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.
When deciding what assistive device is best for each client, there are many factors that need to be considered in order to have the best "fit." It is important to consider the physical condition of the client, including their disability, weight bearing status, strength, and balance. For example, if the client is not allowed to put any weight through one leg, you would not want to suggest they receive a cane. Additionally, it is important to fit the assistive device to your client to ensure safety and proper body mechanics. If the client's crutches are too short and not adjusted to match their landmarks we use to fit, then they will likely have poor body mechanics. If these factors are not considered, it can be detrimental to your client and cause an increase in risk for falls or further injury. To properly fit a cane or rolling walker to your client, the hand grip should be at the level of their greater trochanter to allow their elbow to be flexed 20-30 de...
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