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Dr. JoHn RaymonD
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Kinesiology
Combination of art and science
Study of human movement
Kinematics
Movement without regard for forces that produce motion or movement
Focuses on “the what” and “how much” of movement
More focused on the macro movement (big movements or did something move or not)
Osteokinematics
(Bone) Large and observable motions between bony segments
Arthrokinematics
(Joint) Small hidden movements occurring at joint surfaces to enable osteokinematics (roll and glide motions)
Kinetics
Forces that produce or resist movement
Focuses on “why” motion occurs or occurred
More focused on the micro movements (what allowed the muscles to move or what hindered its ability to move)
What are the 3 cardinal planes of motion
Frontal, Sagittal, TransverserF
Frontal Plane
Seperates the body into front and back
Sagittal Plane
Splits the body into a left and right
Transverse Plane
Splits the body into bottom and top
3 Axes of Motion
X,Y, & Z Axes
X Axis of motion
runs horizontally from middle of the body (medial-lateral)
Y axis of motion
runs vertically from middle of the body (superior-inferior)
Z axis of motion
runs front to back from middle of the body (anterior- posterior)
Osteokinematics
Movement of bony levers through their Range of Motion (ROM)
Motion takes place in a cardinal plane around corresponding axis or axes yT
Types of Osteokinematic movement
Translatory/ Linear & Rotary/ Angular
Translatory or Linear osteokinematic movement
(displacement)- Motion parallel to axis did it transverse itself through space, did you displace the muscle or body
Rotary or Angular osteokinematic movement
(roll and glide)- Motion occurs around an axis focuses on the movement between the connected joints or muscles that need to move together to produce movement (one spot stays fixed and one part moves about an axis)
Degrees of Freedom
Number of Axes about which a joint can move
Uni-axial Joint
1 plane of motion
Hinge or pivot Joints
Bi-axial joint
2 planes of motion
Condyloid-Ellipsoid-Saddle Joints
Tri-axial joint
3 planes of motion
Ball and Socket Joints
End Feel
Sensation felt by the clinician (not the patient) when assessing passive range of motion (PROM) at end range
Either classified as normal or pathologic (Abnormal)
Hard End Feel
Bones Touch (elbow extension) F
Firm end feel
Joint Capsular (Fingers) (You can keep going if you force the movement)
Soft end feel
soft tissue touch (Elbow Flexion) (muscles can’t go anymore because they are touching)
empty end feel
Pathologic when normal occurs in unexpected range
Always bad, usually meaning that something is broken or dislocated
Ex: Hard end feel approaching knee flexion end range
Empty end feel can never be considered normal
Open Kinematic Chain (OKC)
Most distal (away from body) segment is free to move
Swinging a bat, throwing a pitch, kicking a soccer ball
Closed Kinematic Chain (CKC)rtA
Most distal (away from body) segment is fixed in a motion
Pull ups, pushups, sit ups
Arthrology
the study of joints
Three types of joints
Synarthrosis
Amphiarthrosis
Diarthrosis (Synovial Joints)
Synarthroial Joints
Fibrous structure, offers stability not mobility
Fit between bony segments, is very congruent and tight
Subtypes- Syndesmosis and Gomphosis
Ex: sutures in skull and Tooth Joint respectively
Amphiarthroal joints
Provide both mobility and stability (low amounts of motion and little bit of stability)
Hallmark- Cartilaginous
Ex: Disks and Sternum
Diarthrosis (Synovial Joints)
Provide mobility
Hallmark- Joint Capsule
Provides most amount of motion
Most of these joints have a convex-concave relationship
What is moving on what in motion
Most common type of joint in body
May be either Ovoid (left) or Sellar (right) in shape
Most synovial joints are ovoid
Ex: Elbow, Knee, Shoulder
Convex and Concave Motion
Convex looks circular
Concave looks like a cave
Concave moving on convex
Roll and glide are in the same direction
Convex moving on concave
Roll and glide are moving in different (opposite) directions
Arthrokinematics- Closed Packed Position
Maximum surface area contact occurs
Capsuloligamentous tissues are taut
Minimal amount of accessory motion
Skeletal muscle does the work of stability
Arthrokinematics- Open Packed Position (Loose Pack)
Anything outside of Closed Pack
Used for joint mobilization
Basic Arthrokinematics Joint Motions
Accompany osteokinematic motion
Required for a joint to exhibit full ROM
Are involuntary (necessary)