Manual of Structural Kinesiology

Download as ppt, pdf, or txt
Download as ppt, pdf, or txt
You are on page 1of 131

Chapter 1 Foundations of Structural Kinesiology

Manual of Structural Kinesiology


R.T. Floyd, EdD, ATC, CSCS
1-1

2007 McGraw-Hill Higher Education. All rights reserved.

Kinesiology & Body Mechanics


Kinesiology - study of motion or human movement Anatomic kinesiology - study of human musculoskeletal system & musculotendinous system Biomechanics - application of mechanical physics to human motion

2007 McGraw-Hill Higher Education. All rights reserved.

1-2

Kinesiology & Body Mechanics


Structural kinesiology - study of muscles as they are involved in science of movement Both skeletal & muscular structures are involved Bones are different sizes & shapes particularly at the joints, which allow or limit movement

2007 McGraw-Hill Higher Education. All rights reserved.

1-3

Kinesiology & Body Mechanics


Muscles vary greatly in size, shape, & structure from one part of body to another More than 600 muscles are found in human body

2007 McGraw-Hill Higher Education. All rights reserved.

1-4

Who needs Kinesiology?


Anatomists, coaches, strength and conditioning specialists, personal trainers, nurses, physical educators, physical therapists, physicians, athletic trainers, massage therapists & others in health-related fields

2007 McGraw-Hill Higher Education. All rights reserved.

1-5

Why Kinesiology?
should have an adequate knowledge & understanding of all large muscle groups to teach others how to strengthen, improve, & maintain these parts of human body should not only know how & what to do in relation to conditioning & training but also know why specific exercises are done in conditioning & training of athletes

2007 McGraw-Hill Higher Education. All rights reserved.

1-6

Why Kinesiology?
Through kinesiology & analysis of skills, physical educators can understand & improve specific aspects of physical conditioning Understanding aspects of exercise physiology is also essential to coaches & physical educators

2007 McGraw-Hill Higher Education. All rights reserved.

1-7

Reference positions
basis from which to describe joint movements
Anatomical position Fundamental position

2007 McGraw-Hill Higher Education. All rights reserved.

1-8

Reference positions
Anatomical position
most widely used & accurate for all aspects of the body standing in an upright posture, facing straight ahead, feet parallel and close, & palms facing forward

Fundamental position
is essentially same as anatomical position except arms are at the sides & palms facing the body

2007 McGraw-Hill Higher Education. All rights reserved.

1-9

Anatomical directional terminology


Anterior
in front or in the front part

Posterior
behind, in back, or in the rear

Anteroinferior
in front & below

Posteroinferior
behind & below; in back & below

Anterosuperior
in front & above

Posterolateral
behind & to one side, specifically to the outside

2007 McGraw-Hill Higher Education. All rights reserved.

1-10

Anatomical directional terminology

2007 McGraw-Hill Higher Education. All rights reserved.

From Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill

1-11

Anatomical directional terminology


Anterolateral
in front & to the side, especially the outside

Posteromedial
behind & to the inner side

Anteromedial
in front & toward the inner side or midline

Posterosuperior
behind & at the upper part

Anteroposterior
relating to both front & rear

2007 McGraw-Hill Higher Education. All rights reserved.

1-12

Anatomical directional terminology


Contralateral
pertaining or relating to the opposite side

Ipsilateral
on the same side

Bilateral
relating to the right and left sides of the body or of a body structure such as the right & left extremities
2007 McGraw-Hill Higher Education. All rights reserved.

1-13

Anatomical directional terminology


Inferior (infra)
below in relation to another structure; caudal above in relation to another structure; higher, cephalic situated away from the center or midline of the body, or away from the point of origin nearest the trunk or the point of origin on or to the side; outside, farther from the median or midsagittal plane relating to the middle or center; nearer to the medial or midsagittal plane Relating to the middle or center; nearer to the median or midsagittal plane
From Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill

Superior (supra)

Distal Proximal Lateral Medial Median

2007 McGraw-Hill Higher Education. All rights reserved.

1-14

Anatomical directional terminology


Inferolateral
below & to the outside

Inferomedial
below & toward the midline or inside

Superolateral
above & to the outside

Superomedial
above & toward the midline or inside
1-15

2007 McGraw-Hill Higher Education. All rights reserved.

Anatomical directional terminology


Caudal
below in relation to another structure; inferior

Cephalic
above in relation to another structure; higher, superior

2007 McGraw-Hill Higher Education. All rights reserved.

1-16

Anatomical directional terminology


Deep
beneath or below the surface; used to describe relative depth or location of muscles or tissue

Superficial
near the surface; used to describe relative depth or location of muscles or tissue

2007 McGraw-Hill Higher Education. All rights reserved.

1-17

Anatomical directional terminology


Prone
the body lying face downward; stomach lying

Supine
lying on the back; face upward position of the body

2007 McGraw-Hill Higher Education. All rights reserved.

1-18

Anatomical directional terminology


Dorsal relating to the back; being or located near, on, or toward the back, posterior part, or upper surface of Ventral relating to the belly or abdomen, on or toward the front, anterior part of
2007 McGraw-Hill Higher Education. All rights reserved.

