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  Česky / Czech version Rehab. fyz. Lék., 11, 2004, No. 2, p. 88–94
 
Remarks to Developmental Aspects in Rehabilitation of Shoulder Disorders  
Krobot A., Míková M., Bastlová P. 

Klinika rehabilitačního a tělovýchovného lékařství LF a FN UP Olomouc
 


Summary:

       The authors present their views of the developmental aspects of motorics and rehabilitation of upper extremity motorics disorders, dealing especially with shoulder and scapula plexus (?). The teleokinetic exclusiveness of the scapular plexus is pointed out. The developmental history of upper extremity is principally different from phylogenesis of lower extremity, at least in the evoluation lines leading to the present humans. It resulted in morphological and, especially, functional differences. The scapula plexus is a morphological and functional intersection between spine or trunk and the upper extremity, and therefore the axial and respiratory motor activity and ideomotoric of acral parts of upper extremity. The therapeutic empiric approach recognizes the role of evolution. Quadruplegia or the locomotion of primitive tetrapods is generally considered to be the phylogenetic motion paradigm for motor activity of present humans.However, it has become obvious that motion synergisms correlating with phylogenetically younger arboreal locomotion of most primates in the rehabilitation of motion disorder of the shoulder, are more useful.

        Key words: rehabilitation, reflex locomotion, shoulder plexus, axial move, bipedia, quadruplegia, brachiation
       

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