Active movement refers to voluntary movement performed with one's own strength or energy. Assisted exercise involves applying an external force to help compensate for muscle deficiencies and ensure maximum effort from the weakened muscles. The principles of assisted exercise include applying assistance in the direction of muscle action, starting from a position of minimal tension in antagonistic muscles, and decreasing assistance as muscle power increases. The goal is for the patient to achieve controlled active movement without assistance over time through strengthening and retraining coordination.
An Introduction To Exercise Therapy Unit !RinkuYadav46
This Power Point Presentation is an Basic Introduction to Exercise Therapy Equipment's used in Physical Therapy Departments for Rehabilitation Purposes.
suspension therapy in details with the principles, indications, benefits, advantages and disadvantages, materials required for performing activities using suspension techniques.
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
A chronicle on muscle strengthening:
MMT is a procedure for the evaluation of strength of individual
muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM.
An Introduction To Exercise Therapy Unit !RinkuYadav46
This Power Point Presentation is an Basic Introduction to Exercise Therapy Equipment's used in Physical Therapy Departments for Rehabilitation Purposes.
suspension therapy in details with the principles, indications, benefits, advantages and disadvantages, materials required for performing activities using suspension techniques.
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
A chronicle on muscle strengthening:
MMT is a procedure for the evaluation of strength of individual
muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM.
This PPT contains a detailed explanation about resisted exercises, different types of exercise, indications & contraindications, manual & mechanical techniques.
;Passive movements are those which are performed by therapist. It is also called Passive Range of motion (PROM). It is divide into Five types .Also passive movements can be done by mechanically.
Strengthening in upper motor neuron lesions is an important part of rehabilitation of the neurological disorders. Your understanding of strengthening in UMN lesions will be clarified by this presentation, which explains how strengthening in musculoskeletal and neurological illnesses differs.
Your body is a segmented, or jointed, system designed for potentially powerful and efficient movement. Coordinated
and efficient movements require a give and take between mobility and stability of the involved joints, as well as the
surrounding muscles, tendons, and ligaments. These components, together with muscular fitness, are necessary to achieve functional movement, which is integral in performance- and sport-related skills.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
1. ACTIVE MOVEMENT –
ASSISTED EXERCISE
Prof. Dr. M. Rajesh, PT, M.P.T(cardio), B.C.R.C
TRINITY MISSION AND MEDICAL FOUNDATION
MADURAI
2. INTRODUCTION
Active exercise or active movement is a term commonly used by
physical therapy, rehabilitation and fitness centres. ‘Active
movement’ is that which an individual does voluntary
movement, one’s own strength or energy. Active exercise help
keep joints flexible, maintain good blood flow to the exercised
joints and may help prevent blood clots. A health care
practitioner may assign active exercises after an injury or in
connection with medications and other therapies to help
manage chronic pain.
4. CLASSIFICATION
Free exercise – the working muscles are subject only to the
forces of gravity acting upon the part moved or stabilized.
Assister exercise – when muscle strength or co-ordination is
inadequate to perform a movement an external force is applied
to compensate for the deficiency.
Assisted-resisted exercise – muscles may be strong enough to
work against resistance in part of the range and not in others.
This type of exercise ensures that the external forces applied
are adapted in every part of the range to the abilities of the
muscles.
Resisted exercise – the forces of resistance offered to the action
of the working muscles are artificially and systematically
increased to develop the power endurance of the muscles.
6. PRINCIPLES OF ASSISTED
EXERCISE
When the force exerted on one of the body levers by muscular
action is sufficient for the production or control of movement,
an external force may be added to augment it. This external
force must be applied in the direction of the muscle action but
not necessarily aat the same point, as a mechanical advantage
can be gained by increasing the leverage. The magnitude of this
assisting force must be sufficient only to augment the muscular
action and must not be allowed to act as a substitiue for it, for if
it does a passive movement results. As the power of the muscle
increases, the assistance given must decrease proportionally.
7. TECHNIQUE
The general plan is to ensure that the inefficient muscles exert
their maximum effort to produce movement under conditions
designed to facilitate their action. The assisting force is applied
only to augment this maximum effort and not to act as a
substitute for it
8. START POSITION
Stability for the body as a whole ensures that the patient’s
whole attention is concentrated on the pattern of movement
and the effort required to perform it
9. PATTERN OF MOVMENT
This must be well known and understood by the patient. It can
be taught by passive movement or in the case of limb
movements by active movement of the contralateral limb.
10. FIXATION
Adequate fixation of the bone of origin of the prime movers
improves their efficiency. Whenever possible this fixation should
be achieved by active means in order that the weak muscles
may receive reinforcement from of those muscles with which
they normally associate for the production of voluntary
movement. When there is a tendency for movement to be
transferred to neighbouring joints to compensate for the
inefficiency of the weak muscles, movement in these joint must
be controlled or ‘held back’ by manual pressure or other means
of fixation, so that the movement is provided at the required
joint.
