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ุงู„ุณู„ุงู… ุนู„ูŠูƒู… ูˆุฑุญู…ุฉ ุงู„ู„ู‡ ูˆุจุฑูƒุงุชู‡ ๐Ÿ’—
ุนุณุงูƒู… ุจุฎูŠุฑ ูŠุง ุฏูƒุงุชุฑุชู†ุงโšก

ู†ูƒุฑุฑ ู…ุฑุฉ ูˆุงุชู†ูŠู† ูˆุชู„ุงุชุฉ ูˆุนุดุฑุฉ ... ุฅุญู†ุง ู…ุด ุจู†ุนู…ู„ ุฅุนู„ุงู†ุงุช ูˆู„ุง ุจู†ู†ุฒู„ ู„ุญุฏ ุฃูŠู‹ุง ูƒุงู† ู…ูŠู† ุฃูŠ ุจูˆุณุช ุฃูˆ ุฃูŠ ุญุงุฌุฉ ุนู„ู‰ ู…ุฒุงุฌู‡

ู„ูˆ ุญุงุฌุฉ ุฅุญู†ุง ุดุงูŠููŠู†ู‡ุง ู…ููŠุฏุฉ ูˆู‡ุชุฎุฏู… ุฒู…ุงูŠู„ู†ุง ุจู†ู†ุฒู„ู‡ุง ุฃูŠุงู‹ ูƒุงู† ู…ุตุฏุฑู‡ุง ุงูŠ ุจุฑุถูˆ

ูู…ุนู„ุด ุฅุญู†ุง ุฅุณููŠู† ู„ูŠูƒู… ู…ุญุฏุด ูŠุจุนุช ุนู„ู‰ ุงู„ุจูˆุช ูŠู‚ูˆู„ ู†ุฒู„ูˆุง ู„ูŠู†ูƒ ู‚ู†ุงุชูŠ ... ู†ุฒู„ูˆุง ู„ูŠู†ูƒ ุงู„ูŠูˆุชูˆุจ ุจุชุงุนูŠ ุนู„ุดุงู† ุฅุญู†ุง ู…ุด ุดุฑูƒุฉ ุงุนู„ุงู†ุงุช ูˆูƒูุชุฑ ุงู„ู…ุณุฏุฌุงุช ุงู„ู„ูŠ ุฒูŠ ุฏูŠ ุจุชุฎู„ูŠ ุงู„ู‚ู†ุงุฉ ุชูู‚ุฏ ู‡ุฏูู‡ุง ุงู„ุฃุณุงุณูŠ

ุนุงุฑูุฉ ุฅู† ุงู„ุนุฏุฏ ูƒุจูŠุฑ ูˆุจู†ุฎุงุทุจ ุฃุบู„ุจ ุทู„ุจุฉ ุงู„ุนู„ุงุฌ ุงู„ุทุจูŠุนูŠ ุนู„ู‰ ู…ุณุชูˆู‰ ุงู„ุฌู…ู‡ูˆุฑูŠุฉ ุจุณ ุฏู‡ ู…ุด ู…ุจุฑุฑ ุฅู†ู†ุง ู†ูุถู„ ู†ุนู…ู„ ุฅุนู„ุงู†ุงุช ุนู„ู‰ ุงู„ูุงุถูŠ ูˆุงู„ู…ู„ูŠุงู†

ุฎู„ุงุตุฉ ุงู„ูƒู„ุงู… .... ู‡ุฏู ุงู„ู‚ู†ุงุฉ = ุฃุณุฆู„ุฉ/ุชู„ุฎูŠุตุงุช/ุฏุงุชุง / ู†ุตุงุฆุญ/ ุฃูŠ ุญุงุฌุฉ ุชุฎุฏู… ุฒู…ุงูŠู„ู†ุง ููŠ ุฏุฑุงุณุชู‡ู… ุฃูˆ ูŠุชุทูˆุฑูˆุง
ุŒ ูˆุจุฅุฐู† ุงู„ู„ู‡ ู…ููŠุด ุญุงุฌุฉ ู‡ุชู†ุฒู„ ุจุนูŠุฏ ุนู† ุงู„ู‡ุฏู ุฏู‡

ุฏูู…ุชู… ุจุฎูŠุฑ ูˆุฃุชู…ู†ู‰ ูŠูƒูˆู† ูƒู„ุงู…ูŠ ู…ุด ู…ุฒุนู„ ุญุฏ ู…ู†ูƒู… ุจุณ ูˆุฌุจ ุงู„ุชู†ุจูŠู‡ ู„ุฃู† ุงู„ู…ูˆุถูˆุน ุฒุงุฏ ุนู† ุญุฏู‡ ุฃูˆูŠ๐Ÿ’—

