SONGS

A WHOLE NEW METS

BORG SCALE 1.0 Lying
0 nothing at all 1.2 – 1.6 ay sitting
0.5 very very weak 1.9 – 2.2 sitting with writing
1 very weak Standing 1.4 – 2.0
2 weak Wash shave 2.5 – 2.6
3 moderate Dress & Undress 2.3 – 3.3
4 somewhat strong Walking 1 (mile) – 2.3
5 strong 2 (miles) – 3.1
7 very strong 3 (miles) – 4.3
10 very very strong Run 7.4

Modified... Wheelchair to drive – 2.0 lang siya

Stair descent 5.2
7 very very light Ascending 9
9 very light 2 step climb 5.7
11 fairly light Eating 1.5
13 somewhat hard Washing face 2.0
15 hard Shower 3.5
17 very hard Bed pan ay 4
19 very very hard Sex with wife 5
Borg scale Extramarital 8
Light Household 1.7
Patello Femoral Pain Syndrome Heavy 3–6
1 nag Broad Pelvis Office work 1.3 – 2.3
2 ↑ anganteversion
3 ↑ ang Q angle WHEELsomnia
ang4 Genu Valgum Push handles to floor is 36’’
5 nag Patella Alta Arm rest to floor is 30’’
6 External Tibial Torsion Total length is 46’’
7 Subtalar Pronation Total width is 23”
Patello Femoral Pain Syndrome
Door Width MINIMUM 32”
CRUTCH MUSCLES IDEAL 36”
Reach Forward HIGH 48”
Scapular Depressors LOW 15”
Lats Dorsi, Pecs Minor, Lower Trapezius SIDE is 24”
Shoulder Adductors
Pecs Major, Lats Dorsi To rotate 90⁰ you need 36
Flexors, Extensors, Abductors To rotate 180 60”
sa Shoulder Deltoids 360 you need 60” x 60”
Elbow Extensors 8.3 % ramp 1 : 12
Triceps Anconeus
Normal Adult seat depth 16”
Wrist Extensors Normal Adult seat width 18”
ECRL, ECU, ECRB Normal Adult seat height 20”
Finger Thumb Flexors Hemiplegic 17.5”
FDS, FDP, FDL, FDB
BABY - HNBS Special Test CAPSULAR PATTERN - Payphone

SPURLING Lat flexion at iCOMPRESS TMJ limit mouth opening

JACKSON Rotation at iCOMPRESS AO extend = side flexion
Maximum ito’y Combined GH ERABIR minsan ERABFIR
At meron na naman itong compression SC AC at exteme motion
ADSON Extension to the same side Ulno humeral ay flex extend
Kay HALSTEAD to the other side Knee, IP, MCP ay ganun din
Pag kay ALLEN, elbow mo ay Flex HIP ay IRFAB ankle greater PF
Pag kay WRIGHT, Shoulder mo ay iABDUCT Sa Wrist FLEX EXTEND equal limited
Ang capsular pattern...
ROOS hands up
BACK AND SPINE (ANATOMY)
ULTT 1 MAIN ‘yan (median , ain)
ULTT 2 MAM ‘yan ( median, axillary, musculo) Pag CERVICAL ay LARGEST, TRIANGULAR
ULTT 3 R ‘yan (radial) Pag THORACIC ay SMALLEST & CIRCULAR
ULTT 4 U ‘yan - Bikele’s sign (ulnar) Pag LUMBAR SPINE naman ay TRIANGULAR
Yan ang Spinal Canal
COG
Atlas Occiput “YES Jt.” AO!
Head – // Spenoid Sinus // Atlas at Axis “NO Jt.” AA!
Neck – // Basioccipital //
Trunk – ant to T11 C1 - No body! No Spinous Process!
UE – just above the elbow
Arm – medial head of the triceps C3 – C6 typical
FA – // pronator teres // T5 – T8 typical
Hand – // 3rd MCP // L1 – L4 typical
LE – just above the knee jt. Typical Vertebrae
Thigh – adductor brevis
Leg – popliteus INNERVATED STRUCTURE OF THE SPINE
Foot – 2nd MTT Ano ano ang innervated structure of the spine
- Z. Jt.
Closed Packed – Fireworks - Jt. Capsule
- Outer of Annulus
TMJ clenched teeth - ALL, PLL, Interspinous Ligament
SH ay ABER - Erector Spinae, Multifidi
Trunk Facet elbow ay naka full extend - Periosteum of Vertebral Bone!
90⁰ Abduction yan ang sa AC
Maximum elevate para sa SC VOLTES SPINE
Proximal Distal 5⁰ Supinate
Hip ay EXABIR Lumbar
Wrist Extend at may Radial Deviate AO AA C3-C7 Thoracic
Spine
Pag sa Knee ay EXTEND c ER of Tibia Flexion 10 5 45 15 40
Pag sa ANKLE ay MAXIMUM DF Extension 25 10 45 15 25
Lat L 15 20
5 10 30
Flexion R 15 20
L 40 5
Rotation 0 45 30
R 40 5
TLS LANDMARK L-S & TLS ORTHOSIS

