kinesiology hand out

7/28/2019 Kinesiology Hand Out

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Exercise & Flexibility in the Upper Quarter


2/11

ReviewShoulder

Microtrauma and its predisposing factors Adhesive capsulitisMuscle imbalanceBehavioral issuesImpingement syndrome


3/11

ReviewIntrinsic/Extrinsic Factors

Sub acromial space withchange in vascularity, AC joint,anatomic impairmentsImpaired posture & mvmtduring ADL/IADL

Vicious Cycle

Soft TissueMicrotrauma

TissueDegeneration

ImpairedFunction


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The ElbowMost movement of the UE involves the elbow

Elbow and radioulnar jointClose anatomical relationship

BonesScapulaHumerus

UlnaRadius


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The Elbow JointsHinge type joint; allows flexion andextensionHumeroulnar (trochlea of humerus)and humeroradial (capitulum of radius) articulations

Enclosed in a single joint capsuleROM

O degrees of extension145 150 degrees of flexion

Radioulnar is a pivot joint; allowssupination and pronationROM

Neutral to 80/90 degrees of supinationNeutral to 70 to 90 degrees of pronation


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The ElbowMuscles

FlexorsBiceps brachii, brachialis,brachioradialis

ExtensorsTriceps brachii andanconeus


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The ElbowThe LigamentsUlnar collateral ligament (located on the medial side of the joint)

Extending from the medial epicondyle of the humerus to theproximal portion of the ulna.Prevents excessive abduction of the elbow joint.

Radial collateral ligament (located on the lateral side of the joint)

Extending from the lateral epicondyle of the humerus to the head of the radius.Prevents excessive adduction of the elbow joint.

Annular ligament from the trochlear notch of the ulnafunctions to keep radial head in touch with radial notch inulna


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FlexibilityRefers to the ability of your joints to move through afull range of motion.

Muscles allow for full movementBetter postureLess muscle tension and sorenessReduced risk of injury More relaxation for the mind and body


9/11

FlexibilityFlexion

Palm up, elbow down, bend elbow then support at wristto increase stretch

ExtensionPalm up, elbow down over edge of table, gently extend

Pronation/Supination

Elbow at side held at 90, palm up, turn palm down thenapply additional rotation


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Return DemoFunctional strengtheningBiceps (curls, chinning)Triceps (dips, push ups, bench

press, triceps press)

PalpationMedial epicondyle

Olecranon processOlecranon fossaLateral epicondyleRadial head


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Follow-upMore to come

Radioulnar joint

Hand/wristFocusReview muscles for elbowStudy radioulnar joint

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