Introduction to kinesiology unit 1,2,3,4 notes review exam

Unit 1:

Intro to Kinesiology:

Kinesiology: systematic study of physiological, psychological, and sociological aspects of human movement and how it can be optimized. 


Discipline of Kinesiology: exercise physiology and anatomy, biomechanics, historical aspects of sport, fitness training


Twin problem of physical inactivity and obesity: sedentarism and poor diet underlay the twin problems

  • To fight these problems:

    •  lifestyles changes must be made

    • Support to school/community physical activity programs

    • Enlighten public health policy 


Anatomical Planes: 

  • Universal orientation and reference

  • Anatomical position: 

    • Anatomical planes relate to positions in space and are at right angles to one another

    • Upright

    • Face and feet pointing forward

    • Arms at the side

    • Forearm full supinated (palms forward)

  • Describing position and movement

    • Described in terms of the anatomical plane through which it occurs and the anatomical axes around which it rotates


  • Transverse

    • Top and bottom

    • Divides the body into superior and inferior segments

  • Sagittal 

    • Left and right

    • Dividends the body into medial and lateral segments

  • Frontal (coronal)

    • Front and back

    • Divides the body into anterior and posterior segments



Anatomical Axes: 

  • Anatomical axes: used to describe how rotation of the muscle and bones take place


  • Longitudinal (polar)

    • Is in a “north-south’ relationship to the anatomical position

  • Horizontal (bilateral)

    • Is in an “east-west” relationship to the anatomical position

  • Antero-posterior axis

    • Is in a “front-to-back” relationship to the anatomical position 


Anatomical position:


Superior (cranial):

  • Toward the hear end or upper part of a structure or the body; above

    • E.g the head is superior to the abdomen

Interior(caudal):

  • Away form the head end or toward the lower part of a structure or the body; below

    • E.g the navel is inferior to the chin


Ventral (anterior): 

  • Toward or at the front of the body; in front of

    • E.g the breastbone is anterior to the spine


Dorsal(posterior): 

  • Toward or at the back of the body; behind

    • E.g the heart is posterior to the breastbone

Proximal: 

  • Closer to the origin of the body part or the point of attachment of a limb to the body trunk

    • E.g the elbow is proximal to the wrist


Distal: 

  • Farther from the origin of a body part or the point of attachment of a limb to the body trunk

    • E.g the knee is distal to the thigh

Superficial: 

  • Toward or at the body surface

    • E.g the skin is superficial to the skeletal muscles


Deep (internal): 

  • Away from the body surface; more internal

    • E.g the lungs are deep to the skin


Medial:

  • Toward or at the midline of the body; on the inner side of

    • E.g the heart is medial to the arm


Lateral:

  • Away from the midline of the body; on the outer side of

    • E.g the arms are lateral to the chest


Movement terms: 

Flexion

  • Joint angle decreases

Extension

  • Joint angle increases

Abduction

  • Away from body

Adduction

  • Toward the body

Plantar Flexion

  • Point your toes

Dorsiflexion

  • Bring the top of you foot closer to your shin

Supination

  • Palm is facing forward

Pronation

  • Palm is facing backward


Inversion

  • Standing on outer edge of your foot

Eversion 

  • Standing on inner edge of your foot

Internal rotation

  • Turning a body part outward from the midline

External rotation

  • Turning a body part inward from the midline

Elevation

  • Movement in upward direction

Depression

  • Movement in downward direction

Circumduction 

  • Combination of flexion, abduction, extension, adduction



The Musculoskeletal System

Human skeleton is made of 206 bones that takes up about 14% of the body weight

  • However there are about 300 bones at birth, but many bones fuse together as they age


Bones are made up of bone cells, fat cells, and blood vessels

  • Compared to other systems, the human skeletal system is extremely hard and durable 

  • Bones are mainly composed of the mineral calcium ( in various forms)

  • People with diet low in calcium may find their bones becoming increasing britte and breakable (major concern for elders; osteoporosis) 


The human skeleton is generally divided into two main parts:
 

  • The axial skeleton in orange

    • Compose mostly of the vertebral column (spine), rib cage, and the skull

    • Where most of the core muscles originate 

    • Core muscles help stablize and support the axial skeleton 

      • Plus providing proper posture and alignment

  • The appendicular skeleton in Green

    • Moveable limbs and their supporting structures (girdles; scapula, clavicle)

    • Six major regions: 

      • Pectoral girdles

      • Arms and forearms

      • Hands

      • Pelvis 

      • Thighs and legs

      • Feet and ankles

Bone Landmarks


  • A landmark is a ridge, bump, groove, depression, or prominence on the surface of the bone that serves as a guide to the location of other body structures



Skeletal Biology

Function of bones

  • Support

    • Bear wright of tissues (muscle, organ, fat, connective tissue)

  • Movement

    • Leverage created by contraction of connecting muscles

  • Blood supply

    • Creation of blood cells in marrow of bones (hematopoiesis)

  • Protection

    • Encasing vital organs

  • Mineral supply

    • Inorganic compounds released into blood as needed


Classification of bones

  • The bones of the human skeleton are diverse in size and shape

  • These varied characteristics are indicative of each bones function


Bone types are based mainly on their shape

  • 5 Bone types

    • Long

      • Longer than they are wide

      • Shaft+2 ends

      • Includes most limb bones

      • I.e phalanges, femur, humerus 

    • Short

      • Small and thick

      • Roughly cube shaped

      • I.e. carpels, tarsals 

    • Flat

      • Flat, thin, with ”parallel” surfaces

      • Usually curved

      • i.e. Ribs, Skull, sternum, scapula  

    • Irregular 

      • Basically all bones of various shapes that do not fit under other categories

      • i.e. vertebrae, pelvic bones

    • Sesamoid  

      • Short bones formed within a tendon 

      • Act to alter direction of pull of tendon

      • i.e. knee cap, pisiform 


Anatomy of a long bone

As one of the main bones of the skeleton, our Long Bones are quite complex structures