1-19

Anatomical directional terminology


Volar relating to palm of the hand or sole of the foot Plantar relating to the sole or undersurface of the foot

2007 McGraw-Hill Higher Education. All rights reserved.

1-20

Body Regions

2007 McGraw-Hill Higher Education. All rights reserved.

1-21

Body regions
Axial
Cephalic (Head) Cervical (Neck) Trunk

Appendicular
Upper limbs Lower limbs
2007 McGraw-Hill Higher Education. All rights reserved.

1-22

Body regions
Axial
Cephalic (Head)
Cranium & Face

Cervical (Neck) Trunk


Thoracic (Thorax), Dorsal (Back), Abdominal (Abdomen), & Pelvic (Pelvis)
2007 McGraw-Hill Higher Education. All rights reserved.

1-23

Body regions
Appendicular
Upper limbs
Shoulder, arm, forearm, & manual

Lower limbs
Thigh, leg, & pedal

2007 McGraw-Hill Higher Education. All rights reserved.

1-24

Planes of Motion
Imaginary two-dimensional surface through which a limb or body segment is moved Motion through a plane revolves around an axis There is a ninety-degree relationship between a plane of motion & its axis

2007 McGraw-Hill Higher Education. All rights reserved.

1-25

Cardinal planes of motion


3 basic or traditional
in relation to the body, not in relation to the earth

Anteroposterior or Sagittal Plane Lateral or Frontal Plane Transverse or Horizontal Plane


Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill 2007 McGraw-Hill Higher Education. All rights reserved.

1-26

Cardinal planes of motion


Anteroposterior or Sagittal Plane
divides body into equal, bilateral segments It bisects body into 2 equal symmetrical halves or a right & left half Ex. Sit-up
Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill 1-27

2007 McGraw-Hill Higher Education. All rights reserved.

Cardinal planes of motion


Lateral or Frontal Plane
divides the body into (front) anterior & (back) posterior halves Ex. Jumping Jacks

2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGrawHill 1-28

Cardinal planes of motion


Transverse or Horizontal Plane
divides body into (top) superior & (bottom) inferior halves when the individual is in anatomic position Ex. Spinal rotation to left or right
Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill 2007 McGraw-Hill Higher Education. All rights reserved.

1-29

Diagonal Planes of Motion


High Diagonal Low Diagonal Low Diagonal

2007 McGraw-Hill Higher Education. All rights reserved.

1-30

Diagonal Planes of Motion


High Diagonal Upper limbs at shoulder joints Overhand skills EX. Baseball Pitch

2007 McGraw-Hill Higher Education. All rights reserved.

1-31

Diagonal Planes of Motion


Low Diagonal Upper limbs at shoulder joints Underhand skills EX. Discus Thrower Low Diagonal Lower limbs at the hip joints EX. Kickers & Punters
2007 McGraw-Hill Higher Education. All rights reserved.

1-32

Axes of rotation
For movement to occur in a plane, it must turn or rotate about an axis as referred to previously The axes are named in relation to their orientation

2007 McGraw-Hill Higher Education. All rights reserved.

1-33

Axes of rotation
Frontal, lateral, or coronal axis
Has same orientation as frontal plane of motion & runs from side to side at a right angle to sagittal plane of motion Runs medial / lateral Commonly includes flexion, extension movements

Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill 2007 McGraw-Hill Higher Education. All rights reserved.

1-34

Axes of rotation
Sagittal or anteroposterior axis
Has same orientation as sagittal plane of motion & runs from front to back at a right angle to frontal plane of motion Runs anterior / posterior Commonly includes abduction, adduction movements
2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill

1-35

Axes of rotation
Long or vertical axis
Runs straight down through top of head & is at a right angle to transverse plane of motion Runs superior/ inferior Commonly includes internal rotation, external rotation movements
Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill 2007 McGraw-Hill Higher Education. All rights reserved.

1-36

Axes of rotation
Diagonal or oblique axis
also known as the oblique axis runs at a right angle to the diagonal plane

2007 McGraw-Hill Higher Education. All rights reserved.

1-37

Skeletal System

Modified from Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill

2007 McGraw-Hill Higher Education. All rights reserved.

1-38

Osteology
Adult skeleton 206 bones
Axial skeleton
80 bones

Appendicular
126 bones

occasional variations

2007 McGraw-Hill Higher Education. All rights reserved.

1-39

Skeletal Functions
1. Protection of heart, lungs, brain, etc. 2. Support to maintain posture 3. Movement by serving as points of attachment for muscles and acting as levers 4. Mineral storage such as calcium & phosphorus 5. Hemopoiesis in vertebral bodies, femus, humerus, ribs, & sternum process of blood cell formation in the red bone marrow
2007 McGraw-Hill Higher Education. All rights reserved.

