Notes

1.) Cane takes up 30% of body weight

2.) For patients with too much of weight, like 400-700 lbs, a stand pole can be used in order to make them stand. Also a mechanical bariatric equipment can be used to lift the patient from bed to standing position.

3.) Posterior walker increases/ aids in trunk extension, elbow extension, shoulder depression and neutral wrist.

4.) Anterior walker increases anterior stability and forward flexion and aids in forward propulsion.

5.) Counter seat or Insert seat prevents patient to slide forward and prevents sacral sitting position (posterior pelvic tilt).

6.) Elevating leg rest are contraindicated for patients with knee flexor hypertonicity.

7.) Tilt in space wheel chair is for the patients with extensor spasm and for the patients who can not perform pressure relief push ups.

8.) BWS is kept initially to 40% of patient body weight and it is reduced by 10% till the patient needs no support.

9.) BWS more than 55% of patient body is contraindicated as it interferes with stepping.

10.) BWS with treadmill works like; initially the patient start with 0.6-0.8 mph later reaches to normal, 2.6-2.8 mph.

11.) Homolateral synkinesis is an associated reaction that can occur after neurological damage. Resistance given to elbow flexion movement can lead to same side lower limb flexion movement.

12.) Raimiste phenomenon: When an UNINVOLVED lower extremity is given resistance in abduction or adduction direction, the INVOLVED lower extremity goes into same direction (ABD or ADD)

13.) Souque's phenomenon: When the upper extremity is flexed beyond 100 degree flexion, there occurs extension and abduction of the involved fingers.

14.) The 11,12,13 are ASSOCIATED REACTIONS.

15.) Coordination synkunesis is a condition in which patient does a vountary contraction of few muscles in order to get the contraction of synergestic muscles.

16.) Infraspinatus is supplied by supra scapular nerve arising from SUPERIOR CORD of BP

17.) Subscapularis (Subscapular nerve), Post cord.
Teres Major (Supra scapular Nerve), Post cord.
Lattismus Dorsi (TH. Dorsal Nrv) Post cord.

18.) Stages of Motor Control.
KEEP THIS IN MIND WHILE ANSWERING THE QUESTIONS RELATED TO TEACHING PATIENTS AND MOTOR CONTROL STUFF.
Stage 1-4: Mobility- Stability- Controlled Mobility- Skill

19.) Parathyroid hormone regulates calcium and phosphorous.
Hypoparathyrodism: Calcium OCHU, Phosphorous VADHARE, PTH level OCHU.
Hyperparathyrodism: Calcium VADHARE, Phosphorous OCHU, PTH level VADHARE.