UL Flashcards
Why dose scapula rhythm occur
To increase ROM
Congruency
Length-tension relationship
Joints involved in the shoulder
Acj
Scj
Ghj
Stj
Muscle the control scapula movement
Trapezius, serratus anterior (force couple)
Rhomboids, levator scapula, pecs minor, lat dorsi
Joint interaction ratio
2:1
JI early phase
Abduct to 90 GHJ 60 STJ 30 SCJ 25 ACJ 5
Late phase
GHJ 60
STJ 30
SCJ elevates 5
ACJ upward rotates 25
First 30 of abduction
The supraspinatus initiates the movement and movement only come from the ghj
At aprox 30 abduction
The upper and lower traps and the upper fibres of the serratus anterior act as a force couple to create upwards rotation of the scapula
Because the should girdle is a CK
The upwards rotation continues at the next joint the SCJ this causes the clavicle to elevate to the point of when the costoclevicular ligament gets tight the arm is at 90 now
At 90 abduction
The coniod trapezius and costoclavicular ligaments restrain movement. The upper and lower traps and SA continue to rotate the scapula which causes the coracoid process to pull downward
Due to the attachment of the conoid and tapazius ligaments onto the clavicle
Rotation of the clavicle occurs an additional 30 of upwards rotation of the scapula is produced by this rotation
During this stage
20 of tipping and 40 of winging occurs at the ACJ due the the scapula finding its place on the ribcage
The second 90 of abduction
Has come from 60 of ghj movement and 30 of scapula roation at 2:1 overall 180 of abduction is produced fro 120 movement of GHJ and 60 of scapula motion
Elbow joint
Humeroulnar joint
Humeroradial joint
Forearm joint
Proximal radio ulnar joint
Distal radial ulnar joint