Important components

Question 1

List the important components of “Rolling over in bed”

Answer 1

• rotation and flexion of neck
• Hip and knee flexion
• Flexion and protraction of shoulder
• rotation within the trunk

Question 2

List the important components of “Sitting up over the side of the bed”

Answer 2

• lateral flexion of neck
• lateral flexion of trunk and abduction of lower arm
• legs lifted and lowered over side of bed

Question 3

What are the important components of sitting

Answer 3

• feet and knees close together
• weight evenly distributed
• flexion of hips with extension of trunk (i.e. shoulders over hips)
• Head balanced on level shoulders

Question 4

Name the important components of “reaching in sitting”

Answer 4

• shift head, arms and trunk toward the object by moving at the hip
• load foot or feet which is/ are ipsilateral to the direction of the reach

Question 5

Name the important components of “standing”

Answer 5

• feet a few inches apart and pointing forward
• hips in front of ankles
• shoulders over hips
• head balanced on level shoulders
  erect trunk

Question 6

What are the important components of “reaching in standing”

Answer 6

• shift head, arms and trunk toward the object, by moving at the ankle
• load foot or feet which is/are ipsilateral to the direction of the reach

Question 7

What are the important components of “standing up”

Answer 7

Pre extension phase
- ankles in DF (feet placed so ankles behind knees)
- inclination of trunk forward by flexion at hips with extended trunk
Extension phase
- DF to bring knees forward
sequence of extension at knees and hips with ankle PFing

Question 8

What are the important components of the “stance phase” in walking

Answer 8

• extension of hip throughout
• flexion of knee (0-10) on heels strike then extnesion in midstance and flexion before toe off
• DF at ankle until end of stance and then fast PF
• Lateral horizontal shift of pelvis and trunk

Question 9

List the important components of the “swing Phase” of walking

Answer 9

• flexion of knee with hip extension
• hip flexion
• DF of ankle throughout
• slight lateral pelvic tilt downwards
• rotation of pelvis forward
• extension of knee prior to heelstrike

Question 10

What are the important components of reaching R&M?

Answer 10

• protraction and elevation of shoulder
• shoulder flexion, abd, ext
• shoulder ER
• Elbow Flex/ext
• wrist ext and radial deviation
• opening of hand apeture between thumb and fingers
• pronation/ supination appropriate to object orientation

Question 11

Name the important components of Grasping as part of R + M

Answer 11

• extension of wrist and fingers
• conjunct rotation (flex & abd) of CMC jt of thumb
• conjunct rotation (flex & abd) of MCP jt of ulna fingers
• closure of thumb and fingers around object (MCP jt flew with IP jt in some ext)

Question 12

What are the important components of Holding as part of R+ M?

Answer 12

• flex/ext of wrist holding object

- lifting, placing and rotating objects of different sizes and weights

Question 13

Name the important components of manipulation as part of R+ M

Answer 13

• flex/ext of fingers
• cupping of hand
• independent finger flex/ext (e.g. tapping)