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Showing posts from April, 2019

Health Promotion

Professor Flick brought to light many important concepts and deepened my understanding on the importance of health promotion. As future occupational therapy practitioners, we must educate and teach those we work with about health. Social determinants of a person's health include: education, food, income, peace, shelter, social injustice and equity, stable ecosystem, and sustainable resources. If we are able to impact one or more of these areas in a person's life, it can greatly impact their health in a positive way. Additionally, she discussed how important it is to check for client understanding each session. It is not always outwardly obvious if a client is not able to read, so it is important to determine this and make sure they are aware of what is going on. Professor Flick discussed a study that evaluated readmission rates in hospitals. Occupational therapy proved to be the only service that positively impacted and reduced these rates. I believe that is because occupatio

Shoulder / Scapulohumeral Rhythm

Scapulohumeral Rhythm refers to the relationship of the humerus and scapula during upper extremity movements.  The clinical relevance of this topic is to be aware that to obtain the full 180 degrees of motion, there must be a synchronized movement between the scapulothoracic and glenohumeral joint. There is a 2:1 ratio of these two joints. For every 2 degrees the humerus moves at the glenohumeral joint, the scapula moves 1 degree at the scapulothoracic joint. When the shoulder joint moves the full 180 degrees, the humerus moves 120 degrees and the scapula moves 60 degrees. Both joints contribute to the overall motion needed to complete full shoulder range of motion.  The shoulder joint has the greatest mobility of any joints in the body, so the muscles and ligaments that are a part of the joint are essential for maintaining stability. Scapulohumeral Rhythm allows for optimal length-tension relationships to prevent active insufficiency at the glenohumeral joint. The scapula is a stab

Test Positioning

It is important to palpate bony landmarks when measuring ROM to place the axis of the goniometer in the proper position and to point the arms of goniometer towards the proper bony landmarks, too. By placing the goniometer on the bony landmark, it increases interrater and intrarater reliability. If two therapists were to measure ROM on a client, it is important that both perform the measure in the same way, using the same landmarks to ensure that the measurement is the most accurate.  Additionally, it is important to position the client in the proper position to measure the joint. If this is not done, the client’s full available range of motion may not be recorded or measured because it could not be obtained in that specific position. For example, when measuring knee extension, a towel should be placed under the client’s ankle to allow for the full extension to be obtained. If the initial therapist performs the measurement with the towel under the ankle, but the second therapist do

Universal Design and Au-Some Swimmers

Universal design is something that people without disabilities take for granted on a daily basis. It is very important for us to consider though to help those around us with disabilities be able to do things independently to the fullest. Everyone benefits from universal design, with or without disabilities. Michael Nesmith stated in his TedTalk, “Disability drives innovation. The existence of disability forces you to come up with new solutions, it does not impair you.” He goes on to say that everyone has a disability, they are just displayed in different forms or for different lengths of time. I chose to listen to the podcast “Au-some Swimmers” on swim lessons for kids with autism. The occupational therapists had a couple main objectives when designing this program: to see the needs of the sites and lifeguards, to teach the lifeguards how to communicate with kids on the spectrum, and to increase the general knowledge about Autism Spectrum Disorder (ASD). By educating the lifegua

Biomechanics Blog Post #1

Drinking plenty of water is part of my daily routine. The starting position is with my arm straight with my elbow extended and ending with elbow flexion to bring the cup to my mouth. For the elbow joint, the plane of motion is sagittal plane and the axis of rotation is frontal axis . For the shoulder joint, the plane of motion is the sagittal plane and the axis of rotation is the frontal axis.  For the elbow joint, the osteokinematic movement is flexion. When I bring the glass of water to my mouth, I have to flex at the elbow joint to do so. The angle between my humerus and radius decreases.  The arthrokinematic movement at the elbow joint is rolling and  gliding. The more stable humerus rolls and glides on the less stable ulna in the same direction to produce the movement.  The prime movers to bring a glass of water to my mouth are the biceps brachii,  brachioradialis, and brachialis. These three muscles produce a concentric contraction in order to flex the elbow joint.

Logan and I on our first day of OT school.

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