Exam 1 Flashcards
Define Kinesiology
The study of movement
What fields are used in kinesiology?
Anatomy
Physics
Geometry
…all used and related to human movement
What principles are utilized in kinesiology?
Mechanics or Biomechanics
Musculoskeletal Anatomy
Neuromuscular Physiology
Define “Static”
nonmoving interaction of an object
Define Dynamic Movement
Moving interaction of an objects
Define Kinetics
Those forces causing movement.
Ex: pushing, pulling, collision
Define Kinematics
The time, space and mass aspects of a moving system
Ex: speed, friction, resistance or weight of an object
List examples of Static movement
Laying supine or prone
Sitting on the edge of the bed
Stil Stance
Watching TV on the couch
What are some examples of Dynamic Movement?
Rolling in bed
Transitioning from supine to sit
Putting on your sock
Walking down the hallway
Why is movement important?
Helps clinicians recognize balance and strength issues of patients
What is Anatomical Position?
Upright position Eyes facing forward Feet parallel & close together Arms at the side of the body Palms of hands facing forward
What is Fundamental Position?
Same as anatomical position, except palms are facing toward the body
What is Fundamental Position used form?
To describe the ROTATION of the upper extremity
What is Linear Motion?
Straight line from one location to another
What are 2 types of Linear Motion?
Rectilinear Motion & Curvilinear Motion
What is Rectilinear Motion?
Linear motion in which all parts of the object move in the same direction in a same line.
Ex: Child sledding/skateboarding
What is Curvilinear Motion?
A type of Linear Motion in which movement occurs linearly but in a curved path but not a circular path.
Ex: Diver off a board curving down into the pool
(MOST HUMAN MOVEMENT IS CURVILINEAR)
What is Angular Motion?
All parts of the object move through the same angle, same direction at the same time.
They DO NOT move the same distance.
Ex: Arm: wrist, forearm and elbow into flexion - all parts move at the same speed but forearm travels further
What is another name for Angular Motion?
Rotary Motion
What is another name for Linear Motion?
Translatory Motion
What is Osteokinematics?
Joint Movement by muscular initiation
What is Flexion?
Bending movement of one bone on another causing a DECREASE in the joint angle.
Where does flexion usually occur?
Between the anterior surface of bones
What is the term for flexion of the wrist?
Palmarflexion
What is flexion in the ankle called?
Dorsiflexion
What is Extension?
Straightening movement of one bone on another, causing an INCREASE in the joint angle.
What is the term for extension of the angle?
Plantar Flexion
Define Hyperextension
Greater than normal ROM
What is Horizontal Abduction?
Joint (shoulder) flexed to 90 degrees and moved away from the body
What is another name for Medial Rotation?
Internal Rotation
What is another name for Lateral Rotation?
External Rotation
What is Radial Deviation?
Hand moves laterally or toward the THUMB side in anatomical position.
What is Ulnar Deviation?
Hand moves medially from the anatomical position toward the LITTLE FINGER
What is Protraction?
Movement AT THE SHOULDER: flexion to 90 degrees and UE is parallel to the ground pushing forward/away from the midline.
What is Retraction?
Movement at the SHOULDER: Flexion to 90 degrees and UD is pulling towards the midline of squeezing the shoulder blades together.
What is Circumduction?
Movement that involves 4 major motions:
- Flexion
- Abduction
- Extension
- Adduction
How many bones are in the Appendicular Skeleton?
126
How many total bones are in the human body?
206 - can be more due to sesamoid bones
Where does longitudinal bone growth occur?
In the epiphysis
Where is the endosteum located?
It is the membrane lining the medullary canal (in the diaphysis)
What is the Metaphysis?
The portion of a long bone that supports the epiphysis - the flared portion of the bone
Where is the periosteum located?
Membrane covering bones - except on articular surfaces
The Periosteum contains blood vessels. True or False?
True
What membrane of the bone promotes growth in diameter of immature bone? This membrane also repairs damaged bone.
The Periosteum
What is the definition of long bones?
Length is greater than the width of the bone
What is the definition of short bones?
