Exam 4 Flashcards
how many bones in the axial skeleton ?
74 bones (skull, vertebrae, ribs)
How many bones in the appendical skeleton
126 bones (extremities, shoulder girdle, pelvis)
How many bones in the auditory ossicles?
6 bones
how many bones in the human body?
206
what are the 5 functions of bones?
- Support
- Protection
- Attachment
- Mineral Reserve
- Hemopoiesis
force distribution inside the body, related to pressure
stress
6 types of forces
- Compression
- Tension
- Shear
- Bending
- Torsion
- Combined loading
explain compression forces
act along the long axis of a bone, tending to push the ends of bone together
explain tension forces
opposite of compressive, stretching force
explain shear forces
sliding; force is parallel to the cross section of the bone
explain bending forces
application of an eccentric force to the end of the bone causing compression & tension at the same time. (ex/ rickets: tension on one side, compression on the other)
explain torsion forces
twisting around the long axis of bone
explain combined loading
including more than 1 of the previous force types
single force large enough to cause injury (ex: car tire rolling over the foot)
traumatic force load
multiple application of forces, usually with smaller magnitudes (ex: stress fracture)
repetitive force load
4 properties of bone structure
- stiffness
- compressive strength
- elasticity
- tensile strength
ratio of stress to strain
stiffness
stress = ?
F / area (force divided by area)
amount of change in the bone’s shape
strain
what is compressive strength?
a bones resistance to compression
what is elasticity?
a bone’s ability to regain it’s original shape after deformation, provided by collagen
what is tensile strength?
resistance to being pulled apart
where does longitudinal growth take place?
epiphyseal plates
explain longitudinal growth. what ages does this occur?
epiphyseal plates produce new bone cells on the diaphysis of the bone up to [ages 18-25]
explain circumferential growth
internal layers of the periosteum lay down concentric layers of bone
where does bone resorption occur?
around the medullary cavity
osteoclasts vs. osteoblasts
osteoclasts: resorb bone (take it away)
osteoblasts: make new bone
both remain in balance until 40-60 years of age
3 classifications of bone responses to stress
- wolfe’s law
- hypertrophy
- atrophy
what is wolfe’s law?
a bone grows or remodels in response to the forces of demands placed upon it
Hypertrophy
increased bone density based on loading
atrophy
loss of bone tissue (happens in astronauts)
what is a fracture?
a disruption in bone continuity (break/crack)
bone resists _______ the best
compression
5 types of fractures
- Avulsion
- Comminuted
- Impacted/compression
- Greenstick
- Stress fx
Avulsion fracture
occurs in tensile loading. bone chip pulled off. (kids jump off high objects, lift heavy objects)
comminuted fracture
results in many fragments [car accident, gun shot]
impacted or compression fracture
fracture pressed together by a compressive load (in spine; standing on a broken bone)
Greenstick fracture
incomplete fracture to to bending; most common in children (soft bones)
Stress fracture
small cracks caused by repeated low stresses (most common in tibia)
strong slightly extensible protein found in collagenous tissue
collagen [fibers allow flexibility]
elasticity of collagen determines differences in what?
joint ROM
a joint needs sufficient _______ for efficient & safe movement. Where does this come from?
- lubrication
- synovial fluid from bursae sacs
articular cartilage
1-7 mm thick coating over epiphyses at synovial joints
what does articular cartilage do?
spreads out the load at the joint, minimizes friction - no bones rubbing together [50% stress reduction]
where is articular cartilage located?
epiphyses (end of bone)
what helps prevent the loss of cartilage?
regular exercise
articular fibrocartilage can be found as either a ______ disc or ______ disc
fibrous or partial
articular fibrocartilage ______ and ________ loads
absorbs, distributes
what does articular fibrocartilage do for bones?
holds bones in place, minimizes slippage
what does articular fibrocartilage do for joint?
lubrication (synovial fluid)
improves joint congruency
examples of articular connective tissue
ligaments and tendons
what does the elastic limit of articular connective tissue mean?
stretched up to a point, then surgery is required
example of a ligament injury? tendon/muscle injury?
sprain; strain
joint stability is a joints ability to resist ______
dislocation
joint stability depends on what
shape of the articulating surfaces
the shape of the articulating surfaces of a joint is usually
concavoconvex [ball and socket]
what is closed pack position
a joint has maximum contact between articulating surfaces [example: knee in full extension]
what is loose packed position
a joint has the least contact between surfaces [example: 25 degree knee flexion]
more ligaments = more ____
stability
with muscle insertion, what are the 3 ligament components?
- rotary component [causes movement]
- stabilizing component [more stable]
- dislocating component [less stable]
what is fascia?
sheet of fibrous connective tissue enveloping, separating, or binding muscles and organs
what does fascia do?
increases origin or insertion sites of muscle
technique used by therapists in regards to fascia
myofascial release
another type of connective tissue besides fascia that protects muscles
skin
what 4 things does joint flexibility rely on?
- shape of articular surfaces
- intervening muscle or fat
- muscle tension
- extensibility of collagenous tissue
ACSM guidelines on stretching
- 10 minutes long
- 4 or more reps per muscle group
- 2-3 days per week
what is the minimum stretching technique to improve flexibility?
2 to 4 repetitions for 10-30 seconds [totals 1 min per muscle group]