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anatomical position
joint angles at zero degrees (standing with palms forward)
axial region
protect vital organs; skull, vertebrae, sacrum, sternum, ribs
appendicular region
region that includes 4 limbs; upper and lower
superior
towards the head
inferior
towards the feet
anterior
towards the front of the body
posterior
towards the back of the body
medial
towards the midline
lateral
away from the midline
proximal
closer to the point of attachment
distal
further from the point of attachment
superfical
towards skin/outside
deep
towards inside/internal
ipsilateral
on same side
contralateral
on both sides
frontal body plane movements and visual
abdication, adduction, lateral flexion; glass in front and behind you
transverse body plane movements and visual
rotation(internal or external), pronation and supination; rod
sagittal body plane movements and visual
flexion and extension; glass on either sides
oblique planes
any imaginary flat surface that divides the body at an angle that is neither parallel nor perpendicular to the main anatomical planes(power from throwing ball)
goniometry
science and techniques of measuring joint motion
How can a goniometer be useful
measures joint motion to increase motion
find impairments(ROM restrictments)
establish a diagnosis
document improvements
measure assessment
motivate patient
research purposes
parts of a gonimeter
stationary arm, moving arm, body, fulcrum
what dose goniometry measure
degree of joint angle movements of osteokinematics
active range of motion
when you move your joints with your own muscles
musculature
passive range of motion
when you go limp and someone else moves your joints (used to feel end feeling) usually higher
2 main body cavities
dorsal and ventral
what cavities are in your dorsal cavity
cranial(brain) and vertebral(spine)
what cavities are in your ventral cavity
thoracic(superior mediastinum, pleural, pericardial cavities)(heart and lungs)
abdomina(digestive)
pelvic(reproductive and bladder)
Thoracic; Abdominopelvic
right and left regions from 9 regions of the stomach (top to bottom)
hypochondriac, lumbar, iliac
middle regions from 9 regions of the stomach (top to bottom)
epigastric, umbilical, hypogastric
osteokinematics
bone motion where relative motion is determined by the excursion of one shaft of bone on another or to the ground
arthokinemastics
joint motion that describes the movement of joint surfaces and is necessary for joint motion
types of arthokinemastics movments
slides/glides: translation motion
spines/rolls: rotary motion
motions are based on concave/convex rules
frontal axis
anterior or posterior axis
transverse axis
longitudinal or vertical axis
sagittal axis
medial or lateral axis
functional tasks
multi joint and multi planer tasks like throwing a ball
Shoulder flexion ROM
180 degrees
shoulder abduction ROM
180 degrees
elbow flexion ROM
145 degrees
knee flexion ROM
135 degrees
end feel
how the joint feels at the end of its bend. can be altered/limited by…
soft tissue approximation is normal
firm-normal: ligamentous
hard-normal: bony
empty is abnormal=pain
times when you should not test ROM
dislocation, fracture, after surgery, osteoporosis
where should you put the parts of the goniometer
stationary arm: parallel to the longitudinal axis of the proximal segment
moving arm: parallel to the longitudinal axis of the distal segment
body/fulcrum: on the bony part of the joint that t mov’t move
intra-rater reliability
determine how well the same person can take a measurement time and time again
assessed a correlation
Calculate the measurement error or variability
generally reported as a positive or negative around the mean
inter-rater reliability
determines whether a measure varies between individuals
different training
different experience
different technique
anatomy
the structure of body parts and their relationship to one another
structure
physiology
how the body parts function to preform life sustaining activities also know as physiologic processes
function
integumentary system
skin to protect and maintain body temp
skeletal system
bones, cartilage, tendons, and ligaments to support the body and produce blood cells; has a lot of minerals
muscular system
muscles for movement and heat production
nervous system
nerves to control the muscular system and memory. controls and integrates all body activities that maintain life
endocrine system
hormonal secretion for chemical regulation
cardiovascular system
heart, blood, arteries, veins
lymphatic system
take up water and disease contorl
respiratory system
gas exchange and detoxification
digestive system
breakdown and absorption of food into blood
urinary system
