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Scapulohumeral Rhythm

Scapulohumeral rhythm is extremely important to shoulder range of motion but what is it? The scapulohumeral rhythm is the ratio of the movement between the scapula and the humerus. In normal range of motion of 180° of shoulder elevation, the glenohumeral joint will move 2° for every 1° moved at the scapulothoracic joint. So, it is extremely important that the humerus and scapula are moving in synchrony. If the scapula becomes fixed in retraction and does not upwardly rotate, then the arm cannot flex correctly. This can cause contralateral trunk flexion as a compensatory movement to try to get the arm up higher. Making sure the humerus and scapula are moving and working together can help prevent injury to the glenohumeral joint, bursae and ligaments surrounding the shoulder. Proper scapulohumeral movement requires the scapula to protract and upwardly rotate. Clinically, therapists must pay close attention to this rhythm when assessing the shoulder girdle. Therapist should move the humer...
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OT 537 Media Project

This assignment has really brought to my attention how many everyday things OT’s can improvise with to give high quality care to their patients. I would have never thought about using a strawberry basket as a form of intervention for a client but after thinking specifically about my client, her occupations and what she wants to do, I was happy with how creative I could be.   Before this assignment, I have always been worried about my creativity. I would not describe myself as artistic but after this project, I have realized that being able to draw, or paint or make pottery isn’t all what makes you creative. What makes you creative is thinking about the circumstances you are in and adapting using the environment and the people around you. I thought I did just that with my media project. When I got a strawberry basket as my object, I thought to myself, “how will I ever come up with an idea to use this with my client?”. But after just sitting down, using past experiences and all that ...
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Locomotion and Assistive Devices

As future OTs, we will be fitting our clients to assistive devices regularly. It is extremely important to fit these correctly to each patient. One reason why this is so important is that we need to give the client the right amount of stability needed. Another reason is that we need to make sure that it is comfortable for the client. They will most likely be using it every day, if not all day, so we need to make sure it correctly fits their body and needs. A cane is the most unstable of assistive devices, however, it might be perfect for one of our clients and their needs. In order to fit a cane correctly, we need to make sure that the hand grips are at the same level as the ulnar styloid process, the wrist crease and/or the greater trochanter of the femur. Their elbows need to be relaxed here and flexed to about 20-30°. It is important to make sure that the clients shoulders are relaxed down and not elevated towards their ears. To fit axillary crutches, you will use the same point...
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