INTRODUCTION TO BIOMECHANICS AND KINESIOLOGY WHAT IS BIOMECHANICS? • Biomechanics is the study of how the human body moves and how forces act on it. It applies the principles of physics and engineering to understand movement, posture, and performance. • In simple terms — biomechanics helps us understand how and why we move the way we do. EXAMPLE: • When you jump, biomechanics explains how your muscles create force, how gravity pulls you down, and how your joints and bones absorb the impact when you land. • When a physiotherapist observes a patient’s gait, they use biomechanics to identify which muscles or joints are not functioning properly. WHAT IS KINESIOLOGY? • Kinesiology is the science of human movement — it studies muscles, bones, and joints and how they work together to produce motion. • If biomechanics is about forces and motion, kinesiology focuses on movement patterns and muscle function. EXAMPLE: •When you lift your arm overhead, kinesiology helps explain which muscles (like the deltoid and rotator cuff) are involved and how they coordinate. •It tells us about types of muscle contractions (isometric, concentric, eccentric) and movement planes (sagittal, frontal, transverse). Basis of Difference Biomechanics Kinesiology 1. Definition Study of forces and their effects on human movement. Study of human movement, focusing on muscles, bones, and joints. 2. Main Focus Emphasizes mechanical principles — motion, force, torque, and equilibrium. Emphasizes anatomical and physiological aspects — muscle action, joint function, and coordination. 3. Nature of Study Quantitative — uses measurements, equations, and analysis (physicsbased). Qualitative — describes how movement occurs and which muscles are involved. 4. Key Concepts Force, leverage, torque, center of gravity, momentum, stability. Muscle contractions, planes and axes of motion, types of movements. 5. Tools & Methods Used Motion analysis systems, force plates, EMG, video analysis, mathematical modeling. Manual muscle testing, goniometry, observation of movement patterns. 6. Example in Practice Analyzing ground reaction forces during walking to prevent injury. Identifying which muscles activate during shoulder abduction. 7. Application in Physiotherapy Helps design mechanically efficient Helps plan exercise programs by movements and prevent injury by knowing which muscles to strengthen or understanding load and stress on joints. stretch. 8. Type of Knowledge Required Physics, engineering, and mathematics. Anatomy, physiology, and motor control. 9. Approach Objective and analytical. Descriptive and functional. 10. Goal To improve performance and reduce injury risk through mechanical optimization. To restore or enhance movement through better muscle coordination and control. RELEVANCE TO PHYSIOTHERAPY Understanding biomechanics and kinesiology is essential for every physiotherapist because: 1. Assessment of Movement: Helps in identifying abnormal movement patterns — e.g., in stroke, cerebral palsy, or after an ankle sprain. 2. Treatment Planning: Knowing how muscles and joints move allows you to design specific exercises that restore strength, flexibility, and coordination. Example: Correcting patellofemoral pain by training the vastus medialis oblique (VMO) to improve knee tracking. RELEVANCE TO PHYSIOTHERAPY 3. Injury Prevention: Helps in understanding how poor posture or faulty mechanics lead to overuse injuries. Example: Improper lifting mechanics can lead to low back pain — biomechanics helps teach safe lifting techniques. 4. Rehabilitation & Performance: In sports physiotherapy, biomechanics is used to analyze athletic techniques and improve performance (e.g., running, jumping, throwing). SIMPLE CLINICAL EXAMPLE Case: A runner has knee pain. Biomechanics view: Check ground reaction forces, joint angles, and alignment during running. Kinesiology view: Assess which muscles (like quadriceps, hamstrings, gluteus medius) are weak or overactive. Physiotherapy application: Design strengthening and movement retraining to correct the cause. INTRODUCTION TO STRESS–STRAIN CURVE WHAT IS STRESS? • Stress is the internal force per unit area that develops within a material (or tissue) when an external force is applied. It shows how much load or pressure the tissue is experiencing. • Formula: Force Stress = N/m𝟐 or Pascal Area Example: When you stretch a muscle or tendon during exercise, stress develops inside the tissue resisting that pull. WHAT IS STRAIN? • Strain is the amount of deformation or change in shape or length that occurs due to stress. It shows how much the tissue has stretched or elongated. • Formula: Change in Length Strain = Original Length Example: If a ligament of 10 cm length stretches to 10.5 cm, THE STRESS–STRAIN CURVE • When we gradually apply stress to a soft tissue (like a ligament, tendon, or muscle), it deforms in different stages. This relationship is shown by the stress–strain curve. Courtesy: Downey PA , Siegel MI . Bone biology and the clinical implications for osteoporosis. Phys Ther CLINICAL RELEVANCE TO PHYSIOTHERAPY Understanding the stress–strain curve helps physiotherapists to: • Plan safe stretching and strengthening exercises → Stretch tissues only within the elastic region to improve flexibility without injury. • Know tissue limits