Exam 1 Flashcards
Anatomical Position
standing in upright posture, facing forward, feet parallel and close together and palms facing forward
Anterior vs Posterior
Anterior - In front
Posterior - behind
Inferior vs superior
inferior (caudal) - below
Superior (cephalic) - above
Distal vs Proximal
distal - away from trunk
Proximal - nearest to trunk
Meidal vs lateral
medial - toward the middle
lateral - toward the outside
Deep vs superficial
deep - beneath or below surface
superficial - near the surface
Prone vs supine
prone - laying on stomach
supine - laying on back
Dorsal vs ventral
dorsal - toward the back
ventral - toward the front
Contralateral vs ipsilateral vs bilateral
Contralateral - opposite side
ipsilateral - same side
bilateral - on both sides
Palmar vs Volar vs Plantar
palmar - palm of the hand
volar - palm of hand or sole of foot
Plantar - sole, underside of foot
Valgus vs varus
valgus - outward angulation of a joint (stress on MCL)
varus - inward angulation of a joint (stress on LCL)
What axis is aligned perpendicular through the frontal plane
anteroposterior axis
What movements happen in the frontal plane
Abduction, adduction, Radial/Ulnar Deviation, Eversion, Inversion
What axis is aligned perpendicular to the sagittal plane
mediolateral axis
What movements occur in the sagittal plane
Flexion, Extension
what axis is aligned perpendicular through the transverse plane
longitudinal axis
what movement occurs in the transverse plane
Internal/External rotation, Pronation/Supination
Abduction
lateral movement away from the midline (frontal plane, anteroposterior axis)
Adduction
lateral movement toward the trunk (Frontal plane, anteroposterior axis)
Flexion
bending movement decreasing joint angle (sagittal plane, Mediolateral axis)
Extension
straitening moment that increase joint angle (sagittal plane, mediolateral axis)
External rotation
rotary movement of a bone away from the midline (transverse plane, longitudinal axis)
Internal rotation
Rotary movement toward the midline (transfers plane, longitudinal axis)
How many axial bones
80
How many appendicular bones
126
Long bones
Levers
Long cylindrical shaft with relatively wide, protruding ends (help with stability)
Short Bones
Small, cube-shaped bones that form gliding articulation in hand and feet
disperse impact forces applied to the body from external environment
Flat bones
connect appendicular and axial skeleton
Provide Protection
Irregular bones
serve to protect internal organs
Sesamoid bones
reinforce the tensile properties of tendons, and can increase the mechanical advantage of skeletal muscle
What is bone composed of
calcium carbonate, calcium phosphate, collagen and water
What is cortical bone
Low porosity, 5-30% of bone tissue, stiff and can withstand greater stress (force/area)
What is Spongy (cancellous) bone
High porosity 30-90% of bone , flexible and can withstand greater strain
What is wolffs law
Bone adapts and remodels in response to stress
What are processes that form joints
Condyle, facet, head
Processes that form attachments with ligaments, muscles and tendons
Crest, epicondyle, line, process, spine, suture, trochanter, tubercle, tuberosity
Synarthrodial
Immovable
Amphiarthrodial
Slightly Moveable
Diarthrodial
Freely moveable
Anatomy and function of synovial joint
Freely moveable, consist of a sleeve-like ligamentous joint capsule
Synovial fluid inside joint capsule serves to lubricate articular surface
What is 1 degree of freedom
Movement in 1 plane (Radioulnar joint)
What are 2 degrees of freedom
Movement in 2 planes (Radiocarpal joint)
What are 3 degrees of freedom
Movement in 3 planes (Glenohumeral joint)
Gliding joints
2 planar or flat, bony surfaces
Free to move in all planes of motion
Small ROM
Hinge joints
Bony articulation restricts movement to a single plane (uniaxial)
EX - Humeroulnar joint
Pivot Joints
Bony articulation restricts movement to a single plane (uniaxial)
Ex- radioulnar joint
Knuckle joints (condyloid)
Permits movement in 2 plants (bi-axial)
Ex - metacarpophalangeal joint
Ball-and-socket joints
Allow movement in all three planes (tri-axial)
Ex - Glenohumeral joint
Saddle joints
concave and convex bony articulations that permit movement in all 3 planes (tri-axial)
Ex - 1st carpometacarpal joint
Aggregate Muscle Action
Skeletal muscles working together to achieve a given joint movement
usually the least moveable attachment for muscle
origin
most moveable attachment for muscle
insertion
Muscle contained to the specific body segment upon which it acts
Intrinsic muscle
Muscles origin is proximal to the body segment upon which it acts
Extrinsic muscle
When a muscle applies a pulling force across a joint
action
Skeletal muscle develops a sufficient amount of active tension to overcome resistance.