  • Incorporate many components, each with its own function

    • Epiphysis

      • ends of long bone – articulating surfaces (forming a joint)

      • nutrients from joint capsule 

      • red/yellow marrow

      • compact bone exterior / cancellous bone interior

      • i.e. the ends of the femur


  • Diaphysis

    • “shaft” 

    • marrow filled cavity (medullary cavity)

    • compact bone exterior– dense bone that can withstand the the greatest forces along its length

    • Vascular, supplied by arteries/veins

  • Epiphyseal Line

    • remnant of bone generating cartilage of child’s bone

    • appears after epiphyseal plate fuses to the rest of the bone (growth stops, late teens/early adulthood)


  • Epiphyseal Plate

    • “Growth” plate

    • The plates forms a gap that will get filled up and repeats the process 

      • Bone growth 

    • found in long bones of children and adolescents


  • Cancellous (Trabecular) Bone

    • epiphyseal interior 

    • Less dense than compact bone (reduces overall mass of bone)

    • Network of trabeculae (“beams”) aligned along stress lines, 

    • Dynamic: structure changes in response to stresses (weight, posture, physical activity)


  • Compact (Cortical) Bone

    • 80% of Human skeleton (by weight)

    • dense bone

    • interwoven matrix of bone pillars (called osteons)

    • Provides strength and rigidity to the bone



  • Periosteum

    • regenerative sheath (outer layer) for all bones - with a few exceptions

    • houses fibroblasts and osteoblasts involved in bone maintenance and growth 

    • vascular (channel for blood supply in and out of marrow)

    • offers some support (but minimal)

    • Connection point for tendons (muscle-bone) and helps spread the force across the surface


  • Articular Cartilage

    • smooth, slippery, insensitive, and bloodless surface covering ends of long bones 

    • cushions/absorbs stress of opposing bone in a synovial joint during movement




  • Medullary Cavity

    • deepest part of the bone

    • “hollow” soft core of diaphysis

    • Red Bone Marrow - contains Stem Cells that differentiate into red blood cells, white blood cells and platelets

    • Yellow Bone Marrow - usually a high concentration of fat stored here

      • Also has Stem Cells that differentiate into osteoblasts and osteoclasts (bone remodeling)

      • Also involved in formation of cartilage


Bone Formation

  • Chemical composition (by weight):

    • ~30% organic compounds – collagen (protein used for building trabeculae), marrow, bone cells…

    • ~60% inorganic compounds – minerals

    • The rest is primarily water

  • Bone development is a dynamic process of integration of these components into a matrix

  • Occurs through three processes:

    • Osteogenesis - the formation of non-mineral collagen (protein) matrix called trabeculae

    • Ossification- the deposition of inorganic hydroxyapatite onto matrix

      • a combination of calcium phosphate, calcium carbonate, calcium fluoride and calcium hydroxide

    • Bone remodeling - healing and maintenance processes of the skeleton

  • Bones are dynamic – a living tissue

Remodeling 

  • Regenerate just like most other body tissues

  • Recycle 5% – 7% of our bone mass on a weekly basis

  • Complete new bone mass every 7 – 10 years.

  • This gives our bones the ability to repair / adapt to stresses.

  • Remodeling is the result of the action of osteoclasts and osteoblasts.

    • (to remember the difference...osteoBlasts build and osteoClasts crush)



Bone Injuries

Causes: 

  • Trauma 

  • Types of forces applied determine where and how the bone will fracture

  • Many different classification of fractures with varying degrees severity 





Other factors: 

  • Weakened bone strength 

    • Eg. osteoporosis due to old age increases susceptibility for fractures

  • Reduction of a fracture assist /speeds up healing process



Types of fractures:

  • Greenstick fracture

    • Incomplete

      • One side of the bone is fractured (usually because of tension), the other side is just bent (compressed)

    • Common in children

      • Because their bones are softer

      • Have more organic material (collagen) and less inorganic material (minerals) for strong support

  • Transverse(simple) fracture

    • Partial fracture through bone

    • Little to no displacement of fractured ends occurs

  • Spiral fracture

    • Usually a jagged break 

    • Occurs when torsion (twisting) load is applied to an extremity that is firmly planted on the ground

  • Compression fracture

    • Usually occurs in the vertebrae

    • Bone is crushed due to compression

      • Inner scaffolding is not strong enough to support weight/withstand forces 

    • More common in those suffering from Osteoporosis




  • Comminuted fracture

    • Occurs when a very high amount of force is applied (high impact)

    • 2+ fragments break off

    • Common in car accidents

  • Compound (open) fracture

    • Broken bone breaks through skin

    • Complicated because it increased risks of infection

  • Depression Fracture

    • Broken bone pressed inward, deep to the normal surface of the bone

    • Common in skull injuries, often caused by blunt force trauma

  • Impacted fracture

    • Caused by impact of bone on bone

    • Fragments tend to be forced into each other, and surrounding tissues

    • More common in shoulder and hip due to falls

    • Increased severity with osteoporosis

    • Can be treated with hip resurfacing and traditional total hip replacement

  • Avulsion fracture

    • Force from tendon or ligament pulls off a piece of the bone

    • Can occur anywhere in the body

    • In adults, tendons and ligaments often damaged first as a result of high forces

