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what is the convex/concave principle
convex bone - joint surface moves in opposite direction of the bone
concave - joint surface moves in the same direction of the bone
joints of the shoulder complex
sternoclavicular
acromioclavicular
scapulothoracic
glenohumeral
functions of the clavicle
sites for muscle attatchment
protects nerves and blood vessels
increased ROM of shoulder
motions of the SC joint
elevation and depression (frontal plane)
protraction and retraction (transverse plane)
upward and downward rotation (sagittal plane)
scapulohumeral rhythm
scapula rotates upward as glenohumeral joint flexes or abducts
for every 2 degrees of GH joint flexion or abduction, there is 1 degree of upward rotation of ST joint
GH contributes 120 d flexion or abduction, ST joint contributes 60 d of upward rotation
what are the rotator cuff muscles
supraspinatus
infraspinatus
teres minor
subscapularis
SITS
what is the annular ligament
forms a ring around the head of the radius holding the radius to the ulna while allowing rotation to occur with forearm pronation/supination
what is a sesamoid bone
small bone embedded within a tendon or muscuotendious unit that provide protection and improved mechanical advantage
ex. patella, pisiform (located in the hand)
open packed meaning
ligaments are joint capsule on slack
minimal joint surface contact
closed pack meaning
maximal joint surface contact
max tightness of ligaments and joint capsule
mechanically stable, less need for muscle to maintain position
scapular-thoracic joint
functional joint because there is no true bony articulation
scapula moves over the ribs
held in place by muscular tension
what is the scapular force couple
combined action of upper trap, lower trap, and serratus anterior muscles to allow the scapula to upwardly rotate
an imbalance between these muscles can lead to poor scapulohumeral rhythm
what is active insufficiency
the position where a muscle cannot generate sufficient force
shortened across multiple joint
ex. biceps brachii crosses 3 joints: GH joint, elbow and forearm
what carpal bones does the distal radius articulate with
scaphoid and lunate
CMC joint of the thumb
articulations between the 1st metacarpal and the trapezium
saddle synovial joint
close pack = full opposition
open pack= mid way between flex/ext and abd/add
what is prehension
the ability of fingers and thumb to grasp and hold objects
power - used when stability and large forces are needed
precision- used when control and delicate actions are needed
what is a pulley system
located where joint motion of tension on the tendons cause the tendons to move away from the joint
holds tendons in place - prevents bowstringing
allows smooth gliding of the tendons with the assistance of the tendinous sheath
what are the wrist extensors held in place by
extensor retinaculum
what are the wrist flexor tendons held in place by
flexor retinaculum
transverse carpal ligament
what are the functions of the anterior portion of the vertebrae
weight bearing
shock absorption
what are the functions of the posterior portion of the vertebrae
protection of posterior aspect of spinal cord
guides and limits spine motion
what are the intervertebral joints
formed by the articulation of adjacent vertebral bodies
(except C1-2)
intervertebral discs are between each pair of vertebral bodies
what are facet joints
classified as plane joints
have a synovial capsule that is well innervated (lots of sensory nerves)
responsible for guiding intervertebral motion
orientation of facet joint determines available motion
what is the pelvic make up
two innominate bones + sacrum
each bone is made up of 3 separate bones
ilium
ischium
pubis
what is the sacroiliac joint
joint between the ilium and sacrum bones
synovial joint
nerve and vascular supply
anterior pelvic tilt
ASIS move anteriorly and inferiorly
produces hip flexion and lumbar extension
posterior pelvic tilt
ASIS move posteriorly and superiorly
produces hip extension and lumbar flexion
what does left anterior pelvic rotation create
right hip joint internal rotation
left hip joint external rotation
femoral anteversion
transverse plane alignment
angle between the longitudinal axis of the femoral neck and the medial lateral axis of the femoral condyles '
normal is about 15 degrees for adults
what is the open pack position of the tibiofemoral joint
20-30 degrees or greater of flexion
what is the screw home mechanism of the knee
during the last 30 degrees of knee extension, the tibia externally rotates and the femur internally rotates
during knee flexion the tibia internally rotates and the femur externally rotates
what are the ligaments of the knee
ACL - anterior cruciate ligament
PCL - posterior cruciate ligament
MCL - medial collateral ligament
LCL - lateral collateral ligament
what is the cartilage in the knee
meniscus - medial and lateral
what is the tendon in the knee
IT band - ilio-tibial band - tendionous portion of the tensor fascia latae muscle
what is the function of the patellofemoral joint
increases angle of insertion and mechanical advantage of quadriceps tendon
protects patellar tendon from excess friction on the femur during knee flexion
what are causes of abnormal patellar tracking
“weakness” of the vastus medialis
“tight” IT band
“weakness” of hip abductors and/or external rotators
what is supination of the foot a combination of
inversion
adduction
plantarflexion
what is pronation of the foot a combination of
eversion
abduction
dorsiflexion
what are the functions of the foot arches
stability and protection
distribution of weight in weight in bearing
conversion to rigid lever
mobility
stores mechanical energy and releases it to improve efficiency of gait
what are the arches of the foot
lateral longitudinal arch
medial longitudinal arch
transverse arch
what are newtons laws of motion
law of inertia
law of acceleration
law of action-reaction
what is newtons first law of motions
Law of inertia
a body in motion tends to remain in motion unless acted on by a force; a body at rest tends to remain at rest unless acted on by a force
inertia is related to the amount of energy required to change the velocity of an object - the resistance to action or change
what is force
force produces change in the state of rest or the motion of an object
force is essential to change velocity and direction
ex. muscle, body weight (internal force), gravity, resistance, friction (external force)
what is dynamic equilibrium
all applied and internal forces acting on the moving body are in balance, resulting in the body moving at a constant speed
to control equilirbium and achieve balance, STABILITY needs to be maximized
what is center of mass
the point at which the mass of an object is evenly distributed
what is theoretical COG for a human being standing in anatomical position
anterior to the second sacral vertebrae (S2)
what is newtons second law of motion
Law of acceleration
when force is applied to an object at rest, the object is taken out of equilibrium and the result is acceleration of the object
force = mass x acceleration (F=ma)
what is newtons third law of motion
Law of reaction
objects that are touching exert forces on each other that are
equal in magnitude
opposite in direction