T2 spine – Superior Angle F E L R

T3 spine – Scapular Spine William ⁄ ⁄ EL
T7 spine – Inferior Angle Chairback ⁄ ⁄ FE
T10 – Siphoid Process Knight ⁄ ⁄ ⁄ FEL
L4 – Iliac Crest Taylor ⁄ ⁄ FE
L5 – Tubercle Iliac Crest Knight Taylor ⁄ ⁄ ⁄ FEL
S2 – SI / Posterir Superior Iliac Spine Cowhorn ⁄ ⁄ ⁄ FLR
Plastic Body Jacket ⁄ ⁄ ⁄ ⁄ FELR
DEFORMITIES OF SPINA BIFIDA / Jewett ⁄ Flex
PEDIA ORTHO PROBLEMS Cruciform ⁄ Flexx
Love Moves by Nina

T6 T12 : Kyphoscoliosis
L1L2L3 : Severe hip, severe hip d/L KNEE ORTHOSIS (LIMBOROCK)
L4L5 : mild hip d/L, CALCANEOVALGUS
S1 : CALCANEOVARUS Patello-Femoral D/O Knee Orthosis
S2 : Clawing of Toes - Palumbo
S3S4 : Sphincter Control - Patello Femoral

ENERGY EXPENDITURE(Dessert) For Control of Knee in Frontal Plane & Sagittal Plane
Wheelchair Ambulation 9% - Swedish Knee (for genu recurvatum / knee hyperextension)
Crutch Walking is 60 % - Three – way knee (for genu recurvatum )
Single BKAc prosthesis 10 – 40 % - Typical Knee
Double BKAc prosthesis is 41 % - Miami
Single AKAc prosthesis is 65 % - C.A.R.S - U.B.C Knee Osthosis
(for genu valgum/varum control)
Double AKA c prosthesis is 110 % - Supracondylar Knee Orthosis (for genu
Single BKA and AKA c prosthesis 75 % recurvatum)

PRESSURE AREAS (Bahay Kubo)

PROSTHETIC FITTING IN CHILDREN(Starship) Pressusre Tolerant Areas
Above / Below Elbow is 3 – 6 mos. - Patellar Tendon
Above / Below Knee jt is 8 – 10 mos. - Pretibial ms
Active Terminal Device is 2 y.o - Postero – Distal aspect of residual limb
Elbow Unit is 2 – 3 y.o - Popliteal Fossa
Functional Hand is 3 y.o - Distal end
Actively – Controlled Knee Jt. 3 – 4 y.o - Medial Flare
- Lateral
- Tibial and Fibular Shafts

Pressure Senstive Areas

- Ant. Crest of Tibia
- Fibular head and neck
- Peroneal (fibular) nerve
- Ant. Tibia
- Hamstring Tendon
 PULMONARY VOLUMES CAPACITITIES
TEMPERATURE (Sumayaw Sumunod)
oC oF
IRV
Very cold 1-13 35-55 IC 3K
Cold 13-18 55-65 VC 3500 TV
Cool 18-27 65-80 TLC 4500 500
Tepid 27-33.5 80-92 6K ERV
Neutral 33.5-35.5 92-96 FRC 1K
Warmth 35.5-36.5 96-98 RV 2500 RV
Hot 36.5-40 98-104 1500 1500
Very hot 40-60 104-115

SEQUENCE OF OBSTETRIC EXERCISE

1 Warm-up activities
2 Gentle – Selective stretching
3 Cardiovascular Training ( 15 min or less)
4 Upper / Lower ex strengthening
5 Cool – down activities
6 Abdominal exercise
7 Pelvic Floor exercise
8 Relaxation technique
9 Patient Educ(ation)
10 Home exercise program

STAGES OF RECOVERY
I – Flaccidity ; No Movement
II – Spasticity begins to develop
III – Peak of spasticity
Semivoluntay stage
IV – Mov’t Combi(nation)
Spasticity declines
V – More difficult mov’t combi(nation)
VI – Independent jt. Mov’t (possible)
Coordination ( approaches normal)
VII – Normal