    • In children, we see avulsions near the growth plate, where bones are weaker and still developing

Treating fractures

  • Pain

  • Reduction (resetting)

  • Immobilization (mechanical support using casts, splints, screws, plates etc)

  • Time

  • Special considerations

    • Surgery, infection control


Factors affecting the healing process

Systemic factors

  • Age

    • Children heal more quickly than adults; healing potentials is decreased with advanced age

  • Nutrition

    • Poor nutrition and/or vitamin deficiency adversely affects healing

  • General health

    • Chronic illness depresses healing response (diabetes, anemia, systemic infection)

  • Generalized atherosclerosis

    • Decreased blood flow = slowed healing

  • Hormonal factors

    • Growth hormone enhances healing; corticosteroids slow healing

  • Drugs

    • Non steroidal anti-inflammatory drugs (eg. ibuprofen) slow healing

  • Smoking 

    • Decreases healing through vasoconstriction (血管收缩)


Local Factors

  • Degree of local trauma/bone loss

    • Comminuted fracture with more soft tissue injury is slower to heal

  • Area of bone affected

    • Metaphyseal fractures heal faster than diaphyseal

  • Abnormal bone

    • Infection

    • Tumor

    • Irradiated

    • Slower to heal

  • Degree of immobilization of fracture

    • Motion at site delay healing

  • Disruption of vascular supply

    • Delay healing


Osteoporosis
  • A medical condition where bones become weak and brittle

    • age/sex related

    • Bone resorption is greater than bone deposit

    • Results in decreased bone mass (more porous and lighter)

    • Vertebrae and hip become very vulnerable to injury

  • Risk factors

    • Aging women (decreasing estrogen)雌激素

    • Insufficient exercise/overtraining

    • Diet low in calcium / magnesium and protein

    • Smoking

    • Hormonal conditions / related drugs


RED-S

The Relative Energy Deficiency in Sport 

  • It is the result of insufficient caloric intake and/or excessive energy expenditure (支出)

  • Consequences of this condition can alter many physiological systems

    • Metabolism

    • Menstrual function

    • Bone health

    • Immunity 

    • Protein synthesis

    • Cardiovascular and psychological health

  • The Female Athlete Triad is still considered to be a contributing factor in developing RED-S

    • Describes syndrome that increases risk for female athletes for higher incidence of bone fractures

    • Due to susceptibility of three closely linking conditions

      • Menstrual dysfunction

      • Low bone density

      • Disordered eating

  • Low energy status in physically active women or men


Signs/ symptoms

  • Weight loss

  • Fatigue and decreased ability to concentrate

  • Stress fractures

  • No periods or irregular periods

  • Other injuries

  • Eating disorders 


Bone Landmarks

Often an area of great importance, in terms of human movement

The origin or insertion  points of out muscles 


  • Inclues: epicondyle, crest, fossa, trochanter, spine, facet, tubercle. head , sulcus, tuberosity, line, foramen, sinus, process, meatus


Type of bone landmarks

  • Landmarks of articulation (joins)

    • Condyle

      • Smooth, rounded knob

        • Ex. medial condyle of the femur

    • Head

      • Prominent expanded end of a bone, sometimes 

        • Ex. Head of femur

    • Facet

      • Smooth, flat, slightly curved (concave or convex)

        • Ex. Superior Articular Facet of the Sacrum

  • Elevated landmarks 

    • Process

      • Any bony prominence of a bone

        • Ex. Coracoid process of the scapula 

    • Tuberosity 

      • Rough raised surface of a bone

        • Ex. deltoid tuberosity of the humerus 

    • Tubercle 

      • Smal, rounded process

        • Greater tubercle of humerus 

    • Epicondyle

      • Projection of bone, found superior to a condyle

      • “Epi” means on, upon, above

        • Ex. lateral epicondyle of the femur 

    • Trochanter

      • Massive process, unique to the Femur

        • Ex. Greater Trochanter

    • Malleolus

      • Projection or process at the distal end of the fibula or tibia at the level of the ankle

    • Spine

      • Sharp, slender or narrow process

        • Spine of the scapula

    • Crest

      • Narrow ridge

        • Ex. iliac crest of the pelvis

  • Depressions or flat surfaces

    • Fossa

      • Shallow depression

        • Ex. mandibular fossa

    • Fovea

      • Small pit in a bone

        • Ex. fovea capitis of the femur

    • Sulcus

      • Groove for a tenton, nerve or blood vessel

        • Ex. intertubercular sulcus of the humerus

  • Spaces or opening

    • Foramen

      • Hole through a bone, usually round

        • Ex. vertebral foramen

    • Meatus

      • Tubular passage or tunnel through a bone

        • Ex. external acoustic meatus of the ear

    • Sinus

      • Spaces or cavity within a bone

        • Ex. frontal sinus of the skull


supra/infra (above/below)   -> Superior/Inferior

greater/lesser (larger/smaller)   

Inter (inbetween)

Meta (after)


The Articular System


Joints are classified according to their structure (what they are made of) or their function (the type and extent of movement they permit).


The structural classification recognizes three main types of joints:

  • Fibrous joints,

  • Cartilaginous joints

  • Synovial joints

    • Articular cartilage

      • Located on the ends of bones that come in contact with on another

    • Joint Capsule

      • Consists of the synovial membrane and fibrous capsule.