1-40

Types of bones
Long bones - humerus, fibula Short bones - carpals, tarsals Flat bones - skull, scapula Irregular bones - pelvis, ethmoid, ear ossicles Sesamoid bones - patella

2007 McGraw-Hill Higher Education. All rights reserved.

1-41

Types of bones
Long bones
Composed of a long cylindrical shaft with relatively wide, protruding ends shaft contains the medullary canal Ex. phalanges, metatarsals, metacarpals, tibia, fibula, femur, radius, ulna, & humerus
2007 McGraw-Hill Higher Education. All rights reserved.

1-42

Types of bones
Short bones
Small, cubical shaped, solid bones that usually have a proportionally large articular surface in order to articulate with more than one bone Ex. are carpals & tarsals

2007 McGraw-Hill Higher Education. All rights reserved.

1-43

Types of bones
Flat bones
Usually have a curved surface & vary from thick where tendons attach to very thin Ex. ilium, ribs, sternum, clavicle, & scapula

2007 McGraw-Hill Higher Education. All rights reserved.

1-44

Types of bones
Irregular bones
Include bones throughout entire spine & ischium, pubis, & maxilla

Sesamoid bones
Patella, 1st metatarsophalangeal

2007 McGraw-Hill Higher Education. All rights reserved.

1-45

Typical Bony Features


Diaphysis long cylindrical shaft Cortex - hard, dense compact bone
forming walls of diaphysis Periosteum - dense, fibrous membrane covering outer surface of diaphysis Endosteum - fibrous membrane that lines the inside of the cortex

Medullary (marrow) cavity


between walls of diaphysis, containing yellow or fatty marrow
2007 McGraw-Hill Higher Education. All rights reserved. From Shier D, Butler J, Lewis R: Holes human anatomy & physiology, ed 9, New York, 2002, 1-46 McGraw-Hill.

Typical Bony Features


Epiphysis ends of long bones formed from cancelleous (spongy or trabecular) bone Epiphyseal plate (growth plate) thin cartilage plate separates diaphysis & epiphyses
2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill.

1-47

Typical Bony Features


Articular (hyaline) cartilage covering the epiphysis to provide cushioning effect & reduce friction

2007 McGraw-Hill Higher Education. All rights reserved.

1-48

Bone Growth
Endochondral bones
develop from hyaline cartilage hyaline cartilage masses at embryonic stage

From Shier D, Butler J, Lewis R: Holes essentials of human anatomy and physiology, ed 9, New York, 2006, McGraw-Hill. 2007 McGraw-Hill Higher Education. All rights reserved.

1-49

Bone Growth
Endochondral bones
grow rapidly into structures shaped similar to the bones which they will eventually become growth continues and gradually undergoes significant change to develop into long bone

2007 McGraw-Hill Higher Education. All rights reserved.

1-50

Bone Growth
Longitudinal growth continues as long as epiphyseal plates are open Shortly after adolescence, plates disappear & close

From Seeley RR, Stephens TD, Tate P: Anatomy & physiology, ed 7, New York, 2006, McGraw-Hill. 2007 McGraw-Hill Higher Education. All rights reserved.

1-51

Bone Growth
Most close by age 18, but some may be present until 25 Growth in diameter continues throughout life

2007 McGraw-Hill Higher Education. All rights reserved.

1-52

Bone Growth
Internal layer of periosteum builds new concentric layers on old layers Simultaneously, bone around sides of the medullary cavity is resorbed so that diameter is continually increased Osteoblasts - cells that form new bone Osteoclasts - cells that resorb new bone

2007 McGraw-Hill Higher Education. All rights reserved.

1-53

Bone Properties
Composed of calcium carbonate, calcium phosphate, collagen, & water
60-70% of bone weight - calcium carbonate & calcium phosphate 25-30% of bone weight - water

Collagen provides some flexibility & strength in resisting tension Aging causes progressive loss of collagen & increases brittleness
2007 McGraw-Hill Higher Education. All rights reserved.

1-54

Bone Properties
Most outer bone is cortical with cancellous underneath Cortical bone low porosity, 5 to 30% nonmineralized tissue Cancellous spongy, high porosity, 30 to 90% Cortical is stiffer & can withstand greater stress, but less strain than cancellous Cancellous is spongier & can undergo greater strain before fracturing
2007 McGraw-Hill Higher Education. All rights reserved.

