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Plane that flexes and extends
Sagittal
Plane that ab/adducts
Coronal/frontal
Plane that rotates
Transverse
Open chain
Distal end can move freely and isn’t stabilized
Standing single arm overhead press
Closed Chain
Distal end is fixed
Back Squat
Longer lever
Easier
Shorter Lever
Harder
Muscles generate force when they….
Contract
External Forces
Any force from outside the body (resistance from weights)
Class 1 lever
Load, fulcrum, force
Class 2 lever
fulcrum, load, force
Class 3 lever
Fulcrum, force, load
A 65 year old needs to reach for an item on a high shelf in the kitchen
Shoulder: Fulcrum
Weight of arm and Item: Load
Muscles: Force/effort
A 75 year old has difficulty standing from seated position
fulcrum: Hips, knees, and feet
Load: Body weight
Effort:Thighs, calfs, feet
What are bones made of?
Collagen and calcium
This bone type provides more rigid support and has a greater mineral content
Corticol
This bone type is found at the end of long bones and can absorb compressive loads
Cancellous
Ends of long bones are covered with dense connective tissue called____ which cushions to absorb compressive forces
Articular
Ligament
Bone→bone
Tendon
Bone→muscle
What forms dense fiberous sleeve?
Joint capsuls lubricated with synovial fluid
Fiberous insertion that connects adjacent muscles…
Aponeurosis
Torn ligament
Bad stability
Torn tendon
Poor muscle movement
Joints act as
Fulcrums
Bones act as
Levers
Individual Muscle fibers
Myofibers
Group of muscle fibers
Fascicle
Wraps individual muscle fibers with connective tissue and contains capillaries and nerve fibers that innervate and supply individual muscle fibers
Endomecium
Surrounds muscle fibers
Group of muscle fibers wrapped in a connective tissue sleeve
Surrounds fascicles
Perimecium
Connective tissue sleeve that surrounds groups of fascicles forming the entire muscle and converging at the end of the muscle to form tendons
Surrounds the entire muscle
Epimecium
Long cylindrical strands of contractile proteins
Myofibrils
Unit of muscle that contains Actin(Thin) and Myosin (Thick)
Sarcomere
Muscle is strongest at what range?
Mid range
Single motor neuron and all muscle fibers it innervates
Motor unit
Muscle that require fine motor control have what size motor units?
Small
Muscles that generate powerful movements require what size motor units?
Large
Tetanic Muscle Contraction
Sum of many motor units firing
Covering over muscle that creates tension
Fascia
Hypotonia
Loss of nerve innervation at a muscle
paralysis, stroke
Hypertonia
Unregulated contractile signals coming from the CNS
Cerebral Palsey
Traumatic brain injury
Tourettes
elongated encapsualted structures located within muscle fibers
elongated encapsualted structures located within muscle fibers
Sends signals of changes in muscle lengths to protect muscle from injury
Reflex activates a muscle to contract if it is overstretched
Stretch reflex
Low force over a long period of time
Slow twitch
High force over a short period of time
Long twitch
Learned patterns of motion
Motor pattern
Generates the most force
Agonist
Opposes the action of the primary muscle
Antagonist
Muscles that stabilize the origin of the agonist
Stabilizer
assists the agonist
Synergist
2+ muscles act in opposite directions to produce the same motion
Force Couple
Force Couple
Upper trap: Pulls scapula downward and medially
Lower Trap: Pulls scap downward and medially
Serratus anterior: Pulls scap laterally and down
These muscles are working to rotate the scapula upward to raise arm overhead
Isometric
Contraction without a change
Stabilize
Eccentric
Muscle lengthens
Lower
Concentric
Muscle Shortens
lift or pull
Passive insufficiency
Muscle is stretched to where it cannot be stretched more
Active insufficiency
Muscle cannot generate enough force because it is too shortened
Making a strong fist while wrist is flexed
Joint is the connection between
2 bones
What are the 3 types of joints
Fibrous, cartilaginous, and synovial
Closed pack position
Maximal contact and max tension
Knee fully extended
Open pack position
least surface contact of surrounding ligaments, string mobility
How many joint types are there?
6
Fibrous Joint
Skull, No give
Cartilaginous Joint
Spine, ribs, pubic synthesis, some give
Synovial Joint
Lubricated shoulder, knee, elbow
Ball and Socket
Shoulder, hip
Bone fits into concave depression of another bone, Most mobile
Condyloid/ Elipsodyle
Metacarpal to proximal digit
oval shaped, flexion and extension, abduction and adduction
Hinge Joint
Elbow and fingers
Only flexion and extension
Saddle Joint
Thumb
flexion and extension, abduction and adduction with limited rotation
Plane Joint
Acromioclavicular Joint
Found between 2 flat surfaces of adjacent bones, glides
Pivot Joint
Proximal radial ulnar, Atlantoaxial
Single axis with one bone rotating around another
Compress
Weight Bearing
Distract
Traction
Gliding
Move across
Spin
one joint rotates around stationary surface (Hip, Shoulder)
CNS
Brain and Spinal cord
Brain
Receives and processes sensory info, plans and initiates, regulates body systems, stores memories
Spinal Cord
Conducts signals to and from the brains and controls certain reflexes
PNS
Afferent and efferent Neurons
Autonomic Nervous System
Regulates Involuntary functions of the body
Somatic Nervous System
Controls voluntary muscle contraction and movement
Innervate straited skeletal muscle
voluntary
visceral motor and sensory fibers
transmits motor and sensory commands to and from organs
maintains homeostasis
Sympathetic Nervous system (ANS)
Fight or Flight
nerves arise from thoracic and lumbar
innervates glands, organs, and head
Parasympathetic nervous system (SNS)
Rest and Digest
nerves arise from brain stem and sacral spinal cord
innervates organs, glands, and head
Neuron
Nerve cell
Axon and DEndrite
Unipolar (Single Axon)
Multipolar (Multiple Dendrites)
Axon
Conducts signals away from cell body
Dendrites
Conducts information toward cell body
Nerves
Bundles of axons
Endoneurium
Around each axon
Perineurium
around each fascicle
Epineurium
Around each group of fascicles
Occupation, Sensory Neuron, Sensory receptor, Brain→
Spinal cord, electrical impulse, motor neuron, Muscle, Movement
Brainstem
Heart rate, blood pressure, reflexes, breathing, coughing, swallowing
Spinal Nerves
31 pairs
Connect PNS to CNS
8 cervical
12 Thoracic
5 Lumbar
5 Sacral
1 Coccygeal
C1-C7 exit where?
Above vertebrae
C8-L5 Exit where?
Below Vertebrae
Ventral Rami
Innervates ventral body wall and all limb parts
Dorsal Rami
Innervates Skin and Muscles of back
Dermatomes
Area of skin supplied by an individual spinal nerve
Used to assess level of Spinal Column Injury
4 spinal nerve plexuses
Cranial, Brachial, Lumbar, Sacral
Cervical plexus
c1-c4
Innervate neck muscles, diaphragm
Formed by ventral rami