Human Anatomy & Physiology Plus Mastering A&P with Pearson eText -- Access Card Package (11th Edition) (What's New in Anatomy & Physiology)
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Chapter 10, Problem 5CCS

45-Year-Old Female with Motor Nerve Damage

In Chapters 7 and 8, you met Kayla Tanner, who suffered a dislocated right hip in a car accident. Six weeks later, Mrs. Tanner was still unable to walk or run without hip pain, and had weakness in flexion at the knee, excessive foot inversion and plantar flexion, and significant “foot drop” (the inability to dorsiflex the foot).

Chapter 10, Problem 5CCS, 45-Year-Old Female with Motor Nerve Damage In Chapters 7 and 8, you met Kayla Tanner, who suffered a

Electromyography (measurement of muscle electrical activity) and nerve conduction studies (measurement of the speed of nerve impulses) revealed sciatic nerve damage, most likely a result of the nerve being compressed when the hip was dislocated. This large nerve innervates many lower limb muscles. Since her surgery, Mrs. Tanner has been undergoing intense physical therapy and has shown significant improvement.

5. Using descriptions similar to those listed in the question above, explain how you would assess the function of the following muscles:

a. Extensor hallucislongus

b. Fibularis (peroneus) longus

c. Gastrocnemius

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For this set of questions you will need to stand up from the chair you are sitting in, and then sit back down. Do this slowly so that you can pay attention to what is happening, and if necessary feel the tone of the muscles in your legs as your standing and sitting (If you are lying down or standing start from a seated position, then stand, then sit). a) During the standing phase, what function is being carried out at the hip joint? b) What are the prime movers (agonists) that are responsible for this particular movement (Hint: You should be able to feel them activated)? c) During the standing phase, what function is being carried out at the knee joint? d) What are the prime movers (agonists) that are responsible for this particular movement (Hint: You should be able to feel them activated)? e) As you sit back down, you realize that some of the same muscles activated during standing are also active when going from standing to sitting. Explain?

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Human Anatomy & Physiology Plus Mastering A&P with Pearson eText -- Access Card Package (11th Edition) (What's New in Anatomy & Physiology)

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