1-55

Bone Properties
Bone size & shape are influenced by the direction & magnitude of forces that are habitually applied to them Bones reshape themselves based upon the stresses placed upon them Bone mass increases over time with increased stress

2007 McGraw-Hill Higher Education. All rights reserved.

1-56

Bone Markings
Processes (including elevations & projections)
Processes that form joints
Condyle Facet Head

2007 McGraw-Hill Higher Education. All rights reserved.

1-57

Bone Markings
Processes (elevations & projections)
Processes to which ligaments, muscles or tendons attach Crest Epicondyle Line Process Spine (spinous process) Suture Trochanter Tubercle Tuberosity

2007 McGraw-Hill Higher Education. All rights reserved.

1-58

Bone Markings
Cavities (depressions) - including opening & grooves
Facet Foramen Fossa Fovea Meatus Sinus Sulcus (groove)

2007 McGraw-Hill Higher Education. All rights reserved.

1-59

Classification of Joints
Articulation - connection of bones at a joint usually to allow movement between surfaces of bones 3 major classifications according to structure & movement characteristics Synarthrodial Amphiarthrodial Diarthrodial
2007 McGraw-Hill Higher Education. All rights reserved.

1-60

Classification of Joints
Structural classification
Fibrous Synarthrodial Amphiarthrodial Functional classification Diarthrodial --------Gomphosis Suture Syndesmosis Cartilagenous ----Symphysis Synchondrosis Synovial --------Arthrodial Condyloidal Enarthrodial Ginglymus Sellar Trochoidal

2007 McGraw-Hill Higher Education. All rights reserved.

1-61

Synarthrodial
immovable joints Suture such as Skull sutures Gomphosis such as teeth fitting into mandible or maxilla

Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. 2007 McGraw-Hill Higher Education. All rights reserved.

1-62

Amphiarthrodial
slightly movable joints allow a slight amount of motion to occur Syndesmosis Synchondrosis Symphysis
Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill.

2007 McGraw-Hill Higher Education. All rights reserved.

1-63

Amphiarthrodial
Syndesmosis
Two bones joined together by a strong ligament or an interosseus membrane that allows minimal movement between the bones Bones may or may not touch each other at the actual joint Ex. Coracoclavicular joint, distal tibiofibular jt.

2007 McGraw-Hill Higher Education. All rights reserved.

1-64

Amphiarthrodial
Synchondrosis
Type of joint separated by hyaline cartilage that allows very slight movement between the bones Ex. costochondral joints of the ribs with the sternum

2007 McGraw-Hill Higher Education. All rights reserved.

1-65

Amphiarthrodial
Symphysis
Joint separated by a fibrocartilage pad that allows very slight movement between the bones Ex. Symphysis Pubis & intervertebral discs

2007 McGraw-Hill Higher Education. All rights reserved.

1-66

Diarthrodial Joints
known as synovial joints freely movable composed of sleevelike joint capsule secretes synovial fluid to lubricate joint cavity
2007 McGraw-Hill Higher Education. All rights reserved.

From Seeley RR, Stephens TD, Tate P: Anatomy & physiology, ed 7, New York, 2006, McGraw-Hill.

1-67

Diarthrodial Joints
capsule thickenings form tough, nonelastic ligaments that provide additional support against abnormal movement or joint opening
2007 McGraw-Hill Higher Education. All rights reserved.

1-68

Diarthrodial Joints
Articular or hyaline cartilage covers the articular surface ends of the bones inside the joint cavity
absorbs shock protect the bone

slowly absorbs synovial fluid during joint unloading or distraction secretes synovial fluid during subsequent weight bearing & compression some diarthrodial joints have specialized fibrocartilage disks
2007 McGraw-Hill Higher Education. All rights reserved.

1-69

Diarthrodial Joints
Diarthrodial joints have motion possible in one or more planes Degrees of freedom
motion in 1 plane = 1 degree of freedom motion in 2 planes = 2 degrees of freedom motion in 3 planes = 3 degrees of freedom

2007 McGraw-Hill Higher Education. All rights reserved.

1-70

Diarthrodial Joints
six types each has a different type of bony arrangement Arthrodial Ginglymus Trochoid Condyloid Enarthrodial Sellar

2007 McGraw-Hill Higher Education. All rights reserved.

1-71

Diarthrodial Joints
Arthrodial (Gliding) joints
2 plane or flat bony surfaces which butt against each other Little motion possible in any 1 joint articulation Usually work together in series of articulations

2007 McGraw-Hill Higher Education. All rights reserved.

1-72

Diarthrodial Joints
Arthrodial (Gliding) joints
Ex. Vertebral facets in spinal column, intercarpal & intertarsal joints Motions are flexion, extension, abduction, adduction, diagonal abduction & adduction, & rotation, (circumduction)
2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill.