Concentric action
Station action where there is no change in length or no joint motion
Isometric action
Skeletal muscle develops tension to control movement of the resistance. Muscle lengthens
Eccentric action
Angular velocity of a movement is controlled to remain constant
Isokinetic action
Agonist
muscle that causes joint motion. Primary or prime movers
Antagonist
Lengthens while agonist contracts.
Works in cooperation with agonist to control movement
Stabilizer
Fixates, or stabilizes a joint, which enables another limb or body segment to exert force and move
Synergists
Support the action of the agonists by refining movement and reducing unwanted motion
Electric excitable cells
Neuron
Axons bundled together
nerve
bundle of nerves
plexus
Cervical plexus
C1-C4
Sensation from upper part of shoulders. back and front of head.
Innervates several neck muscles
Brachial Plexus
C5-T1
Sensory and motor function to the upper extremity and a majority of scapular muscles
Thoracic nerves
T2-T12
Sensory and motor function to the throax
Lumbosacral plexus
L1-S4
Sensory and motor function of the lower trunk, pelvis and lower extremity
The muscle, or group of muscles innervated by a specific spinal nerve
Myotome
3 types of neurons
Motor (efferent)
Sensory (afferent)
Interneurons (combination of both 90%)
Efferent neurons
receive information from brain
Afferent neurons
send info to brain
Muscle is sensitive and responsive to electro-chemical and mechanical stimuli
Excitability
Ability of muscle to contract, or develop sufficient active tension to overcome external resistance
Contractility
5 levels of control in the CNS
- Cerebral cortex
- Basal Ganglia
- Cerebellum
- Brain Stem
- Spinal cord
Combines information from the somatosensory cortex with conscious thought to generate an initial neural signal
Cerebral Cortex
Receives signal generated in the motor cortex.
Refines the signal using stored memory of prior movement.
Memory card for movement
Basal Ganglia
Improves the smoothness or coordination of motor output.
Provides feedback regarding movement error
Cerebellum
Integrates all CNS activity and relays neural signals to the spinal cord, which may excite or inhibit target skeletal muscles
Brain Stem
Relays the CNS signal to target skeletal muscles
Spinal Cord
Collect signals from neurotransmitters
Dendrites
Causes Cl- to defuse into the cell body causing it to be more negative.
GABA (gamma aminobutyric acid)
IPSP
Inhibitory Post-Synaptic Potential
EPSP
Excitatory Post-synaptic potential
Causes Na+ to enter cell body
Ach (acetylcholine)
What causes the muscle to twitch
eps stimuli is strong enough to depolarize the axon hillock to -55mv, an AP will be sent to the muscle fibers
How does an action potential traveling down the axon of an alpha, or lower, motor neuron stimulate skeletal muscle to contract
- AP arrives at action terminal
- AP triggers the release of Ash into synaptic cleft
- ACh binds to motor end plate of skeletal muscle fiber
- ACh triggers an EPSP at the motor end plate
- AP is sent along Sarcolemma
6.AP travels into Transverse tubules - AP triggers the release of Ca from the sarcoplasmic reticulum into sarcoplasm
- Ca binds to Troponin, causing it to reveal the Myosin binding sites located on Actin
- In presence of ATP, myosin head will bind and pull on actin
Why is it important that the motor and somatosensory cortices are located close in proximity
Fast communication
3 major sources of sensory input
Proprioception
Exteroception
Vestibular
Key skeletal muscle proprioceptors
Muscle spindles
Golgi Tendon Organs
Awareness of how the body is moving in space based on information from proprioceptors.
