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AYMAN THE SWIMMER

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AYMAN THE SWIMMER

Anatomy of shoulder region
- Bones of the Shoulder region
  - Scapula
  - Clavicle
  - Humerus
- Muscles of the shoulder region
  - Anteriorly
  - Posteriorly
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
Shoulder Movement
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
Pain
- Types
- Reflex Arc
Management of shoulder pain
- PRICE
- Hot & cold compressor
- Second Line
  - Western
    - Physiotherapy
    - Surgical Treatment
    - Ultrasound
  - Alternative
    - Needle acupuncture
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