    • Joint Cavity

      • Filled with synovial fluid, which acts as a lubricant for the joint

    • Bursae ( Bursa is singular)

      • Small fluid sacs found at the friction points 

    • Intrinsic ligaments

      • Thick bands of fibrous connective tissue that help thicken and reinforce the joint capsule

    • Extrinsic ligaments

      • Separate from the joint capsule and help to reinforce the joint

















Types of joints
  • Ball-and-socket (spheroidal) joints. 

    • The “ball” at one bone fits into the “socket” of another, allowing movement around three axes 

  • Gliding (or plane or arthrodial) joints

    • This type connects flat or slightly curved bone surfaces that glide against one another












  • Hinge (ginglymus) joints. 

    • A convex portion of one bone fits into a concave portion of another (movement in one plane). The joint between the ulna and the humerus is an example

  • Pivot (or trochoid) joints. 

    • Rounded joint of one bone fits into a groove of another 

      • Joint between the first two vertebrae in the neck, that allows the rotation of the head












  • Saddle Joints

    • Allow movement in two planes (but not rotation like a ball-and-socket joint)

    • A key one is found at the carpo-metacarpal articulation of the thumb

  • Ellipsoid joints. 

    • This type of synovial joint also allows movement in two planes. 

      • The wrist is an example of an ellipsoid joint














Joint Injuries

  • Loss of functionality of tissues surrounding and stabilizing a joint

  • Could be ligaments, cartilage, bursae or bones

  • Elastic properties of tissue can be compromised by the forces acting upon or bodies during physical activity

    • Chronic injuries like osteoarthritis or bursitis

    • Acute injuries like ligaments sprains


  • Fibrous tissues in our joints

    • Mostly made of collagen, a strong protein found throughout the human body

    • Ligaments

      • Thick bands of fibrous tissue connecting bone - bone

    • Cartilage

      • Smooth and firm surface of fibrous tissue located between the bones to reduce friction and provide cushioning

    • Bursae 

      • Small flat, fluid filled sacs at high friction points between tendons, ligaments, and bones



Mechanisms of Injury

  • Acceleration/Deceleration as a result of movement or impact

  • Fatigue/Overuse due to repetitive motions, overtraining and/or insufficient recovery

  • Weakness/Imbalance of muscles that move and support the joint

  • Instability of joint due to weakness in ligaments, or injury to nearby ligaments


Types of joint injuries

  • Bursitis

    • Because of their function, Bursae undergo a lot of wear and tear due to repetitive motion

    • Bursa can become inflamed (itis)

    • Common in shoulder, elbow and hip but can occur anywhere where these structures are exposed to repetitive motion

    • Risk increases with age

  • Treatments

    • Rest, to avoid further trauma

    • Often resolve itself

    • Physiotherapy to strengthen surrounding muscles to support the join

    • Re-inflammation is common

  • Cartilage Damage

    • Damage to the connective tissue found at the articulating surfaces of the bones

    • Cartilage of the knee is often susceptible in sports with vigorous lateral movements (basketball, football, etc)

  • Treatments

    • Often repaired through Arthroscopic surgery 

      • A few small incisions are made to allow access to the inner joint

  • Iliotibial Band Syndrome (IT Band) 

    • The IT band runs down the lateral aspect of the thigh from the Ilium to the Tibia

    • Thick band of connective tissue that attaches Tensor Fasciae Latae and Gluteus Maximus muscles to the Tibia

    • Helps to stabilize the knee (when extended), also helps with hip abduction and flexion

    • Overuse injury due to tightness of IT Band, rubbing on Femur creates inflammation at the knee or hip (common in runners, cyclists etc.)

  • Treatment

    • Rest

    • exercise/orthotics to encourage hip & knee alignments

    • Increase flexibility of the IT Band, Tensor Fasciae Latae and Gluteus Maximus

  • Sprains

    • Due to required function of ligaments, they are very resistant to stretching, making them prone to tearing

    • Occurs when a ligament is overstretched and have a scale to indicate their severity (1, 2, 3, degree)

    • The avascular nature (limited blood supply) of the ligaments discourages natural healing

    • Once one ligaments is damaged, the other in the area have to try to compensate for the instability and often cannot withstand forces applied in a new direction

  • Treatment

    • Varies

      • The first 24-48 hours after the injury is important treatment and rest period

        • Standard steps for treatment follow P.I.E.R (or R.I.C.E)

          • Pressure, Ice, Elevation, rest

          • Rest, Ice, Compression, Elevation)


First degree sprain

  • Microscopic tearing

  • Minimal pain

    • Range of motion may be limited next day

    • Strength may be affected

    • No visible discolouration/deformity

    • No audible sound

    • Might be able to continue with normal function


Secondary degree sprain

  • Significant tearing of ligaments

  • Extremely painful

  • Large amount of swelling

    • Limiting motion (30-80% decrease)

    • Strength loss

    • Cannot continue with normal function

    • May be able to feel a defect in the ligament through the skin (bump, hole)

    • Audible snap or pop


Third degree sprain

  • Complete tear

  • Initially no pain but a lot later

    • Loss of range of motion (80-100% decrease)

    • Complete loss of strength 

    • Massive swelling and discoloration of surrounding area

    • Palpable and visible deformity

    • Audible snap or pop

    • Ligament replacement surgery required 


Common knee ligament injuries

  • Any of the ligaments in the knees can be compromised through physical activity or impact.

