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distal
further from trunk (abdomen)
proximal
closer to the trunk (abdomen)
lateral
away from the midline
medial
closer to the midline
anterior
front side in anatomical position (ventral)
posterior
back side in anatomical position (dorsal)
superior
closer to the head (cranial)
inferior
further from the head (caudal)
superficial
closer to the surface
deep
further from the surface
plantar
bottom of foot
dorsal
top of foot
plane
a two dimensional surface defined by 3 points not on the same line (i.e. not colinear)
axis
a line passing perpendicularly through a plane
sagittal plane
vertical plane that divides body into right and left parts (medial-lateral axis (ML))
frontal plane
vertical plane that divides the body into anterior (front) and posterior (back) parts (anterior-posterior axis (AP))
transverse plane
horizontal plane that divides the body into top and bottom parts (longitudinal axis)
cardinal/mid plane
a plane that passes through the body such that it divides into equal mass halves (there are 3 of them)
center of mass
this is where the mid-sagittal, mid-frontal, and mid-transverse planes intersect when the body is in anatomical position (where the 3 cardinal/mid planes intersect)
medial-lateral axes (ML)
two "rods" going through the shoulder and knee joints from each side of the body
anterior-posterior axes (AP)
four "rods" going through both shoulder and hip joints from the front and back of the body
longitudinal axes
one "rod" going up/down through the center of the body
flexion
bending at a joint (sagittal plane (ML axis))
extension
straightening at a joint (sagittal plane (ML axis))
abduction
move away from midline (frontal plane (AP axis))
adduction
move towards midline (frontal plane (AP axis))
medial rotation (internal)
anterior surface rotates medially (inward) (transverse plan (L axis))
lateral rotation (external)
anterior surface rotates laterally (outward) (transverse pane (L axis))
dorsiflexion
point toes up (towards shin) (sagittal plane (ML axis))
plantar flexion
point ties down (away from shin) (sagittal plane (ML axis))
elevation
move shoulder girdle superiorly (closer to the head) (frontal plane (AP axis))
depression
move shoulder girdle inferiorly (further from the head) (frontal plane (AP axis))
scapular protraction/abduction
rotate scapulae outward by pushing shoulders forward
scapular retraction/adduction
rotate scapulae inward by pulling shoulders back
inversion
lift medial (closer to midline) border of foot (frontal plane (AP axis))
eversion
lift lateral (further from midline) border of foot (frontal plane (AP axis))
radial deviation
move toward radial styloid (abduction) (internal rotation of wrist) (frontal plane (AP axis))
ulnar deviation
move toward ulnar styloid (adduction) (external rotation of wrist) (frontal plane (AP axis))
lateral flexion
bend trunk to the right or left (frontal plane (AP axis))
supination
rotate thumb laterally (away from midline) (transverse plane (L. axis))
pronation
rotate thumb medially (toward midline) (transverse plane (L axis))
horizontal adduction
move towards midline (transverse plane (L axis))
horizontal abduction
move away from midline (transverse plane (L axis))
circumduction
flexion +abduction, +adduction, +extension (rotate finger in a circle) (multiple planes, multiple axes)
varus
when the segments are angled outward at a joint (seen in the knees in some people where their knees are angled outward when facing or standing behind a person)
valgus
when the segments are angled inward at a joint (seen in the knees in some people where their knees are angled inward when facing or standing behind a person)
concentric activation
- the muscle is shortening under tension
- work against gravity to raise the body or objects
- try to speed up the body segments or objects
eccentric activation
- the muscle is lengthening under tension
- work with gravity to slowly lower the body or objects
- try to slow down body segments or obejcts
isometric activation
the muscle length does not change under tension
axial skeleton
skull, thorax, and vertebral column
appendicular skeleton
upper and lower extremities with pelvis and shoulder girdle
osteoprogenitor cells
stem cells in the bone marrow that can differentiate into osteoblasts or osteocytes
osteoblasts
these are the bone-forming cells (build bone)
osteocytes
help transport metabolites, sense stress, communicate between cells, and help regulate mineral homeostasis