The bones are more or less equal in height, length & width.
What is the definition of Flat Bones?
Flat bones have broad surfaces but are not very thick. They tend to have a curved surface rather than a flat one.
What are Irregular Bones?
These bones have mixed shapes of bones that don’t fit into any other category.
What are Sesamoid Bones?
They resemble seeds and are located in tendons. They are free floating bones.
What are the 3 basic types of joints?
- Fibrous
- Cartilaginous
- Synovial
What are the 3 types of Fibrous Joints?
- Synarthrosis
- Syndesmosis
- Gomphosis
What are Synarthroses?
Suture joints
Ex: Skull
What are Syndesmoses?
Ligamentous joints that have a great deal of fibrous tissue (such as ligaments & interosseous membranes) which hold the joint together.
Ex: Distal Tibiofibular Joint
Distal Radioulnar Joint
What are Gomphoses?
Joints that “bolt together”
Ex: Tooth and socket of the mandible or maxilla
What is another name for Cartilaginous Joints?
Amphiarthrodial Joints
What are Cartilaginous Joints?
They have either hyaline or Fibrocartilage between 2 bones. They allow a small amount of motion (bending/twisting/some compression). Not as stable as Fibrous Joints but allow more movement.
Ex: Pubic Symphysis & Vertebral Disks
What are Synovial Joints?
There is a cavity at the end of one bone, rather than direct contact union between bone ends.
- Synovial fluid in thick, sleeve-like capsule
- Strong outer surface of fibrous material - holds jt together
- Inside lined with synovial membrane that secrets synovial fluid
- Provides shock absorption & nutrition to cartilage
What is another name for synovial joints?
Diarthrodial Joints
Describe the articular surfaces of synovial joints.
They are very sooth and covered with hyaline (articular) cartilage which allows easy/functional movement
What type of joints comprise the majority of the joints in the body?
Synovial Joints
What is a Nonaxial Joint?
It allows linear movement, not angular. These joint movements occur secondary to other motions. They have 0 DOF.
Ex: Carpal bones (intercarpal joints)
What type of movement occurs in Nonaxial Joints?
Gliding
What shape are Nonaxial Joints?
Irregular (plane)
What are Uniaxial Joints?
Angular motion occurs in ONE PLANE around ONE AXIS.
What are the 2 types of Uniaxial Joints?
Hinge Joints & Pivot Joints
What type of movement occurs in a hinge joint?
Flexion / Extension
List 3 examples of hinge joints.
Elbow
Interphalangeal Joints
Knee (except for the last few degrees of extension as it rotates)
What type of movement occurs in a pivot joint?
Rotation
Ex: Radius/Ulna; Atlas/Axis
What are Biaxial Joints?
Movement occurs in 2 different directions
What are the 2 types of Biaxial Joints?
Condyloid (ellipsoidal) & Saddle Joints
What kind of movement occurs in Condyloid Joints?
Flexion / Extension
and
Abduction / Adduction
Ex: Wrist & Metaphalangeal joints
What type of movement occurs in Saddle Joints?
Flexion / Extension
and
Abduction / Adduction
(also rotation as an accessory movement)
What is the one location in the body with a Saddle Joint?
The Thumb - the 1st Carpometacarpal Joint
What is the difference between Condyloid & Saddle Joints?
Arthrokinematics
will be explained later
What are Triaxial Joints?
Motion occurs actively in ALL 3 AXES.
What type of joint is a ball & socket?
Triaxial
What movements occur in a Triaxial Joint?
Flexion / Extension
Abduction / Adduction
Rotation
What are the functions of ligaments in a joint?
Hold bones & capsule together
Provide attachments for cartilage, fascia or muscle
Allow for flexibility but prevent excessive movement
What are ligaments?
Bands of fibrous connective tissue.
What type of cartilage covers the ends of opposing bones?
Hyaline Cartilage (a/k/a articular cartilage)
What type of cartilage acts as a shock absorber?
Ex: miniscus (knee), intervertebral disks, labrum in the hip/shoulder joints
Fibrocartilage
Where can elastic cartilage be found?