1-73

Diarthrodial Joints
Ginglymus (Hinge) joint
a uniaxial articulation articular surfaces allow motion in only one plane Ex. Elbow, knee, talocrural (ankle)
Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill.

2007 McGraw-Hill Higher Education. All rights reserved.

1-74

Diarthrodial Joints
Trochoid (Pivot) joint
also uniaxial articulation Ex. atlantoaxial joint odontoid which turns in a bony ring, proximal & distal radio-ulnar joints

2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill.

1-75

Diarthrodial Joints
Condyloid (Knuckle Joint)
biaxial ball & socket joint one bone with an oval concave surface received by another bone with an oval convex surface

2007 McGraw-Hill Higher Education. All rights reserved.

1-76

Diarthrodial Joints
Condyloid (Knuckle Joint)
EX. 2nd, 3rd, 4th, & 5th metacarpophalangeal or knuckles joints, wrist articulation between carpals & radius flexion, extension, abduction & adduction (circumduction)
2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGrawHill.

1-77

Diarthrodial Joints
Enarthrodial
Multiaxial or triaxial ball & socket joint Bony rounded head fitting into a concave articular surface Ex. Hip & shoulder joint Motions are flexion, extension, abduction, adduction, diagonal abduction & adduction, rotation, and circumduction
2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill.

1-78

Diarthrodial Joints
Sellar (Saddle) Joint
unique triaxial joint 2 reciprocally concave & convex articular surfaces Only example is 1st carpometacarpal joint at thumb Flexion, extension, adduction & abduction, circumduction & slight rotation
2007 McGraw-Hill Higher Education. All rights reserved.

Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill.

1-79

Movements in Joints
Some joints permit only flexion & extension Others permit a wide range of movements, depending largely on the joint structure Goniometer is used to measure amount of movement in a joint or measure joint angles
2007 McGraw-Hill Higher Education. All rights reserved.

1-80

Range of Motion
area through which a joint may normally be freely and painlessly moved measurable degree of movement potential in a joint or joints measured with a goniometer in degrees 00 to 3600

2007 McGraw-Hill Higher Education. All rights reserved.

From Prentice WE: Arnheims principles of athletic training, ed 11, New York, 2003, McGraw-Hill.

1-81

Movements in Joints
Goniometer axis is placed even with the axis of rotation at the joint line As joint is moved, goniometer arms are held in place either along or parallel to long axis of bones on either side of joint Joint angle is then read from goniometer Normal range of motion for a particular joint varies in people
2007 McGraw-Hill Higher Education. All rights reserved.

1-82

Movements in Joints
Terms are used to describe actual change in position of bones relative to each other Angles between bones change Movement occurs between articular surfaces of joint
Flexing the knee results in leg moving closer to thigh flexion of the leg = flexion of the knee
2007 McGraw-Hill Higher Education. All rights reserved.

1-83

Movements in Joints
Movement terms describe movement occurring throughout the full range of motion or through a very small range
Ex. 1 flex knee through full range by beginning in full knee extension (zero degrees of knee flexion) & flex it fully so that the heel comes in contact with buttocks, which is approximately 140 degrees of flexion
2007 McGraw-Hill Higher Education. All rights reserved.

1-84

Movements in Joints
Ex. 2 begin with knee in 90 degrees of flexion & then flex it 30 degrees which results in a knee flexion angle of 120 degrees, even though the knee only flexed 30 degrees In both ex. 1 & 2 knee is in different degrees of flexion

2007 McGraw-Hill Higher Education. All rights reserved.

1-85

Movements in Joints
Ex. 3 begin with knee in 90 degrees of flexion and extend it 40 degrees, which would result in a flexion angle of 50 degrees Even though the knee extended, it is still flexed

2007 McGraw-Hill Higher Education. All rights reserved.

1-86

Movements in Joints
Some movement terms describe motion at several joints throughout body Some terms are relatively specific to a joint or group of joints
Additionally, prefixes may be combined with these terms to emphasize excessive or reduced motion
hyper- or hypo-

Hyperextension is the most commonly used


2007 McGraw-Hill Higher Education. All rights reserved.

1-87

Movement Terminology

2007 McGraw-Hill Higher Education. All rights reserved.

1-88

GENERAL
Abduction
Lateral movement away from midline of trunk in lateral plane raising arms or legs to side horizontally

Adduction
Movement medially toward midline of trunk in lateral plane lowering arm to side or thigh back to anatomical position
2007 McGraw-Hill Higher Education. All rights reserved.

