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Chapter 1 Foundations of Structural Kinesiology

Manual of Structural Kinesiology

R.T. Floyd, E d D, A T C, C S C S

Manual of Structural Kinesiology

Foundations of Structural Kinesiology

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1

Kinesiology and Body Mechanics, 1

Kinesiology

Study of the principles of anatomy, physiology, and mechanics in relation to human movement

Structural kinesiology

Study of muscles, bones, and joints as they are involved in the science of movement

Bones vary in size and shape

Affects the amount and type of movement that occurs between them at the joints

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Kinesiology and Body Mechanics, 2

Types of joints vary in both structure and function

Muscles vary in size, shape, and structure from one part of the body to another

More than 600 muscles are found in the human body

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Who Needs Kinesiology?

Anatomists, coaches, strength and conditioning specialists, personal trainers, nurses, physical educators, physical therapists, occupational therapists, physicians, athletic trainers, massage therapists, and others in health-related fields

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Why Is Kinesiology Important?

Provides an adequate knowledge and understanding of all large muscle groups to teach others how to strengthen, improve, and maintain optimal function of the human body

In certain instances, professionals in medical and sports fields should know more detailed programs that are needed to address certain muscles

Forms the basis of exercise programs followed to strengthen and maintain all the muscles

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Reference Positions, 1

Help better understand the musculoskeletal system, its planes of motion, joint classification, and joint movement terminology

Used as a basis from which to describe joint movements

Anatomical position

Fundamental position

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Reference Positions, 2

Anatomical position

Most widely used and accurate for all aspects of the body

Standing in an upright posture, facing straight ahead, with feet parallel and close and palms facing forward

Fundamental position

Essentially the same as anatomical position, except that arms are at the sides with palms facing the body

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Reference Lines, 1

To further assist in understanding the location of one body part in relation to another

Mid-axillary line

Line running vertically down the surface of the body passing through the apex of the axilla, armpit

Mid-sternal line

Line running vertically down the surface of the body passing through the middle of the sternum

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Reference Lines, 2

Anterior axillary line

Line parallel to the mid-axillary line and passes through the anterior axillary skinfold

©McGraw-Hill Education./Joe DeGrandis, photographer

Jump to Reference Lines, 2, Appendix

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Reference Lines, 3

Posterior axillary line

Line that is parallel to the mid-axillary line and passes through the posterior axillary skinfold

Mid-clavicular line

Line running vertically down the surface of the body passing through the midpoint of the clavicle

Mid-inguinal point

Point midway between the anterior superior iliac spine and the pubic symphysis

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Reference Lines, 4

Scapula line

Line running vertically down the posterior surface of the body passing through the inferior angle of the scapula

Vertebral line

Line running vertically down through the spinous processes of the spine

©McGraw-Hill Education./Joe DeGrandis, photographer

Jump to Reference Lines, 4, Appendix

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Anatomical Directional Terminology, 1

Anterior

In front or in the front part

Anteroinferior

In front and below

Anterosuperior

In front and above

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Anatomical Directional Terminology, 2

Anterolateral

In front and to the outside

Anteromedial

In front and toward the inner side or midline

Anteroposterior

Relating to both front and rear

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Anatomical Directional Terminology, 3

Posterior

Behind, in the back, or in the rear

Posteroinferior

Behind or in back and below

Posterolateral

Behind and to one side, specifically to the outside

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Anatomical Directional Terminology, 4

Posteromedial

Behind and to the inner side

Posterosuperior

Behind or in back and above

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Anatomical Directional Terminology, 5

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 and left extremities

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Anatomical Directional Terminology, 6

Inferior or infra

Below in relation to another structure

Caudal

Superior or supra

Above in relation to another structure

Higher

Cephalic

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Anatomical Directional Terminology, 7

Inferolateral

Below and to the outside

Inferomedial

Below and toward the midline or inside

Superolateral

Above and to the outside

Superomedial

Above and toward the midline or inside

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Anatomical Directional Terminology, 8