- External ear
- Nose (tip)
- Eustachian Tube
- Epiglottis
- Opening of the respiratory tract
What is the most common type of cartilage found in the body?
Hyaline Cartilage
What is the strongest, most durable type of cartilage in the body? What makes is so strong?
Fibrocartilage - due to the large number of cartilagenous fibers
What type of cartilage is most resilient?
Elastic Cartilage
What is the function of tendons?
Connect muscles to bones
What is an aponeurosis?
A broad, flat tendinous sheath of tendon that provides great strength.
Ex: Abdominals / Latissimus Dorsi / Cranium
What are Tendon Sheaths?
They cover tendons and prevent excess friction, especially when the tendon passes through a tunnel.
What are Bursae?
Small, pad-like sacs that help reduce friction between moving parts in the joints.
They can be natural or acquired due to excessive friction.
What is an avulsion?
A bone fracture wherein a piece of bone is pulled away, attached to tendon or ligament. May affect muscle.
What is a dislocation?
Complete separation of 2 articular surfaces of a joint. It is likely that a portion of the joint capsule will be torn.
What is subluxation?
A partial dislocation of a joint that usually occurs over a period of time.
- Commonly from weakened ligaments, overuse or medical etiology
- CVA patients can have this happen due to weight of a bone in a paralyzed area (why you often see them wearing a sling - prevent damage to the shoulder)
What is Tenosynovitis?
Inflammation of a tendon sheath
What type of movement occurs in the Saggital Plane?
What AXIS do these motions pivot around?
Flexion / Extension - pivot around the X Axis
What 2 special cases occur in the Saggital Plane?
Wrist: Sagittal Plane runs through the 3rd Digit
Foot: Sagittal Plane runs through the 2nd Digit
What motion occurs in the Frontal Plane?
What AXIS does this movement pivot around?
Abduction / Adduction - pivots around the Z axis
What type of motion occurs in the Transverse Plane?
What AXIS does this motion pivot around?
Rotation: Medial & Lateral; Pronation / Supination
- pivots around the Y axis
What is the term for the point of intersection of the 3 Cardinal Planes?
Center of Gravity
Where is the center of gravity located in an adult?
Midline, just anterior to S2
What are kinetic chains?
A combination of several joints or links connected in a way to allow movement. Movement of on link causes motion at other links in a predictable way.
Do more distal segments in a kinetic chain have higher or lower degrees of freedom than proximal segments?
HIGHER
How many degrees of freedom exist between the thoracic wall to the finger? (That can be identified)
19 DOF
How many degrees of freedom occur between the pelvis and the toe?
25 DOF
Degrees of freedom in the LE permit feet to adjust to irregular or slanting surfaces. How do they affect the body’s center of gravity?
The degrees of freedom allow the COG to be maintained within the small base of support of the planted foot.
Is the shoulder joint:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
d) Triaxial
What is the anatomical description of the shoulder joint?
ball & socket
What motions occur at the shoulder joint?
Flexion / Extension
ADD/ABD
Rotation
How many degrees of freedom does the shoulder have?
3 DOF
Is the elbow:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
b) Uniaxial
What is the anatomical description the elbow joint?
Hinge
What motions occur at the elbow?
Flexion / Extension
How many degrees of freedom does the elbow have?
1 DOF
Is the knee:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
b) Uniaxial
What is the anatomical description of the knee joint?
Hinge
What motions occur at the knee?
Flexion / Extension
How many degrees of freedom does the knee have?
1 DOF
Are intercarpal joints:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
a) Non-Axial
What is the anatomical description intercarpal joints?
Irregular
What motions occur at the intercarpal joints?
Gliding
How many degrees of freedom do intercarpal joints have?
0 DOF
Is the Atlas/Axis joint:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
b) Uniaxial
What is the anatomical description of the Atlas/Axis joint?
Pivot Joint
What motions occur at the Atlas/Axis joint?
Rotation (Right & Left)
How many degrees of freedom does the Atlas/Axis joint have?
1 DOF
Is the Proximal Radioulnar joint:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
b) Uniaxial
What is the anatomical description of the Proximal Radioulnar joint?
