OCTY2210 Lecture Notes - Lecture 7: Pain Management, Shoulder Joint, Subluxation
Document Summary
Posturing of limb in positions of deformity at rest. Posturing in positions of deformity during activity. Weakness in some muscle groups, contributes to lack of some movements. Reduced muscular balance between hypertonic and non-hypertonic muscle groups. Organic contractures and deformities due to prolonged posturing and changes to joints, muscles and other soft tissue. Sensory deficits lack of preservation of architecture of hand limitations to ul function. Central nervous system damage: loss of inhibition, upper motor neuron syndrome o changes in upper limb function o positive symptoms, negative symptoms. Hypertonicity: dynamic o spasticity, active properties of stretch and contraction, static o passive elasticity of muscles. Structural changes: articular changes, muscle changes, other soft tissue changes. Immobilise in position that will create a functional deformity: balance immobility with active or passive movement. Different aspects of hypertonicity and the structural and functional changes it leads to means that several frameworks are appropriate to apply in combination:
