Goniometry refers to the precise measurement of joint angles using instruments such as a universal goniometer. Goniometric data is used to determine impairment, establish diagnoses, develop treatment plans, and evaluate progress. Joint motion includes arthrokinematics (gliding and spinning of joint surfaces) and osteokinematics (bone movements). Range of motion is measured in three planes (sagittal, frontal, transverse) using instruments properly aligned with bony landmarks. Both active and passive range of motion are measured to evaluate joint integrity and flexibility. Restricted or increased range of motion can indicate conditions like capsular patterns of hypomobility or generalized hypermobility.
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.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
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.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
this PPT contain detailed kinetics & kinematics of ankle joint & all joints of foot complex, muscles of ankle & foot complex, plantar arches & weight distribution during standing.
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.
GONIOMETRY FOR UPPER LIMB DISCUSSES IN CONCISE THE DIFFERENT TYPES OF GONIOMETERS AVAILABLE FOR MEASURING VARIOUS JOINT ROM, PRINCIPLES OF GONIOMETRY AND PLACEMENT OF GONIOMETER FOR MEASURING RANGE OF MOTION IN UPPER LIMB (SHOULDER, ELBOW, FOREARM AND WRIST JOINT).
Posture - a perquisite for functional abilities in daily life. Posture is a combination of anatomy and physiology with inherent application of bio-mechanics and kinematics. Sitting, standing, walking are all functional activities depending on the ability of the body to support that posture to carry out each activity. Injuries and pathologies either postural or structural can massively change the bio-mechanics of posture and thus affect functional abilities.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Elbow complex is designed to serve hand.
They provide MOBILITY for Hand in space by apparent shortening and Lengthening of upper extremity.
They provide Stability for skillful and forceful movements
Physiotherapy aims at correcting movements. But how do we correct them if we don't know the measurement of these movements?
Movements occur in a particular range that is measured in degrees with the help of GONIOMETER.
So in this presentation, we are going to discuss about goniometry!
this PPT contain detailed kinetics & kinematics of ankle joint & all joints of foot complex, muscles of ankle & foot complex, plantar arches & weight distribution during standing.
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.
GONIOMETRY FOR UPPER LIMB DISCUSSES IN CONCISE THE DIFFERENT TYPES OF GONIOMETERS AVAILABLE FOR MEASURING VARIOUS JOINT ROM, PRINCIPLES OF GONIOMETRY AND PLACEMENT OF GONIOMETER FOR MEASURING RANGE OF MOTION IN UPPER LIMB (SHOULDER, ELBOW, FOREARM AND WRIST JOINT).
Posture - a perquisite for functional abilities in daily life. Posture is a combination of anatomy and physiology with inherent application of bio-mechanics and kinematics. Sitting, standing, walking are all functional activities depending on the ability of the body to support that posture to carry out each activity. Injuries and pathologies either postural or structural can massively change the bio-mechanics of posture and thus affect functional abilities.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Elbow complex is designed to serve hand.
They provide MOBILITY for Hand in space by apparent shortening and Lengthening of upper extremity.
They provide Stability for skillful and forceful movements
Physiotherapy aims at correcting movements. But how do we correct them if we don't know the measurement of these movements?
Movements occur in a particular range that is measured in degrees with the help of GONIOMETER.
So in this presentation, we are going to discuss about goniometry!
The manual muscle testing procedure was described in this power point, indications, contraindications, limitations of MMT was included. the MMT grading system (scale) was explained well in this PPT.
This slide explains the technique of assessing soft tissue manually. the slide show also, describes about the different palpatory methods to assess it as described by janda
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Morality and Ethics in Physiotherapy ProfessionSreeraj S R
As health care is considered divine and moral activity, physiotherapy professionals too are held to moral standards with expectations of ethical conduct.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
2. BASIC CONCEPTS
Goniometry refers to the measurement of
angles created at human joints by the
bones of the body.
Goniometry is used to measure and
document the amount of active and
passive joint motion.
3. USES
Goniometric data used in conjunction with other
information to:
1. Determine the presence or absence of impairment
2. Establish diagnosis
3. Develop prognosis, treatment goals and plan of care
4. Evaluate progress or lack of progress of treatment
5. Modify treatment
6. Motivate the subject
7. Research the effectiveness of techniques
8. Choose orthoses or adaptive equipment
4. JOINT MOTION
Arthrokinematics
It is a term used to refer to the movement of
joint surfaces. They are,
1. Slides/glides: Is a translatory motion
2. Spins/roll : Is a rotary motion
Osteokinematics
These are movement of shafts of bones.
5. JOINT MOTION (cont )
Planes and axis
OKs motions are described as taking place in three
cardinal Planes and Axis.
Planes
1. Sagittal : From ant. to post. of the body. Flexion and
extension occurs in this plane in med. Lat. Axis.
2. Frontal : Runs from one side of body to another
dividing it to front and back halves. Abduction and
adduction occurs in anteroposterior axis.
3. Transverse : Horizontal and divides the body into
upper and lower halves. Rotation motion occurs in
vertical axis
6. RANGE OF MOTION
ROM is a motion that occurs at a joint or
series of joints.
The starting position for ROM is
anatomical position except rotations in
transverse plane.
3 notation systems have been used to
design ROM:0-180˚, 180-0˚, 360˚
0-180 system of notation is called neutral
zero method.
7. ACTIVE RANGE OF MOTION
AROM is the arc of motion attained by a
subject during unassisted voluntary joint
motion.
This provides the examiner with
information about the subject’s willingness
to move, coordination, muscle strength
and joint range of motion.
8. PASSIVE ROM
PROM is the arc of motion attained by an
examiner without assistance from the
subject.
Normally PROM is slightly greater than
AROM.
This provides the examiner with
information about the integrity of the
articular surfaces and the extensibility of
soft tissues around the joint.
9. END FEEL
The type of structure that limits a ROM
has a characteristic feel that may be
detected by the examiner.
The examiner should be able to detect
Normal end feel
Abnormal end feel
10. NORMAL END FEEL
End feel Structure
Soft Soft tissue approximation
Firm 1. Muscular stretch
2. Capsular stretch
3. Ligamentous stretch
Hard Bone to bone
11. ABNORMAL END FEEL
End feel Examples
Soft: Before complete ROM.
Feels boggy.
Soft tissue edema.
Synovitis.
Firm: Before complete ROM Hypertone,soft
tissue shortening.
Hard: Bony grating/bony block #,OA,MO,loose
bodies.
Empty: No end feel, pain
prevents full ROM
#,Inflammation.
12. HYPOMOBILITY
This is decrease in ROM.
Cyriax proposed that pathological conditions
involving the entire joint capsule cause a
particular pattern of restriction involving most of
the passive motions of the joint. This pattern is
called a capsular pattern.
Restriction caused by condition involving
structures other than the entire joint capsule is
called noncapsular patterns of movement.
Noncapsular pattern of movement is not
proportioned similar to capsular pattern.
15. HYPERMOBILITY
This refers to an increase in passive ROM
that exceeds normal values.
This is due to the laxity of soft tissues
around the joint.
Causes are,
1. Injuries
2. Hereditary disorders
16. MUSCLE LENGTH TESTING
Muscle length is the greatest extensibility of a
muscle tendon unit.
It is the maximal distance between the proximal
and the distal attachments of a muscle to bone.
Muscle length is measured indirectly by
determining the end of the ROM of the joints
crossed by that muscle.
Muscle length is tested to ascertain cause of
change in ROM.
17. MUSCLE LENGTH TESTING
(cont )
Muscles are categorized by the number
of joints they cross,
1. One joint muscle
2. Two joint muscle
3. Multi joint muscle
18. One Joint Muscles
Cross and therefore influence the motion of only
one joint.
No difference exists between the indirect
measurement of the length of a one joint muscle
and the measurement of joint ROM in the
direction opposite to the muscle’s active motion.
If there is shortness in muscle length, PROM
opposite to the muscles action is decreased.
The end feel is firm due to muscle stretch.
19. Two joint muscles
To asses the length of a two joint muscle, the
subject is positioned so that the muscle is
lengthened over the proximal or distal joint that
the muscle cross.
This joint is held in position while the examiner
attempts to further lengthen the muscle by
moving the second joint through full ROM.
The end feel is firm.
20. Multi joint muscle
The subject is positioned and held so that the
muscle is lengthened over all the joints that the
muscle crosses except for one last joint.
The examiner attempts to further lengthen the
muscle by moving the last joint through full
ROM.
PASSIVE INSUFFICIENCY: The length of two &
multi joint muscles are usually not sufficient to
allow full passive ROM to occur simultaneously
at all joints crossed by these muscles.
22. Alignment
Is based on anatomical land marks
Stationary arm is in parallel to longitudinal
axis of the proximal segment of the joint
Moving arm in parallel to the longitudinal
axis of the distal segment
23. PROCEDURES
The examiner must
have knowledge of
1. Testing positions
2. Stabilization required
3. Joint structure and
function
4. Normal end feel
5. Anatomical bony
landmarks
6. Instrument alignment
The examiner must
have the skill to
1. Position and stabilize
correctly
2. Move a body part
through proper ROM
3. Determine the end
ROM i.e. end feel
4. Palpate bony landmarks
5. Align measuring
instrument with
landmarks
6. Read measuring
instrument
7. Record measurements
correctly
24. Positioning & stabilization
Testing positions are designed to
1. Place the joint in a starting position of 0˚
2. Permits complete ROM
3. Provide stabilization for the proximal
joint segment
4. Positional stabilization may be
supplemented by manual stabilization
provided by the examiner
25. Recording
Recordings are done in numerical tables, pictorial
charts or within the written text of evaluation.
Recordings should include the following
1. Subject’s name age and sex
2. Examiner’s name
3. Date and time
4. Make and type of goniometer
5. Side of body, joint and motion being measured
6. ROM at the beginning of motion and at the end of
motion
7. Type of motion i.e. passive or active
8. Subjective information such as pain, discomfort etc
9. Objective information like muscle spasm, crepitus,
capsular or noncapsular pattern etc
10. Description on any deviation from recommended
testing position
26. Factors Affecting ROM
Soft tissue tightness
Adhesion formation
Injuries or inflammation around the joint
Muscle bulk
Sex
Age
Nervous system