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OVERALL: Great Job on Video Exam      Median: 74% (half of the class scored 71% or higher) Mean: 74% (class average) 72% of class scored 70% or higher 31% of class scored 80% or higher 50% of class improved over October Mid-Term grade Those that did not do as well as expected let’s get together to see what happened and move onward & upward Upper Extremities Parts Shoulder Girdle  Shoulder Joint  Elbow Joint  Radioulnar Joint  Wrist Joint  Types of Synovial Joints from “Basic Biomechanics” by Susan Hall page 121 Muscle Contribution to Joint  Stronger Muscles = More Joint Stability  Angles of Pull influence Joint Stability  Stabilizing Angles = < 90 angle of pull  Dislocating Angles = > 90 angle of pull Shoulder Girdle Involved in Reaching/Grasping Motions  Designed for Mobility  Unstable joint  Strength of Muscles VERY important  Shoulder Joint Involved in a wide variety of motions  Designed for Mobility, Unstable joint  Rotator Cuff & Deltoids = small angle pull  Wheel-Axle Mechanism  Overarm Throw Pattern  “cocking action” = extreme lateral rotation  rapid medial rotation and protraction  Strengthen Medial Rotators BOTH Concentrically and Eccentrically Elbow Joint  Only Flexion and Extension  Stable joint due to bony structure  Muscle arrangement = stabilizing effect How to Strengthen Elbow Extensors Elbow Extensions with shoulder flexed figure 2.5e on page 61 Shoulder Hyperextensions with elbow extended figure 2.5d on page 61 3 Ways to Strengthen Elbow Flexors 1. Elbow flexion from anatomical position 2. Elbow flexion with shoulder Hyperextended 3. shoulder flexion figure 2.5j on pg 62  Radioulnar Joint Unstable due to weak bony arrangement  Pronate = turn inward [medial] away from anatomical position  Supinate = turn outward [lateral] back toward anatomical position  figure 5.12 left side of picture pronated page 185 right side of picture supinated Wrist Joint MSDs - musculoskeletal disorders 1. angle of the work surface 2. position requirements of the work 3. magnitude & direction of applied forces 4. Degree of repetition  CTS - Carpal Tunnel Syndrome  see Force guidelines per task on page 189  Hip Joint Medial rotation involved in kick, throw & strike  Wheel-Axle - figure 6.5 and 6.6 [page 197]  A: medial B: lateral hip rotation Hip Joint Bending/Stooping = increase FA resistive  to achieve equilibrium, hip extensors must provide high Tension/Force [hams, back]  FIG 9-30 “Basic Biomechanics” 3rd Edition by Susan J. Hall Knee Joint Biarticulate Muscles - work knee and hip  Muscular Imbalances: 1. Hams - lateral vs. medial lateralis 2. Quads - vastus lateralis and medialis  Positions for potential injury 1. Foot fixed while hip/trunk rotates 2. Squats [FIG 6.11 pg 204] 3. Whip kick in Breaststroke [FIG 6.12 pg 205]  Knee Joint: Potential Injury Positions page 205 Knee Joint: Potential Injury Positions turning the body while foot is fixed FIG 6.8 page 200 Knee Joint: Potential Injury Positions Deep Squat changing axis of rotation from knee joint to calf/thigh area FIG 6.11 page 204 Knee Joint: Potential Injury Positions rehabilitation of knee injuries page 260: studies on ACL stress, shear forces, petellofemoral contact