during rehabilitation → Avoid the plastic or failure region, especially in healing tissues (like tendons post-repair). • Guide manual therapy techniques → Joint mobilizations are applied carefully within elastic range to restore motion safely. • Design progressive loading programs → Gradually increase stress to strengthen tissues without causing damage. CLINICAL EXAMPLES Tissue Application of Stress–Strain Concept Muscle During flexibility training – aim for elastic range stretch to improve ROM safely. Ligament In post-sprain rehab – gentle loading to promote collagen alignment without overstretching. Tendon In eccentric strengthening – controlled stress to promote healing and remodeling. “A PHYSIOTHERAPIST MUST KNOW HOW MUCH STRESS A TISSUE CAN TOLERATE BEFORE IT DEFORMS OR FAILS — THIS IS THE FOUNDATION OF SAFE AND EFFECTIVE REHABILITATION.” TENSILE STRENGTH (STRESS BEFORE FAILURE) OF DIFFERENT HUMAN TISSUES Approx. Ultimate Physiological Meaning / Example in Tissue Type Tensile Strength (Before Clinical Relevance Physiotherapy Context Failure) Very strong under Avoid excessive loading compression and tension; Cortical Bone 100–150 MPa during weight-bearing in fractures occur beyond osteoporotic patients. this. Can withstand high Safe eccentric training Tendon (e.g., Achilles, tensile forces; fails with 50–100 MPa gradually increases load patellar) sudden overstretch or tolerance. excessive eccentric load. Moderate strength; can In ankle or knee rehab, Ligament (e.g., ACL, 20–50 MPa elongate up to 10–15% stretching beyond safe MCL) before rupture. limit causes tears. Skeletal Muscle 0.3–1.0 MPa Articular Cartilage 5–25 MPa (compressive) Much weaker than During stretching, tendon; fails before apply mild tension tendon in extreme only to reach elastic stretch. range. Resists compression; Avoid high impact on low tensile strength. cartilage-damaged Degeneration leads joints (OA rehab). to osteoarthritis. Skin Fascia 2–30 MPa Elastic, moderate tensile Important for wound care, strength; varies by age and scar mobilization, and burn location. rehab. 2–15 MPa Moderately strong Myofascial release connective tissue; transmits techniques target this tissue forces between muscles. safely. Intervertebral Disc (Annulus Fibrosus) 4–10 MPa Meniscus (Knee) 8–12 MPa Peripheral Nerve 0.5–0.7 MPa Artery / Vessel Wall 1.0–2.0 MPa Good tensile resistance; Avoid end-range lumbar failure causes disc flexion in acute disc cases. herniation. Withstands shear and Twisting or deep squatting compression; fails under post-injury risks re-tear. twisting force. Very low tolerance to tension; elongation > 20% Neural mobilization must be can cause irreversible gentle and within safe limit. damage. Low tensile strength; Important in post-cardiac or ruptures if overstretched or vascular rehab precautions. weakened. KEY INSIGHTS Bone and tendons are strongest, while muscles, nerves, and skin are weakest under tension. Ligaments tolerate stretch only up to ~10–15% of their length — beyond that, partial or complete tears occur. Physiotherapy exercises (especially stretching and resistance training) must stay within elastic limits to promote adaptation, not injury. Healing tissues have 50–70% lower tensile strength, so load must be progressed gradually during rehab. Tissue Analogy Bone Like a hard stick – strong but can snap suddenly under high load. Tendon Like a thick rope – strong but less elastic. Ligament Like a rubber band – flexible but can tear if overstretched. Muscle Like a soft elastic cloth – stretches easily but can tear with over-pull. Nerve Like a thread – delicate and easily damaged by too much tension. BIOMECHANICAL APPLICATIONS TO JOINT STRUCTURE AND KINEMATICS & INTRODUCTION TO KINETICS LEARNING OBJECTIVES • Understand Osteokinematics and Arthrokinematics • Learn how forces act on joints • Differentiate Statics vs Dynamics • Understand Torque, Moment Arms, and Force Components • Apply these principles to clinical examples WHAT IS BIOMECHANICS? • Definition: Study of mechanical principles applied to biological systems — especially the human body. • Clinical Relevance: Foundation for physiotherapy — helps design exercise, analyze gait, and improve function. OSTEOKINEMATICS – MOVEMENT OF BONES IN SPACE Definition: Gross movement of bones (flexion, extension, rotation, etc.) Planes and Axes: •Sagittal → Flexion/Extension (Frontal Axis) •Frontal → Abduction/Adduction (Sagittal Axis) •Transverse → Rotation (Vertical Axis) ARTHROKINEMATICS JOINT SURFACE MOTION Definition: Small accessory motions between articular surfaces. Types: • Roll – New points contact new points • Slide (Glide) – Same point contacts new points • Spin – Rotation around stationary axis • Distraction – 2 joint surfaces moving away from each other • Compression – 2 joint surfaces pressing over each other Motion Description Example Roll One point of one surface contacts new points on the opposite surface Femoral condyles rolling on tibia during knee flexion Slide (Glide) One point of a surface contacts new points on the opposite surface Tibial plateau gliding on femoral condyles Spin Rotation of one surface around a stationary axis Head of humerus spinning in glenoid fossa during pronation/supination Compression Force pushes surfaces together Distraction Force pulls