    • Most common are injuries to the:

      • Anterior Cruciate Ligament (ACL)

      • Posterior Cruciate Ligament (PCL)

      • Lateral Collateral Ligament (LCL)

      • Medial Collateral Ligament (MCL)

  • Depending on the severity of the sprain, surgery may be required to repair/replace the ligament


Unit 2: Muscular system and energy production 


Components of The Musculoskeletal System

  • Consists of bones, joints, and muscles that provide form, support, and stability to a body, thus giving humans (and many other animal species) the ability to move.

Comprised of: 

  1. The body’s bones, skeletal muscles, and connective tissue that binds them together.

  2. Skeletal muscle fiber connects to bones directly through tough tissue fibres, called tendons.

  3. The bones themselves are bound tightly together with other bones through ligaments.

  4. Cartilage tissue at the ends of bones prevents the bones from grinding against one another.



Types of muscle tissues(shortens during contraction): 

  • Smooth muscle

    • Surrounding the body’s internal organs, including the blood vessels, hair follicles, and the urinary, genital, and digestive tracts, are smooth muscles. Smooth muscle tissue contracts more slowly than skeletal muscles, but can remain contracted for longer periods of time. They are also involuntary.


  • Cardiac muscle (heart)

    • As the name suggests, cardiac muscles are found in only one place in the body—the heart. They are responsible for creating the action that pumps blood from the heart to the rest of the body. Cardiac muscles are involuntary muscles because they are not controlled consciously, and are instead directed to act by the autonomic nervous system.


  • Skeletal muscle (muscles that help us move)

    • These muscles are the type of muscles that are attached to the bones (by tendons and other tissues).

    • They are the most prevalent muscle type in the human body (640 of them!!!!)—they comprise 30% to 40% of human body weight.

    • Skeletal muscles are “voluntary”—humans have conscious control over their skeletal muscles; that is, the brain can tell them what to do.

    • Skeletal muscle tissue is referred to as striated, or striped, because of its appearance under a microscope as a series of alternating light and dark stripes.


Types of contraction

  • Concentric contraction

    • Shortening

  • Eccentric contraction

    • Lengthening

  • Isometric contraction

    • Static



How Muscles are Named:


Action of the muscle 

Flaxion, extension

Example: 

Flexor carpi ulnaris, extensor carpi ulnaris 

Direction of the fibres

Rectus, transversus

Example: 

Rectus abdominis, transverse abdominis 

Location of the muscle

Anterior, posterior

Example: 

Tibialis anterior, tibialis posterior 

Number of divisions/head

Number of heads (2 or 3)

Examples: 

biceps brachii, triceps brachii

Shape of the muscle 

Examples: 

Deltoid ----resembling the Greek Letter, Delta:

Trapezius ---- resembling a trapezoid

Muscle’s point of attachment 

Sternum, clavicle, mastoid process

Examples: 

Sternocleidomastoid 



Major muscle groups

Anterior: 

  • The quadriceps group, Quads

  • The abdominals, Abs

  • The pectoral muscles, Pec


Posterior: 


Erector spinae group

Rotator cuff group

Rhomboids 

Gluteals

Hamstring group 

Calf muscle 



Muscles Pull

They Never Push

Agonist and Antagonist Muscle Pairs:

  • Skeletal muscles are typically arranged as opposing pairs

    • The muscle primarily responsible for movement of a body part is referred to as the agonist muscle 

    • The muscle that counteracts the agonist muscle, lengthening when the agonist muscle contracts, is called the antagonist muscle 

  • Movements around joints are also assisted by additional muscle 

    • The muscles that adds extra force to a movement or help to stabilize the joint from dislocation are called synergist muscles.

    • The muscles that help to hold a bone in place during a movement are called fixator muscles. 


Opposing muscles and muscle groups:


Agonist (prime mover)

Antagonist

Shoulder abduction

Deltoid 

Latissimus dorsi

Shoulder adduction

Latissimus dorsi 

Deltoid 

Elbow extension

Triceps brachii

Biceps brachii

Elbow flexion

Biceps brachii

Triceps brachii

Hip extension

Gluteus maximus

Iliacus 

Hip flexion

Iliacus 

Gluteus maximus

Hip abduction

Gluteus medius and minimus 

Adductor magnus 

Hip adduction

Adductor magnus 

Gluteus medius and minimus 

Knee extension

Quadriceps 

Hamstrings 

Knee flexion

Hamstrings 

Quadriceps 

Plantarflexion 

Gastrocnemius and soleus 

Tibialis anterior 

Dorsiflexion 

Tibialis anterior 

Gastrocnemius and soleus 



The Neuromuscular System  

Origin: the more stationary of the bones where the muscles attaches to 

Insertion: the point there the muscle attaches to the bones that is moved the most

  • When the biceps are contracting the forearms are pulled towards the shoulder (origin)

  • The insertion is on the radius (forearm bone), and it is moved in the contraction


Muscle attachment: 

  • Indirectly (via tendons)

    • Most common

  • Directly (when the outer membrane of the muscle attaches to to outer membrane of the bone


Components of muscles

  • Muscles

    • Muscle tissues

    • Made of bunch of layers of muscles fascicles

      • Muscle fascicles (bundles of smaller structures)

        • Muscle fibers

          • Contractile portion of the muscle

          • Cell of the muscle 

          • Myofibrils 

          • Contain myofilaments

          • responsible for muscle’s ability to contract and relax

            • Sarcomeres

            • Main proteins are Myosin(thick) and Actin(thin)

            • Others are Tropomyosin and troponin 

              • Myofilaments 





Unit 3: The Cardiovascular system and Respiratory system 

The Structure Of The Cardiovascular System

Maycardium

  • Specialized muscle tissue (cardiac muscle) that forms the heart.

  • The heart is considered a “double pump” that is divided into right and left sides


Pulmonary circulation 

  • The main function of the right side of the heart is to pump deoxygenated blood, which has just returned from the body, to the lungs to get oxygenated


Systemic circulation

  • The role of the left side of the heart is to pump oxygenated blood, which has just returned from the lungs, to the rest of the body


Arteries 

  • Carries blood away from the heart

  • In systemic circulation, carries oxygenated blood from the left side of the heart towards body tissues 

  • In pulmonary circulation, arteries carry deoxygenated blood from the right side 


Veins 

  • Carries blood towards the heart

  • Systemic circulation, carry deoxygenated blood towards the right side of the heart from body tissues

  • In pulmonary circulation, carries oxygenated blood towards the left side of the heart from the lungs 


Arterioles

  • Vessels in the blood circulation system that branch out from arteries and lead to capillaries, where gas exchange occurs. Surrounded by smooth muscle, arterioles are primary site of vascular resistance 


Capillaries

  • Smallest of the blood vessels, capillaries help to enable the exchange of water, oxygen, carbon dioxide, and other nutrients and waste substances between blood and tissues of the body


Venules

  • Vessels in the blood circulation system that converge from capillaries and lead to veins. Surrounded by smooth muscle, venules are another cause of vascular resistance 


Atria and Ventricles

  • Heart is made of 4 chambers

  • Upper chambers are called atria

  • Lower chambers are called ventricles

  • Blood is received into the atria and pushed out of from the ventricles 


Steps of flow of blood through the heart

  1. Blood enters the superior and inferior vena cava through the right atrium 

  2. Enters the right ventricle through the tricuspid valve

  3. Blood is pumped through the pulmonary semilunar valve and out through the pulmonary arteries to the lungs for gas exchange

  4. Blood returns to the heart through pulmonary veins to the left atrium

  5. Passes through the bicuspid valve and enters into the left ventricle

  6. Blood is then pumped out through the aortic semilunar valve into the aorta and throughout the systemic circulation 


The Skeletal Muscle Pump

  • Low pressure within the veins causes a problem for cardiovascular system

    • Blood may not return to the atria with enough volume to ensure a smooth flow of blood

    • When sitting for too long (overseas flight) can cause deep vein thrombosis, and potentially deadly condition

  • Skeletal muscle pump aids in the return of blood back to the heart through the veins

  • With each contraction of the skeletal muscle, blood is pushed back to the heart


Composition of Blood

  • Plasma 55%

    • 90% water

    • 7% plasma proteins

    • 3% other (acid, salts)

  • Formed elements 45%

    • >99% red blood cells (erythrocytes)

    • <1% white blood cells (leukocytes) and platelets (thrombocytes)


Systolic blood pressure

refers to the maximum pressure observed in the arteries during the contraction phase of the ventricles (e.g., 120 mmHg).


Diastolic blood pressure

is the minimum pressure observed in the arteries during the relaxation phase of the ventricle (e.g., 80 mmHg).


The Functioning of the Cardiovascular System 

The Heart’s electrical conduction system 

  • The cardiac muscles cells are excitable, meaning that with electrical stimulation, they will all contract (known as syncytium)

  • The specialized tissues in areas of the heart are important in regulation and coordination of the electrical activity, they are:

    • Sinoatrial node (SA node)

      • Found in the right atrium

      • Where electrical signals are initiated

      • All called the pacemaker

    • Atrioventricular node (AV Node)

      • Transmits the electrical signal from atria into the ventricles to a region that runs down the ventricular septum (tissue that separate the two ventricles; the bundle of His or the atrioventricular bundle)

Electrocardiogram (ECG)

  • P - QRS - T

    • P (atrial depolarization) wave

      • Contraction of atria to push blood into ventricles

    • QRS (Ventricular depolarization) wave

      • Ventricle contracts to push blood into arteries

      • While the atria repolarize (can’t be measured using ECG)

    • T (ventricular repolarization) wave

      • Ventricular repolarize (active transport of Na+ and K+)

      • Recovery of ventricle to prepare for next contraction 

Bradycardia and Tachycardia

Regular aerobic exercise results in improvements in the efficiency of the cardiovascular system at rest and during exercise

  • Bradycardia (心动过缓)

    • Easily observed adaptations that occurs in training

    • Characterized by heart rate of 60 beats per min or less at rest

  • Tachycardia (心动过速)

    • Heart rate of more than 100 beats per minute at rest

  • Lower resting heart rake is a indication of an athletic or strong heart


Cardiovascular Dynamics

Changes occurred in the cardiovascular system. The heart and the blood vessels constantly adapt to accommodate the ever-changing requirements of the body during exercise

  • Factors of cardiovascular dynamics

    • Heart Rate (HR)

      • Number of contraction cycles in one min

    • Stroke Volume (SV)

      • Volume of blood ejected from left ventricle in one beat

    • Blood Pressure (BP)

      • Force exerted by the blood on walls of arteries

    • Cardiac output (Q)

      • Volume of blood pumped out of the left ventricle in one minute, measured in litres (L)

      • Units: min/L

      • Q = SV X HR

    • Others 

      • Distribution of blood flow

        • What regions of the body receive blood as a priority 

        • Oxygen consumption (VO2)

