Running requires greater balance, muscle strength, and joint range of motion compared to walking. During running, the ground reaction forces and center of pressure increase to 250% of body weight, double that of walking. The gait cycle of running consists of stance and swing phases. Key differences from walking include less time in contact with the ground, greater joint motion, and more eccentric muscle work. Running utilizes a float period where both feet are off the ground, distinguishing it from walking. Proper running form involves dorsiflexion and plantar flexion of the ankle, as well as flexion and extension of the hip and knee, to efficiently absorb impact and propel the body forward.
Knee joint anatomy, biomechanics, pathomechanics and assessmentRadhika Chintamani
the knee complex complete anatomy, biomechanics, pathomechanics and its physical assessment in one single slideshow.a brief table given for easy understanding of what special test to be performed in which condition along with evidences of each special test.
small correction in slide number: 10
during flexion of tibia over femur in OKC; tibia glides and rolls posteriorly
during extension of tibia over femur in OKC: tibia glides and rolls anteriorly
this slideshow describes about the hip joint anatomy, biomechanics and its pathomechanics along with angles of hip joint. the slide show also briefs about the pelvic femoral rhythm in daily activities
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).
As a runner transitions through the gait cycle, which comprises distinct phases such as initial contact, midstance, terminal stance, and swing, various biomechanical factors come into play which are different from the normal gait cycle.
Knee joint anatomy, biomechanics, pathomechanics and assessmentRadhika Chintamani
the knee complex complete anatomy, biomechanics, pathomechanics and its physical assessment in one single slideshow.a brief table given for easy understanding of what special test to be performed in which condition along with evidences of each special test.
small correction in slide number: 10
during flexion of tibia over femur in OKC; tibia glides and rolls posteriorly
during extension of tibia over femur in OKC: tibia glides and rolls anteriorly
this slideshow describes about the hip joint anatomy, biomechanics and its pathomechanics along with angles of hip joint. the slide show also briefs about the pelvic femoral rhythm in daily activities
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).
As a runner transitions through the gait cycle, which comprises distinct phases such as initial contact, midstance, terminal stance, and swing, various biomechanical factors come into play which are different from the normal gait cycle.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. • Running is similar to walking in terms of locomotor activity.
• Running requires :
1. Greater balance – double float period
2. Muscle strength – elevation of HAT
3. Joint ROM - absorb increased energy to control weight
• During running gait cycle, the GRF & COP increase to 250 % of body
weight (Double that of Walking).
3. Difference betn Running & Walking
• Time & ground contact pattern.
• Greater joint motion & eccentric muscle work.
• Double & single limb support (period of double limb float).
• < 40% of stance & > 60% swing (vice versa)
• Running – speed Stance time Swing time
• For Running – 1st increase in step length 2nd step rate.
4. Float period (phase)
• Biomechanical feature which
distinguishes running from walking.
• Time spends in float LEADS TO
increase in running speed.
• This phase starts from ipsilateral toe
off.
• For this in running stance phase equates
40% & swing phase 60%.
5. Gait Cycle Of Running
• Gait cycle begins when one foot comes in contact with the ground and
ends when the same foot contacts the ground again.
• 2 phases – Stance & Swing phase
Initial swing
Loading(heel strike to foot flat) Terminal swing
Mid stance (foot flat to heel off) (forward descent)
Propulsion(heel off to toe off)
6.
7. Loading(heel strike to foot flat)
• Progression towards heel strike
Foot supinated with slight inversion(0-5*)
Pelvis ant tilt & internal rot(10*)
Hip external rot(10*) & flexed(20-30*)
Knee flex (10*)
• Due to lateral directed GRF,Cascade of event (foot eversion, hip
internal rot & adduction,knee flexion(45*))
• This help GRF pass post to the knee joint.
• These all done by gluteus eccentric contraction for dissipate of GRF.
8. • Rear foot eversion gives more alignment to mid tarsal joints (unlocking).
• This mechanism allows the forefoot to make solid contact with ground at
foot flat.