1-89

GENERAL
Flexion
Bending movement that results in a of angle in joint by bringing bones together, usually in sagittal plane elbow joint when hand is drawn to shoulder

Extension
Straightening movement that results in an of angle in joint by moving bones apart, usually in sagittal plane elbow joint when hand moves away from shoulder
1-90

2007 McGraw-Hill Higher Education. All rights reserved.

GENERAL
Circumduction
Circular movement of a limb that delineates an arc or describes a cone combination of flexion, extension, abduction, & adduction when shoulder joint & hip joint move in a circular fashion around a fixed point also referred to as circumflexion

2007 McGraw-Hill Higher Education. All rights reserved.

1-91

GENERAL
Diagonal abduction
Movement by a limb through a diagonal plane away from midline of body

Diagonal adduction
Movement by a limb through a diagonal plane toward & across midline of body

2007 McGraw-Hill Higher Education. All rights reserved.

1-92

GENERAL
External rotation
Rotary movement around longitudinal axis of a bone away from midline of body Occurs in transverse plane a.k.a. rotation laterally, outward rotation, & lateral rotation

Internal rotation
Rotary movement around longitudinal axis of a bone toward midline of body Occurs in transverse plane a.k.a. rotation medially, inward rotation, & medial rotation
2007 McGraw-Hill Higher Education. All rights reserved.

1-93

ANKLE & FOOT


Eversion
Turning sole of foot outward or laterally standing with weight on inner edge of foot

Inversion
Turning sole of foot inward or medially standing with weight on outer edge of foot

2007 McGraw-Hill Higher Education. All rights reserved.

1-94

ANKLE & FOOT


Dorsal flexion
Flexion movement of ankle that results in top of foot moving toward anterior tibia bone

Plantar flexion
Extension movement of ankle that results in foot moving away from body

2007 McGraw-Hill Higher Education. All rights reserved.

1-95

ANKLE & FOOT


Pronation
A combination of ankle dorsiexion, subtalar eversion, and forefoot abduction (toe-out)

Supination
A combination of ankle plantar exion, subtalar inversion, and forefoot adduction (toe-in)

2007 McGraw-Hill Higher Education. All rights reserved.

1-96

RADIOULNAR JOINT
Pronation
Internally rotating radius where it lies diagonally across ulna, resulting in palm-down position of forearm

Supination
Externally rotating radius where it lies parallel to ulna, resulting in palm-up position of forearm
2007 McGraw-Hill Higher Education. All rights reserved.

1-97

SHOULDER GIRDLE
Depression
Inferior movement of shoulder girdle returning to normal position from a shoulder shrug

Elevation
Superior movement of shoulder girdle shrugging the shoulders

2007 McGraw-Hill Higher Education. All rights reserved.

1-98

SHOULDER GIRDLE
Protraction
Forward movement of shoulder girdle away from spine Abduction of the scapula

Retraction
Backward movement of shoulder girdle toward spine Adduction of the scapula
1-99

2007 McGraw-Hill Higher Education. All rights reserved.

SHOULDER GIRDLE
Rotation downward
Rotary movement of scapula with inferior angle of scapula moving medially & downward

Rotation upward
Rotary movement of scapula with inferior angle of scapula moving laterally & upward

2007 McGraw-Hill Higher Education. All rights reserved.

1-100

SHOULDER JOINT
Horizontal abduction
Movement of humerus in horizontal plane away from midline of body also known as horizontal extension or transverse abduction

Horizontal adduction
Movement of humerus in horizontal plane toward midline of body also known as horizontal flexion or transverse adduction
2007 McGraw-Hill Higher Education. All rights reserved.

1-101

SPINE
Lateral flexion (side bending)
Movement of head and / or trunk laterally away from midline Abduction of spine

Reduction
Return of spinal column to anatomic position from lateral flexion Adduction of spine
1-102

2007 McGraw-Hill Higher Education. All rights reserved.

WRIST & HAND


Palmar flexion
Flexion movement of wrist with volar or anterior side of hand moving toward anterior side of forearm

Dorsal flexion (dorsiflexion)


Extension movement of wrist in the sagittal plane with dorsal or posterior side of hand moving toward posterior side of forearm

2007 McGraw-Hill Higher Education. All rights reserved.

1-103

WRIST & HAND


Radial flexion (radial deviation)
Abduction movement at wrist of thumb side of hand toward forearm

Ulnar flexion (ulnar deviation)


Adduction movement at wrist of little finger side of hand toward forearm

2007 McGraw-Hill Higher Education. All rights reserved.

1-104

WRIST & HAND


Opposition of the thumb
Diagonal movement of thumb across palmar surface of hand to make contact with the hand and/or fingers

