๐—ฃ๐—ง ๐—ฉ๐—ถ๐—ฏ๐—ฒ๐˜€ | ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ฐ๐—ฎ๐—น ๐—ง๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐˜†
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ุ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