Pivot Joint
What motions occur at the Proximal Radioulnar Joint?
Rotation
How many degrees of freedom does the Proximal Radioulnar Joint have?
1 DOF
Is the Radiocarpal Joint (wrist):
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
c) Biaxial
What is the anatomical description of the Radiocarpal Joint (wrist)?
Condyloid
What motions occur at the Radiocarpal Joint?
Flexion / Extension
ADD / ABD
How many degrees of freedom does the Radiocarpal Joint have?
2 DOF
Is the CMC #1 (thumb):
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
c) Biaxial
What is the anatomical description of the CMC #1 (thumb) joint?
Saddle
What motions occur at the CMC #1 (thumb) joint?
Flexion / Extension
ADD / ABD
(accessory to rotation - only by adding other motions)
How many degrees of freedom does the CMC #1 (thumb) joint have?
2 DOF
Is the hip:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
d) Triaxial
What is the anatomical description of the hip?
ball & socket
What motions occur at the hip?
Flexion / Extension
ADD / ABD
Rotation
How many degrees of freedom does the hip have?
3 DOF
Are the ribs:
a) non-axial
b) uniaxial
c) biaxial
d) triaxial
a) Non-Axial
What is the anatomical description of the rib joints?
Irregular
What motions occur at the rib joints?
Rib #1 is immoveable (synchondrosis)
Ribs 2-7 are partial synovial joints - gliding
How many degrees of freedom do ribs have?
0 DOF
What motions take place in the Frontal Plane?
ABD / ADD
What Axis is located in the Frontal Plane?
Z Axis
What motions take place in the Sagittal Plane?
Flexion / Extension
What Axis is located in the Sagittal Plane?
X Axis (a/k/a horizontal axis)
What motions take place in the Transverse Plane?
Rotation
What Axis is located in the Transverse Plane?
Y Axis (a/k/a vertical axis)
Where is the center of gravity located in the adult?
Midline & slightly anterior to S2
What the definition of Synarthrosis?
This is a type of fibrous joint a/k/a suture joints.
Their shape allows bones to interlock & fit tightly together.
What is an example of a synarthrosis?
Skull
What is the definition of Syndesmosis?
This is a type of fibrous joint that is ligamentous.
These joints have a great deal of fibrous tissue (ligaments/interosseous membranes) holding the joint together.
Examples of Syndesmoses:
Distal Radioulnar Joint
Distal Tibiofibular Joint
What is the definition of Gomphosis?
This is a type of fibrous joint which “bolts together” its parts.
What is an example of a Gomphosis?
Tooth & Socket (mandible/maxilla)
What is the definition of an Amphiarthroidial Joint?
This is another name for Cartilaginous Joints.
These joints have either hyaline cartilage or fibrocartilage between two bones. (like disks)
They allow a small amt of motion (bending/twisting and some compression)
Examples of Amphiarthroidial joints:
Pubic Symphysis
Vertebral Disks
What is the definition of a Synovial Joint?
These Joints have no direct contact union between the ends of the bones. They have a cavity instead.
A/K/A Diarthrodial Joints
Cavity is filled with synovial fluid located within a thick, sleeve-like capsule
Examples of Synovial Joints:
Hip
Elbow
Knee
Describe the structure of a synovial joint capsule:
3 Important details
- Outside is a strong, fibrous material that holds the joint together
- The inside is lined with a synovial membrane that secretes synovial fluid
- Provides shock absorption and is a major source of nutrition for cartilage
What are the 3 types of cartilage?
- Fibrocartilage
- Hyaline Cartilage
- Elastic Cartilage
What type of cartilage is the most durable? What makes it so durable?
Fibrocartilage - due to the large amount of cartilaginous fibers
What type of cartilage is typically found on articular surfaces of synovial joints?
Hyaline
What is the most common type of cartilage in the human body?
Hyaline
Where is elastic cartilage found?
External Ear
Eustachian Tube
Epiglottis
Opening of the Respirator Tract
What is the purpose of studying clinical kinesiology?
