Foundations of Structural Kinesiology Anatomy and Kinesiology 420:024 Outline Introduction Terminology Planes and Axes Movements Osteology Arthrology Introduction Kinesiology Anatomic kinesiology Biomechanics Structural kinesiology Outline Introduction Terminology Planes and Axes Movements Osteology Arthrology Reference positions Basis from which to describe joint movements Anatomical position Fundamental position Anatomical position Fundamental position Anatomical Directional Terminology Anterior Posterior Nearest the trunk or the point of origin Lateral Situated away from the center or midline of the body Proximal Above in relation to another structure Distal Below in relation to another structure Superior (supra) In back in relation to another structure Inferior (infra) In front in relation to another structure On or to the side Medial Relating to the middle or center From Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill Anatomical Directional Terminology Contralateral Pertaining or relating to the opposite side Ipsilateral On the same side Bilateral Relating to the right and left sides of the body or of a body structure such as the right & left extremities Deep Beneath or below the surface; used to describe relative depth or location of muscles or tissue Superficial Near the surface; used to describe relative depth or location of muscles or tissue Prone the body lying face downward; stomach lying Supine lying on the back; face upward position of the body Body Regions Axial Cephalic (Head) Cervical (Neck) Trunk (Thoracic and Lumbar) Appendicular Upper limbs Lower limbs Outline Introduction Terminology Planes and Axes Osteology Arthrology Movements Planes of Motion Plane: Cardinal Planes of Motion Sagittal Plane Frontal Plane Transverse Plane Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Cardinal Planes of Motion Sagittal Plane Movements? Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Cardinal Planes of Motion Frontal Plane Movements? Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Cardinal Planes of Motion Transverse Plane Movements? Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Diagonal Planes of Motion Axes of Rotation Two basic types of movement For angular movement to occur in a plane, it must turn or rotate about an axis as referred to previously The axes are named in relation to their orientation Axes of Rotation Mediolateral (ML) Axis Also known as: Frontal, Lateral or Coronal Axis Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Axes of Rotation Anteroposterior (AP) Axis Also known as: Sagittal Axis Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Axes of Rotation Suprainferior (SI) Axis Also known as: Long or Vertical Axis Modified from Booher JM, Thibodeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill Axes of Rotation Diagonal or Oblique Axis Outline Introduction Terminology Planes and Axes Movements Osteology Arthrology Movements General: Flexion/Extension Abduction/Adduction Circumduction Internal/External Rotation Specific: Ankle Radioulnar Shoulder girdle Spine and pelvic girdle GENERAL Flexion Extension Joints Plane and axis? GENERAL Abduction Adduction Joints Plane and axis? GENERAL Horizontal Abduction Horizontal Adduction Joints Plane and axis? GENERAL Circumduction Joints Planes and axes? GENERAL Internal rotation External rotation Joints Plane and axis? SPECIFIC: ANKLE & FOOT Inversion Eversion SPECIFIC: ANKLE & FOOT Plantar flexion Dorsal flexion (dorsiflexion) SPECIFIC: ANKLE & FOOT Pronation Supination SPECIFIC: RADIOULNAR JOINT Pronation Supination SPECIFIC: SHOULDER GIRDLE Elevation Depression SPECIFIC: SHOULDER GIRDLE Protraction Retraction SPECIFIC: SHOULDER GIRDLE Rotation upward Rotation downward SPECIFIC: SPINE AND PELVIS Lateral flexion (side bending) Reduction SPECIFIC: SPINE AND PELVIS Anterior pelvic tilt Posterior pelvic tilt Plane and axis? SPECIFIC: SPINE AND PELVIS Lateral pelvic tilt Plane and axis? Right or left? SPECIFIC: SPINE AND PELVIS Transverse pelvic tilt Plane and axis? Right or left? SPECIFIC: WRIST & HAND Radial flexion (radial deviation) Ulnar flexion (ulnar deviation) SPECIFIC: WRIST & HAND Opposition of the thumb Outline Introduction Terminology Planes and Axes Movements Osteology Arthrology Skeletal System Modified from Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill Osteology – Interesting Facts 206 bones Axial skeleton: Appendicular: Composed of calcium carbonate, calcium phosphate, collagen, & water 60-70% of bone weight - calcium carbonate & calcium phosphate 25-30% of bone weight – water ~1/5th of the skeleton replaces itself in one year in young adults Skeletal Functions 1. 2. 3. 4. 