movement analysis what to do chart for occupational therapy class

movement analysis what to do chart for occupational therapy class

 

STEPS TO RIDING A BIKE

FRAMES OF REFERENCES

GERIATRIC CONCEPTS TO AGING

SKILL COMPONENTS AND WHY THEY’RE RELATED TO THE TASK

ASSOCIATED MUSCLES TO SKILL COMPONENTS

STRENGTH NEEDED

Feet planted on ground on both sides of the bike while hands are stabilizing handle bar.  Shoulder is flexed at 60 degrees.

 

Place one foot on the adjacent pedal.  Knee is flexed at 120 degrees.

 

Dominant leg stabilizes the shifted body weight.

 

Push off the ground in a forward motion with dominant leg.  Extend dominant leg at 30 degrees

 

Bike will begin to glide.

 

Flex hip of dominant leg at 90 degrees and knee at 60degrees as the foot is place on pedal.

Maintain balance by shifting weight controlled by upper extremity, torso, and buttocks while pedaling.

 

Pushing pedal forward with foot.  Hip is flexed at 98 degrees.  Ankle is flexed at 20 degrees.

 

Opposing pedal is pushed down.  Hip is flexed at 38 degrees.  Ankle is extended at 4 degrees.

 

Pattern repeats for continuous motion.

BIOMECHANICAL

Joint ROM, muscle strength, endurance, intact nervous system.

 

ECOLOGY OF HUMAN PERFORMANCE

Ø  Relationship of person and environment.

Ø  Human performance and behavior are affected by the interaction between person and context

Ø  Limited abilities and skills could limit performance range as much as environment can be altered for better vision.

REHAB APPROACH

Ø  Engagement in occupation requires adaptive techniques, compensatory strategies to environment and or occupation.

 

The PEOP MODEL focuses on interactions between personal factors, physical, and sociocultural environment.  John is very active and unfortunately he is showing signs of poor gait, vision, and endurance.  If John was to work with an OT he and his therapist would work together in order to formulate a plan of desired goals given his current physical limitations.

 

The Continuity Theory can be applied to the unsureness john has.  Riding his usual route is becoming more of a task than a hobby.  It may be hard for john to accept the fact that activities he did with ease when he was younger is becoming more difficult at the age of 75.

 

John is displaying a decline in energy and physical function like any average aging adult.  This can eventually lead to the Disengagement Theory.  He has not yet withdrew himself from society but if John continues on and doesn’t think it is important to mention that he occasionally stubs his toes or has trouble seeing it can eventually interfere with his joys of traveling leading to disengagement

CROSSING MIDLINE

 

Ø  Steering handle bars

 

 

 

 

 

 

 

 

STRENGTH

 

 

Ø  Core and lower extremity strength is needed to sit upright and pedal against resistance.

 

POSTURAL CONTROL

Ø  Maintaining a balance during movement like shifting of body weight.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LATERALITY

Ø  Unilateral body parts used to start the motion of the bike.  As the left pedal is pushed forward by the left foot the right foot is pushing the opposing pedal back creating a pattern of movement.

GROSS COORDINATION

Ø  Using large muscle groups of the lower extremity to direct and control the movement in pedaling and steering.

 

KINESTHESIA

Ø  Memory from muscle movement helps to direct joint movement of the bicycle

 

BODY SCHEME

Ø  Weight shifting on pedals.  Weight shifting accordingly gains body awareness of body position in space and dynamic balance

 

ENDURANCE

Ø  The ability to sustain cardiac, pulmonary exertion overtime while performing a physical activity.

 

VESTIBULAR

Ø  Provides us with the ability to process information about movement, gravity, balance, and space.

 

DEPTH PERCEPTION

Ø  Determine distance between objects when there are changes in planes and surfaces.

 

SPATIAL RELATIONS

Ø  Help the rider to determine position of objects when relative to each other.  This helps prevent riding into objects or even the area of a space to ride on.

 

IG: The width of a side walk

IG: Riding on the street away from the cars

 

TOPOGRAPHICAL ORIENTATION

Ø  Need to determine the route to locations while operating  a vehicle (bike)

 

VISUAL MOTOR

Ø  Coordinator the interaction of information from the eyes with body during an activity like pressing the brake when necessary or slowing down with caution.

 

DELTOID

 

PECTORALIS MAJOR

 

Ø  Movement of shoulder joint

Ø  Adducts the humerus

 

ABDOMINAL RECTUS

 

Ø  Contracts isometricaly to provide stability of core

 

 

LATISSIMUS DORSA

Ø  Provides body with stability and balance

 

ABDOMINAL RECTUS

Ø  Contracts isometricaly to provide stability of core

 

GLUTEUS MAXIMUS

Ø  Movement of the hip and thigh helps maintain balance as you walk or run.    Lifts from squatted position.

 

QUADRICEPS

Ø  extensor of the knee combined with hip flexion during the start of the downward motion of the pedal stroke

 

BICEP FEMORIS

Ø  pulls the heel back towards the buttocks

 

SOLEUS

Ø  contributes to knee flexion

 

GASTROCNEMIUS

Ø  Pointing of the toes for upward pedal stroke and forward movement.

 

PLANTAR FLEXION

Ø  Movement at the ankle joint that points the foot downward away from the leg or movement of the toes that curls them down towards the sole.

 

DORSIFLEXOR

Ø  Causing backward flexion of a part of the foot.

 

FLEXOR DIGITORUM

Ø  flexes the hand for grip of handle/brake

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