Caudal

Below in relation to another structure

Inferior

Cephalic

Above in relation to another structure

Higher

Superior

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Anatomical Directional Terminology, 9

Caudocephalad

Directionally from tail to head in the long axis of the body

Cephalocaudal

Directionally from head to tail in the long axis of the body

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Anatomical Directional Terminology, 10

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

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Anatomical Directional Terminology, 11

Distal

Situated away from the center or midline of the body, or away from the point of origin

Proximal

Nearest the trunk or the point of origin

Proximodistal

From the center of the body out toward the distal ends of appendages

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Anatomical Directional Terminology, 12

Lateral

On or to the side

Outside, farther from the median or midsagittal plane

Medial

Relating to the middle or center

Nearer to the median or midsagittal plane

Median

Relating to, located in, or extending toward the middle

Situated in the middle, medial

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Anatomical Directional Terminology, 13

Dexter

Relating to, or situated to the right or on the right side of, something

Sinister

Relating to, or situated to the left or on the left side of, something

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Anatomical Directional Terminology, 14

Prone

Face-downward position of the body

Lying on the stomach

Supine

Lying on the back

Face-upward position of the body

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Anatomical Directional Terminology, 15

Dorsal

Relating to the back

Being or located near, on, or toward the back, posterior part, or upper surface of

Relating to the top of the foot

Ventral

Relating to the belly or abdomen, on or toward the front, anterior part of

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Anatomical Directional Terminology, 16

Palmar

Relating to the palm or volar aspect of the hand

Volar

Relating to palm of the hand or sole of the foot

Plantar

Relating to the sole or undersurface of the foot

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Anatomical Directional Terminology, 17

Fibular: Relating to the fibular, lateral, side of the knee, leg, ankle, or foot

Tibial: Relating to the tibial, medial, side of the knee, leg, ankle, or foot

Radial: Relating to the radial, lateral, side of the forearm or hand

Ulnar: Relating to the ulnar, medial, side of the forearm or hand

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Anatomical Directional Terminology, 18

Scapular plane

In line with normal resting position of the scapula as it lies on the posterior rib cage

Movements in scapular plane are in line with the scapular, which is at an angle of 30 to 45 degrees from the frontal plane

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Alignment Variation Terminology, 1

Anteversion

Abnormal or excessive rotation forward of a structure, such as femoral anteversion

Retroversion

Abnormal or excessive rotation backward of a structure, such as femoral retroversion

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Alignment Variation Terminology, 2

Kyphosis

Increased curving of the spine outward or backward in the sagittal plane

Lordosis

Increased curving of the spine inward or forward in the sagittal plane

Scoliosis

Lateral curving of the spine

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Alignment Variation Terminology, 3

Recurvatum

Bending backward, as in knee hyperextension

Valgus

Outward angulation of the distal segment of a bone or joint, as in knock-knees

Varus

Inward angulation of the distal segment of a bone or joint, as in bowlegs

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Planes of Motion

Imaginary two-dimensional surface through which a limb or body segment is moved

Motion through a plane revolves around an axis

There is a ninety-degree relationship between a plane of motion and its axis

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Cardinal Planes of Motion, 1

Anteroposterior or sagittal plane

Lateral or frontal plane

Transverse or horizontal plane

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Cardinal Planes of Motion, 2

Sagittal or anteroposterior plane or A P

Bisects the body from front to back, dividing it into right and left symmetrical halves

Example: Sit-ups

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Cardinal Planes of Motion, 3

Frontal, lateral, or coronal plane

Divides the body into anterior or front and posterior or back halves

Example: Jumping jacks

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Cardinal Planes of Motion, 4

Transverse, axial, or horizontal plane

Divides the body into superior or top and inferior or bottom halves

Example: Spinal rotation

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Diagonal Planes of Motion, 1

