Brunnstroms Clinical Kinesiology Sixth Edition CHAPTER 13 Kinesiology

Brunnstrom’s Clinical Kinesiology Sixth Edition Introduction § Chapter reviews kinematics of several activities of daily living (ADLs). § Examples in chapter will improve your ability to examine other functional activities from a kinesiological perspective. Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Allows humans to move from one place to another § Floor mobility—rolling § One of the first activities learned § Rolling to crawling to creeping to standing to walking Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Floor mobility—rolling § Rolling is moving from supine to prone or vice versa. § Body follows the head. § Rolling is a functional ADL (e. g. , getting out of bed). § Initially is spontaneous but becomes voluntary. Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Floor mobility—rolling § Initially whole body roll but progresses to segmental rolling. § Once mature, individual variations are evident. § Supine to prone is more difficult than prone to supine. Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Floor mobility—rolling § Sequence of movement §

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Floor mobility—floor to stand § Task is first accomplished using hands and pulling. § With age, person is able to stand without using arms. § Older individuals return to needing hands again. Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Floor mobility—floor to stand § Sequence of

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Transferring—sit to stand § Transferring is moving from one location to another. § Normally, transfers are not difficult. § With injury, patients are instructed in transfers. § To stand, one must have dynamic balance and control of trunk and extremities. Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Transferring—sit to stand § Common elements include: § Activation of anterior tibialis § Simultaneous activation of hip and knee extensors § Sit to stand—concentric contraction; stand to sit— eccentric contraction § Need to make adaptations in older patients with degenerative joint disease § Use of upper extremities to push to assist transfer Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Mobility § Transferring—sit to stand § Sequence of movement

Brunnstrom’s Clinical Kinesiology Sixth Edition Daily and Occupational Activities § Lifting task § Sequence

Brunnstrom’s Clinical Kinesiology Sixth Edition Daily and Occupational Activities § Household tasks—vacuuming § Sequence of movement § Joint motion § Muscle activity Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Daily and Occupational Activities § Occupational tasks—computer stations § Sequence of movement § Joint motion § Muscle activity Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Daily and Occupational Activities § Occupational tasks—assembly line workers § Sequence of movement § Joint motion § Muscle activity Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Clinician Activities § Protective measures—spotting during gait § Center of mass (COM) must fall over base of support (BOS). § May be necessary to increase BOS § § Feet are placed in direction of applied forces. Further stability is achieved with lower COM. Neutral spine position is maintained. Large leg muscles are used to provide leverage and power. Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Clinician Activities § Protective measures—spotting during gait § Sequence of movement § Joint motion § Muscle activity Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Clinician Activities § Clinician ergonomics—manual resistance § Upper extremity resistance § Lower extremity resistance Copyright © 2012 F. A. Davis Company

Brunnstrom’s Clinical Kinesiology Sixth Edition Summary § Kinematic analysis and kinesiological movement sequence § Strategy used: § Sequence of movement § Joint motion § Muscle activity § Basis for further clinical investigations Copyright © 2012 F. A. Davis Company