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Lecture 6.9: Skeletal System
46

Pain and stiffness in muscular and/or skeletal systems Arthritis—all rheumatoid diseases affecting joints Damage to articular cartilage Results.

Jan 11, 2016

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Page 1: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Lecture 6.9: Skeletal System

Page 2: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Pain and stiffness in muscular and/or skeletal systems

Arthritis—all rheumatoid diseases affecting joints

Damage to articular cartilage Results from: Bacterial/Viral infection Injury to Joint Metabolic problems Severe physical stress

Rheumatism

Page 3: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Usually 60+ Wear and tear of joints Genetic 25% of females and 15% of men in US have

this

Osteoarthritis

Page 4: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.
Page 5: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Inflammatory disease 2.5% of US Immune system attacks the joints

Rheumatoid Arthritis

Page 6: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.
Page 7: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Exercise Physical Therapy Aspirin All slow the disease

Prevention Measures

Page 8: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

FlexionAnterior/PosteriorReduces angle between two objects

Angular Motion

Page 9: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.32a

Page 10: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Extension Increase angle between two objects Head looking straight ahead

Angular cont…

Page 11: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.32a

Page 12: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Hyperextension Extension past anatomical position Ex: Looking at ceiling

Angular cont…

Page 13: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.32a

Page 14: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Abduction Away from midline Adduction Toward the midline

Angular cont…

Page 15: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.32b

Page 16: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.32c

Page 17: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Circumduction Arm Circles

Angular cont…

Page 18: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.32d

Page 19: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Turn around longitudinal axis Ex: “no” motion

Rotation

Page 20: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.33

Page 21: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Palm facing front to palm facing backward

Pronation

Page 22: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.33b

Page 23: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Palm turned forward

Supination

Page 24: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.33b

Page 25: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Inversion Turn sole inward Eversion Turn sole outward

Special Movements

Page 26: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.34

Page 27: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Dorsiflexion Lift toes upward Plantar flexion Point toes

Special cont…

Page 28: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.34

Page 29: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Opposition Move thumb across palm to other fingers

Special cont…

Page 30: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.34

Page 31: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Protraction Move body part anteriorly Retraction Opposite of protraction

Special cont…

Page 32: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.34

Page 33: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Elevation Move superiorly Depression Move inferiorly

Special cont…

Page 34: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.34

Page 35: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Gliding Bones slide over one another Movement slight Carpal and tarsal bones Between vertebrae

Synovial Joints

Page 36: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.35a

Page 37: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Hinge Joints Movement in one plane Occipital and Atlas (“yes”) Elbow, Knee

Synovial cont…

Page 38: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.35b

Page 39: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Pivot Joints Rotation only Atlas and Axis (“no”)

Synovial cont…

Page 40: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.35c

Page 41: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Ellipsoidal (Condyloid) Joint Move in two planes Connect fingers to carpals

Synovial cont…

Page 42: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.35d

Page 43: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Saddle Joints Thumb

Synovial cont…

Page 44: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.35e

Page 45: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Ball and Socket Joints Can perform all movements Shoulder, Hip

Synovial cont…

Page 46: Pain and stiffness in muscular and/or skeletal systems  Arthritis—all rheumatoid diseases affecting joints  Damage to articular cartilage  Results.

Figure 6.35f