+ ุขุฎุฑ ุญุงุฌุฉ ู„ูˆ ุญุฏ ุนุงู…ู„ ุชู„ุฎูŠุต ุฃูˆ ุนุงู…ู„ ุฃุณุฆู„ุฉ ูˆุญุงุจุจ ูŠุณุงุนุฏ ุจูŠู‡ุง ูŠุจุนุชู‡ุง ุน ุงู„ุจูˆุช ูˆุฅุญู†ุง ู‡ู†ุฌุฏูˆู„ู‡ุง ููŠ ูŠูˆู… ุงู„ู…ุงุฏุฉ ุฏูŠ ...
โค18
ุงู„ู„ูŠ ููŠ ุงู„ุตูŠู†ูŠุฉ.. ุฏูŠ ุดูˆูŠุฉ Clinical notes ู…ู‡ู…ูŠู† ู„ุงู…ุชุญุงู† ุจูƒุฑุฉ.

#mstest_upper
Hip in flexion position<<<< shoulder in extension position
Hip in extension position<<<<
shoulder in flextion position
โ€ขโ”โ•โ•โ•โ•โ”โ€ขเฎœ๐Ÿ’Žเฎœโ€ขโ”โ•โ•โ•โ•โ”โ€ข
In IC , hip is flexed so shoulder extension is 8 degree

In TS ,hip is extended so shoulder flexion is 24 degrees
๐Ÿ”นHip joint ROM in sagittal plane :
There are two peaks of hip motion
A-hip flexion :
1-IC, MSw : 30
2-LR, ISw, TSw : 20
B-hip extension :
1-MSt : progressive until angle of joint is Zero.
2-TSt : (10-20).
3-PSw : Zero.
๐Ÿ”นHip joint in frontal plane :
1-IC hip adduction 10
2-ISw hip abduction 5
๐Ÿ”นHip joint in transverse plane :
Medial and lateral rotation ranged from (8-15).
๐Ÿ”ธKnee joint ROM in :
๐Ÿ”ธsagittal plane :
There are four peaks of knee motion (2 flexion and 2 extension )
A-knee flexion :
1- LR : (15-20)
2-MSw : (60-65)
3-IC : 15
4- MSt : 5
5-PSw : (35-40)
6-ISw : 60
B-knee extension :
TSt, TSw : Zero
๐Ÿ”ธfrontal plane :
Some degree of abduction and adduction.
๐Ÿ”ธTransverse plane :
Some degress of medial and lateral rotation.
๐Ÿ”˜Pathological gait

1โƒฃ Contracture is the most common cause of deformity in pathological gait.

๐Ÿ”ธPlanter flexion contracture :

1-Stance : blocks progression of limb over the supporting limb

2-Swing : inhibits floor clearance

๐Ÿ”นKnee flexion contracture :

1-Blocks progression during stance.

2-increase activity of quadriceps in order to stabilize the knee.

๐Ÿ”ธHip flexion contracture :

1- To place COG over the supporting foot, trunk must lean forward.

2-Strain on the back muscles and hip flexors.
โค1๐Ÿ‘1
2โƒฃ Impaired motor control (Spastisty) :

1-Hip flexor Spastisty :
Restricts progression in mid and terminal stance.

2-Sustained quadriceps action :
Inhibits pre_swing preparation for limb Advancement.

3โƒฃ Sensory loss : if it is

1- Moderate : it causes slow walking.

2- Greater : may ibstruct walking.
โค2
๐—ฃ๐—ง ๐—ฉ๐—ถ๐—ฏ๐—ฒ๐˜€ | ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ฐ๐—ฎ๐—น ๐—ง๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐˜†
Hip in flexion position<<<< shoulder in extension position Hip in extension position<<<< shoulder in flextion position โ€ขโ”โ•โ•โ•โ•โ”โ€ขเฎœ๐Ÿ’Žเฎœโ€ขโ”โ•โ•โ•โ•โ”โ€ข In IC , hip is flexed so shoulder extension is 8 degree In TS ,hip is extended so shoulder flexion is 24 degrees
ููŠ ุงู„ู…ุณุฏุฌุงุช ุฏูŠ ุชุฌู…ูŠุนุงุช ุฃู‡ู… ุงู„ู†ู‘ูู‚ุงุท ุงู„ู…ู‡ู…ุฉ ูู‰ ุงู„ู€ Gait๐Ÿšถ๐Ÿป.

ุญูุธู‡ุง ูˆูู‡ู…ู‡ุง ู‡ูŠุณุงุนุฏูƒ ุชุฑุงุฌุน ุฃุณุฑุน ูˆุชุซุจุช ุงู„ู…ุนู„ูˆู…ุฉ ุฃูƒุชุฑุŒ ูˆู…ุชู†ุณูˆุด ุชุญุชูุธูˆุง ุจูŠู‡ู… ู„ู„ู…ุฑุงุฌุนุฉ ูˆู‚ุช ุงู„ุญุงุฌุฉ! ๐Ÿ‘€๐Ÿ“

#Biomechanics #gait