5. Protection of inner organs, brain, spinal cord etc. Support to maintain posture Movement by serving as points of attachment for muscles and acting as levers Mineral storage such as calcium & phosphorus Hemopoiesis – in vertebral bodies, femur, humerus, ribs, & sternum process of blood cell formation in the red bone marrow Types of bones Long bones - humerus, fibula Short bones - carpals, tarsals Flat bones - skull, scapula Irregular bones - pelvis, ear ossicles Sesamoid bones - patella Types of Bones Long bones Types of Bones Short bones Types of Bones Flat bones Types of Bones Irregular bones Typical Bony Features Diaphysis Cortex Periosteum Endosteum Medullary (marrow) cavity From Shier D, Butler J, Lewis R: Hole’s human anatomy & physiology, ed 9, New York, 2002, McGraw-Hill. Typical Bony Features Epiphysis Epiphyseal plate Articular (hyaline) cartilage Modified from Van De Graaff KM: Human anatomy, ed 6, New York, 2002, McGraw-Hill. Bone Growth Grow rapidly into structures shaped similar to the bones which they will eventually become Growth continues and gradually undergoes significant change to develop into long bone Longitudinal growth continues as long as epiphyseal plates are open Shortly after adolescence, plates disappear & close Most close by age 18, but some may be present until 25 Growth in diameter continues throughout life From Seeley RR, Stephens TD, Tate P: Anatomy & physiology, ed 7, New York, 2006, McGraw-Hill. Bone Properties Bone size & shape are influenced by the direction & magnitude of forces that are habitually applied to them Bones reshape themselves based upon the stresses placed upon them (remodeling) Bone mass increases over time with increased stress Bone Markings Processes (including elevations & projections) Processes that form joints Condyle: Facet: Head: Bone Markings Processes (elevations & projections) Processes to which ligaments, muscles or tendons attach Crest: Epicondyle: Line: Process: Spine (spinous process): Suture: Trochanter: Tubercle: Tuberosity: Bone Markings Cavities (depressions) - including opening & grooves Foramen: Fossa: Sulcus (groove): Notch: Outline Introduction Terminology Planes and Axes Movements Osteology Arthrology Classification of Joints Articulation - connection of bones at a joint usually to allow movement between surfaces of bones 3 major classifications according to structure & movement characteristics Classification of Joints Structural classification Synarthrodial Amphiarthrodial Fibrous Cartilagenous Synovial Gomphosis Suture ----- ----- Syndesmosis Symphysis Synchondrosis ----- ----- Arthrodial Ginglymus Trochoidal Condyloidal Sellar Enarthrodial Functional classification Diarthrodial ----- Synarthrodial Immovable joints Suture: Gomphosis Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Classification of Joints Structural classification Synarthrodial Amphiarthrodial Fibrous Cartilagenous Synovial Gomphosis Suture ----- ----- Syndesmosis Symphysis Synchondrosis ----- ----- Arthrodial Ginglymus Trochoidal Condyloidal Sellar Enarthrodial Functional classification Diarthrodial ----- Amphiarthrodial Slightly movable joints Allow a slight amount of motion to occur Amphiarthrodial Syndesmosis Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Amphiarthrodial Synchondrosis Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Amphiarthrodial Symphysis Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Classification of Joints Structural classification Synarthrodial Amphiarthrodial Fibrous Cartilagenous Synovial Gomphosis Suture ----- ----- Syndesmosis Symphysis Synchondrosis ----- Functional classification Diarthrodial ----- ----- Arthrodial Ginglymus Trochoidal Condyloidal Sellar Enarthrodial Diarthrodial Joints Known as synovial joints Freely movable Composed of sleevelike joint capsule Secretes synovial fluid to lubricate joint cavity Capsule thickenings form tough, nonelastic ligaments that provide additional support against abnormal movement or joint opening Ligaments may also be located inside the joint Diarthrodial Joints Articular or hyaline cartilage covers the articular surface ends of the bones inside the joint cavity Cartilage slowly absorbs synovial fluid during joint unloading or distraction Secretes synovial fluid during subsequent weight bearing & compression Some diarthrodial joints have specialized fibrocartilage disks (menisci) From Seeley RR, Stephens TD, Tate P: Anatomy & physiology, ed 7, New York, 2006, McGraw-Hill. Diarthrodial Joints Diarthrodial joints have motion possible in one or more planes Degrees of freedom Diarthrodial Joints Six types Each has a different type of bony arrangement between articulating surfaces Structure dictates function Structural classification Synarthrodial Amphiarthrodial Fibrous Cartilagenous Synovial Gomphosis Suture ----- ----- Syndesmosis Symphysis Synchondrosis ----- ----- Arthrodial Ginglymus Trochoidal Condyloidal Sellar Enarthrodial Functional classification Diarthrodial ----- Diarthrodial Joints Arthrodial (Gliding) joints Diarthrodial Joints Arthrodial (Gliding) joints Ex: Movements: Planes and axis? Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Diarthrodial Joints Ginglymus (Hinge) joint Ex: Uniaxial articulation Movements: Plane and axis? Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Diarthrodial Joints Trochoid (Pivot) joint Ex: Uniaxial articulation Movements: Plane and axis? Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Diarthrodial Joints Condyloid (Biaxial Ball and Scoket Joint) Ex: Biaxial articulation Movements: Planes and axes? Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Diarthrodial Joints Sellar (Saddle) Joint Ex: Biaxial articulation Movements: Planes and axes? Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Diarthrodial Joints Enarthrodial (Multiaxial Ball and Socket Joint) Ex: Triaxial articulation Movements: Planes and axes? Modified from Booher JM, Thibedeau GA: Athletic injury assessment, ed 4, New York, 2000, McGraw-Hill. Classification of Joints Structural classification Synarthrodial Amphiarthrodial Fibrous Cartilagenous Synovial Gomphosis Suture ----- ----- Syndesmosis Symphysis Synchondrosis ----- ----- Arthrodial Ginglymus Trochoidal Condyloidal Sellar Enarthrodial Functional classification Diarthrodial -----