Kinesthesia
Responsible for relaying efferent signals from CNS to target muscle via the alpha, or lower motor neuron
peripheral nervous system
Respond to the stretch of a muscle by increasing the activation of lower, or alpha motor neurons. Causing a more forceful contraction
Muscle spindles
Intrafusal
muscle spindles sensing stretch of muscle
Extrafusal
What we use for producing force
Where do spindles send an afferent signal to
dorsal aspect of spinal cord
Respond to tension or stress placed on the tendon. Causing muscle to relax
Golgi Tendon Organs
Where does the GTO send an afferent signal
Dorsal aspect of spinal cord
Ability of muscle to be passively stretched beyond resting length
Extensibility
Abnormal muscle tightness affecting extensibility
Spasticity
Temporary spasticity
Spasms (muscle cramps)
Causes of spasms
Fatigue increases muscle spindle sensitivity
Poor flexibility, dehydration, electrolytes are thought to play a role, but research is inconclusive
Davids law
Soft tissue models along the lines of stress
Stretching soft tissue aligns the elastic components of tissue to the direction of the stretch, improving the extensibility of the tissue
Ability of muscle to return to its original length following a stretch
Elasticity
What happens when a tissue stretches or is stressed beyond its elastic tolerance
It may injure and not return to its original shape
A force expressed within a tissue (or object)
Stress
Percentage change in length, or shape of a tissue
Strain
Stress is applied to a tissue, however, when the stress is removed, the tissue returns to its original length
Elastic Strain
Stress is applied to a tissue and, when the stress is removed, the tissue does not return to is original length
Plastic Strain
Stress is applied to a tissue and the tissue ruptures, it is no longer able to tolerate stress
Ultimate Failure
How must the neuromuscular system act differently in order for you to successfully curl objects
Muscles
Nervous
Muscle - # of motor unites
Neurons - Frequency of stimulation
A single alpha, or lower motor neuron and all of the skeletal muscle fibers it innervates
Motor unit
All or none priniciple
All the fibers in a single motor unit will fire
Muscle force can be increased by activating more of the motor units in the motor pool
Spacial summation
Size prinicple
Small units are recruited before large motor units
A single skeletal muscle fiber twitch includes a brief latent period followed by a 40 ms contraction, and a 50 ms relaxation phase. These add up to create a full contraction
Twitch with low amount of force
Temporal Summation
What is tetanus
All the muscles are fully contracted
Hypertrophy
Muscle fiber growth
What does mechanical power predict
Athletic ability, functional mobility and fall risk
3 Steps of training to improve neuromuscular functio
- Build a strength base (force emphasis)
2.Turn Strength into power - Develop eccentric and reactive strength
Prerequisits for building a strength base
Core strength, proper movement mechanics
What are you improving in step 1
Motor unit synchronization
Motor unit requirement
Rate coding (frequency of AP)
Decrease autogenic GTO inhibition
Signaling protein that functions as a major regulator of skeletal muscle hypertrophy
mTOR
Factors that can stimulate mTOR release
Mechanical overload
Hypoxia
Protein and carb consumption
Step 2. Turn strength into power components
Continue to build core strength, muscle strength.
Place more emphasis on ballistic exercises, where resistance must be accelerated quickly and moved with hight velocity.
(velocity emphasis)
The ability to change rapidly from eccentric to concentric muscle action
Reactive Strength, stretch-shortening cycle
Progression to develop reactive strength
Plyometric (can help GTO to be quieter)
3 steps for plyometrics
- Begin by performing jumps from the ground
- Start incorporate boxes. Drop landings
- Incorporate advanced, high intensity exercises