LEx power testing sequence and myotomes
Earlier this week while studying with my study group we were uncertain about precise recording and testing of the myotomes. I revised today the LEx neuro testing. I came to the conclusion that recording of the neuro testing should be recorded by the movement examined and not by neuro levels as they overlap and from the recording it would be not clear which movement was weak or decreased if only myotomes recorded.
Extrinsic muscles of the eye function and dysfunction
Earlier this week while practicing CN testing I found out that I could not remember clearly the function and dysfunction of the extrinsic muscles of the eye. The picture below shows my sketch of the mms position, innervation, function and commonly seen dysfunction.
Discovering www.dynamicchiropractic.ca
As I was searching for Thomas Michaud's book on the internet, I came across the above website. Thomas Michaud is canadian chiropractic that regularly contributes to the journal dynamic chiropractic. I found interesting 2 part article on hamstrings injuries rehabilitation by T Michaud explaining specifically what I feel I need to get a better grasp of - the function of the hamstring muscles.
Specifically, I found the below facts new to me and thus very relevant:
Specifically, I found the below facts new to me and thus very relevant:
- Distally, the semitendinosus attaches to the medial tibia on the lower portion of the pes anserine muscle group, where it is thought to play a role in assisting gastrocnemius with knee flexion during propulsion.
- The semimembranosus is a much more complicated muscle, as it possesses five separate attachments that allow it to play an important role in decelerating anterior tibial translation and valgus collapse of the knee during stance phase. Because it has a direct attachment to the posterior horn of the medial meniscus, the semimembranosus muscle protects the meniscus by displacing it posteriorly upon knee flexion.
- the long and short heads of the biceps femoris muscle, owing to their more distal attachment on the proximal fibula, are important decelerators of forward motion of the swing-phase leg. The long head of the biceps femoris also plays an important role in stabilizing the sacroiliac joint, and in lessening bony / soft-tissue vibrations during contact.
16.1.2013
Just to say that I am constantly revising and reading something but somehow I dont keep track of it on this site. Im just about to go and read about ME, Alzheimers and Cerebellar ataxia. Fun times!
Loosing track of keeping the diary
I find it time consuming to write down each time i have learned something in this blog. I have covered whole NMS, OE, rheumatology, neurology, anatomy of the hand and forearm, endocrinology issues and many more just before the CCA1. It actually saved me to revise wrist and forearm muscles as i had a patient with wrist pain for my CCA!
below are few examples of my notes i took while revising. enjoy :-)
below are few examples of my notes i took while revising. enjoy :-)