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Anatomical planes of motion
sagittal, frontal, transverse
sagittal Plane
Divides the body vertically down the middle into right and left halves
flexion and extension movements
Movement is around the mediolateral axis (frontal)
Frontal plane
divides the body laterally from side to side into front and back halves
abduction and adduction movements
movement is around the anteroposterior axis
transverse/horizontal plane
divides the body horizontally into upper and lower halves
rotational movements (e.g. pronation and supination; internal/external rotation)
movement is around the longitudinal axis
anterior
front view, at or near the front of the body
posterior
back view, at or near the back of the body
midline
right down the middle, imaginary vertical line that divides the body equally right down the middle
lateral
side view, farther from midline
Medial
nearer to midline, side view
superior
toward the head/upper part of a structure (bird’s eye view, looking down)
Inferior
away from the head/lower part of a structure (bottom view looking up)
Superficial
close to the surface of the body
Axial
Includes, head, neck, and trunk
proximal
nearer to the origination of a structure
distal
farther from the orgination of a structure
dorsal
of, on, or relating to the upper side or back
contralater
on the opposite side
ipsilateral
on the same side
lateral
farther from midline
prone
lying face down on the stomach
coronal
on top or top of the head
cervical
neck
thoracid
relating to thorax oe middle to upper back
lumbar
lower back
visceral
the overing of an internal organ
supine
lying on the back
mobility fundamentals
soft tissue massage
stretch
strengthen
mechanical advantage
moment arm/resistance arm
when this ratio is 1 or greater, mechanical advantage exists; whenever force arm is equal to or longer than the resistance arm there is a mechanical advantage
resistance arm
perpendicular distance of the lever that is between the load and the axis of rotation
force arm
perpendicular distance from the force’s line of action to the axis of rotation
Identify exercises with mechanical advantage
horizontal row for back
chest flies for chest
incline curls for the biceps
seated cable rows
exercises with mechanical disadvantage
preacher curls on the biceps
bench press on the chest
running with a flat foot pushing on the ground
lat pulldowns
parts of the spine
cervical- upper back, greatest ROM
lumbar- lower back, bears the weight of body
middle back, limited rom protects organs
abduction
lateral movement away from the midline of the trunk in the front plane
ex.) raising the arms or legs to the side
Adduction
Movement medially toward the midline of the trunk in the frontal plane (add to the body)
Ex.) Lowering thr arm back to the anatomical position
Flexion
Bending movement that results in a decrease of the angle in a joint by bringing bones together usually in the sagittal plane
ex.)) at the elbow joint, moving hand to the shoulder
extension
straightening movement that results in an increase of the angle in a joint by bones moving APART usually in the sagittal plane
ex.) at the elbow joint, moving hand away from the shoulder
Circumduction
circular movement of a limb in an arc; a combination of flexion, extension, abduction, and adduction
External rotation
rotary movement around the longitudinal axis of a bone away from the midline of the body
Internal rotation
Rotary movement around the longitudinal axis of a bone toward the midline of the body
Phasic vs. tonic muscles
Tonic muscles are prone to hyperactivity, stretch
phasic muscles are extensors and prone to inhibition, strengthen
Phasic muscles- experience mechanical advantage and bend toward origin
Quads- knee extension
triceps- elbow extension
erector spinae- spinal flexion
deltoids- extension and abduction
glutes- hip extension
tonic muscles- never bend toward origin
biceps- elbow flexion
pectoralis major- anterior shoulder flexion
latissimus dorsi- lateral humeral flexion
hip flexors- anterior hip flexion
What muscles need to be strengthened
all major muscle groups should be strengthened to maintain muscle balance
muscle balance
all major muscle groups should be equally balanced and trained in order to improve strength and reduce risk for injury
muscle contractions
rectus- straight
oblique- diagonal
transverse- across
Force velocity curve
max strength produces max force
max speed produces max velocity
exercises most force to less force in order (less velocity to more velocity)
isometric pull
heavy squats
pulls and partial Olympic lifts
plyometrics
med ball throws
acceleration
how does force velocity relate hypertrophy
slower, more forceful movements results in more mechanical tension resulting in hypertrophy, isometrics result in most muscle growth
Force velocity curve: What loading approach is necessary to grow muscle
moderate loads ranging from 8-12 reps of 60-80 percent strength
What are the metabolic pathways
ATP-PCr
glycolytic pathway
oxidative
explain the ATP-pcr pathway
provides short term energy, high intensity exercise
active all start of all exercise
explain the glycolytic pathway
breakdown of carbs
results in lactic acid formation in absence of sufficient oxygen
Explain the oxidative pathways
primary source of atp at rest and low intensity activities
carbs and fats are main substrates
newton’s first law
Everything continues in its rest, or of uniform motion in a straight line, unless it is compelled to change that state by forces impressed upon it
bigger stronger player wins
*strength is king
newton’s second law
The change of motion of an object is proportional to the force impressed; and is made in the direction of the straight line in which force is impressed
acceleration is proportional to the net external force
someone physically stronger will improve performance
the more force someone can produce, the better the ability to accelerate is the result
newton’s third law
If an object A exerts a force on object B, then object B must exert a force of equal magnitude and direction on object A.
