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ุชุฌู…ูŠุนุฉ ุงู„ palpation โค๏ธ๐Ÿ‘€
๐Ÿ‘Š Palpation of Shoulder Muscles
1. Shoulder Flexion
๐Ÿ‘‰ Anterior Deltoid: Anterior aspect of the shoulder joint.
2. Shoulder Extension
๐Ÿ‘‰ Teres Major: Lower border of the axilla.
๐Ÿ‘‰ Latissimus Dorsi: Inferior angle of the scapula.
3. Shoulder Abduction
๐Ÿ‘‰ Middle Fiber of Deltoid: Lateral surface of the upper third of the arm.
4. Shoulder Horizontal Abduction
๐Ÿ‘‰ Posterior Fiber of Deltoid: Posterior aspect of the shoulder joint.
5. Shoulder Horizontal Adduction
๐Ÿ‘‰ Pectoralis Major: Anterior aspect of the upper arm.
6. Shoulder External Rotation
๐Ÿ‘‰ Teres Minor: Axillary border of the scapula.
๐Ÿ‘‰ Infraspinatus: Below the spine of the scapula.
7. Shoulder Internal Rotation
๐Ÿ‘‰ Subscapularis: Deep in the axilla near its insertion.
๐Ÿ‘‰ Latissimus Dorsi: Inferior angle of the scapula.
๐Ÿ‘‰ Pectoralis Major: Anterior aspect of the upper arm.

๐Ÿ‘Š Palpation of Scapular Muscles
1. Abduction and Upward Rotation
๐Ÿ‘‰ Serratus Anterior: Outer surface of the ribs.
2. Elevation
๐Ÿ‘‰ Upper Trapezius: Parallel to the cervical vertebrae near the insertion above the clavicle.
3. Adduction
๐Ÿ‘‰ Middle Trapezius: Between the root of the spine of the scapula and the vertebral column.
4. Adduction and Depression
๐Ÿ‘‰ Lower Trapezius: Between the last thoracic vertebra and the scapula.
5. Adduction and Downward Rotation (Rhomboids)
๐Ÿ‘‰ Between the vertebral border of the scapula and the lateral fiber of the lower trapezius.

๐Ÿ‘Š Palpation of Elbow Muscles
1. Elbow Flexion
๐Ÿ‘‰ Biceps Brachii: Antecubital space.
๐Ÿ‘‰ Brachioradialis: Bulk on the anterolateral aspect of the elbow.
2. Elbow Extension
๐Ÿ‘‰ Triceps Brachii: Posterior surface of the arm.
๐Ÿ‘‰ Anconeus: Posterior surface of the elbow.

๐Ÿ‘Š Palpation of Forearm Muscles
1. Forearm Supination
๐Ÿ‘‰ Biceps Brachii: Antecubital space.
๐Ÿ‘‰ Supinator: Radial side of the forearm (lateral).
2. Forearm Pronation
๐Ÿ‘‰ Pronator Teres: Upper third of the volar surface of the forearm, forming a diagonal line from the humeral condyle to the lateral border of the radius.

๐Ÿ‘Š Palpation of Thumb Muscles
1. Thumb Abduction
๐Ÿ‘‰ Abductor Pollicis Brevis: On the thenar eminence, lateral to the flexor pollicis brevis.
๐Ÿ‘‰ Abductor Pollicis Longus: Near the insertion point.
2. Thumb Adduction
๐Ÿ‘‰Adductor Pollicis:Between the first dorsal interosseous and the first metacarpal bone.

๐Ÿ‘Š Palpation of Wrist Muscles
1. Wrist Flexion
๐Ÿ‘‰ Flexor Carpi Ulnaris: Distal medial palmar surface.
๐Ÿ‘‰ Flexor Carpi Radialis: Distal lateral palmar surface.
2. Wrist Extension
๐Ÿ‘‰ Extensor Carpi Radialis: Distal lateral dorsal surface of the wrist in line with the second and third metacarpal bones.
๐Ÿ‘‰ Extensor Carpi Ulnaris: Medial dorsal surface of the wrist in line with the fifth metacarpal.