Osteoclasts
bone dissolving cells (clear bone)
lacunae
oval shaped spaces that contain an osteocyte
lamellae
concentric layers surrounding the Haversian canal
modeling
involves independent actions of osteoclasts or osteoblasts to change the general shape of a bone
remodeling
involves the sequential actions of osteoclasts and then osteoblasts at a site to remove older bone and replace it with newer bone
stress
the force exerted on a material per unit area
strain
the stretching or compressing relative to the length being stretched or compressed
stiffness
the slope of a stress-strain curve
osteogenic stimulation
the mechanical input that can signal the bone to increase osteogenic activity
mechanosensitivity
the sensitivity of bone to the mechanical loading
osteogenic activation
the signal that is sent from the mechanosensory organ to the sites of increased osteogenic activity
specificity
greatest increases in bone mass density occur at the site of loading
overload
training stimulus must exceed normal loading to get increases in bone mass density
reversibility
positive effects will be lost if training is discontinued
initial values
the lower you start the greater the increases with training
diminishing returns
as the biological ceiling is approached, gains will slow
compressive loading (compression)
cervical and lumbar fractures from spine loaded through head or when the spine is loaded in a hyperlordotic (aka swayback) position
tensile loading (tension)
a fracture due to muscle forces severing tendon-bone is called an avulsion fracture
shear forces
created by the application of compressive, tensile, or a combination of these loads causing the bone to break in a horizontal line fashion
beding forces
bone snaps due to bending forces causing tension on one side and compression on the other side
torsional forces
caused by a twisting force where a spiral fracture may develop from this load
insufficiency fracture (fragility fracutre)
cracks in a weakened bone under normal loading
fatigue fracture
cracks in a normal bone that has been put under extreme load
osteoporosis
bone disease in which the amount of bone is decreased and the structural integrity of trabecular bone is impaired
synarthroses
fibrous joint with little or no movement
amphiarthroses
cartilaginous joints with some motion
diarthroses
(aka synovial joint) - freely movable joint
ball and socket joint
(triaxial) can produce flexion and extension, abduction and adduction, and internal and external rotation movements
condyloid joint
(biaxial) can produce flexion and extension, and internal and external rotation movements
hinge joint
(uniaxial) can produce a flexion and extension moevement
pivot joint
(uniaxial) can produce a supination and pronation movement
gliding joint
(no axes) can produce a gliding movement between 2 flat bones
ellipsoidal joint
(biaxial) can produce a flexion and extension, and abduction and adduction mevement
saddle joint
(biaxial) can produce a flexion and extension, and abduction and adduction movement (same as ellipsoidal but has a greater range of movement)
articular cartilage
composed of hyaline cartilage that is smooth elastic tissue on ends of bone that functions to absorb shock, distribute force, and provide a low friction surface
fibrous capsule
fibrous collagen tissue used to help hold bones together
synovial membrane
lines the joint cavity and secretes synovial fluid to lubricate and provide nutrition
ligaments
connect bone to bone and usually restrict range of motion (ROM) to stabilize the joint
tendons
connect muscle to bone
bursa
small capsules lined with synovial membranes that reduces the friction between other structures in the joint
tendon sheaths
fascia surrounding tendon to reduce friction between tendon and surrounding structures
osteoarthritis
a degenerative joint disease in which the articular cartilage in the joint deteriorates, causing pain and loss of movement as bone begins to rub against bone
rheumatoid arthritis
an autoimmune disease where the synovial membrane becomes inflamed as part of the body's immune system activity which causes deterioration of the joint, pain, and limited movement
flexibility
the state of muscle's length which restricts or allows freedom of joint movement
endurance
the ability of muscle to exert force repeatedly or constantly
strength
the maximum force that can be achieved by muscular tension