Arm kinesiology Flashcards
Osteokinematic movement
Voluntary mvmt of our bony levers through their ROM
Arthrokinematic movement
small, involuntary mvmts between the articulating joint surfaces
basic Arthrokinematic types of motion
Roll, slide, spin
Concave moving on convex
Slide occurs in the same direction
Convex moving on concave
Slide occurs in the Opposite direction
Closed packed position (CPP)
-Greatest stability in this position
-Joint surfaces are maximally congruent
-surrounding ligaments and joint capsule are taut in this position
Open packed position (OPP)
Joint surfaces are relatively free to move in relation to one another
PROM/AROM and joint play occur here
Capsular pattern
Typical pattern of limitation in a joint’s mvmnt if the capsule is the structure limiting it’s movment
Costoclavicular ligament
limits clavicular elevation during GH abduction during the last 90 degrees
Movements at SC joint
-Protraction/retraction
occurs in transverse plane/vericalt axis
roll/slide in same direction
-Elevation/depression
Frontal/coronal plane; ant/post axis
roll/slide in opposite direction
-Clavicular rotation (S-shaped bone)
Mechanical axis
The clavicle is S shaped because
To allow the nerve plexus to pass through
Movements at AC joint
-Pro/retraction & Medial rotation (of acromion on clavicle)
allows scapula to appose thoracic wall
Transverse plane: Vert axis
- Upward tip
sag plane: mediolateral axis
-Sup/inferior scapular rotation
frontal plane: anteroposterior axis
AC Closed pack position (CPP)
90-120 degrees abduction
SC Closed packed position
Full elevation
Labrum of GH joint
Lines the glenoid
increases congruency, deepens the glenoid fossa
redundant capsular fold made up of fibrocartilage
Coracohumeral lig.
comprised of 2 bands: sup/inf.
limits external rotation
Glenohumeral Lig.
Comprised of 3 bands: sup. middle, inf. bands “Z shape” limits horizontal abduction
Coracoacromial lig.
One band thst arches over GH joint
limits superior displacement of the head of the humerus
Bursae of GH joint
Subdeltoid
Subacromial
Subscapular
Scaption
Scaption is shoulder elevation in the scapular plane
the plane is 30-40 degrees anterior to the true frontal plane
GH Joint capsular pattern
(First to last to be affected)
External rotation > abduction > internal rotation
Scapulothoracic (ST) joint
Not a true joint, describes the relationship between scapula and thoracic wall
Movements at ST joint
-Elevation/Depression
frontal plane, elevation involves anterior tip
-Pro/retraction
transverse plane
protraction involves abduction and medial rotation (retraction:opposite)
Glenohumeral Closed packed position (GH CPP)
Full abduction and external rotation