๐Ÿ‘Š Flex Proximal and Distal IPJ
1. Flexor digitorum superficialis
๐Ÿ‘‰ At wrist, under palmaris longus.
2. Flexor digitorum profundus
๐Ÿ‘‰ Palmar surface of middle phalanges.

๐Ÿ‘Š Fingers Abduction
๐Ÿ‘‰ Interosseous dorsales: Deep between metacarpal bones on the dorsum of the hand.

๐Ÿ‘Š Flexion MCPJ
๐Ÿ‘‰ Lumbricales
๐Ÿ‘‰ Dorsal and palmar interosseous
โœ“ Light pressure on the palmar surface of proximal phalanges.

๐Ÿ‘Š Extension MCPJ
๐Ÿ‘‰ Palpate tendon of finger extensors on the dorsum of the hand, passing over metacarpal bones.
โค1
ยซ ุฃุฌู‡ุฒุฉ ุงู„ู…ุญุงุถุฑุฉ ุงู„ุซุงู…ู†ุฉ ยป

๐Ÿ‘Š ุนุดุงู† ุฃุนู…ู„ muscle test ุนู†ุฏู‰ ุทุฑูŠู‚ุชูŠู†
๐Ÿ‘Š subjective
ุฏู‰ ุงู„ุซูŠุฑุงุจูŠุณุช ุงู„ู„ู‰ ุจูŠุนู…ู„ู‡ุง ูŠุนู†ู‰ ู…ุด ุจุชูƒูˆู† accurate ุจู†ุณุจุฉ ูƒุจูŠุฑุฉ ูˆุจู†ุณุชุฎุฏู… ููŠู‡ุง goniometer ุงู„ุนุงุฏู‰
๐Ÿ‘Š objective
ุฏู‰ ุจุชูƒูˆู† ุทุฑูŠู‚ู‡ ุฃูƒุซุฑ accurate ูˆุจู†ุณุชุฎุฏู… ููŠู‡ุง Electro goniometer

Electro goniometer
๐Ÿ‘Šmeasure dynamic ROM
( During activity)
๐Ÿ‘Šused at biomechanical and physical therapy research

Potentiometer
๐Ÿ‘Šattached with 2arms
ูˆุงุญุฏ ู…ู†ู‡ู… ู…ุชุตู„ ุจุงู„ proximal part ุจุชุงุน patient , ูˆุงู„ุชุงู†ู‰ ู…ุชุตู„ ุจุงู„ distal part ุจุชุงุน patient , ูˆุญุฑูƒุฉ ุงู„ 2arms ุจุชุนู…ู„ ุชุบูŠูŠุฑ ููŠ ู‚ูŠู…ุฉ resistance

โœ“ุงู„ electrogeniometer ู…ู…ูƒู† ูŠุชูƒูˆู† ู…ู† 3 potentiometer ูˆุฏู‡ ุจูŠุฎู„ูŠู‡ ูŠู‚ุฏุฑ ูŠู‚ูŠุณ ุงู„ุญุฑูƒุฉ ูู‰ 3 cardinal planes
๐Ÿ‘Šadvantage
ยปaccurate
ยปmeasure joint excursion ( total arc of motion)
ยปmeasure absolute limb position
๐Ÿ‘Šูˆู†ุงุฎุฏ ุจุงู„ู†ุง ุฃู†ู‡ accurate ู„ู„ joint excursion ุฃูƒุชุฑ ู…ู† absolute limb ุŒ ุจุณ ู‡ู…ุง ุงู„ุงุชู†ูŠู† accurate ๐Ÿฅด
๐Ÿ‘Šdisadvantage
ยปlarge time
ยป high cost
Plurimeter
๐Ÿ‘Šis an instrument used for measuring Rom of Joints.

๐Ÿ‘ŠConsist of Container with freely moving needle that's counterweighted to Keep It in vertical Position

๐Ÿ‘ŠThe housing is filled with special oil (at Container).
ูˆุฏู‡ ูุงูŠุฏุชู‡ ุฅูŠู‡ ุจู‚ู‰ ุŸุŸ
1-For lubricate bearing of axis

2-For dampens ossilication of needle indicator when instrument is rotated.