Diagonal plane - Involves a combination of movements from traditional planes and occurs in joints that are capable of movement in two or more planes

Example: High diagonal and the two low diagonal planes

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Diagonal Planes of Motion, 2

High diagonal

Upper limbs at shoulder joints

Overhand skills

Example: Baseball pitch

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Diagonal Planes of Motion, 3

Low diagonal

Lower limbs at the hip joints

Example: Kickers in football and punters in golf

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Axes of Rotation, 1

For movement to occur in a plane, it must turn or rotate about an axis that has a 90-degree relationship to that plane

The axes are named in relation to their orientation

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Axes of Rotation, 2

Frontal, coronal, lateral, or mediolateral axis

Has the same orientation as the frontal plane of motion and runs from side to side at a right angle to the sagittal plane of motion

Divides the medial and the lateral

Commonly includes flexion and extension movements

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Axes of Rotation, 3

Sagittal or anteroposterior axis

Has the same orientation as the sagittal plane of motion and runs from front to back at a right angle to the frontal plane of motion

Divides the anterior and the posterior

Commonly includes abduction and adduction movements

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Axes of Rotation, 4

Vertical or longitudinal axis

Runs straight down through the top of the head and is at a right angle to the transverse plane of motion

Divides the superior and the inferior

Commonly includes internal rotation and external rotation movements

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Axes of Rotation, 5

Diagonal or oblique axis

Runs at a right angle to the diagonal plane

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Body Regions, 1

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Body Regions, 2

Axial

Cephalic or head

Cervical or neck

Trunk

Appendicular

Upper limbs

Lower limbs

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Body Regions, 3

Axial

Cephalic or head

Cranium and face

Cervical or neck

Trunk

Thoracic or thorax, dorsal or back, abdominal or abdomen, and pelvic or pelvis

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Body Regions, 4

Appendicular

Upper limbs

Shoulder, arm, forearm, and manual

Lower limbs

Thigh, leg, and pedal

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Skeletal System

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Osteology

Adult skeleton has approximately 206 bones

Axial skeleton

Contains 80 bones

Appendicular skeleton

Contains 126 bones

Exact number of bones as well as their specific features occasionally varies from person to person

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Skeletal Functions

Protection of the heart, lungs, and brain

Support to maintain posture

Movement by serving as points of attachment for muscles and acting as levers

Storage of minerals such as calcium and phosphorus

Hemopoiesis: Occurs in the vertebral bodies, femurs, humerus, ribs, and sternum

Process of blood formation in the red bone marrow

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Types of Bones, 1

Long bones: Humerus and fibula

Short bones: Carpals and tarsals

Flat bones: Ribs and scapula

Irregular bones: Ischium, pubis, and maxilla

Sesamoid bones: Patella

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Types of Bones, 2

Long bones

Composed of a long cylindrical shaft with relatively wide, protruding ends

Shaft contains the medullary cavity

Examples: Phalanges, metatarsals, metacarpals, tibia, fibula, femur, radius, ulna, and humerus

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Types of Bones, 3

Short bones

Small cube-shaped, solid bones that usually have a proportionally large articular surface in order to articulate with more than one bone

Examples: Carpals and tarsals

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Types of Bones, 4

Flat bones

Usually have a curved surface and vary from thick, where tendons attach, to very thin

Examples: Ilium, ribs, sternum, clavicle, and scapula

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Types of Bones, 5

Irregular bones

Include bones throughout the entire spine and the ischium, pubis, and maxilla

Sesamoid bones

Small bones embedded within tendon of a musculotendinous unit that provide protection and improve mechanical advantage of musculotendinous units

