He wishes to run

He wishes to run

1. Anatomy of foot

   • bones
     • tarsals
       • talus
       • calcaneus
       • cuboid
       • navicular
       • 3 cuneiform
     • metatarsals
       • 5 metatarsals
     • phalanges
       • 14 phalanges
   • joints
     • subtalar joint
     • talocalcaneonavicular joint
     • calcenucuboid joint
     • Cuneonavicular Joint
     • Cuboideonavicular Joint
     • Intercuneiform and Cuneocuboid Joints
     • Tarsometatarsal and Intermetatarsal Joints
     • Metatarsophalangeal and Interphalangeal Joints
   • muscles
     • DORSUM OF THE FOOT
       • EXTENSOR DIGITORUM BREVIS
       • innervation:Deep peroneal nerve.
       • blood supply:DORSALIS PEDIS ARTERY
     • SOLE OF THE FOOT
       • First layer
         • Abductor hallucis,
         • flexor digitorum brevis,
         • abductor digiti minimi
       • second layer
         • Quadratus plantae,
         • lumbricals,
         • flexor digitorum longus tendon,
         • flexor hallucis longus tendon
       • Third layer
         • Flexor hallucis brevis,
         • adductor hallucis,
         • flexor digiti minimi brevis
       • Fourth layer
         • Interossei,
         • peroneus longus tendon,
         • tibialis posterior tendon
       • innervation: medial and lateral planter nerves
       • blood supply: medial and lateral planter arteries
   • nerves
     • SENSORY NERVE SUPPLY OF THE SKIN DORSUM OF THE FOOT
       • superficial peroneal nerve,
       • deep peroneal n.
       • saphenous n.
       • sural n.
     • sensory nerve supply to the skin of the sole of the foot
       • Medial calcaneal branch of the tibial nerve,
       • Medial plantar nerve
       • Lateral plantar nerve

2. grades of muscle power

   • 0 : complete paralysis
   • 1: flicker of contraction possible
   • 2: movement possible if gravity eliminated
   • 3:movement against gravity but not resistance
   • 4: movement possible against some resistance
   • 5: power normal

3. Energy Metabolism

   • Aerobic: With oxygen, Source of energy: mainly fatty acids, then carbohydrate , results:CO2, H2O & ATP
   • Anaerobic :Without oxygen, Source of energy: Carbohydrate (glycolysis), results :Lactate & ATP

4. Duchene muscular dystrophy

   • genetic condition characterized by progressive weakening of voluntary muscles