๐Ÿ‘ŠFace of dial with degree
1- Large
2-allow easy and Clear reading

๐Ÿ‘ŠHousing (containers) Can be rotated 360 degrees

๐Ÿ‘ŠAdvantage

ยปaccurate, Speed, ease

ยปeasier reading (Dial large-Clear)

ยปAllow measurement that weren't Possible with Convential geniometer,Such as:
Spine, height of rib hump,
Lumbar bulge in scillosis rotalion,
eversion and inversion of hindfront
๐Ÿ‘ˆุจูŠู‚ูŠุณ ุฃู…ุงูƒู† ู…ุด ุจู‚ุฏุฑ ุงู‚ูŠุณู‡ุง ุจุงู„ุฌู†ูŠูˆู…ูŠุชุฑ ุงู„ุนุงุฏู‰

๐Ÿ‘Šrotating dial ( zero position ) can be easily Set it in Vertical or horizontal Position allowing easy measurement.

๐Ÿ‘Šonly 2 Fingers are required to hold (Index-middle )
๐Ÿ‘Š3 fingers others use  to stabilize instrument on moving part of body, other hand Free for Stabilization of body or guidance of motion.

๐Ÿ‘ŠAPPly in vertical Position

๐Ÿ‘ŠBase of device
>>held Steadily of moving Part. >>Substitute for convential Stationary and movable arms
ุงู†ุง ุนุงุฑู ุงู† ุงู„ู…ุงุฏุฉ ุตุนุจุฉ ุจุณ ู…ุด ู„ุฏุฑุฌุฉ ุชุญุทู„ูŠ ุฃุณุจุงู†ู‰ ูู‰ ุงู„ู…ุญุงุถุฑุฉ ๐Ÿ˜‚๐Ÿ˜‚
๐Ÿคฃ10๐Ÿ˜3
ูˆุฃูุถู„ 3 ุฃูŠุงู… ุชุตู…ู‡ู… ููŠ ุงู„ุดู‡ุฑ ู‡ู…ุง ุงู„ุฃูŠุงู… ุงู„ุจููŠุถ..
ูˆุฏูˆู„ ุงู„ู„ูŠ ู‡ู…ุง ุฃูŠุงู… 13 ูˆ14 ูˆ15 ู…ู† ุงู„ุดู‡ุฑ ุงู„ู‡ุฌุฑูŠ

ูˆุฏูˆู„ ุจุฑุถูˆ ุงู„ู„ูŠ ู‡ูŠุจุฏุกูˆุง ุจูƒุฑุฉ ุจุฅุฐู† ุงู„ู„ู‡ุŒ ูˆุบูŠุฑ ูƒุฏู‡ ูƒู…ุงู† ุจูƒุฑุฉ ุงู„ุงุชู†ูŠู†ุŒ ูˆุตูŠุงู… ูŠูˆู… ุงู„ุงุซู†ูŠู† ุณู†ุฉ ุนู† ุงู„ู†ุจูŠ ุตู„ู‰ ุงู„ู„ู‡ ุนู„ูŠู‡ ูˆุณู„ู…

ูุฃู†ุช ุงู†ูˆูŠ ุงู„ุตูŠุงู… ูˆู…ุชุถูŠุนุด ุฃุฌุฑ ุงู„ุตูŠุงู… ููŠ ุงู„ุฃูŠุงู… ุงู„ู…ุจุงุฑูƒุฉ ุฏูŠุŒ ูˆุญุชู‰ ุงู„ูŠูˆู… ู‚ุตูŠุฑ ูˆุงู„ุฌูˆ ุญู„ูˆ ู„ู„ุตูŠุงู… ูˆู…ุด ุญุฑ ูู‡ูŠุจู‚ู‰ ุตูŠุงู… ุณู‡ู„ ุจุฅุฐู† ุงู„ู„ู‡ุŒ ูู…ุชุถูŠุนูˆุด ูˆูŠู„ุง ู†ุตูˆู…โค๏ธ
โค20๐Ÿ‘1๐Ÿฅฐ1