To understand the forces acting on the human body causing movement (biomechanics) and to manipulate these forces in treatment procedures so that human performance may be improved and further injury may be prevented.
What is Mechanics?
It is concerned with the effects of forces acting on objects
What is Biomechanics?
The study of how forces lead to movement in the human body
What are the 4 main forces on the human body?
- Gravity
- Muscle Tension
- External Resistance
- Friction
How does gravity affect movement?
weight of body parts and attachments like splints, casts, eating utensils, books or weights
How does muscle tension affect movement?
Muscles produce forces on the bone segments by active contraction or by being passively stretched
How does friction affect movement?
It can provide stability if optimum, retard motion if excessive and lead to instability if inadequate.
What does the term Statics mean?
It deals with NON-movement systems
What does the term Dynamics mean?
Deals with moving systems
What are the two parts of Dynamics?
Kinetics & Kinematics
What is Kinetics?
It is a description of motion with regard to what causes motion.
What is Kinematics?
The science of motion of bodies in space, osteokinematics & arthrokinematics
What is Osteokinematics?
How the bones move in space without regard to the movement of joint surfaces
What is arthrokinematics?
How adjoining joint surfaces move in relation to eachother
What is a vector?
A quantity having both magnitude and direction
What is Force?
A push or pull action that can be represented as a vector
What is Scalar?
It describes magnitude only
Length, Area, Speed, Volume & Mass
What is Mass?
It refers to the amount of matter that a body contains
What is Inertia?
The property of matter that causes it to resist any change of its motion in either speed or direction
What is Torque?
The tendency of force to produce rotation about an axis
What is Friction?
A force developed by two surfaces (prevents motion of one surface across another)
What is Velocity?
A vector that describes speed and is measured in units: feet per second / miles per hour
What is Newton’s 1st Law?
The Law of Inertia:
An object at rest tends to stay at rest - an object in motion tends to stay in motion
What is Newton’s 2nd Law?
The Law of Acceleration:
The amount of acceleration depends on the strength of the force applied to the object
What is Acceleration?
Any change in the velocity of an object
What is always needed to change the direction an object is moving?
Force
How does Mass affect acceleration?
Acceleration is inversely proportional to the mass of an object
What is Newton’s 3rd Law?
The Law of Action-Reaction:
For every action, there is an equal and opposite reaction
What kind of motion can occur without a force?
NONE! No motion can occur without force
What kind of internal forces cause motion?
muscular contraction
ligamentous restraint
tendon restraint
bony support
What kind of external forces cause motion?
gravity
weight
friction
etc.
What kind of force is created by Push?
Compression
What kind of force id created by Pull?
Tension
When does movement occur in a Push/Pull situation?
When one side of force is greater than the other.
When a person is pulling a load with a rope, what is the magnitude of the vector?
The rope tension
When a person is pulling a load with a rope, what is the direction of the vector?
The direction of the rope
When two people are pulling on opposite sides of a rope (tug of war), what happens when the tension is equal on both side?
There is no movement
When two people are pulling on opposite sides of a rope (tug of war), what is the Point of Application?
The center from which both forces are originating
What is Linear Force?
It results when 2 or more forces are acting along the same line
What is Parallel Force?
It occurs in the same plane and in the same or opposite direction
What is Concurrent Force?
2 or more forces must act from a common point but pull in different directions. (The example of 2 people pushing a desk from 2 sides)
In a Concurrent Force, what is the net effect of the 2 forces called?
Resultant Force
What are Force Couples?
2 forces act in an equal but countercurrent or opposite direction resulting in a turning effect.
Ex: Jar lid
Spinning in an innertube
Trapezius turns the Scapula
The amount of torque on a lever depends on what 2 things?
- The amount of force that is applied
- The distance it is from the axis
Remember the wrench example
In the body, what is Torque?
The amount of force needed by a muscle contraction to cause rotary joint action.
In the body, what is the moment arm? (torque arm)
The perpendicular distance between the muscles line of pull and the center of the joint (the axis of rotation)
When is torque the greatest?
When the angle of pull is at 90 degrees
If the angle of pull DECREASES from the perpendicular position, what happens to Torque?
