Basic Principles of Kinesiology



Basic Principles of Kinesiology




The word kinesiology has its origin in the Greek words kinesis, “to move,” and ology, “to study.” Essentials of Kinesiology serves as a guide to kinesiology by focusing on the anatomic and biomechanical interactions within the musculoskeletal system.


The primary intent of this book is to provide physical therapist assistant students and clinicians with a fundamental understanding of the kinesiology of the musculoskeletal system. A detailed review of the musculoskeletal system, including innervation, is presented as a background to the structural and functional concepts of normal and abnormal movement. The discussions within this text are intended to provide insight and provoke thoughtful dialogue about commonly used therapeutic models and treatments.



Kinematics


Kinematics is a branch of biomechanics that describes the motion of a body without regard to the forces that produce the motion. In biomechanics, the word body is used rather loosely to describe the entire body, particular segments such as an individual bone, or an area of the body such as the arm. In general, two types of motion exist: translation and rotation.


Translation occurs when all parts of a “body” move in the same direction as every other part. This can occur in a straight line (rectilinear motion), for example, sliding a book across a table, or in a curved line (curvilinear motion), such as the arc of a ball being tossed to a friend. Figure 1-1 illustrates the curvilinear motion that occurs during walking, reflecting the normal up-and-down translation of the head as the entire body moves forward.



Rotation describes the arc of movement of a “body” about an axis of rotation. The axis of rotation is the “pivot point” about which the rotation of the body occurs. Figure 1-2 illustrates rotation of the forearm around the axis of rotation of the elbow.



Movement of the entire human body is generally described as a translation of the body’s center of mass, or center of gravity (Figure 1-3). An activity such as walking results from forward translation of the body’s center of mass, thus the entire body. It is interesting to note, however, that movement or translation of the entire body is powered by muscles that rotate the limbs. This concept is illustrated in Figure 1-4, which shows an individual running (anterior translation of the center of mass) as a result of muscles rotating the legs around the axis of rotation of each hip. It is important to note that the functional movement of nearly all joints in the body occurs through rotation.




Regardless of the type of body movement, a movement can be classified as either active or passive. Active movements are generated by stimulated or “active” muscle, for example, when an individual flexes his or her arm overhead, this is considered an active movement. Passive movements, on the other hand, are generated by sources other than muscular activation, such as gravity, the resistance of a stretched ligament, or a push from another person. For example, when a clinician provides the force to move an individual’s limb through various ranges of motion, this is considered a passive movement—thus the common clinical term passive range of motion.



Terminology


The study of kinesiology requires the use of specific terminology to describe movement, position, and location of anatomic features. Many of these terms are illustrated in Figure 1-5.




• Anterior: Toward the front of the body


• Posterior: Toward the back of the body


• Midline: An imaginary line that courses vertically through the center of the body


• Medial: Toward the midline of the body


• Lateral: Away from the midline of the body


• Superior: Above, or toward the head


• Inferior: Below, or toward the feet


• Proximal: Closer to, or toward the torso


• Distal: Away from the torso


• Cephalad: Toward the head


• Caudal: Toward the feet (or “tail”)


• Superficial: Toward the surface (skin) of the body


• Deep: Toward the inside (core) of the body


• Origin: The proximal attachment of a muscle or ligament


• Insertion: The distal attachment of a muscle or ligament


• Prone: Describes the position of an individual lying face down


• Supine: Describes the position of an individual lying face up



Osteokinematics



Planes of Motion


Osteokinematics describes the motion of bones relative to the three cardinal planes of the body: sagittal, frontal, and horizontal (Figure 1-6) (Box 1-1).







Axis of Rotation


The axis of rotation of a joint may be considered the pivot point about which joint motion occurs. Consequently, the axis of rotation is always perpendicular to the plane of motion. Traditionally, movements of the body are described as occurring about three separate axes of rotation: anterior-posterior, medial-lateral, and vertical—sometimes referred to as the longitudinal axis (Figure 1-7).



The anterior-posterior axis of rotation is oriented in an anterior-posterior direction through the convex member of the joint and allows movement to occur in the frontal plane, for instance, abduction and adduction of the hip.


The medial-lateral axis of rotation is oriented in a medial-lateral direction through the convex member of the joint. The medial-lateral axis of rotation allows motion to occur in the sagittal plane, for instance, flexion or extension of the elbow.


The vertical (longitudinal) axis of rotation is oriented vertically when in the anatomic position. However, if motion occurs out of the anatomic position, it is often described as occurring about the longitudinal axis; this axis courses through the shaft of the bone. Motion about the vertical or longitudinal axis of rotation occurs in the horizontal (or transverse) plane. Typically, these are called rotational movements and are seen in rotation of the trunk when twisting side-to-side or in internal and external rotation of the shoulder. A summary of these axes can be found in Table 1-1.




Degrees of Freedom


Degrees of freedom refers to the number of planes of motion allowed at a joint. A joint can have 1, 2, or 3 degrees of angular freedom, corresponding to the three cardinal planes (see the earlier section on terminology). As depicted in Figure 1-7, for example, the shoulder has 3 degrees of freedom, meaning the shoulder can move freely in all three planes. The wrist, on the other hand, allows motion in two planes, so it is considered to have 2 degrees of freedom. Joints such as the elbow (humeroulnar joint) allow motion in only one plane and therefore are considered to have just 1 degree of freedom.



Fundamental Movements


For movements of the body, specific terminology is used to help describe the motion at a joint or region of the body.






Circumduction

Circumduction describes a circular motion through two planes; therefore joints must have at least 2 degrees of freedom if they are to circumduct. A general rule is that if a joint allows a circle to be “drawn in the air,” the joint can circumduct (Figure 1-11).


Dec 5, 2016 | Posted by in MANUAL THERAPIST | Comments Off on Basic Principles of Kinesiology
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