AYMAN THE SWIMMER

AYMAN THE SWIMMER

1. Anatomy of shoulder region

   • Bones of the Shoulder region
     • Scapula
     • Clavicle
     • Humerus
   • Muscles of the shoulder region
     • Anteriorly
     • Posteriorly

2. Physiology of Muscle

   • Structure of muscles
   • Characteristics of skeletal muscle
     • Each fiber is a single cell=unit of contraction.
     • Muscle Fiber
       • cylindrical and Multinucleated
       • Membrane
         • Sarcolemma
       • cytoplasm
         • sarcoplasm
       • protein filaments
         • Thick
           • myosin
         • Thin
           • Actin
           • troponin
           • tropomyosin
   • Functions
     • Excitability
     • Extensibility
     • Contractility
     • Elasticity
     • Conductivity

3. Shoulder Movement

4. Shoulder Examination

   • Inspection
     • Scars
       • previous surgery / trauma
     • Swelling
       • joint disease /  dislocation
     • Muscle Wasting
       • nerve injury
   • Palpitation
     • To
       • Check temp.
       • palpate components of shoulder
   • movement
     • Active
     • Passive
   • Tests
     • Impingement (the painful arc)
       • Syndrome Stages
         • Stage 2
           • patients between 25-40 y/o
         • Stage 1
           • Patients under 25 y/o
         • Stage 3
           • patients over 40 y/o
       • Pathology
         • chronic repetitive movement
         • Patients externally rotate arm
           • cuff occupy widest part of subacromial space
             • Relieving symptoms

5. Pain

   • Types
   • Reflex Arc

6. Management of shoulder pain

   • PRICE
   • Hot & cold compressor
   • Second Line
     • Western
       • Physiotherapy
       • Surgical Treatment
       • Ultrasound
     • Alternative
       • Needle acupuncture

7. Sports

   • Injuries
     • Types
       • Acute
         • single movement
           • Strain
           • Sprain
       • Chronic
         • Overuse
     • Causes
       • Being Overweight
       • Inexperience
       • No protective equipment
       • Overuse
     • Psychological Aspect
       • BURNT OUT
     • Prevention
     • Treatment
   • Medicine
     • deals with
       • physical fitness

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