Simultaneous movement between the scapula and humerus is referred to as Scapulohumeral Rhythm. The shoulder has three degrees of movement, 1 degree (60 degrees) in the ST joint and two degrees (120 degrees) in the GH joint. Motion must be distributed evenly between the two joints in order to achieve full range of motion. Having the two joints working together, limits the stress put on a singular joint. It is important for the two joints to be congruent with one another so the two structures may move synchronously. The scapula plays a huge role in stabilizing the GH joints in order to achieve total motion. Each joint contributes to the total amount of movement that may take place at the shoulder, therefore, dysfunction at one will result in decrease of ROM due to the increase risk of impingement, pain, and overall function. Scapulohumeral Rhythm ensures the healthy length-tension relationships of the two structures while moving together and acting against force.
Implicit bias is the way we see or stereotype groups of people without even realizing. Implicit bias is a result of years of being taught to look at things or people in a certain way. After time, these ideas become so embedded into our thought process, we don't stop to think twice about the situation or person as an individual. As occupational therapists, we have a responsibility to look at our clients holistically. If we were to go into an evaluation with our own preconceived notions, we would miss out on the beauty of what makes our client unique and motivated. Most importantly, as (future) practitioners, we may not hear or understand the actual needs or beliefs of our client. So, how do we catch ourselves in implicit bias? A few ways we can examine and take initiative against our own bias is by active listening. Taking time to hear a client and truly work towards understanding their point of view will help in decreasing the formation of our own. With active listening, there ...
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