water and waste balance that is dependent on other systems
reproductive system
production of future organisms and other systems is very dependent on it
bones
support movement, protect the body, and store hematopoiesis(process of forming blood cells)
cartilage
covers ends of bones for smooth joint movement, shock absorption (in the ear and septum, and joints)
2 divisions of the skeletal system and number of bones in body
axial
appendicular
206
upper appendicular bones
humerus, radius, ulna, scapula, carpals, metacarpals, phalanges
lower appendicular bones
pelvic girdle, femur, patella, tibia, fibula, tarsals, calcaneus, metatarsals, phalanges
joint
articulation between 2 bones
type of joints
hinge(elbow), pivot(neck), saddle(finger), plane(gliding in ankle), Condyloid(wrist), and ball and socket(shoulder/hip)
types of muscles
skeletal, smooth, and cardiac
skeletal muscles
attaches bone to skin and fascia (voluntary movement)
smooth muscules
in walls of hollow viscera, elongated, non striated, for slow and sustained involuntary moment
cardiac muscles
heart, striated, involuntary, don’t get tired
upper muscles
trapezius, pectoralis major, biceps brachii, triceps brachii, latissimus dorsi, rectus abdominis, external/internal obliques, flexors and extenders
lower muscles
quadriceps, hamsrings, tibials anterior, gastrocenemuis, soleus, gluteus muscles, plantar flexor, dorsiflexors
orgin
where muscle begins
dose not move
fixed attachment when it connects to bone or other structure
insertion
where the muscle ends and attaches to another bone/structure
moves
attachment site for a muscle that moves
action
performance or movments ;ike abd/add duction and pronation and supination and rotations ect.
isotoinc
muscle contracts and changes length
concentric
eccentric
eccentric
lengthening of muscle can withstand more because of lowering with weight+gravity
concentric
shortening muscle
isometric
muscle contracts and stays the same length good for rehab and measuring
Nervous system funtions
sensory input: kinetic awareness and proprioception
integration: between sensory and motor
motor output: moving muscles
divisions of nervous system
CNS and PNS(perperiphera)
PNS divisons
autonomic: involuntary
somatic: voluntary
autonomic divisons
sympathetic: everyday
parasympathetic: stressed
efferent vs affernt nerves
PNS
efferent: exiting spine motor control
afferent: accessing spine sensory info
Innervate muscles
cause contractions
motor units
has nerves to provide the impulses that stimulate muscle fibers to contract or relax
neuron parts
cell body
dendrites
axon
(myelin sheath, nodes)
main steps of neuromuscular junction
signal from the spinal cord with efferent nerves
goes though the motor nerve to the muscle fibers
cellular level of the neuromuscular junction
ACh is released from axon terminal of a motor neuron
binds to a receptor in motor end plate
binding starts end plate potential
end plate potential trigger action potential
action potential moves along the sarcolemma and down T-tubules
Ca2+ released from sarcoplasmic reticulum
Ca2+ binds to troponin exposing myosin-binding sites
crossbridge cycle begins(muscle fibers contract)
Ca2+ is actively transported back to lumen of sarcoplasmic reticulum
tropomyosin blacks myosin-binding sights(muscles fibers relaxes)
what is ACh for
muscle contractions and motor funtion
sports medicine
A branch of medicine that incorporates all aspects of sports participation
types of sports medicine jobs
primary care physicians
orthopedic surgeons
athletic trainers
physical therapist
dentist
exercise physiologist
conditioning coaches
registered dietitians
who is part of the comprehensive team approach
BOC (board of certification for athletic trainers)
team physician
EMS personnel
coaches
school nurse, educational specialist, dentists, counselors, etc.
The Allied Health Care Team is a comprehensive team including
coaches
team physicians
certified athletic trainers
team physician duties
coordinate PPE(pre prepration exam)
on and off the field injury management
provide for medical management of injury and illness
coordinate rehabilitation and RTP(return to play) decisions
BOC
board that administers certification exams for athletic trainers
injury definion
hard to get the exact one
act that damages or hurts
time loss
NCAA definition of injury
Occurs as a result of participation in organized intercollegiate practice or game
Requires medical attention by a team athletic trainer or physician
Results in restriction of the athlete’s participation for one or more days after the injury
catastrophic injury
permeant and debilitating, long term effects, life long medical care
non-catastrophic injury
temporary disruption with recovery and shorter treatment
time frame
acute or chronic