relation to movement:
Frontal lobe
controls
- motor movement
- expressive speech
brain’s relation to movement:
Occipital Lobe
controls
- Vision: shape recognition, size, color,
- Acuity
brain’s relation to movement:
Parietal Lobe
controls -Perception (how we see things) -Gross sensation(touch, pressure) -Fine sensation (texture, weight, size, shape)
brain’s relation to movement:
Temporal Lobe
controls -speech functions -understanding -some hearing components
brain’s relation to movement:
Thalamus
-Relay station for sensation
Where is pain perceived?
in the thalamus
brain’s relation to movement:
Basal ganglia
control
-coordination
brain’s relation to movement:
Cerebellum
controls
- muscle coordination
- muscle tone
- posture
- balance
Major difference between the left and right brains
Left Brain: Analytical
Right brain: Emotional, creative
the Right Brain is
- emotional
- creative
the Left Brain is
analytical
Why must we perform sensory tests on clients/patients?
In order to test/know which tract is affected on ct.
TRUE OR FALSE
Every tract has its own function for sensation
TRUE
The Upper Motor Neuron (UMN) is
a neuron that synapses above the anterior horn
The Upper Motor Neuron (UMN) includes:
the brain and spinal cord
The Upper Motor Neuron (UMN) separates
upper and lower area lesions
The Lower Motor Neuron (LMN) is
a neuron that synapses below the anterior horn
TRUE OR FALSE
(UMN) legions regenerate
FALSE
UMN legions DO NOT regenerate
UMN Legions are located
proximal to the anterior horn
LMN Legions are located where?
cell body or axons of LMN
Injury to UMN and LMN typically results in
paralysis
- with differing clinical signs
UMN diagnoses include:
- SCI- spinal cord injuries
- MS- Multiple Sclerosis
- Parkinson’s Disease
- CVA- Cerebral Vascular Accidents
- TBI- Traumatic Brain Injury
LMN diagnoses include:
- Muscular Dystrophy
- Poliomyelitis
- Myasthenia Gravis
- Peripheral Nerve Injury
Upper motor neuron lesion is a specific or general term?
general term
What clinical signs are present with UMN lesion deficits?
- Spastic paralysis
- Hyperreflexia:
- Babinski Reflex
- Clonus
A motor neuron whose cell bodies are located in the cerebral cortex, brainstem, and cerebellum is called
an Upper motor neuron
Motor neurons whose cell bodies are located IN the anterior horn are called
Lower motor neurons
Spastic paralysis involves ________________and occurs in ____MN legions
- tight hard muscles that may twitch uncontrollably or spasm
- Upper Motor neuron legions
Flaccid paralysis causes muscles to _____and become_____, resulting in_____. Flaccid paralysis results from _____MN legions
- shrink
- flabby
- muscle weakness
- Lower Motor neuron
Hyperreflexia refers to_____ and results from _____MN legions. It can look like _____ and _____ tendencies.
- overactive or overresponsive reflexes
- Upper motor neuron legions
- twitching
- spastic
when does the Babinski reflex occur? It is present in those with _____MN legions
- after the sole of the foot has been firmly stroked
- Upper motor neuron legions
Clonus, also described as leg jumping, is _____ and _____muscle contractions caused by lesions on the _ _ _.
- Involuntary
- rhythmic
- Upper Motor Neurons
What clinical sigs describe LMN diagnoses?
- Flaccid paralysis
- Muscle atrophy
- Fasciculations
- Fibrillations
- Hyporeflexia
Why does muscle atrophy occur in LMN lesions?
communication does not reach the muscles causing them to waste/thin away
Muscle atrophy means muscles are _____or loss of muscle _____
- wasting (thinning) away
- tissue
Fasciculations are_____ _____
muscle twitches
Fibrillation is the rapid ____/_____ of individual _____ fibers.
- twitching/contraction
- muscle
Hyporeflexia refers to _____being _____ responsive to _____.
- muscles
- less
- stimuli
Pain in hand comes from where?
Not from the hand, it may be referred pain
How can we(OT-OTA) treat if we don’t know where to treat?