          • The maximum volume of oxygen the body can use in one minute, per kilogram of body weight at sea level

  • Effects of Training

    • People who have been training, there stroke volume will increase

      • Heart rate can be lowered while producing same cardiac output

        • Lower heart rates = cardiac muscles are contracting at lower intensity

          • Muscle work less = lasts longer = you live longer


Heart Disease

  • Coronary circulation 

    • System of vessels that supply essential materials via blood to the heart muscles itself

      • Narrowing or blockage of blood vessels restricts the flow of blood to the heart muscle

        • Heart attack (myocardial infarction) happens when blood flow to section of heart muscle becomes blocked due to plaque buildup or other reasons

    • Coronary artery disease (atherosclerosis) 

      • Type of heart attack involving narrowing of coronary arteries resulting from accumulation of hard deposits of cholesterol on the lining of the blood vessels

Structure of the respiratory system 

Function of the respiratory system

  1. Supply O2 to the blood

  2. Remove CO2 from the blood

  3. Regulate blood pH 


External respiration

  • External respiration refers to the processes that occur within the lungs involving the exchange of O2 and CO2

Internal respiration

  • Internal respiration refers to the exchange of gasses at the tissue level, where O2 is delivered and CO2 is removed

Cellular respiration 

  • Cellular respiration is the process in which the cells use O2 to generate ATP in the mitochondria of cells 


There Are Two Main Zones Of The Respiratory System

  • Conductive zone

    • Transport filtered air to the lungs

    • Consists of

      • Mouth

      • Nose

      • Pharynx

      • Larynx

      • Trachea

      • Primary/secondary bronchi 

      • Tertiary/terminal bronchioles

  • Respiratory zone

    • Where gas exchange occurs between inspired air and the blood

      • Bronchioles

      • Alveolar ducts 

      • Alveolar sacs


The Mechanics of Breathing

  • Combination of inspiration and expiration together is known as “ventilation”

    • Inspiration

      • Active process

      • Requiring the contraction of various respiratory muscle 

      • Expenditure significant amounts of energy

      • Air flows into the lungs due to increased lung volume following the contraction of the diaphragm and intercostal muscle 

      • Air is expelled from the lungs due to relaxation of the diaphragm and the intercostal muscle  

    • Expiration 

      • May be passive (quiet breathing; not much energy is needed)

      • May be active (forced breathing)



Control of Ventilation 

  • Breathing is the result from the rhythmic contraction and relaxation of inspiratory muscle and the expiratory muscles. The contraction of muscles is dependent on stimulation from the central nervous system (CNS)

  • Aspects of breathing (rate, volume, concentration of gases) are associated with

    • Need of O2 

    • Metabolic processes

    • Muscle activity

    • Production of CO2

  • Control of breathing is very complex, involves different forms of feedback system, specialized sensory systems to the neural control centres within the brain


Gas Exchange

  • Each person has a average of 300 million alveolar sacs, each surrounded by a web of capillaries

    • Structure of the alveolar sacs increases the surface area for gas exchange to occur

    • The same average person has up to 200 square metres of alveolar membrane to permit gas exchange in and out of the blood

      • Surface area of a tennis court

    • Walls of each capillaries are one cell thick

      • Very short distance for gases to diffuse

Lung volume measurements

  • Tidal volume (TV)

    • Volume of air inhaled/exhaled normally at rest

  • Forced Vital Capacity (FVC)

    • Volume of air that can be forcibly be blown out after full inspiration

    • IRV + TV + ERV

  • Inspiratory Reserve Volume (IRV)

    • Maximal volume that can be inhaled from end of regular inhalation

    • IRV + TV

  • Expiratory Reserve Volume (ERV)

    • Maximal volume of air that can be exhaled from the end of a regular exhalation

  • Residual Volume (RV)

    • Volume of air remaining in the lungs after a maximal exhalation

    • ERV + RV

  • Total Lung Capacity

    • The volume in the lungs at maximal inflation

      • IRV + TV + ERV + RV







Diffusion

  • Primary method of gas exchange in lungs and tissue

    • Movement of gas from a region of high concentration to a region of low concentration

    • Only occurs if a difference in concentration exists

      • Difference is called a concentration gradient

    • Concentration O2 is less than concentration in atmosphere

      • O2 wants to come in to the body

    • Concentration of CO2 is greater than concentration in atmosphere

      • Co2 wants to leave the body

  • Concentration of O2 and CO2 is measured in Partial Pressures

    • To determine the partial pressures of O2 and CO2 

    • Partial pressures are calculated based on barometric pressure and the fraction of O2 & CO2 in the atmosphere

    • Partial pressure O2 (PO2) in atmospheric at sea level

      • 159.1 mmHg

    • Partial pressure of O2 in venous (deoxygenated) blood in are bodies

      • 40 mmHg


  • Factors affecting Diffusion

    • Size of the concentration gradient

      • As difference in partial pressures between a gas inside and outside the body increase, the rate of diffusion also increases

    • Thickness of barriers between membranes

      • Thinner the barrier, high the rate of diffusion

      • Gas molecules can pass through the membrane easier

    • Surface area of the membranes

      • More surface area = more diffusion can happen as the alveolar structure allows for a high surface area to be exposed to the outside air


O2 & CO2 transport in the body

  • O2 Transport

    • Where oxygen is absorbed in the lungs and carried to the peripheral tissues by blood

    • About 2% oxygen gas is dissolved in the plasma of the blood, but mores O2 is transported by binding to hemoglobin 

