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Kinesiology
The study of the mechanics of body movements
Clinical Kinesiology
The study of muscle and muscular movement as it pertains to the patient
Biomechanics
Application of the principles of mechanics to the living human body
Kinetics
forces that produce or resist movement
Kinematics
Movement without regard for forces that produce motion or movement
Osteokinematics
Movement of the bone in a particular plane and around a joint axis
Arthrokinematics
How the joint surfaces move (ex: glide/slide)
Anatomical Position
To stand erect with arms at the sides and palms of the hands turned forward
Fundamental/Neutral Position
Palms to the side of the body
Frontal Plane
divides the body front to back
Sagittal Axis
runs front to back
Sagittal Plane
divides the body side to side
Frontal Plane and Sagittal Axis Example
Shoulder Adduction/Abduction
Frontal Axis
runs side to side
Sagittal Plane and Frontal Axis Example
Shoulder extension and flexion
Transverse Plane
divides the body top to bottom
Vertical Axis
runs from top to bottom
Transverse Plane/Vertical Axis Example
Shoulder Internal/External Rotation
Flexion
movement of one limb segment on another about a joint axis, bringing two anterior limb segment surfaces toward each other
Extension
Movement of one limb segment on another about a joint axis, moving the anterior limb segment surfaces away from each other
Plantar Flexion
Foot downward
Dorsiflexion
Foot upward
Abduction
Movement away from midline
Adduction
Movement toward midline
Radial Deviation
hand moves laterally, towards thumb side of hand
Ulnar Deviation
Hand moves medially, toward the pinky side of hand
Lateral Flexion
Side bending head with trunk to hip side
Medial Rotation
AKA internal rotation
Lateral Rotation
AKA external rotation
Supination
Palm up
Pronation
Palm down
Inversion
Moving ankle so that the sole of the foot faces medially
Eversion
Moving ankle so that the sole of the foot faces laterally
Linear Motion
(AKA translational motion) All parts move parallel to and in the same direction
Rectilinear
Linear motion in straight line
Curvilinear
Linear motion in curved line
Angular Motion
Body moves in circular path around axis
- same direction
- same angle
- same time
- NOT same distance
One Degree of Freedom/Uniaxial
Hinge or pivot joint
1 plane - 1 axis
Two Degrees of Freedom/Biaxial
Finger Joints (condyloid, ellipsoid, saddle joints)
2 planes - 2 axes
Three Degrees of Freedom/Triaxial
Ball and Socket Joints
3 planes - 3 axes
AROM
caused by muscle contraction
PROM
caused by sources other than muscle (person pulling, gravity)
Normal End Feels
Bony - Hard
Soft Tissue Stretch - Firm
Soft Tissue Approximation - Soft
Abnormal End Feels
Muscle Spasm
Sudden Stop Before End Range
Empty (due to subject pain)
Springy Block
Open Kinetic Chain
Distal segment moves against relatives fixed proximal segment (ex: kicking ball)
Closed Kinetic Chain
Proximal segment moves against relatively fixed distal segment (sit to stand)
Joint Congruency
how joint surfaces fit together
Close Packed Position
- Surfaces are tightly compressed (congruent)
- Minimal amount of accessory motion
- Ligaments/capsules hold joint tight
Open/Loose/Resting Packed Position
- position of incongruency
- allow accessory motion
- parts of capsule/ligaments are relaxed
Convex-Concave Rule
shape of bone surfaces
Types of Joints
- Synarthrosis
- Amphiarthrosis
- Diarthrosis
Synarthrosis Subtypes
- Suture
- Syndesmoses (ligamentous)
- Gomphosis (peg-in-socket)
Suture Synarthrodial joint
Little movement
Provides shape, strength, stability
Fits between bony segments very congruent and ight
Ex: skull
Syndesmosis (Ligamentous) Synarthrodial Joint
Small amount of stretching movement
Ex: Distal radioulnar joint
Gomphosis (Peg-In-Socket)
Ex: Tooth in socket
Amphiarthrosis Joints
- Articulation between bony surfaces that permits limited motion connected by ligaments or elastic cartilage
- Provide mobility and stability
- Hallmark Feature: cartilage
- Ex: intervertebral joints of spine
Diarthrosis-Synovial Joints
- most common joint
- provides free mobility
- Hallmark Feature: joint capsule
- ex: hip, knee, elbow
Force
a push or pull
Vector
Describes forces direction and speed
Torque
force needed to produce rotation around axis
Friction
between 2 surfaces, preventing motion across the 2 surfaces
Moment Arm
the perpendicular distance from the Line of Pull to the joint axis of rotation
Resultant Force
The sum of all forces acting on an object
Force Couple
Two or more forces act in different directions, resulting in a turning effect
Force Couple Example
(Elbow) Flexion and extension of the biceps/triceps
Law of Inertia
Body at rest will stay at rest, and body in motion will stay in motion, until acted on by an outside force
Law of Inertia Example
Rear ended in motor vehicle
Law of Acceleration
amount of acceleration is dependent on the strength of force applied to an object. Direction of force can change direction of an object
Law of Acceleration Example
Kicking soccer ball (strength of force and mass size)
Law of Action-Reaction
For every action there is an equal and opposite reaction
Law of Action-Reaction Example
Jump on trampoline (gravity and ground reaction force)
Types of Forces that Affect Body Motion
- Gravity
- Internal (active muscle contraction, passive stretching of tissue)
- Externally applied resistance
- Friction
Stable Equilibrium
Occurs when an object is in a position where disturbing it would requires its COG to be raised to stay stable (ex: book on shelf)
Unstable Equilibrium
occurs when only a slight force is needed to disturb an object (ex: stand on one leg)
Neutral Equilibrium
When the objects COG is neither raised or lowered when its disturbed (ex: a person in a wheelchair rolling along)
The lower the COG,
the more stable the object
The COG and LOG must remain within:
the BOS to remain stable
Stability increases as the BOS is:
widened in the direction of force
Levers
Defined as a rigid bar (bone) that rotates about an axis (joint) when force is applied (muscle contraction)
Elements of a lever:
Axis
Resistance force
Moving force
First Class Lever
FAR/RAF
Second Class Lever
ARF/FRA
First Class Lever Advantages
- distance and speed
- the two forces are balanced
Third Class Lever
RFA/AFR
Second Class Lever Mechanical Advantage
power favors force
Third Class Lever Advantages
- speed and favors distance
- muscle must produce a force greater than opposing external force
Simple Machines
Generates a greater force than muscle power alone
Pulley
can help change direction of force to ease pulling
Wheel and Axis
the larger the wheel the less force needed to turn it
Single Fixed Pulley
- 1st class lever
- change direction of force
- ex: Lateral malleolus changes direction of pull of the libularis longs tendon
Movable Pulley
- mechanical advantage of doubling its force but requires 1/2 the force to move the weight
- example: leg traction system
Inclined Planes
As distance increases effort decreases
Wheel and Axle
- wheel attached to another wheel
- larger the wheel the less force required
- ex: shoulder joint (axle)
Afferent Neurons
incoming sensory information
Efferent Neurons
outgoing motor information
Deep Structures of the brain
- thalamus
- Hypothalamus
- Basal Ganglia
Thalamus
- relay station for brain
- pain perception
Hypothalamus
- hormonal regulation
- behavior
Basal Ganglia
- coordination of movement
Brainstem Parts (superior to inferior)
- Midbrain
- Pons
- Medulla Oblongata