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Do immediately:

1) 10 AM Wednesday roleplay with physician about patient who needs orthosis
2) Renal physiology questions due Friday
3) Make sure other physiology study questions are complete for test on 6/22
4) Do PT skills reading on muscle testing/ get ready for weekend quiz

Do as soon as practical... weekend, probably:

5) Orthopedics reading
6) Make flashcards with range of motion for joint measurement
7) Make anatomy flashcards and review anatomy
8) Finish study guide questions for orthopedics

And today's cadaver observation: We are getting into the legs. So far, they consist of hip flexors (the iliacus and the psoas, two muscles that bend your hip, but attach to the front of your spine on one end and your femur on the other end), quadriceps (the rectus femoris on top, vastus intermedius underneath, and vastus lateralis/vastus medialis on the outside and inside respectively. There are also the adductors (pull your thigh inward)... the gracilis, sartorius, pectineus, adductor longus, adductor brevis, and adductor magnus. (It's pretty hard to tell which one is which. And if you believe, as I do, that each muscle is separate because it has a separate job to do, that leads you to wonder exactly why we need seven different ways to bring our legs together.)

I also looked at the IT band. (Feel the tough, stringy sheet of tissue on the side of your thigh. That is the IT band.) On the outside it looks rough and like nothing special. If you cut it and peel it back, though, the fibers run vertically and the whole thing glows with a satiny, almost nacreous sheen. I have seen expensive silks that look like that.

Last, but not least, the pelvic floor muscles. Your pelvis has two halves, and it has a complex, intricate muscular "sling" that holds the bottom of itself together. When you breathe in, and your diaphragm pushes downward to make more room for your expanding lungs, these pelvic floor muscles expand a little bit also (so your intestines have a place to go). Other muscles in this region are responsible for maintaining bowel and bladder control.

Now for something you probably have not thought about before: As we get older, we lose muscle tone and strength, unless we make a point of doing regular strength training. And the #1 reason that people go into nursing homes is that they lose bowel and bladder control... in other words, they lose strength and muscle tone in the muscles responsible for that. Accordingly, there's a big demand for PTs trained to do that kind of therapy.

Date: 2004-06-16 08:57 am (UTC)
From: [identity profile] white-egret.livejournal.com
Should I then be doing my pelvic floor excersises I learned when pregnant to keep things in shape?

Yes, I think so.

Date: 2004-06-16 07:51 pm (UTC)
From: [identity profile] ninevirtues.livejournal.com

I suspect that those are a good basic set of exercises, and will probably be good on general principles. If you wanted more specialized help for pelvic or low back pain, I'll bet there is a specific treatment protocol for pelvic floor strengthening, and specialists who know a lot more about it than I do so far. (You might get a lot out of a chat with fighter_chick.)

I think I'm getting slightly intimidated with everything I have to learn. The body is intricate, complicated, and very cool.

For example: shoulder pain could be shoulder pain, or it could indicate a bladder infection (as could more obvious pains like back, flank, or pelvic pain). Pain in your T12 vertebrae could be back pain, or it could be a kidney tumor (very treatable if caught early, very not treatable if left to grow).

My, said Alice, curiouser and curiouser.

Interesting...

Date: 2004-06-16 10:11 am (UTC)
From: [identity profile] fighter-chick.livejournal.com
I'd never heard of PT for the pelvic area, or "pelvic floor muscles" until about 6 weeks ago. Now I'm seeing a specialist in this to help with my endo. So far I'm really pleased with the results. One session buys me significant pain reduction for 2-5 days.

Re: Interesting...

Date: 2004-06-16 07:40 pm (UTC)
From: [identity profile] ninevirtues.livejournal.com


It helps? That much? Hooray!

(I think you and white egret should have a chat, btw)

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