Torque decreases
If the angle of pull INCREASES from the perpendicular position, what happens to Torque?
Torque decreases
In the body, what is Stabilizing Force?
When nearly all of the force generated by the muscle I directed back into the joint, pulling the bones together.
Where does Stabilizing Force occur in the body?
In joints when they are close to 0 degrees.
Ex: Elbow going into ext - distance of the moment arm is less and nearly all of the force generated by the muscle is directed back into the joint and pulls the two bones together
What are 2 uses of Sesamoid Bones?
Protect tendons
and
Mechanical Advantage
What are the 3 types of force related to Torque?
- Stablizing Force
- Angular Force
- Dislocating Force
What is a Dislocating Force?
When the angle of pull is past 90 degrees, the force is directed away from the joint.
What is Angular Force?
When the angle of pull is at 90 degrees, the perpendicular distance between the joint axis and line of pull is much larger, causing an angular or movement force.
(most of the force generated by the mm is directed at moving the joint and not stablilizing the joint)
What is the term used when an object is balanced and all torques acting on the object are even?
State of Equilibrium
In a State of Equilibrium, stability is reliant upon what?
The relationship between the object’s center of gravity and base of support.
What is Gravity?
The mutual attraction between the earth and an object
Where is gravitational force directed?
Vertically downward toward the center of the earth
What is Center of Gravity?
The balance point of an object at which torque on all sides is equal.
Is a child’s COG higher or lower than an adult?
Higher
What is Base of Support?
The area of the body that is in contact with the supporting surface
What is Line of Gravity?
An imaginary vertical line passing through the COG toward the center of the earth.
What is Degree of Stability?
Resistance to being overthrown
What 4 factors affect degree of stability?
- The height of the center of gravity above the base of support
- The size of the base of support
- The location of the gravity line within the base of support
- The weight of the body
What 4 things enhance stability?
- Low COG
- Wide BOS
- Gravity line at center of support
- Heavy Weight
What 3 things enhance Instability?
- High COG
- Narrow BOS
- Light weight
When does Stable Equilibrium occur?
When an object is in a position that to disturb it would require its COG to be raised
Ex: Person laying on the floor - you would have to tip them up to change their equilibrium
When does Unstable Equilibrium occur?
When only a slight force is needed to disturbe the object.
Ex: Balancing a domino upright or a person standing on one leg
When does Neutral Equilibrium occur?
When an object’s COG is neither raised nor lowered when it is disburbed.
What are the 8 rules of stability?
- The lower the COG, the more stable the object
- The COG and LOG must remain w/in the BOS for an object to remain stable
- The wider the BOS, the more stable the object
- When the COG is no longer over the BOS, the object will fall
- Stability increases as the BOS is widened in the direction of the force
- The greater the mass of the object, the greater the stability
- The greater the friction between the supporting surface and BOS, the more stable the body will be
- People have better balance while moving if they focus on a stationary object, not a moving object
What is a First Class Lever?
The axis is located between the force and the resistance. (FAR)
Ex: Seesaw
Atlanto-occipital joint
Intervertebral joints
What type of lever is used to maintain posture or balance?
First Class
What is a Second Class Lever?
The resistance is in the middle, with the axis at one and the force at the other end. (ARF)
Ex: Wheelbarrow
Ankle PF muscles
What is a Third Class Lever?
The force is in the middle, with resistance and the axis at the opposite ends (AFR)
Ex: Person moving one end of a boat toward or away from a dock
What is the most common type of lever in the body?
Third Class
What is the advantage of a third class lever?
Speed and Distance
What is the advantage of a second class lever?
Force Advantage (large weights can be supported or moved by a smaller force)
In a third class lever, is the resistance arm or the force arm longer?
The resistance arm is always longer than the force arm. It requires more force but moves a larger distance.
What 2 factors can change the lass of a lever?
Weight and Direction of movement
What is Mechanical Advantage?
The ratio between the force arm and the resistance arm.
MA = FA / RA
If Mechanical Advantage is great, is more or less force needed?
Less