Maria Year Woman Explained for Students (Easy Guide)
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Original Question
Maria is a 63-year-old woman who has been living with osteoarthritis in her knees for several years. Over the past year, the “aching” pain and stiffness in her right knee has gotten progressively worse and now makes it hard to undertake her daily activities. She has difficulty sleeping, walking up and (especially) down stairs, getting in and out of the car, standing up after prolonged sitting in her office chair at work, and she can’t play outdoors with her grandchildren when any quick movements are involved. X-rays show that her right knee has a very narrowed joint space, with lots of damage to the tissue covering the articulating bone surfaces and there are bone spurs (osteophytes). Maria decides to accept the specialist’s advice to have joint replacement surgery. To improve her outcomes after the surgery, she participates in pre-operative physiotherapy to strengthen the muscles in her lower limbs. The knee joint has many structural features in common with other synovial joints in the body. Describe the arrangement and normal function(s) of the key structural features that form the knee joint and briefly explain how the relevant functions are affected by the alteration in structure noted on Maria’s X-ray. Name FOUR (4) large muscles (or muscle groups) of the lower limbs that would be important for Maria to strengthen so that she can efficiently move from a sitting position to standing. Include a basic description of where these muscles are in the lower limb and the movements produced when they contract which allow this change in body position.
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