9. Midstace (foot flat to heel off)
• Fore foot making contact with ground.
• Biomechanical function involves shock absorption following loading to prepare for
propulsion.
• During this time ankle moves towards maximal dorsi flexion(20*).
• Same time hip & knee moving from flexion towards extension for assisting
forward motion body COM.
Max foot pronation followed by ankle dorsi flexion should reach, rear foot eversion(
10*)& fore foot abduction (5*) as the COM passed ant to the stance limb.
10. Propulsion(heel off to toe off)
• Following heel off foot continues to supinate & plantar flexed.
rear foot invertion
transverse tarsal joint converge
mid foot locked (creats rigid lever)
• Then stance limb goes for externally rotation & excessive extention & knee
flexion.(hamstring contraction)
• Acceleration of stance limb starts by maintaining same rigid liver i.e by
(contraction of gastrocnemius, soleous, tibialis post & foot intrinsic)
12. Initial Swing
• After toe off the body thrust into the 1st FLOAT phase. (rectus femoris &
iliopsoas contracts for forward momentum of swing limb)
• Then preparation for terminal swing starts by (tibialis ant, hip adductors
eccentrically)
• At this time swing side relies on contralateral gluteal musculature to
dissipate the GRF produced by this event & prevent pelvic dropping in
swing side.
13. Terminal swing
• Following contralateral toe off the body is thrust into the 2nd FLOAT
phase.
• During this time swing hip reaches maximal flexion (30*) (before coming
under control of hams & gluts)
• Same hams activity slows the rapid extension of knee for preparation of
heel strike & hip adductors control eccentrically to control abduction.
• Then adductors acts concentrically to bring hip towards midline.
14. Kinematics Of Running
Sagittal plane:-
• in this plane running exhibit out pelvic tilt & thigh angle.
• At initial contact - hip flexes 20-45* after which it goes for extension till
toe off.
• At terminal swing hip flexion decreases that lead to reduction of velocity of the
foot relative to the ground.
• In runners pelvic motion is minimized. (to conserve energy & efficiency)
15. • Increase of lumber lordosis. (from mid stance to toe off & from mid swing to
terminal swing)
Because
limitation of hip extensor mobility may place lumber spine in compromised
position of excessive lordosis & also strain on hamstring muscle.(back pain)
16. • At initial contact knee flexes 15-25*.
at mid stance knee flexes 45*.
at propulsion phase knee extends of 25*.
but in swing phase knee reaches beyond 90* of flexion.
• At initial contact ankle in neutral.
at midstance 20* of dorsiflexion as leg is loded.
at toe off 15-35* of plantar flexion & that continues till preparation of heel
strike.
17. • At initial contact foot goes for supination followed by calcaneous invertion 4*.
• as the progression occurs subtalar joints pronates followed by hind foot
eversion & tibial internal rotation. (during 1st 20% of stance phase)
18. Frontal Plane:-
• In this plane hip is adducted 6-12* with respect to pelvis from initial contact to
midstance.
• Then from mid stance to mid swing hip abducts 6* to forward progression of
body & clearance of swing leg.
• In terminal swing hip returns to adduction for for preparation of initial contact.
19. Transverse plane:-
• Movement pattern in this plane imp for energy efficiency.
• At initial contact – pelvis exhibit 8* of forward rotation.
hip external rotation of 10* (mid stance)
then internal rot to neutral (toe off)
• Foot shows max external rotation in midswing of 15*.
20. Kinetics Of Running
• Ankle, knee, hip power patterns are similar in running to those of walking,
only the velocity influences the amplitude.
• When forward speed of runner increases, the peak GRF and rate of loading
increases.
• During running sharp GRF at initial contact resulting in an impact peak.
(depends on foot strike pattern)
• After initial peak GRF reaches 2.2 to 2.6 times of body weight in runners.
• During mid stance GRFs are highest on body.
21. • Anteroposterior GRF can alter through strike style(fore foot & heel),
cadence & running surface(downhill & uphill).