Assignment: Upper Limb Functional Movement Analysis
Instructions
Students will work to develop a functional movement analysis for the upper limb.
Similar to the following two activities:
1. Standing at the kitchen counter, a 60-year-old man with Parkinson's picks up a dinner plate and puts it on the second shelf of the cupboard in front of him before resting his arm at his side.
2. Sitting at a table for lunch, a 50-year-old woman with osteoarthritis is thirsty; she picks up her glass of soda and has a drink before putting the glass back on the table.
Each student will then identify the occupation (e.g., ADL, IADL, education, work, play, and leisure) that aligns with their activity.
Break the paper down into the following headings/sections; use the following format for your paper (this paper will not written using standard APA style):
I. Description of Occupation
Give a brief description about the area of occupation (e.g., ADL)that aligns with your activity.
II. Description of Activity
A. The activity: e.g.,brushing teeth by a 35 year old woman with multiple sclerosis
B. Steps of the activity (no more than three steps)
Step one: Pickup toothbrush that has toothpaste on it from edge of sink
Step two: Put toothbrush in mouth to start brushing teeth
Step three: Return toothbrush to sink level
III. Biomechanical Analysis of Activity
NOTE: Start this section with a sentence describing the starting position for the activity. Is the client standing? Sitting? How is the client positioned relative to the activity?
A. Now, go back to each stepandadd the name of movements and approximate degrees of ROM at each joint required to do each step of the activity
1. Step one: pickup toothbrush
a. shoulder flexion: 30 degrees
b. wrist extension: 35 degrees
d. MP flexion: 85 degrees
d. IP flexion: full flexion required to grasp tube (state what full range is at DIPS and PIPS)
2. Step two: put toothbrush in mouth to start brushing teeth and so on.......
B. Now, go back and add the following information:
- Identify the prime mover(s) for each joint movement and state whether the primer mover is contracting concentrically or eccentrically
- Identify the antagonist(s) for each joint movement and state whether the antagonist is contracting concentrically or eccentrically
1. Step one: pickup toothbrush
a. shoulder flexion: 30 degrees
prime mover (agonist): brachialis (concentric contraction)
antagonist: triceps (eccentric contraction)
b. wrist extension: 35 degrees
prime movers (agonist): extensor carpi radialis longus (concentric contraction) and extensor carpi ulnaris (concentric contraction)
antagonists: flexor carpi radialis and ulnaris (eccentric contraction)
c. MP flexion: 85 degrees - and add primer movers and antagonists, etc.
d. IP flexion: full flexion required to grasp tube (state what full range is at DIPS and PIPs) -- and add prime movers (agonist) and antagonists, etc.
2. Now,do the same for the next two steps
C. Go back and add the muscle strength required at each joint for each step of the activity. Things to consider include the following: Must you move against gravity to do a step? What would that muscle strength be? Is the activity done against resistance?
e.g., 1. Step one: pickup toothbrush
a. shoulder flexion: 30 degrees
prime mover (agonist): brachialis (concentric contraction)
antagonist: triceps (eccentric contraction)
Muscle strength: 3+ -- move against gravity with some resistance
b. wrist extension: 35 degrees
prime movers (agonist):
extensor carpi radialis longus (concentric contraction)
extensor carpi ulnaris (concentric contraction)
antagonists: flexor carpi radialis and ulnaris (eccentric contraction)
Muscle strength: 3 -- move against gravity
c. MP flexion: 85 degrees - etc.
Muscle strength: 3+ -- move against gravity with some resistance
d. IP flexion: full flexion required to grasp toothbrush (state what full range is at DIPS and PIPS -- etc.
Muscle strength: 3+ -- move against gravity with some resistance
2. Now, do the same for the next two steps
III. Safety precautions for activity
Under this heading, listtwo ways in which your client can accomplish the activity, the occupation, safely.
e.g.,
1. if balance is poor due to MS, have client sit in front of sink to brush teeth or at a table with a bowl of water and basin on the table (in place of a sink)
2. if co-contraction of shoulder and elbow cause fatigue during activity, have client seated to do activity with elbow resting on table or sink for support while brushing teeth
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.