By looking at myotomes, dermatomes, or performing other specialized tests
What is referred pain?
when pain is felt in one part of the body but is caused by injury to/in another part of the body.
back pain caused by an injured pancreas is an example of_____ _____
referred pain
An area innervated by SENSORY fibers of a particular spinal nerve is a _____
dermatome
Dermatomes often _____and have no exact _____
overlap, location
Dermatomes allow _____ of the ____cord and _____ damage
assessment, spinal, nerve
How do we assess person with a spinal cord injury?
dermatomes
set of muscles innervated by MOTOR fibers of a particular spinal nerve
myotome
Myotomes allow assessment of the _____ cord and nerve _____.
spinal, function
Spinal nerve C5 tests
- elbow ____
- Shoulder ___
flexion, ABDuction
Spinal nerve C6 tests wrist_____ & elbow _____
extension, flexion
Spinal nerve C7 tests
1) Elbow _____
2) Wrist _____
3) Finger _____
extension, flexion, extension
Spinal nerve C8 tests
1) Finger _____
2) Thumb _____ & _____
3) Finger ___ & ___
flexion, flexion & extension, ABDuction & ADDuction
Spinal nerve T1 tests
finger _____ & _____
ABDuction & ADDuction
How many plexi exist in the body? Name them.
4 1 - Cervical Plexus (C1-C4) 2- Brachial Plexus (C5-T1) 3- Lumbar Plexus (LA1-L4) 4- Sacral Plexus (L5-S3)
What roles do plexi play in the body?
- they add redundancy meaning, if 1 area is injured, another takes over
- communicate information to the brain about pain, temperature, and pressure.
Plexi communicate information about _____, _____, and _____ to the _____.
pain, temperature, pressure, brain.
Injuries ____ dermatomes but don’t _____get rid of the sensation.
alter, completely
allow assessment of the spinal cord and nerve DAMAGE
Dermatomes
allow assessment of the spinal cord and nerve FUNCTION
Myotomes
Postural faults can _____ the nerves. An example of this is: depressed shoulders stretching/tensioning of nerves through the brachial plexus causes distal paresthesias and/or_____
tension, pain
What can be done to correct/achieve desired posture?
- Strengthening exercises
- Stretching
- altering client’s environment
When assessing a client with pain, we start _____
proximal/ly
How can we restore proper positioning of the body?
a) _____ tight muscles
b) _____ long muscles
c) Identify _____ that relieve symptoms for work, ADL, IADL tasks
d) _____ tasks, positions, tools, environment to allow occupational performance without _____ or _____
e) Use _____ analysis to identify causative factors & what can be _____. i.e., Biomechanics for ADL/IADL. ergonomics
stretching, shorten, positions, modify, pain, symptoms, task, changed.
What are the 3 main nerves used for hand function?
- Median nerve
- Ulnar nerve
- Radial nerve
Ape hand results from injury of the _____ nerve
Median
Wrist drop results from _____ nerve injury
Radial
Claw hand is a result of the _____nerve
Ulnar
What is Ape hand?
inability to abduct or oppose the thumb
the biggest functional deficit of Ape hand is the
inability to oppose the thumb
What is claw hand?
condition of curved or bent fingers resulting in hand appearing claw-like
Describe wrist drop
inability to actively extend the hand at the wrist along with decreased finger extension
Which nerve is associated with wrist drop?
Remember “radial wrist”
Radial Nerve
Which nerve is associated with claw hand?
Remember “ulnar claw”
Ulnar Nerve
Which nerve is associated with ape hand?
Remember “median ape”
Median Nerve
What are the 3 main nerves responsible for hand function?
- Median nerve
- Ulnar nerve
- Radial nerve
The median nerve facilitates motor innervation of which hand muscles? L\_\_\_\_\_ O\_\_\_\_\_ A\_\_\_\_\_ F\_\_\_\_\_
Lumbricals 1&2
Opponens Pollicis
ABDuctor Pollicis Brevis
Flexor Pollicis Brevis
The Radial nerve facilitates motor innervation of which hand muscles?
W____ T____ and F____ Extensors
Ab____ Pollicis Longus
Sup___
Wrist, Thumb and Finger Extensors
Abductor Pollicis Longus
Supinator
The Radial nerve facilitates Sensory innervation of which hand muscles?
Dorsal __________
Dorsal D1-Radial 4 to PIP joint
The Medial nerve facilitates Sensory innervation of which hand muscles?
Volar __________
Volar D1 - Radial 4
The Ulnar nerve facilitates motor innervation of which hand muscles? FCU FDP Interossei ADD Pollicis FPB
Flexor Carpi Ulnaris Flexor Digitorum Profundus Interossei ADDuctor Pollicis Flexor Pollicis Brevis
The Ulnar nerve facilitates Sensory innervation of which hand muscles?
Volar__________ AND __________
Volar Ulnar D4-D5 & Ulnar palm