2007 McGraw-Hill Higher Education. All rights reserved.

1-105

Movement Icons

Shoulder girdle

Scapula elevation

Scapula depression

Scapula abduction

Scapula adduction

Scapula upward rotation

Scapula downward rotation

2007 McGraw-Hill Higher Education. All rights reserved.

1-106

Movement Icons
Glenohumeral

Shoulder flexion

Shoulder extension

Shoulder abduction

Shoulder adduction

Shoulder horizontal abduction

Shoulder horizontal adduction

Shoulder external rotation

Shoulder internal rotation

2007 McGraw-Hill Higher Education. All rights reserved.

1-107

Movement Icons
Elbow Radioulnar joints

Elbow flexion

Elbow extension

Radioulnar supination

Radioulnar pronation

2007 McGraw-Hill Higher Education. All rights reserved.

1-108

Movement Icons
Elbow Radioulnar joints

Wrist extension

Wrist flexion

Wrist abduction

Wrist adduction

2007 McGraw-Hill Higher Education. All rights reserved.

1-109

Movement Icons
Thumb carpometacarpal Thumb joint metacarpophalangeal joint Thumb interphalangeal joint

Thumb CMC flexion

Thumb Thumb CMC CMC extension abduction

Thumb MCP flexion

Thumb MCP extension

Thumb IP flexion

Thumb IP extension

2007 McGraw-Hill Higher Education. All rights reserved.

1-110

Movement Icons
2nd, 3rd, 4th, and 5th MCP, PIP, & DIP joints 2nd, 3rd, 4th, and 5th MCP & PIP joints 2nd, 3rd, 4th, and 5th metacarpophalangeal joints 2nd, 3rd, 4th, and 5th PIP joints 2nd, 3rd, 4th, and 5th DIP joints

2-5th MCP, PIP, & DIP flexion

2-5th MCP, PIP, & DIP extension

2-5th MCP & PIP flexion

2-5th MCP flexion

2-5th MCP extension

2-5th PIP flexion

2-5th DIP flexion

2007 McGraw-Hill Higher Education. All rights reserved.

1-111

Movement Icons
Hip

Hip flexion

Hip extension

Hip abduction

Hip adduction

Hip external rotation

Hip internal rotation

2007 McGraw-Hill Higher Education. All rights reserved.

1-112

Movement Icons
Knee

Knee flexion

Knee extension

Knee external rotation

Knee internal rotation

2007 McGraw-Hill Higher Education. All rights reserved.

1-113

Movement Icons
Ankle Transverse tarsal and subtalar joint

Ankle plantar flexion

Ankle dorsal flexion

Transverse tarsal & subtalar inversion

Transverse tarsal & subtalar eversion

2007 McGraw-Hill Higher Education. All rights reserved.

1-114

Movement Icons
Great toe metatarsophalangeal and interphalangeal joints 2-5th metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints

Great toe MTP & IP flexion

Great toe MTP & IP extension

2-5th MTP, PIP & DIP flexion

2-5th MTP, PIP & DIP extension

2007 McGraw-Hill Higher Education. All rights reserved.

1-115

Movement Icons
Cervical spine

Cervical flexion

Cervical extension

Cervical lateral flexion

Cervical rotation unilaterally

2007 McGraw-Hill Higher Education. All rights reserved.

1-116

Movement Icons
Lumbar spine

Lumbar flexion

Lumbar extension

Lumbar lateral flexion

Lumbar rotation unilaterally

2007 McGraw-Hill Higher Education. All rights reserved.

1-117

Physiological movements vs. accessory motions


Physiological movements - flexion, extension, abduction, adduction, & rotation
occur by bones moving through planes of motion about an axis of rotation at joint

Osteokinematic motion - resulting motion of bones relative to 3 cardinal planes from these physiological
2007 McGraw-Hill Higher Education. All rights reserved.

1-118

Physiological movements vs. accessory motions


For osteokinematic motions to occur there must be movement between the joint articular surfaces Arthrokinematics - motion between articular surfaces

2007 McGraw-Hill Higher Education. All rights reserved.

1-119

Physiological movements vs. accessory motions


3 specific types of accessory motion
Spin Roll Glide
From Prentice WE: Rehabilitation techniques for sports medicine and athletic training, ed 4, New York, 2004, WCB/McGraw-Hill.

2007 McGraw-Hill Higher Education. All rights reserved.

1-120

Physiological movements vs. accessory motions


If accessory motion is prevented from occurring, then physiological motion cannot occur to any substantial degree other than by joint compression or distraction Due to most diarthrodial joints being composed of a concave surface articulating with a convex surface roll and glide must occur together to some degree
2007 McGraw-Hill Higher Education. All rights reserved.

1-121

Physiological movements vs. accessory motions


Ex. 1 as a person stands from a squatted position the femur must roll forward and simultaneously slide backward on the tibia for the knee to extend
If not for the slide the femur would roll off the front of the tibia If not for the roll, the femur would slide off the back of the tibia
2007 McGraw-Hill Higher Education. All rights reserved. From Prentice WE: Rehabilitation techniques for sports medicine and athletic training, ed 4, New York, 2004, WCB/McGraw-Hill.