11. SUPPORT
The part of the body moved is supported throughout to reduce
the load on the weakened muscles by counterbalancing the
effects of the force of gravity. This support may be provided by
the physiotherapist’s hands, suspension slings, polished
horizontal surface such as re-education board, the buoyancy of
water or ball-bearing skates. Advantage of manual support is
that it can be effective in whichever plane is most suitable for
the movement and the assistance adjusted to what is required
in each successive part of the range.
15. ANTAGONISTIC MUSCLES
Every effort must be made to reduce tension in the muscles
which are antagonistic to the movement. The starting position
for the movement should be chosen to ensure that tension in
these muscles is minimal, e.g. a position in which the knee is
flexed is suitable for assisted dorsiflexion of the foot.
16. TRACTION
Preliminaty stretching of the weak muscles to elicit the myotatic
(stretch) reflex provides a powerful stimulus to contraction.
Other means of facilitating the activity of the muscles may also
be used.
17. THE ASSISTING FORCE
The force used to augment the action of the muscles is applied
in the direction of the movement, preferably by means of the
physiotherapist’s hands, which should be placed in such in way
that they rest on the surface of the patient’ skin which is in the
direction of the movement. In some cases the patient’s own
hands may be substituted for those of the physiotherapist,
provided the thoroughly understands the procedure.
18. The range of movement is as full as possible, but as the power
of muscles varies in different parts of their range more
assistance will be necessary in some parts than in others. In
general, most assistance is required to overcome the initial
inertia at the beginning of movement and at the end to
complete the range. The assistance provided by mechanical
means varies in different parts of the range according to
definite physical laws and therefore it cannot be adjusted to
meet the precise requirements of the muscles, with the result
that their maximum effort is rarely elicited and all too frequently
the movement becomes passive in character.
19. THE CHARACTER OF THE
MOVEMENT
The character of the movement - the movement is essentially
smooth as this is characteristic of efficient voluntary movement
and it is performed in response to a forceful command which
demands the patient’s full attention. The speed of movement
depends on the muscles involved as each has its own optimum
rate of contraction which varies according to its structure and
the load. Generally speaking fusiform muscles contract rapidly
and multipennate ones take longer. Very weak muscles cannot
be expected to produced a sustained contraction and therefore
assistance is giver ‘in step’ with the contraction which may only
be evident as a flicker in the early stages but as power
increases the speed of the movement can be decreased.
20. REPETITION
The number of times the movement is repeated depends on
whether it is considered advisable or injurious to fatigue the
muscles in question; therefore the condition which has caused
the weakness must be known and understood.
21. CO-OPERATION OF THE
PATIENT
The co-operation of the patient is essential during this type of
exercise, the aim being for him to achieve controlled active
movement without assistance. Concentrated effort is needed to
encourage the muscles to do all they can to help the movement,
so praise, well earned, should not be stinted. The ability to see
results and to feel what is happening is a great help to the
patient so he can be encouraged to palpate his muscles as they
contract.
22. EFFECTS AND USED OF
ASSISTED EXERCISE
(A)
The working muscles co-operate in the production of movement
which they are incapable of achieving unaided. Provided the
maximum effort of which they are capable is demanded from
the weak muscles and the assisting force utilised is only
complementary, these muscles will gain in strength and
hypertrophy.
The type of exercise may be used in the early stages of
neuromuscular re-education.
23. (B)
The memory of the pattern of co-ordinated movement is
stimulated by the correct performance of a movement which the
patient is unable to achieve without assistance. By frequent
repetition of the correct pattern with decreasing assistance, the
patient may re-learn to control the movement himself as the
conduction of impulses is facilitated in the neuromuscular
pathways.
Assisted exercise may therefore be helpful in training co-
ordination.
24. (C)
Confidence in the ability to move is established when the
Patient observes the movement and the fact that his muscles
co-operate in producing it. The knowledge that the limb is
supported throughout and that the movement attempted will be
achieved encourages the patient to make a maximum efforts.
When movement must be maintained in spite of pain in joints
these exercises are very useful, e.g. in Rheumatoid arthritis.
25. (D)
The rang of effective joint movement may be increased by
assisted exercise; however, as both range and control are often
dependent on the efficiency of the muscles working over that
joint, a technique which utilize resisted exercise for these
muscles for these muscles is usually preferable.
26. THANK YOU
Prof. Dr. M. RAJESH, PT,M.P.T(cardio),B.C.R.C
TRINITY MISSIOIN AND MEDICAL FOUNDATION
MADURAI.
Visit:
www.skpfc.wordpress.com