Levers, resistance and exercise

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Lloyd Dean

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Muscles and bones act together to form levers. A lever is a rigid rod (usually a length of bone) that turns about a pivot (usually a joint). Levers can be used so that a small force can move a much bigger force. This is called mechanical advantage. Bhaskar Health News and Medical Education is leading source for trustworthy health, medical, science and technology news and information. Providing world health information Medical Education. Bhaskar Health News and Medical Education is dedicated to medical students, physiotherapists, doctors, nurses, paramedics, physician associates, dentists, pharmacists, midwives and other healthcare professionals. We're committed to being your source for expert health guidance. Bhaskar Health and Medical Education. Source : https://www.bhaskarhealth.com Health Shop: https://www.bhaskarhealth.org @drrohitbhaskar @bhaskarhealth #DrRohitBhaskar #BhaskarHealth #Health #Medical #News #Physiotherapy

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Lever, simple machine consisting of a rigid bar that rotates about a fixed point, called a fulcrum. Levers affect the effort, or force, needed to do a certain amount of work, and are used to lift heavy objects. To move an object with a lever, force is applied to one end of the lever, and the object to be moved (referred to as the resistance or load) is usually located at the other end of the lever, with the fulcrum somewhere between the two. By varying the distances between the force and the fulcrum and between the load and the fulcrum, the amount of effort needed to move the load can be decreased, making the job easier. Physicists classify the lever as one of the four simple machines used to do work. (The other three are the pulley, the wheel and axle, and the inclined plane.) Work is defined in physics as the result of a force, such as a person lifting, that moves an object over a distance. A common example of a lever is the seesaw. The human arm is also a lever, where the elbow is the fulcrum and the muscles apply the force.

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Manual Muscle Testing (MMT) is a clinical assessment technique used by healthcare professionals to evaluate the strength and function of individual muscles or muscle groups. It involves the systematic application of resistance while the patient contracts specific muscles, allowing the examiner to assess the muscle's ability to generate force and produce movement. Here's a detailed overview: 1. **Purpose**: MMT is used to: - Identify muscle weakness or imbalance. - Assess the extent and location of neuromuscular dysfunction. - Monitor changes in muscle strength over time. - Guide treatment planning and rehabilitation interventions. 2. **Procedure**: - **Patient Positioning**: The patient is positioned appropriately to isolate and activate the muscle being tested. - **Instruction**: Clear instructions are provided to the patient regarding the desired movement and level of effort. - **Stabilization**: Adjacent joints or body segments may be stabilized to prevent compensatory movements. - **Resistance Application**: The examiner applies resistance, typically manually, in the direction opposite to the muscle's action, gradually increasing it while the patient contracts the muscle. - **Observation**: The examiner observes the quality of muscle contraction, noting factors such as initiation, strength, endurance, and any signs of fatigue or compensation. - **Grading**: Muscle strength is graded on a scale ranging from 0 to 5: - 0: No contraction detected. - 1: Muscle flicker, but no movement. - 2: Movement occurs, but not against gravity. - 3: Movement against gravity, but not against resistance. - 4: Movement against some resistance, but not full strength. - 5: Full strength, normal movement against full resistance. 3. **Applications**: - **Clinical Diagnosis**: MMT helps identify muscle weakness or dysfunction associated with various conditions, such as neuromuscular disorders, orthopedic injuries, and neurological impairments. - **Treatment Planning**: Assessment findings from MMT guide the selection of appropriate therapeutic interventions, including strengthening exercises, manual therapy techniques, and functional training. - **Rehabilitation Monitoring**: Serial MMT evaluations track changes in muscle strength and function during the rehabilitation process, informing progression and adjusting treatment goals as needed. 4. **Considerations**: - **Reliability and Validity**: MMT results may vary based on factors such as examiner experience, patient cooperation, and testing conditions. Standardized protocols and repeated assessments can enhance reliability. - **Limitations**: MMT may not be suitable for assessing deep muscles or muscles affected by pain, and results may be influenced by factors such as fatigue, motivation, and neurological impairment. - **Clinical Judgment**: Interpretation of MMT findings requires clinical judgment,.

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