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What is the main function of the lower extremity
Supports the body and absorbs forces from ground contact
How does foot position affect the body
It influences the knee, hip, and opposite limb
What is contralateral stabilization
Stabilization of the opposite side during movement (ex: kicking)
What are the main components of the lower extremity
Pelvis/hip complex, knee, ankle/foot
What are the functions of the pelvis and hip complex
Supports body weight and provides mobility for the lower extremity
What bones make up the pelvic girdle
Ilium, ischium, pubis
How many muscles attach to the pelvis
28
What is the function of the sacroiliac joint
Absorbs shear forces and provides stability
What movements occur at the pelvis
Anterior/posterior tilt, lateral tilt, rotation
What type of joint is the hip
Ball and socket joint
What bones form the hip joint
Acetabulum and femoral head
What is the acetabular labrum
A structure that deepens the hip socket for stability
How many degrees of freedom does the hip have
3
What are the main hip muscle groups
Flexors, extensors, abductors, adductors, rotators
What is the strongest hip extensor
Gluteus maximus
What is the strongest hip flexor
Iliopsoas
Why is balanced hip conditioning important
To prevent extensors from overpowering other muscles
What type of exercises are ideal for the hip
Closed kinetic chain exercises
Are hip injuries common
No, they are relatively rare
What are common hip injuries
Strains, tendinitis, bursitis, IT band syndrome, snapping hip
What is the main function of the knee
Supports weight and transmits forces
Why is the knee prone to injury
High mechanical demands despite stability
What are the three knee joints
Tibiofemoral, patellofemoral, superior tibiofibular
What type of joint is the tibiofemoral joint
Modified hinge joint
What movements occur at the knee
Flexion, extension, slight rotation
What is the role of the menisci
Shock absorption, stability, force distribution
What are the four main knee ligaments
MCL, LCL, ACL, PCL
What happens to the knee during flexion
Internal rotation occurs
What happens during knee extension
External rotation occurs
What is the function of the patella
Increases leverage of quadriceps
What is the Q-angle
The angle between the quadriceps and patellar tendon
What muscles extend the knee
Quadriceps
What muscles flex the knee
Hamstrings
Why is muscle balance important at the knee
Imbalance increases injury risk
What ratio indicates knee injury risk
Less than 0.5 hamstring to quadriceps strength ratio
What causes most knee injuries
Poor conditioning or alignment issues
What is the most commonly injured ligament
ACL
What causes an ACL injury
Cutting, hyperextension, or direct contact
What causes MCL injury
Valgus force (hit to outside of knee)
What causes meniscus injury
Twisting and compression
What is the structure of the foot
26 bones, 30 joints, 100+ ligaments, 30 muscles
What are the functions of the foot
Support, shock absorption, propulsion, adaptation
What are the main ankle joints
Talocrural, subtalar, midtarsal
What type of joint is the talocrural joint
Hinge joint
What movements occur at the talocrural joint
Dorsiflexion and plantarflexion
What is the function of the subtalar joint
Inversion and eversion
What is pronation
Eversion, abduction, dorsiflexion
What is supination
Inversion, adduction, plantarflexion
What is the function of the midtarsal joint
Controls foot flexibility and rigidity
What happens during pronation at the foot
Foot becomes flexible for shock absorption
What happens during supination
Foot becomes rigid for propulsion
What are the arches of the foot
Transverse, lateral longitudinal, medial longitudinal
What is the role of the medial longitudinal arch
Shock absorption
What muscles plantarflex the foot
Gastrocnemius and soleus
What muscles dorsiflex the foot
Tibialis anterior and toe extensors
What muscles evert the foot
Peroneals
What muscles invert the foot
Tibialis anterior and posterior
Which ankle muscles are strongest
Plantarflexors
What percentage strength are dorsiflexors compared to plantarflexors
About 25%
What is the most common ankle injury
Ankle sprain
Which ligaments are most commonly injured in ankle sprains
Lateral ligaments
What are other ankle injuries
Achilles tendonitis, plantar fasciitis, shin splints
How does running differ from walking
Greater ROM and less time in each phase
Which muscles are active at the top of the cycling pedal stroke
Quadriceps
Which muscles produce power in cycling mid-phase
Hamstrings
What forces act on the hip during running
Up to 10 times body weight
What forces act on the knee during stair climbing
About 5 times body weight
What forces act on the ankle during running
8–13 times body weight
What is the main role of the lower extremity overall
Absorb forces and support body weight
What is functional anatomy
Study of body components needed to perform movement
Why do upper extremity joints work together
Isolated movements rarely occur
What joints are included in the upper extremity
Shoulder complex, elbow, wrist, hand
How many articulations are in the shoulder complex
4
Why is it difficult to move only one shoulder joint
All joints work together
What is the function of the scapulothoracic joint
Increases range of motion and provides muscle attachment
What type of joint is the sternoclavicular joint
Gliding joint
What movements occur at the sternoclavicular joint
Elevation, depression, protraction, retraction, rotation
What type of joint is the acromioclavicular joint
Gliding joint
What is the function of the AC joint
Supports small movements and handles axial loads
What type of joint is the glenohumeral joint
Ball and socket
Why is the glenohumeral joint very mobile
Minimal bone contact (25–30%)
What is scapulohumeral rhythm
Coordinated movement between scapula and humerus
What muscles act on the shoulder
Deltoid, rotator cuff, trapezius, rhomboids, latissimus dorsi
What shoulder movements are strongest
Adduction and extension
What shoulder movements are weakest
Rotation
What causes many shoulder injuries
Repetitive motion or trauma
What are common shoulder injuries
Dislocations, labral tears, rotator cuff injuries, tendinitis
What is the role of the rotator cuff
Dynamic stabilization of the shoulder
What are the joints of the elbow complex
Ulnohumeral, radiohumeral, radioulnar
What type of joint is the ulnohumeral joint
Hinge joint
What movements occur at the elbow
Flexion and extension
What movements occur at the radioulnar joint
Pronation and supination
What type of joint is the radioulnar joint
Pivot joint
What ligaments support the elbow
UCL, RCL, annular ligament
Are elbow flexors or extensors stronger
Flexors
What muscles flex the elbow
Biceps, brachialis, brachioradialis
What muscles extend the elbow
Triceps
Why are two-joint muscles important
They require coordination to prevent unwanted actions
What position produces the strongest elbow flexion
Semi-prone position
What causes elbow injuries
Trauma or repetitive overuse