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Shoulder Joint DOF
3 degrees of freedom
Hip Joint DOF
3 degrees of freedom
Knee Joint DOF
1 degree of freedom
Ankle and Foot DOF
3 degrees of freedom
Closed-Pack Position of the Hip
extension, slight abduction, and slight internal rotation
Position of Maximum Congruency of the Hip
Flexion, abduction, and external rotation
Stance Phase of Gait
comprises 60% of the gait cycle
comprised of:
-heel strike
-foot flat
-mid-stance (tibia perpendicular to the ground)
-heel off
-toe off
description:
-HS to FF: weight acceptance - attenuates forces
-FF to HO: mid-stance - maintains momentum; mid-stance can be viewed as a phase or an event
-HO to TO: push off - propulsion
Weight acceptance muscles (Gait)
these muscles work eccentrically to aid in absorption of force:
the quadriceps (bicpes femoris femoris, semitendinosis, semimembranosis) and the dorsiflexors (anterior tibialis)
Swing Phase of Gait
comprises of 40% of the gait cycle
comprised of:
-acceleration (rapid acceleration occurring immediately after TO)
-mid-swing (swing limb takes over stance limb)
-deceleration (swing limb decelerates preparing for HS)
Acceleration muscles (gait)
these muscles work concentrically immediately after TO:
hip flexors (iliopsoas, rectus femoris, tensor fascae latae, vastus medialis, vastus lateralis, and vastus intermedius), knee flexors (biceps femoris, semitendinosis, semimembranosis), and dorsiflexors (anterior tibialis)
Deceleration muscles (gait)
these muscles work eccentrically to bring the foot for HS:
hip extensors (gluteus maximus, hamstrings (biceps femoris, semitendinosis, semimembranosis), adductor magnus, and knee flexors (biceps femoris, semitendinosis, semimembranosis, gastrocnemius)
Knee Joint Ligaments
anterior cruciate ligament
posterior cruciate ligament
medial (tibial) collateral ligament
lateral (fibular) collateral ligament
Cruciate Ligaments
-both anterior and posterior lie in the center of the joint and are named according to their attachment sites on the tibia
-main stabilizing ligaments of the knee and restrain against anterior and posterior translations of the tibia on the femur (also restrain excessive internal and external rotation of the tibia)
Medial Collateral Ligament
-considered to be extra-articular ligaments
-the primary stabilizer of the medial side of the knee resists against valgus forces and external rotation of the tibia
Lateral Collateral Ligament
-considered to be extra-articular ligaments
-resists against varus forces
Menisci
attaches to the tibial plateaus
integral to normal knee function
only the outer 25-30% of the menisci are vascularized
medial meniscus is larger and thicker than the lateral
lateral meniscus is smaller, thinner, and more mobile than the medial meniscus
Menisci Functions
Load Transmission:
transmit 50-60% of the joint load when the knee is in extension and 85-90% when the knee is in flexion
Shock Absorption
Partial menisectomy can reduce the shock-absorbing capacity of the knee by 20%
Loss of just 20% of this can lead to a 350% increase in contact forces
Joint Lubrication
Help to compress synovial fluid into the articular cartilage
Joint Stability
deepens the articulating surfaces of the tibial plateaus
Guiding Movement
During flexion of the knee, it moves posteriorly
During extension of the knee, it moves anteriorly
Q-angle
Q= quadriceps
-the angle formed between the ASIS, center of the patella, and the tibial tuberosity
-angle measures the tendency of the patella to move laterally when the quadriceps contract
-normal considered:
8-14 degrees for males, 15-17 degrees for females
>20 degrees is considered abnormal and associated with increased risk of patellar tracking problems
Angle of Torsion
between femoral neck and femoral condyles
average angle is 12-15 degrees in normal adults and is referred to as '“normal anteversion”
Angle of Inclination
created between the shaft of the femur and the femoral neck
125 degrees in a normal adult
more= coxa valga
less=coxa vara
Center Edge Angle
angle between vertical and anterolateral rim of the acetabulum
typically 30-45 degrees
Carrying Angle
-long axis of humerus and long axis of ulna (in anatomical position)
-normal degree is 10-15 (greater in females)
-excessive increased angle leads to: increased valgus stress on the elbow; increased tensile forces medially; increased compressive forces laterally
Pronation
-loose packed position of subtalar joint; unocks midfoot; allows for a flexible midfoot for weight acceptance during gait; attenuates ground reaction forces; helps foot conform to ground
-eversion; abduction; dorsiflexion
Supination
-closed packed position of subtalar joint; locks midfoot; provides a stable base during push-off of gait
-inversion; adduction; plantarflexion
Gait Cycle vs Running Cycle
-airborne/floating
-longer swing phase
-no double support
-longer stride length
-higher cadence (increased stride frequency)
-lower COG when running (lean forward more when running which results in COG being lower and closer to the lead foot)
Tension
three primary forces:
force transmitted along an object that would elongate if it were derformable
-said to be an axial force
Kinetic chain
-the components of the musculoskeletal system involved in the production and transmission of force between the base of support and the load being moved
-longest one in the human body is done during a press
rotator cuff role
keep the glenohumeral joint stable
Gravity
-force that we are working against when we are squatting, pressing, or pulling a load from the floor
-it operates vertically so the most efficient path for moving any load against this is a straight vertical line
-any force applied in any other direction is not work done against this force
Compression
force transmitted along an object that would get shorter if it were deformable
-said to be an axial force
Moment
force that tends to cause a rotation about an axis (ex:force transmitted down a wrench handle to turn a bolt)
-it is a shear force
Shear
at one end of the segment, force is being applied in one direction, while at the other end of the segment, rotational force is being resisted by the object being turned
Balance Point
-lifter load system will be in balance when it is in a position directly over the middle of the foot
-midfoot is out balance point because it is the point in which the greatest amount of force is needed to perturb our position (also where the least amount of force is needed to maintain our position)
-normal anatomical position, our center of mass is in a straight vertical line over our mid foot
Bones (squat)
transmit compressive force
connective tissue and muscles (squat)
transmit tension forces
both connective tissue and bones (squat)
work together to transmit moment
Poor jumping, lading, and cutting mechanics
injuries: ACL tears, MCL tears, lateral ankle sprains, tibia and fibula fractures
Upward rotation of scapula
-inferior angle of scapula rotates in a superior-lateral direction such that the glenoid fossa faces upward
-integral part of raising the arm overhead
-places the glenoid fossa in a position to support and stabilize the head of the raised humerus
-combo of clavicular elevation from SC joint and scapular upward rotation at the AC joint
-TOTAL OF 60 DEGREES
-muscles involved: serratus anterior and all parts of the trapezius
Squat Posterior Chain
consists of hamstrings, glutes, and hip adductors
trains these muscles along a longer ROM than most other exercises
no other movement precedes the concentric contraction ofthe posterior chain with an eccentric contraction over as long range of motion
produces a stretch-shortening cycle (stretch reflex)
Deadlift
-trains the ability to maintain a rigid lumbar spine under a load
-basic function of the spinal erectors is to hold the spine in position so that force can be transferred through the trunk
Isometric muscles (deadlift)
abdominals, obliques, intercostals, and all of the posterior musculature of the upper and lower back
Concentric muscles (deadlift)
quadriceps, glutes, hamstrings, and to a lesser degree, the adductor magnus used during deadlift
Eccentric muscles (squat)
quadriceps, glutes, hamstrings, and adductor magnus used during squat
Forces in squat
at the top of the squat, everything under the bar is in compression
Forces in Deadlift
at the top, everything is in compression but arms and shoulders are in tension