Motion Dynamics Flashcards
Active ROM
patient does the moving/patient is active
Passive ROM always > active ROM
Passive ROM
Doctor does the moving, patient is passive
passive ROM always > active ROM
physiologic barrier
limit of active motion
anatomic barrier
limit imposed by anatomic structure, usually reached through passive motion
Elastic range
the difference between the physiologic barrier and anatomic barrier
Restrictive barrier
functional limit that abnormally diminishes the normal physiologic range
plane
flat surface on which a straight line joining any two points on it would wholly lie
Axis
straight line aroudn which an object rotates
Coronal/Frontal/Lateral plane
bisects the body into front and back halves
ROM: sidebending, abduction/adduction
Sagittal/anteroposterior plane
Bisects the body into right and left halves
ROM: flexion and extension
Horizontal/transverse plane
divides the body into superior and inferior halves
ROM: rotation
Types of joints
- type of joint dictates the type of motion (structure/function interrelationship)
3 types of joints
1. Fibrous (skull articulations)
2. Cartilaginous (discs between vertebrae)
3. Synovial - 6 types (extremities)
Types of synovial joints
- Pivot joint (C1-2)
- Ball and socket joint (hip joint)
- Condyloid joint (radius and carpal bones)
- Plane joint (between tarsal bones, sliding back and forth)
- Saddle joint (between trapezium and 1st metacarpal bone)
- Hinge joint (elbow)
End Feel of Range of Motion
- elastic (like a rubber band, springy)
- abrupt (osteoarthritis or hinge joint, like elbow)
- Hard - somatic dysfunction, you expect more motion but you don’t get more due to a restrictive barrier
- Empty - stops due to guarding (patient doesn’t allow the motion due to pain)
- Crisp - involuntary muscle guarding as in pinched nerve
Midline shift ROM
Midline will shift away from the restrictive barrier to balance out the loss of motion