Example: Patella

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Typical Bony Features, 1

Diaphysis: Long cylindrical shaft

Cortex: Hard, dense and compact bone forming walls of the diaphysis

Periosteum: Dense, fibrous membrane covering the outer surface of the diaphysis

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Typical Bony Features, 2

Endosteum: Fibrous membrane that lines the inside of the cortex

Medullary or marrow cavity

Lies between the walls of the diaphysis

Contains yellow or fatty marrow

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Typical Bony Features, 3

Epiphysis

Appears at the ends of long bones

Formed from cancellous, spongy or trabecular, bone

Epiphyseal plate or growth plate

Thin cartilage plate that separates the diaphysis and the epiphysis

© Jim Wehtje/Getty Images

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Typical Bony Features, 4

Articular or hyaline cartilage

Covers the epiphysis to provide a cushioning effect and reduces friction

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Bone Growth, 1

Endochondral bones

Develop from hyaline cartilage

Hyaline cartilage masses grow rapidly into structures as humans develop from an embryo

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Bone Growth, 2

Grow rapidly into structures shaped similar to the bones that they will eventually become

Growth continues, and cartilage gradually undergoes significant change to develop into long bone

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Bone Growth, 3

Longitudinal growth continues as long as the epiphyseal plates are open

Around adolescence, plates begin closing and disappear

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Bone Growth, 4

Most close by age 18, but some may be open until age 25

Growth in diameter continues throughout life

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Bone Growth, 5

Internal layer of periosteum builds new concentric layers on old layers

Simultaneously, bone around the sides of the medullary cavity is resorbed so that the diameter is continually increased

Osteoblasts: Cells that form new bone

Osteoclasts: Cells that resorb old bone

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Bone Properties, 1

Composed of calcium carbonate, calcium phosphate, collagen, and water

60 to 70 percent of bone weight: Calcium carbonate and calcium phosphate

25 to 30 percent of bone weight: Water

Collagen provides some flexibility and strength in resisting tension

Aging causes progressive loss of collagen and increases bone brittleness

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Bone Properties, 2

Most outer bone is cortical; cancellous bone is underneath

Cortical bone: 5 percent to 30 percent of volume is porous, with nonmineralized tissue

Cancellous bone: Spongy with 30 to 90 percent of its volume being porus

Cortical bone is stiffer and can withstand greater stress, but less strain, than cancellous bone

Cancellous bone is spongier and can undergo greater strain before fracturing

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Bone Properties, 3

Wolff’s law

Bone size and shape are influenced by the direction and magnitude of forces that are habitually applied to them

Bones reshape themselves based on the stresses placed upon them

Bone mass increases over time with increased stress

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Bone Markings, 1

Processes, including elevations and projections

Processes that form joints

Condyle

Facet

Head

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Bone Markings, 2

Processes to which ligaments, muscles, or tendons attach

Crest

Epicondyle

Line

Process

Spine or spinous process

Suture

Trochanter

Tubercle

Tuberosity

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Bone Markings, 3

Cavities or depressions include openings and grooves

Facet

Foramen

Fossa

Fovea

Meatus

Sinus

Sulcus or groove

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Classification of Joints, 1

Articulation or arthroses

Type and range of movements are similar in all humans

Freedom, range, and vigor of movements are limited by the configuration of the bones where they fit together, and by ligaments and muscles

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Classification of Joints, 2

Functional classification

Synarthrodial

Amphiarthrodial

Diarthrodial

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Synarthrodial Joints

Immovable joints that are divided into two types

Suture

Gomphosis: No movement of the teeth in the mandible or maxilla

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Amphiarthrodial Joints, 1

Allow a slight amount of motion to occur

Syndesmosis

Symphysis

Synchondrosis

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Amphiarthrodial Joints, 2

Syndesmosis

Two bones joined together by strong ligamentous structures that allow minimal movement between the bones

Examples: Coracoclavicular joint and inferior tibiofibular joint

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Amphiarthrodial Joints, 3

Symphysis

Joint separated by a fibrocartilage pad that allows very slight movement between the bones

