Department of Occupational Therapy, Bangladesh Health Professions Institute

2. OCCUPATIONAL
PERFORMANCE COMPONENT
(NEUROMUSCULOSKELETAL)
Shamima Akter
B. Sc (Honours) in Occupational Therapy
& M. Sc in Rehabilitation Science
Assistant Professor,
Department of Occupational Therapy
Bangladesh Health Professions Institute (BHPI)
Centre for the Rehabilitation of the Paralysed (CRP)
Chapain, Savar

3. Neuromusculoskeletal: The interactions between nerves,
muscles and the skeleton. In total 8 components human
usually have:
1. Reflex
2. Range of motion
3. Muscle Tone
4. Muscle Strength
5. Endurance
6. Postural control
7. Postural alignment
8. Soft Tissue Integrity
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NEUROMUSCULOSKELETAL COMPONENT

4. REFLEX
Eliciting an involuntary muscle response by
sensory input.
 Throwing something to someone
 Catching a ball
 Playing tennis
 Closing eyes when blowing wind
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6. RANGE OF MOTION
Moving a body part through an arc (min-max
motion).
Taking something from top shelf by right hand.
Keep the pen on the table using hand.
Walking by Both legs.
Brushing teeth by hand.
Combing hair.
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8. MUSCLE TONE
Demonstrating a degree of tension or resistance in
a muscle at rest and in response to stretch.
Grip a pen.
Grip a book.
Grasp a glass.
Cutting a pencil by cutter.
Manipulate something by hand.
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9. STRENGTH
Demonstrating a degree of muscle power when
movement is resisted. Eg. When picking up heavy
objects or moving against gravity.
Bathing in a bathtub
Standing on line to pay fees
Purchasing grocery items from supermarket
Playing piano
Brushing teeth while standing in front of
basin
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10. ENDURANCE
Sustaining cardiac (heart), pulmonary (lungs),
and musculoskeletal exertion (functioning) over
a length of time.
Bathing in a bathtub
Standing on line to pay fees
Purchasing grocery items from
supermarket
Playing piano
Brushing teeth while standing in front of
basin TS1_Shamima_2018

11. POSTURAL CONTROL
Using righting and equilibrium adjustments to
maintain balance during functional movements.
Bathing in a bathtub
Standing on line to pay fees
Purchasing grocery items from supermarket
Playing piano
Brushing teeth while standing in front of
basin
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13. POSTURAL ALIGNMENT
Maintaining biomechanical integrity among body
parts.
Bathing in a bathtub
Standing on line to pay fees
Purchasing grocery items from supermarket
Playing piano
Brushing teeth while standing in front of
basin
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14. Postural Alignment
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A. Sitting alignment B. Standing Alignment
Head balanced on level
shoulders
Upper body erect
Shoulders over hips
Feet and knees a few cm
apart
Head balanced on level
shoulders
Upper body erect,
shoulders over hip
Hips in front of ankles
Feet a few cm (10 cm)
apart

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16. SOFT TISSUE INTEGRITY
Maintaining anatomical and physiological
condition of interstitial tissue and skin.
Maintaining health maintenance
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18. Does it make sense?
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More you ask, more you learn!
Have a great preparation for
examination

19. Possible Examination Question
• How many neuromusculoskeletal component are
needed to comply dressing activity- describe.
• What do you understand by soft tissue integrity-
describe with example?