• For every action, there is an equal and opposite reaction
for every action there is an equal and opposite reaction
movements of the hands
pronation- internally rotation of radius
supination- external rotation of the radius
movements of the feet
eversion- turning the sole of foot outward in frontal plane
inversion- turning the sole of foot inward in the frontal plane
plantar flexion- extension of ankle with the toes moving away from the body in sagittal plane
dorsiflexion- flexion of ankle with toes or top of foot moving towards the anterior tibia bone in sagittal plane
What are the movements, muscle stabilizers of the scapula
Movements: elevation, depression, protraction, retraction, rotation upward, rotation downward
Stabilizers: serratus anterior, rhomboid major and minor, levator scapulae, and trapezius
Elevation of scapula
superior movement of the shoulder girdle in the frontal plane
eg.) shrugging the shoulders
depression of the scapula
inferior movement in the frontal plane
eg.) such as returning to normal position after shoulder shrug
Protraction of the scapula
(abduction of the scapula)
forward movement of the girdle in the horizontal plane from the spine
Retraction of the scapula
(adduction of the scapula)
Backward movement of the girdle in the horizontal plane from the spine
Rotation upward of the scapula
backward movement of the girdle in the frontal plane with the inferior angle of the scapula moving laterally and upward
Rotation downward of the scapula
Rotary movement of the scapula in the front plane with the inferior angle of the scapula moving medially and downward. occurs primarily in the return from upward rotation
*return to anatomical position
Serratus anterior
Stabilizer of the scapula located from the first eight ribs , running posteriorly along lateral side of the thorax
Action: protracts at the scapula (pulls it forward)
Trapezius
Large flat triangular muscle covering the posterior aspect of the neck and the superior half of the back
Located at the base of the skull to T-12, inserts into the lateral part of the clavicle and along the scapula
Action: Lifts scapula and shoulder towards the ears, raises arms overhead, lower segment depresses scapula causing upward rotation of scapula
Rhomboids (major and minor)
lie deep to traps to form parallel bands that pass inferolaterally from vertebrae to medial border of scapula
MAJOR is thin and flat, twice as wide as minor T2-T5
MINOR is thicker than major and is superior to major C7&T1
Action: retract, elevate and rotate the scapula, protract medial border of the scapula, keeping it in position at the posterior thoracic wall
levator scapulae
Located on the posterior tubercle of tranverse process of the cervical spine(side of cervical vertebrae)
inserts on the vertebral margin o the scapula between top and lower neck
action: elevates the scapula and tilts the glenoid cavity inferiorly by rotating scapula downward
Movement assessments
Functional movement screen (FMS), Selective functional movement assessment (SFMA), DARI
check for asymmetries
identify compensations
recognize loss of balance
Purpose of movement assessments
assess an athlete to improve movement, flexibility and mobility and avoid injury
most flexibility/mobility issues are related to high neural tension/tone and weakness NOT a shortened muscle
Mobiity
the joint’s ability to travel without any kind of constraint or pain, targeting the full ROM
Flexibility
a muscle’s ability to lengthens, can also refer to the capacity of a connective tissue to elongate temporarily
identify types (e.g. fms vs. Dari)
DARI
DARI
Tests shoulder abduction, anterior coronal deviation max, elbow flexion during abduction max, shoulder horizontal abduction, shoulder internal/external rotation
Wall test
Static alignment
checks for anterior pelvic tilt, poor posture, lack of joint mobility, pain
single leg raise
laying flat on back, single leg raise
checks for tight hamstrings, tight hip flexors
single leg squat
hands on waist, feet straight ahead
ankle, knee and hip should be in a neutral position
Dysfunctions include:
uneven hips transverse movements (hips/chest going back or forward), knees going inward/outward (knee valgus)
Shoulder mobility test
checks for chest tightness and lack of shoulder joint flexibility/mobility
Side lunge
knee should stay forward, foot should stay on the ground
Knee SHOULD NOT stray outside (varus) foot should not come up off the ground
Overhead squat
Feet should be shoulder width apart and pointed straight ahead, arms overhead with elbows fully extended
*five reps each side
Chest should not come forward, back should not round, arms should not come forward, ankles should not go inward, feet should not lift, body should stay aligned
feet go inward, shows quad weakness
internal tibia torsion
feet outward, hamstring weakness
external tibial torsion
single leg glute bridge: lack full extension
tight hips and poor glute recruitment
single leg glute bridge: low back/excessive low back movement
low back recruitment then posterior chain
glue bridge: excessive movement in the sagittal/frontal plane or others
weak core
glute bridge: pain in sacroiliac joint
trauma
Glute bridge: cramp in hamstring
poor glute recruitment, focus on pointing toes to activate quads and relax hamstrings
Glute bridge: feeling it in quads
quad dominant
Is stretching effective? What is needed?
yes
consistency, warm up