Examples: The symphysis pubis and intervertebral discs

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Amphiarthrodial Joints, 4

Synchondrosis

Type of joint separated by hyaline cartilage that allows very slight movement between the bones

Examples: Costochondral joints of the ribs with the sternum 

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Diarthrodial Joints, 1

Known as synovial joints

Freely movable

Bony ends are surrounded by a sleevelike covering called the joint capsule

Secretes synovial fluid to lubricate joint cavities

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Diarthrodial Joints, 2

Capsule thickenings form tough, nonelastic ligaments that provide additional support against abnormal movement or joint opening

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Diarthrodial Joints, 3

Articular or hyaline cartilage covers the articular surface ends of the bones inside the joint cavity

Absorbs shock

Protects the bone

Slowly absorb synovial fluid during joint unloading or distraction

Secrete synovial fluid during subsequent weight bearing and compression

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Diarthrodial Joints, 4

Range of motion is important to sustaining joint health and function

Some diarthrodial joints have specialized fibrocartilage disks

Provide additional shock absorption and load distribution and further enhance joint stability

Medial and lateral menisci

Glenoid labrum

Acetabular labrum

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Diarthrodial Joints, 5

Diarthrodial joints have motion possible in one or more planes

Degrees of freedom of motion

Motion in 1 plane equals 1 degree of freedom

Motion in 2 planes equals 2 degrees of freedom

Motion in 3 planes equals 3 degrees of freedom

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Diarthrodial Joints, 6

Six types: Each has a different type of bone arrangement

Arthrodial

Ginglymus

Trochoidal

Condyloid

Enarthrodial

Sellar

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Diarthrodial Joints, 7

Arthrodial or gliding joints

Two plane, or flat, bony surfaces that butt against each other

Examples: Vertebral facets in spine and intercarpal and intertarsal joints

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Diarthrodial Joints, 8

Ginglymus or hinge joint

A uniaxial articulation

Articular surfaces allow motion in only one plane

Examples: The elbow, knee, and ankle joints

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Diarthrodial Joints, 9

Trochoidal or pivot, screw joint

Uniaxial

Example: Rotation of the radius on the ulna at the proximal and distal radioulnar joints

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Diarthrodial Joints, 10

Condyloidal or knuckle joint

Ball-and-socket joint

Examples: 2nd, 3rd, 4th, and 5th metacarpophalangeal joints and wrist articulation between the carpal bones and radius

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Diarthrodial Joints, 11

Enarthrodial

Multiaxial ball-and-socket joint

Example: Hip and shoulder joints

Motions are flexions, extensions, abductions, adductions, diagonal abduction and adductions, rotations, and circumductions

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Diarthrodial Joints, 12

Sellar or saddle joint

Unique joint

Permits ball-and-socket movement

Example: 1st carpometacarpal joint in the thumb, some include sternoclavicular joints

Flexion, extension, adduction, abduction, circumduction, and internal and external rotation

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Diarthrodial Joints, 13

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Stability and Mobility of Diarthrodial Joints, 1

The more mobile a joint, the less stable it is, and vice versa

Both heredity and developmental factors, Wolff’s law for bone and Davis’s law for soft tissue, contribute to these variances

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Stability and Mobility of Diarthrodial Joints, 2

Davis’s law

Ligaments, muscle, and other soft tissue when placed under appropriate tension will adapt over time by lengthening; conversely, when maintained in a loose or shorted state over a period of time, they will gradually shorten

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Stability and Mobility of Diarthrodial Joints, 3

Five major factors affect the total stability, and consequently the mobility, of a joint

Bones

Cartilage

Ligaments and connective tissue

Muscles

Proprioception and motor control

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Stability and Mobility of Diarthrodial Joints, 4

Bones

Usually very similar in bilateral comparisons within an individual

Actual anatomical configuration at the joint surfaces in terms of depth and shallowness may vary significantly between individuals

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Stability and Mobility of Diarthrodial Joints, 5

