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Kinematics
Motion without regard to forces.
Osteokinematics
Motion of bones (visible, gross motion).
Arthrokinematics
Motion between joint surfaces (micromovements).
Kinetics
Forces that cause motion.
Translatory (Linear) Motion
All parts move the same distance in the same direction.
Rotary (Angular) Motion
Motion around an axis.
Degrees of Freedom (DoF)
The number of independent movements a joint can perform.
Joint Types
Classification based on degrees of freedom and structural type.
Flexion
Decrease in joint angle, occurring in the sagittal plane.
Extension
Increase in joint angle, occurring in the sagittal plane.
Abduction
Movement away from the midline of the body, occurring in the frontal plane.
Adduction
Movement toward the midline of the body, occurring in the frontal plane.
Medial Rotation
Turning toward the midline of the body.
Lateral Rotation
Turning away from the midline of the body.
Pronation
Forearm rotation that turns the palm down.
Supination
Forearm rotation that turns the palm up.
Inversion
Foot rotation that turns the sole inward.
Eversion
Foot rotation that turns the sole outward.
Protraction
Movement of a body part forward.
Retraction
Movement of a body part backward.
Circumduction
Combination of flexion, abduction, extension, and adduction.
Anatomical Position
Standardized reference posture for describing motion.
Clinical Kinesiology
Application of kinesiology to healthcare.
Biomechanics
Use of mechanical principles to study the body.
Goniometry
Measures osteokinematic joint motion.
Goniometer
Uses a goniometer (like a protractor).
Clinical Rehab
Commonly used in clinical rehab.
Range of Motion (ROM)
Table 1-2 lists ROM for major joints (memorize key numbers for practical use).
Contralateral Comparison
Compare to the contralateral side to assess impairments.
End Feel
Normal and abnormal sensations felt at the end of joint motion.
Normal End Feel: Hard
Bone stops motion (elbow extension).
Normal End Feel: Firm
Ligament/capsule resistance (wrist flexion).
Normal End Feel: Soft
Soft tissue approximation (elbow flexion).
Abnormal End Feel: Empty
Pain limits movement before resistance.
Abnormal End Feel: Unexpected
Unexpected hard/soft feel = pathology (e.g., swelling, bone fragment).
Kinematic Chains
Types of movement patterns involving joint motion.
Open Kinematic Chain
Distal segment moves freely (e.g., kicking, reaching).
Closed Kinematic Chain
Distal segment fixed, proximal moves (e.g., push-up, squat, sit-to-stand).
Roll Motion
New points contact new points (e.g., femoral condyles on tibia).
Slide Motion
One point glides across another.
Spin Motion
Rotation around a fixed point (e.g., radius spinning in pronation).
Joint Classification
Types of joints based on structure and motion capability.
Synarthrosis
Fibrous joint with no or minimal motion (e.g., skull sutures, teeth).
Amphiarthrosis
Cartilaginous joint with limited motion (e.g., pubic symphysis, spine).
Diarthrosis
Synovial joint with free motion (e.g., shoulder, hip, knee).
Concave-Convex Rule
Convex on concave → roll and slide in opposite directions; concave on convex → roll and slide in same direction.
Clinical Application Tips
Guidelines for assessing joint motion and dysfunction.
Loss of Motion
Loss of motion in one joint can affect the entire chain.
Compensations
Compensations can help but increase strain and energy use.
Assessing Joint Dysfunction
Assess end feel and joint play for joint dysfunctions.
ROM Charts
Use ROM charts and goniometry for treatment planning.
Kinematics vs Kinetics
Kinematics describes motion without regard to forces; kinetics describes the forces that cause or resist motion.
Sagittal plane
Medial-lateral (x) axis.
Frontal plane
Anterior-posterior (z) axis.
Transverse plane
Vertical (y) axis.
Frontal plane movements
Abduction, adduction, ulnar/radial deviation, lateral flexion.
Translatory motion
All parts of the object move in the same direction at the same speed.
Rotary motion
Motion around a fixed axis (angular movement).
Degrees of freedom
The number of planes in which a joint can move.
Uniaxial joint
A joint that allows movement in one plane.
Biaxial joint
A joint that allows movement in two planes.
Triaxial joint
A joint that allows movement in three planes.
Arthrokinematic joint motions
Roll, Slide, and Spin.
Hard end feel
Bone-on-bone (elbow extension).
Firm end feel
Ligament/capsule stretch (wrist flexion).
Soft end feel
Muscle bulk contact (elbow flexion).
Synovial fluid function
Lubrication and nourishment of the joint surfaces.
Example of biaxial joint
Metacarpophalangeal joint.
Expected end feel in passive elbow extension
Hard.
Plane of trunk rotation
Transverse.
Open-chain vs closed-chain motion
Free movement of distal segment in open chain.
Humeral head movement during shoulder abduction
Rolls upward and glides downward on the glenoid fossa.
Not a synovial joint component
Disc nucleus pulposus.
Example of translatory motion in the body
Sliding of carpal bones.
Movement of reaching behind your back
Extension and internal rotation.
Joint type allowing greatest range of motion
Ball-and-socket joint.