      • The amount of O2 bound to hemoglobin is determined by the saturation of the hemoglobin (called the percent saturation of hemoglobin SbO2%)

      • Saturation level is determined by PO2

      • Can be illustrated by an Oxygen Dissociation Curve (ODC)

        • Also known as the oxygen-hemoglobin Dissociation Curve or Oxyhemoglobin Dissociation Curve

        • Shows the oxygen saturation of hemoglobin at different partial pressures of O2 (PO2)


  1. Lactic acid b)  Internal body temperature c)  cellular respiration rate

Shits left = more O2 transported by hemoglobin ⇒  shifts right = less O2 transported by hemoglobin


  • CO2 Transport

    • Process of which CO2 in blood is moved into the alveoli and then exhaled from the body

    • This transport is much more complicated than the transport of O2

      • But it is good to know how bodies help to mediate levels of gases so we don't get a buildup of carbonic acid in our body, which lowers the pH of our system and messes with our metabolism

    • CO2 transport under normal conditions

      • Small amounts of CO2 (5-10%) is dissolved in the plasma

      • Rest diffuses into the red blood cells and will be transported out of the body through the bicarbonate system

        • Storing CO2 as carbonic acid until it reaches the lungs

    • CO2 transport under not-so-normal conditions

      • When O2 levels are lower than normal, CO2 (~20%) can bind to hemoglobin and will be released when it reaches the lungs and high O2 levels

    • CO2 takes up space in the hemoglobin, which can block O2 from binding 

      • More space for CO2 = less space for O2

      • Less space for CO2 = more space for O2


O2 Utilization In The Body

  • The amount of O2 that is being used by our cells can be measured by a-VO2 (a-VO2 diff)

    • The difference between the amount of O2 in the artery and vein (each side of a capillary) reflects the amount of O2 that was delivered to the muscle

    • Our VO2max is related to this measurement and is the maximum amount of oxygen that our muscle tissues are able to extract and utiliza from the blood 


Functioning of the Respiratory System 

  • Exercise → demand of oxygen increases

  • Body will alter its physiological processes to try to achieve what we call steady state VO2

    • Where the body has just enough O2 coming into perform the desired activity

    • Before physiological mechanisms catch up, Oxygen deficit occurs

      • Difference between the oxygen required to perform a task and the oxygen actually consumed, before reaching a new steady state

      • Created by our body using O2 already stored in the myoglobin and will depend on the intensity of the exercise

      • New O2 entering the system is being used for the creation of energy (steady state VO2) rather than being stored in the body

  • Excess post-exercise oxygen consumption (EPOC)

    • The physiological mechanisms that increase oxygen absorption into the body (increase HR, increased ventilation) will still try to bring large quantities of O2 even though the demand from the muscles has stopped

    • This process’s purpose is to aid in the recovery from the oxygen deficit

  • Trained individual will reach the steady state plateau faster than an untrained individual resulting in a smaller O2 deficit, which means

    • Reaching steady state exercise more quickly allows them to utilize their energy systems more efficiently (oxygen becomes available more quickly)

      • ATP production is faster/more efficient

    • Smaller O2 deficit (oxygen can still be stored in the muscles)

      • Allow body to change without having the LAG of waiting the physiological mechanisms to catch up  with the absorption of oxygen


  • Recovery of muscles can happen much faster

    • Allowing more reps, more sets, more training sessions

  • Ventilatory threshold is reached when demand of oxygen continues to increase

    • Increase of ventilation much more rapidly than intensity 

    • Thought to be occurred due to the accumulation of lactic acid in the blood (trying to control pH levels)

    • Marker of an increased reliance on our anaerobic metabolism

      • As we continue to produce energy using anaerobic pathways, blood lactate levels start to increase (lactate threshold)

        • Onset of blood lactate accumulation (OBLA)

          • Trained individual will reach their lactate threshold as early as someone who is untrained

VO2 max
  • Respiratory systems work most efficiently when we maximize our

    • Stroke volume (SV)

    • Heart Rate (HR)

    • O2 utilization (a-VO2 diff)


Respiratory Exchange Ratio (RER)
  • Comparing VO2max and VCO2max

    • Comparing these two values can help determine which metabolic processes are occurring inside the body

  • Limiting Factors of VO2max

    • Energy system

      • Too few mitochondria in a muscle to effectively undergo cellular respiration 

    • Cardiovascular system

      • Inadequate blood flow, cardiac output, hemoglobin

    • Respiratory system 

      • Inadequate ventilation or oxygen diffusion 






















Unit 4:

Stages of motor learning

  • Cognitive stage

    • Gaining basic knowledge of how to perform a task

    • Think how to perform while performing

  • Associative stage

    • Develop awareness of mistakes they are making

    • Fewer, less pronounced, errors

  • Autonomous stage

    • Movement becomes autonomic

    • Mastery of movement

Categories of fundamental movement skills

  • Stability (balance)

    • Skills like stork standing, stopping, bending and twisting

  • Locomotion (travelling)

    • Running, kumping, leaping, and skipping

  • Manipulation (object control)

    • throwing , catching, striking, and dribbling 


Skill transferability

  • Applying skills learned previously to a different activity 

    • Badminton to tennis 



FMS (fundamental movement skills)

  • Beginning of physical literacy 


Long-term athlete development (LTAD)

  • Interrelationship between fundamental movement skills and physical literacy 

  • Earliest stage involve fundamental skill training

  • Later stages progress to more focussed training once FMS has been mastered


Breaking down a skill

  • Preparation

  • Execution

  • follow -through