Cartilage

Structures of both hyaline cartilage and specialized cartilaginous structures, such as knee menisci, glenoid labrum, and acetabular labrum, further assist in joint congruency and stability

Normally the same in bilateral comparisons within an individual, but may vary between individuals in size and configuration

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Stability and Mobility of Diarthrodial Joints, 6

Ligaments and connective tissue

Provide static stability to joints

Variances exist between individuals in the degree of restrictiveness of ligamentous tissue

Amount of hypo- or hyperlaxity of an individual is primarily due to proportional amount of elastin versus collagen within joint structures

Individuals with proportionally higher elastin-to-collagen ratios are hyperlax, or "loose-jointed,” whereas individuals with proportionally lower ratios are tighter

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Stability and Mobility of Diarthrodial Joints, 7

Muscles

Provide dynamic stability to joints when actively contracting

Without active tension via contraction, muscles provide minimal static stability

Strength and endurance are significant factors in stabilizing joints

Muscle flexibility may affect the total range of joint motion possible

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Stability and Mobility of Diarthrodial Joints, 8

Proprioception and motor control

Proprioception - Subconscious mechanism by which the body is able to regulate posture and movements by responding to stimuli originating in proprioceptors embedded in joints, tendons, muscles, and the inner ear

Motor control - Process by which bodily actions and movements are organized and executed

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Stability and Mobility of Diarthrodial Joints, 9

Proprioception and motor control

To determine the appropriate amount of muscular forces and joint activations needed, sensory information from the environment and the body must be integrated and then coordinated in a cooperative manner between the central nervous system and the musculoskeletal system

Muscle strength and endurance are not very useful in providing joint stability unless activated precisely when needed

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Stability and Mobility of Diarthrodial Joints, 10

Structural integrity may be affected by acute or chronic injury

Structures adapt over time both positively and negatively to specific biomechanical demands placed upon them

When any of the above factors are compromised, additional demands are placed on remaining structures to provide stability, which in turn may compromise their integrity, resulting in abnormal mobility

This abnormal mobility, that is, hypermobility or hypomobility, may lead to further pathological conditions such as tendinitis, bursitis, arthritis, internal derangement, and joint subluxations

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Movements in Joints, 1

Some joints permit only flexion and extension, while others permit a wide range of movements, depending largely on the joint structure

Goniometer: Used to measure amount of movement in a joint or range of motion

Inclinometers may also be used

Courtesy of R.T. Floyd

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Range of Motion

Area through which a joint may normally be freely and painlessly moved

Measured with a goniometer

Courtesy of R.T. Floyd

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Movements in Joints, 2

Goniometer axis is placed even with the axis of rotation at the joint line

Stationary arm is held in place either along or parallel to the long axis of the more stationary bone

Normal range of motion for a particular joint varies from person to person

Joint angle is then read from the goniometer

Courtesy of R.T. Floyd

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Movements in Joints, 3

Terms are used to describe actual change in position of the bones relative to each other

Angles between bones change

Movement occurs between articular surfaces of the joint

Flexing the knee results in leg moving closer to the thigh

Flexion of the leg equals flexion of the knee

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Movements in Joints, 4

Movement terms describe movement occurring throughout the full range of motion or through a very small range

Example: Flex the knee through the full range by beginning in full knee extension, that is, zero degrees of knee flexion, and flexing it fully, so that the heel comes in contact with the buttocks

This is approximately 140 degrees of flexion

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Movements in Joints, 5

Example: Begin with the knee in 90 degrees of flexion and then flex it 30 degrees

This results in a knee flexion angle of 120 degrees, even though the knee only flexed 30 degrees

In both examples, the knee is in different degrees of flexion

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Movements in Joints, 6

Example: Begin with the knee in 90 degrees of flexion and extend it 40 degrees, which would result in a flexion angle of 50 degrees