1-122

Physiological movements vs. accessory motions


Spin may occur in isolation or in combination with roll & glide As the knee flexes & extends spin occurs to some degree
In Ex. 1, the femur spins medially or internally rotates as the knee reaches full extension
From Prentice WE: Rehabilitation techniques for sports medicine and athletic training, ed 4, New York, 2004, WCB/McGraw-Hill.

2007 McGraw-Hill Higher Education. All rights reserved.

1-123

Physiological movements vs. accessory motions


Roll (rock) - a series of points on one articular surface contacts with a series of points on another articular surface Glide (slide) (translation) - a specific point on one articulating surface comes in contact with a series of points on another surface

2007 McGraw-Hill Higher Education. All rights reserved.

1-124

Physiological movements vs. accessory motions


Spin - A single point on one articular surface rotates about a single point on another articular surface
Motion occurs around some stationary longitudinal mechanical axis in either a clockwise or counterclockwise direction

2007 McGraw-Hill Higher Education. All rights reserved.

1-125

Web Sites
Anatomy & Physiology Tutorials: www.gwc.maricopa.edu/class/bio201/index.htm BBC Science & Nature www.bbc.co.uk/science/humanbody/body/factfiles/skeleton_anat omy.shtml Describes each bone and allows viewing of each from different angles BBC Science & Nature www.bbc.co.uk/science/humanbody/body/interactives/3djigsaw_ 02/index.shtml?skeleton Allows interactive placement of bone and joint structures.

2007 McGraw-Hill Higher Education. All rights reserved.

1-126

Web Sites
BBC Science & Nature www.bbc.co.uk/science/humanbody/body/factfiles/joints/ball_and_ socket_joint.shtml Describes each type of joint and allows viewing of how the joint moves within the body. University of Michigan Learning Resource Center, Hypermuscle: Muscles in action www.med.umich.edu/lrc/Hypermuscle/Hyper.html#flex Describes each motion and allows viewing of the motion performed. Articulations http://basic-anatomy.net/ A thorough discussion of the articulations

2007 McGraw-Hill Higher Education. All rights reserved.

1-127

Web Sites
Foss Human Body http://sv.berkeley.edu/showcase/pages/bones.html An interactive site which allows assembly of the skeleton Functions of the Skeletal System http://training.seer.cancer.gov/module_anatomy/unit3_1_bone_fun ctions.html Several pages with information on bone tissue, bone development and growth, and the joints Wireframe Skeleton www.2flashgames.com/f/f-220.htm Move around the skeleton's limbs arms legs body and make it do funny things Skeletal system www.bio.psu.edu/faculty/strauss/anatomy/skel/skeletal.htm Pictures of dissected bones and their anatomical landmarks

2007 McGraw-Hill Higher Education. All rights reserved.

1-128

Web Sites
Articulations www.douglas.bc.ca/biology/project/articulations/ Details all of the joint types with pictures and review questions eSkeletons Project www.eskeletons.org/ An interactive site with a bone viewer showing the morphology, origins, insertions, and articulations of each bone ExRx Articulations www.exrx.net/Lists/Articulations.html Detailed common exercises demonstrating movements of each joint and listing the muscles involved Skeleton Shakedown www.harcourtschool.com/activity/skel/skel.html Help put a disarticulated skeleton back together

2007 McGraw-Hill Higher Education. All rights reserved.

1-129

Web Sites
Human Anatomy Online www.innerbody.com/image/skelfov.html Interactive skeleton labeling KLB Science Department Interactivities www.klbschool.org.uk/interactive/science/skeleton.htm Skeleton labeling exercises Introductory Anatomy: Joints www.leeds.ac.uk/chb/lectures/anatomy4.html Notes on joint articulations The Interactive Skeleton www.pdh-odp.co.uk/skeleton.htm Point and click to detailed skeletal illustrations Radiographic Anatomy of the Skeleton www.rad.washington.edu/radanat/ X-rays with and without labels of bony landmarks
1-130

2007 McGraw-Hill Higher Education. All rights reserved.

Web Sites
Radiographic Anatomy of the Skeleton www.szote.u-szeged.hu/Radiology/Anatomy/skeleton.htm X-rays with and without labels of bony landmarks Virtual skeleton www.uwyo.edu/RealLearning/4210qtvr.html A 3-dimensional human osteology with Quicktime movies of each bone Skeleton: The Joints www.zoology.ubc.ca/~biomania/tutorial/bonejt/outline.htm Point and click to detailed joint illustrations Forensic Anthropology http://www-personal.une.edu.au/~pbrown3/skeleton.pdf A detailed discussion of skeletal anthropology with excellent pictures of dissected bones

2007 McGraw-Hill Higher Education. All rights reserved.

1-131

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy