The document discusses different positions related to gravity and their effect on muscles. Against gravity positions involve moving a limb upwards perpendicular to the floor, opposing the force of gravity. Gravity eliminated positions involve moving a limb parallel to the floor, where the force of gravity is perpendicular. Gravity assisted positions involve moving downwards perpendicular to the floor, where gravity aids the movement. Simplified, movements can be parallel or perpendicular to the floor, with perpendicular movements either towards or away from the floor.
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.
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.
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.
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).
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.
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.
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).
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.
Kinesiology is the study of human and nonhuman animal-body movements, performance, and function by applying the sciences of biomechanics, anatomy, physiology, psychology, and neuroscience.
Planes of body and Anatomical terms
The anatomical position is the standard reference orientation of the human body.
It is used to provide a clear and consistent mechanism of describing the location of structures
In the anatomical position, the body is upright, directly facing the observer, feet flat and directed forward. The upper limbs are at the body's sides with the palms facing forward.
Sagittal plane
The sagittal plane is a vertical plane which passes through the body longitudinally. It divides the body into a left section and a right section.
A specific sagittal plane is the median sagittal plane – which passes down the midline of the body, separating it into equal halves
Median plane (midsagital plane)
This is a vertical plane that divides the right and left sides of the body lengthwise along with midline into externally symmetrical section.
Coronal plane (frontal plane)
Any vertical side to side plane at right angles to the median plane is called coronal plane.
Transverse plane (horizontal plane)
The transverse plane is a horizontal plane. It is perpendicular to both the sagittal and coronal planes, and parallel to the ground.
If the body is divide into upper and lower section is called transverse plane.
The plane is at right angle to median, sagittal, and coronal planes.
Anatomical Terms of Position
Superior (cranial): Towards the head or upper part of the body; above
Inferior (caudal): Away from the head or toward the lower part of the body; below
Ventral (anterior): Toward or at the front of the body; in front of
Dorsal (posterior): Toward or at the back of the body; behind
Medial: Toward or at the midline of the body
Lateral: Away from the midline of the body
Proximal: Closer to the origin of the body part or point of attachment of a limb to the body trunk
Distal: Away from the origin of a body part or point of attachment of a limb to the body trunk
Superficial (external): Toward or at the body surface
Deep (internal): Away from the body surface
Palmer: Refer to anterior surface of hand.
Planter: Refer to anterior surface of the foot.
Terms of Movement
Flexion: Refers to a movement that decreases the angle between two body parts. Flexion at the elbow is decreasing the angle between the ulna and the humerus
Extension: refers to a movement that increases the angle between two body parts. Extension at the elbow is increasing the angle between the ulna and the humerus
Abduction: is action of moving the limb away from the median plane of the body.
Adduction: is a movement towards the midline. Adduction of the hip squeezes the legs together.
Rotation: Rotation is a movement of body part around its own long axis.
When the interior surface rotate medially the movement is called medial rotation. And if the interior surface rotate laterally the movement is called lateral rotation.
Circumduction: When a part
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Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
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Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. Gravityis a force that is always occurringin a
downwardmotionperpendicularto the floor.
3. Against Gravity: When the body is put in a
position that requires the muscle-in-
question to move a limb perpendicular to
the floor and in an upward motion (ie.
Elbow flexion while in the anatomical
position) this is considered an “against
gravity” position for that particular muscle.
The force of gravity is perpendicular to the
floor and so is the movement of the limb.
Therefore, the two forces are parallel to
each other. However, they are occurring in
opposite directions.
4. Gravity Eliminated: When the body is put in a
position that requires the muscle-in-question
to move a limb parallel to the floor (and
therefore perpendicular to the force of
gravity), this is considered a “gravity
eliminated” position for that particular muscle.
The force of gravity is perpendicular to the
floor and the movement of the limb is parallel
to the floor. Therefore, the two forces are
perpendicular to each other. An example
would be hip internal and external rotation
while in the anatomical position.
5. Gravity Assisted: When the body is put in a
position that requires the muscle-in-question
to move a limb perpendicular to the floor and
in a downward motion (ie. Elbow extension
while in the anatomical position) this is
considered a “gravity assisted” position for that
particular muscle. The force of gravity is
perpendicular to the floor and so is the
movement of the limb. Therefore, the two
forces are parallel to each other. Please note
that they are occurring in the same directions.
6. • To really simplify things, our body parts can basically move in two
ways: parallel with the floor or perpendicular to the floor. When the
body (or a body part) moves parallel with the floor, it is in a gravity-
eliminated position.
• When the body (or body part) moves perpendicular to the floor, it is
either moving toward the floor (gravity-assisted) or away from the
floor (against gravity).
• Isometric contractions can occur when the body part moves parallel
to the floor, perpendicular to the floor and toward the floor, or
perpendicular and away from the floor. As long as a muscle is
contracting, and there is no change in the length of the muscle, and
no change in the angle of the joint, an isometric contract is
occurring.
• If a body part if moving parallel to the floor and the muscle length IS
changing and a joint IS moving, then it is due to a concentric
contraction. In other words, eccentric contractions do not occur in a
gravity-eliminated position.
• If a body part if moving perpendicular to the floor and the joint is
moving: it is due to a concentric contraction if the body part is
moving away from the floor (against gravity) and it is due to an
eccentric contraction if the body part is moving toward the floor
(gravity-assisted).