1/85
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai | Chat |
|---|
No analytics yet
Send a link to your students to track their progress
Kinematics
Branch of mechanics that describes the motion of a body, without regard to the force or torques that may produce the motion.
Osteokinematics
Movement of the bone
Arthrokinematics
Joint movement/ motion that occurs between the articular surfaces of joints
Rotational movement
assumed rigid body moves in a circular path (angular motion) around a pivot point (AOR) - osteokinematics
Translational Movement
linear movement - arthrokinematics
Degrees of freedom
the number of independent directions of movement
Open Chain kinetics
non-fixed distal portion (leg extension machine)
Closed chain kinetics
fixed distal portion of the movement (deadlift)
ovoid surface
concave or convex surface
Sellar surface
both concave or convex
Synarthroses
fibrous joints (cranial sutures)
Diarthroses
synovial joints - cavity with a fluid (most common joint)
7 Elements of a synovial joint
Articular Cartilage
Joint Capsule
Synovial membrane
Ligaments
Blood vessels
Sensory nerves
Synovial Fluid
Examples of ovid joints
Hinge, Pivot, Ellipsoid, Ball and Socket, Planar, Condylar
Example(s) of Sellar joints
Saddle joint
The 3 basic movement types for arthrokinematics
Spin/pivot
Roll
Slide/glide
Spin movement
A single point on one articular surface rotates on a single point on another articular surface.
Roll movement
Multiple points along one rotating articular surface contact multiple points on another articular surface
Glide movement
A single point on one articular surface contacts multiple points on another articular surface.
Ventral Flexion
anterior roll
Dorsal flexion
posterior roll
Concave on convex
Concave moving surface rolls and glides in the same direction
Convex on concave
Convex moving surface rolls and glides in the opposite direction
Concave-Convex Rule (CCR) application
Which bone is moving (reference point)
Joint surface characteristics (concave or convex)
Location of AOR
Axis of Rotation (AOR)
Axis is perpendicular to the place that bone is moving. The axis is typically located through the convex component of the joint.
Limitations to the CCR
Deep concavity or when the AOR passes through the area of contact between the articular surface.
Closed packed position
Maximal congruency
Maximal ligament/capsular tautness
Minimized volume/movement
Loose-packed postion
Least Congruency
Maximal slackening of ligaments/capsule
Least efficient for weight-bearing
Grade I Joint Play
Negate normal compressive forces
Grade II Joint Play
Taking up slack
Grade III Joint Play
Stretching
Purposes of muscle
Movement, Control Movement, and Consume body’s energy
Basic structural unit of muscle
Muscle fibers
Major determinant of max force generation
Net cross-sectional area of sarcomeres working in parallel
Major determinant of the range of excursion of a muscle fiber
the number of sarcromeres
Characteristics of Skeletal Muscle
Extensive afferent and efferent innervation
High metabolic capacity
Outermost layer of muscle tissue
epimyseum
name of tissue surrounding the muscle fascicles and connects to the epimyseum
perimyseum
tissue name surrounding the muscle fibers individually
endomyseum
Example of a pennated muscle
deltoid
Characteristics of a more pennated muscle
less excursion
decreased speed of shortening
What is the primary determinant of force production in a muscle?
length-tension relationship or optimal length of the muscle
Muscle insufficiency
The state of a muscle that is too short or too long to produce functional amounts of force across > 2 joints
Active insufficiency (shortened position)
trying to exert force (concentric/eccentric) > 2 joints simultaneously
Passive insufficiency (lengthened position)
trying to exert force (concentric/eccentric) > 2 joints simultaneously - predominate LE strains
Force couples
two or more muscles simultaneously produce forces in different linear directions, but the resulting torques act in the same rotatory direction
Synergists
muscles that cooperate during the execution of a particular motion
Hypertrophy
increasing the physiological cross-sectional area, volume of muscle tissue, and functional strength
Atrophy
decrease in physiological cross-sectional area, volume, and functional strength of muscle tissue
Adaptive changes to muscle length
chronic stretching or shortening, development of desired or undesired weakness or contractures (hardening of muscle fibers)
Spinal Motion Orientation
cranial on caudal
How many joints are within the thoracic joint complex?
11
What are the 11 joint complexes of the thoracic vertebra?
1 intervertebral joint
2 Zygapophyseal
2 Costovertebral
2 Costochondral
2 Chondrosternal
What’s the first rule of 3’s?
T1-3 SP and TP will be at the same level
What’s the second rule of 3’s?
T4-6 SP will be ½ level below TP
What’s the third rule of 3’s?
T7-9 SP will be a vertebral level below the TP
What’s the “fourth” rule of 3’s?
T10-12 TP’s and SP are at the same level (possible gradual return).
How is the thoracic mobility?
Limited due to IVD and the Ribs
How is thoracic motion dictated?
The orientation of the facet joints and the dictating motion of the rib cage. The IVDs are largely responsible for dictating the amount of motion.
What occurs to the IVD as we rotate?
Compression
The most restricted region of the thoracic spine?
T1-4 and T4-8
What portion of the thoracic spine has greater motion?
T8-12, especially T11-L1
What lumbar segments are the most commonly injured?
L4-5 or L5-S1
What is spinal coupling?
Side bending and Rotation occurring together
Coupled motion q and q
increased quality and quantity
non-coupled q and q
decreased quality and quantity
Coupling pattern for upper cervical spine
SB and rot. are coupled opposite side
Coupling pattern for lower cervical spine
SB and rot. are coupled to the same side
Lumbar Nordic coupling model
F - SS
N - OS
E - OS
Lumbar Osteopathic coupling model
F - SS
N - OS
E - SS
Thoracic Osteopathic coupling model
F - SS
N - OS
E - SS
Thoracic Nordic coupling model
F - SS
N - SS
E - OS
What is an example where we have a movement/exercise in a coupled pattern?
Med ball slam up and overs or functionally, a lacrosse shot/ tennis stroke
Where are the angles of the thoracic facet joints in space?
60 degrees horizontal and 20 degrees frontal
What happens to the superior facets as flexion occurs in a thoracic vertebra?
glide ventral/cranial, with a roll and translation
What happens to the superior facets as extension occurs in a thoracic vertebra?
glide dorsal/caudal, with a roll and translation dorsal
What makes gapping occur in the thoracic vertebrae?
SS side bending and OS rotation, the side we are bending away from
What makes compression occur in the thoracic vertebrae?
SS side bending and OS rotation, the side we are bending towards
Pump handle rip movement
Movement superiorly
Bucket handle rib movement
Movement inferiorly
Caliper rib movement
up and down motion of the 11th and 12th rib
What happens to the thoracic spine when we inhale?
Thoracic spinal extension
What happens to the thoracic spine when we exhale?
Thoracic spinal flexion
What occurs at the costotransverse joint of the thoracic spine when flexion occurs?
anterior rotation, surfer
What occurs at the costotransverse joint of the thoracic spine when extension occurs?
posterior rotation