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Understanding Forces in Clinical Practice

Jun 8, 2024

Understanding Forces in Clinical Practice

Types of Forces

Linear Force

  • Definition: Two or more forces acting on the same line.
  • Directions: Can be same or opposite.
  • Same Direction: Forces add together.
  • Opposite Direction: Forces cancel each other out.
  • Ideal Scenario: Rarely occurs in reality; forces usually don't act on the same line.

Parallel Forces

  • Definition: Forces acting in the same plane but not on the same point.
  • Example: Three forces acting to reach a balance.

Concurrent Forces

  • Definition: Two or more forces acting on an object from different directions but at a common point.
  • Differences from Parallel Forces: Parallel forces act at different points, while concurrent forces act at a common point.
  • Example: Resultant force when two forces act on the same spot.

Importance in Clinical Practice

Tensile and Compression Forces

  • Application: Used to manipulate joints.
  • Tensile Force: Applied to separate joint spaces.
  • Compression Force: Used to keep tissues together.
  • Activity Design: Must ensure forces act on the same line for effective manipulation.

Shear Forces in Wheelchair Use

  • Problem: Weight pulls down, causing sliding due to wheelchair texture or angle.
  • Solution: Choose proper texture or change seating angle to prevent sliding.

Weak Shoulder Motion Example

  • Scenario: Weak shoulder motion with upper extremity weight (6 kg).
  • Solution: Add weight (e.g., 5 kg) to assist; patient only needs to generate minimal additional force.
  • Training: Modify intensity to gradually increase muscle strength.
  • Bucket Example: Adding weight requires generating more force to counteract combined weights.

Multiple Forces Acting on the Same Point

  • Simplification: Basic math equation can be used
  • Equation: a² + b² = c² for resultant force.
  • Application: Simplification helps understand resultant force in clinical settings.

Hand and Finger Movement

  • Natural Alignment: Center of finger movement lines deviates towards the radial side (scaphoid).
  • Splint Design: Must consider natural alignment for effective hand movement.
  • Resting Force Creation: Use elastic bands in strategic positions to ensure correct motion direction.

Summary

  • Understanding different types of forces and their applications is crucial in designing effective clinical interventions, particularly in activities involving joint manipulation, wheelchair seating, and muscle strength training.