surfaces apart Standing, deltoid at < 90° abduction Manual traction, finger pulling ROLL SLIDE/GLIDE SPIN COMPRESSION & DISTRACTION CONVEX–CONCAVE RULE Moving Surface Convex on Concave Concave on Convex Glide Direction Opposite to bone movement Same as bone movement Example Shoulder Abduction – Humeral head glides inferiorly Knee Extension – Tibia glides anteriorly JOINT STRUCTURE & STABILITY • Degrees of freedom (DOF): - Number of possible movement axes (e.g., shoulder has 3 DOF). • Joint congruency: - How well surfaces fit. JOINT POSITIONS Closed-Packed Position: Max congruency → Stability (e.g., knee extension) Open-Packed Position: Loose → Mobilization (e.g., knee flexion) ** REMEMBER: extremes of joint ROM are closed pack and mid ranges are loose pack INTRODUCTION TO KINETICS Kinetics is the branch of biomechanics that studies forces that cause or modify human movement. While kinematics describes how the body moves (motion), kinetics explains why the body moves in a particular way. Understanding kinetics is essential for physiotherapists because it allows us to: • Analyze abnormal movement • Identify the cause of dysfunction • Design targeted therapeutic exercises • Improve functional performance and prevent injury DESCRIPTIONS OF MOTION Key Features Clinical / Practical Example Linear path; no rotation. Joint distraction, anterior tibial glide, sliding a book. Rotatory Motion Movement occurs around Occurs at joints; angular a fixed axis; points displacement. follow arcs. Elbow flexion, shoulder rotation. Angular Motion Movement causing a change in angle between two segments at a joint. Combination of roll + glide; measured in degrees. Knee flexion, hip abduction. Curvilinear Motion Motion that occurs in a curved path, combining translation + rotation. Most human movements are curvilinear; center of mass follows a curve. Foot during gait, throwing motion, lifting an object from the floor. Type of Motion Definition Translatory Motion All points of an object move the same distance in the same direction. INTRODUCTION TO FORCES Definition: A force is a push or pull that produces, modifies, or stops motion. Force = Mass × Acceleration (F = m × a) FORCES IN HUMAN MOVEMENT • Create movement • Stop movement • Modify movement • Change the direction of movement TYPES OF FORCES ACTING ON THE HUMAN BODY A. Internal Forces • Generated within the body. • Muscle forces – primary internal forces • Eg: Quadriceps force during knee extension • Ligament forces – passive tension • Eg: ACL resists anterior tibial translation • Joint reaction forces • Eg: Hip joint compressive force during walking B. External Forces • Originating outside the body. • Gravity (most dominant external force) • Acts downward through the Center of Gravity (COG) • Eg: Shoulder abductors work against gravity during arm elevation • Ground Reaction Force (GRF) • Equal & opposite to the force the body exerts on the ground • Eg: GRF peak at heel strike during gait • Frictional forces • Eg: Foot friction prevents slipping • Resistance (weights, bands, manual resistance) Characteristics of a Force • Magnitude (how much) • Direction (toward/away; rotational/linear) • Line of Action • Point of Application STATICS VS DYNAMICS Concept Statics Dynamics Definition Example Body at rest or Holding a dumbbell moving at constant still at 90° elbow velocity (ΣF = 0) flexion Body under Lifting a dumbbell acceleration (ΣF ≠ 0) (biceps concentric) Understanding statics helps in postural analysis, while dynamics helps in movement retraining. TRANSLATORY MOTION IN FORCE SYSTEMS • Linear Force System All forces act along the same line (in same or opposite directions). Example: Two people pulling a rope from opposite sides. • Clinical Example: Traction therapy on cervical spine = linear, collinear force. • Concurrent Force System: Forces act at a common point but along different lines. Example: Deltoid muscle’s different fiber directions converging at the humerus. • Resultant Force: The combined effect of multiple forces acting concurrently. Useful for understanding muscle synergy — e.g., trapezius and serratus anterior combine for upward scapular rotation. ADDITIONAL LINEAR FORCE CONSIDERATIONS a. Equilibrium • When sum of all forces and torques = 0 Example: Balanced posture during standing. • b. Center of Gravity (COG) • Point where body’s weight is evenly distributed. • In standing: around S2 vertebra. • In child: slightly higher (due to head size). Physiotherapists use COG in balance training and gait retraining. c. Base of Support (BOS) • Wider BOS → more stability. Used in rehabilitation (e.g., staggered stance for progressive balance challenge). TORQUE OR MOMENT OF FORCE • Definition: Rotational effect of a force around an axis. Torque = Force × Moment Arm • Moment Arm: Perpendicular distance between force line and axis. • Greater moment arm → greater torque. • Examples: Biceps produces maximum torque at 90° elbow flexion (moment arm longest). In wheelchair propulsion, hand contact point farther from wheel hub increases torque, making it easier to move. • Clinical Relevance: Helps determine manual resistance angle in strengthening exercises. Guides joint protection in weak muscles (shorter lever = less torque demand).
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