Shoulder flexors

General terms are used in table to illustrate combination options. Very specific definition that controls the motoric functional units involved as precisely as possible should be used for any given capacity test. For example (1) Upper extremity (shoulder flexor vs. elbow flexor vs. digit 2 flexor) and (2) Vocal system (lingua-dental ta vs. labial pa response), etc. 

The system of primary interest as presented here is the sensory processor. Processing times associated with the motoric processor involved in the response are substantially less in normal systems. However, it is recommended that a given processor speed capacity be identified not onlyby the sensor subsystem stressed, but also by the responder (e.g., visual shoulder flexor information processor speed). This identifies not only the test scenario employed but also the complete information path. 

Juvenile dermatomyositis (JDM) is perhaps the most uniform, in terms of clinical and histopathological features, of the whole PM/DM disease complex. Presentation may be before 5 years of age with peak incidence between 8 and 12 years. The disease may remit and recur until well into young adult life. The skin lesions include a facial rash in butterfly distribution across nose and cheeks. Erythematous skin changes are seen over extensor surfaces of joints, especially knees, knuckles and elbows. Muscle involvement is generally evident some time later and takes the form of weakness and stiffness, particularly affecting shoulder and pelvic musculature. Proximal muscles are often worse affected than distal muscles and extensors worse than flexors. In the absence of prompt and effective treatment contractures may occur at elbows, ankles, knees, and hips. Subcutaneous calcification and skin ulceration may be found calcification of deeper-lying connective tissue may be apparent on X-ray. 

Amadeo, I.M., Chauhan A., Stuart J. and Warden P.T. (April 2011). Flexor tendon repair with a knotless barbed suture A comparative biomechanical study. The Journal of Hand and Shoulder, 36A, 1204-1208. 

MOTOR RESPONSE None Extension Flexor response Withdrawal Localizes pain Obeys commands 1 = To any pain limbs remain flaccid 2 = Shoulder adducted and shoulder and forearm internally rotated 3 = Withdrawal response or assumption of hemiplegic posture 4 = Arm withdraws to pain, shoulder abducts 5 = Arm attempts to remove supra-orbital/chest jnessure 6 = Follows simple commands... 

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