Even though the knee is extended, it is still flexed

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Movements in Joints, 7

Some movement terms describe motion at several joints throughout the body

Some terms are relatively specific to a joint or group of joints

Prefixes hyper- and hypo- may be combined with these terms to emphasize motion beyond and below normal, respectively

Hyperextension is the most commonly used term

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Movement Terminology

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General, 1

Abduction

Lateral movement away from the middle of the trunk in the frontal plane

Example: Raising the arms or thighs to the side away from the anatomical position

Courtesy of R.T. Floyd

Jump to General, 1, Appendix

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General, 2

Adduction

Movement medially toward and slash or across the midline of the trunk in the frontal plane

Example: Lowering the arm to the side or the thigh back to the anatomical position

Courtesy of R.T. Floyd

Jump to General, 2, Appendix

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General, 3

Flexion

Bending movement that results in a decrease of the angle in a joint by bringing bones together, usually in the sagittal plane

Example: Elbow joint when the hand is drawn to the shoulder

Courtesy of R.T. Floyd

Jump to General, 3, Appendix

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General, 4

Extension

Straightening movement that results in an increase of the angle in a joint by moving bones apart, usually in the sagittal plane

Example: Elbow joint when the hand moves away from the shoulder

Courtesy of R.T. Floyd

Jump to General, 4, Appendix

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General, 5

Circumduction

Circular movement of a limb that delineates an arc or describes a cone

Combination of flexion, extension, abduction, and adduction

Also referred to as circumflexion

Example: When the shoulder joint or the hip joint moves in a circular fashion around a fixed point

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General, 6

Diagonal abduction

Movement by a limb through a diagonal plane away from the midline of the body

Diagonal adduction

Movement by a limb through a diagonal plane toward and across the midline of the body

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General, 7

External rotation

Rotary movement around the longitudinal axis of a bone away from the midline of the body

Occurs in the transverse plane

Also known as rotation laterally, outward rotation, and lateral rotation

Courtesy of R.T. Floyd

Jump to General, 7, Appendix

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General, 8

Internal rotation

Rotary movement around the longitudinal axis of a bone toward the midline of the body

Occurs in the transverse plane

Also known as rotation medially, inward rotation, and medial rotation

Courtesy of R.T. Floyd

Jump to General, 8, Appendix

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Terms Describing Ankle and Foot Movements

Eversion

Turning the subtalar and traverse tarsal joints outward or laterally in the frontal plane

Example: Standing with the weight on the inner edge of the foot

Inversion

Turning subtalar and traverse tarsal joints medially in the frontal plane

Example: Standing with the weight on the outer edge of the foot

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Ankle or Talocrural and Foot Movements

Dorsal flexion

Flexion movement of the ankle that results in the top of the foot moving toward the anterior tibia

Plantar flexion

Extension movement of the ankle that results in the foot moving away from the body

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Ankle and Foot Movements

Pronation

Combination of ankle dorsiflexion, subtalar eversion, and forefoot abduction or toe-out

Supination

Combination of ankle plantar flexion, subtalar inversion, and forefoot adduction or toe-in

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Radioulnar Joint Movements

Pronation

Internally rotating the radius so that it lies diagonally across the ulna, resulting in the palm-down position of the forearm

Supination

Externally rotating the radius so that it lies parallel to the ulna, resulting in palm-up position of the forearm

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Shoulder or Scapulothoracic Girdle Movements, 1

Depression

Inferior movement of the shoulder girdle

Example: Returning to the normal position from a shoulder shrug

Elevation

Superior movement of the shoulder girdle

Example: Shrugging the shoulders

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Shoulder or Scapulothoracic Girdle Movements, 2

Protraction

Forward movement of the shoulder girdle away from the spine

Abduction of the scapula

Retraction

Backward movement of the shoulder girdle toward the spine

Adduction of the scapula

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Shoulder or Scapulothoracic Girdle Movements, 3

Rotation downward

Rotary movement of the scapula with the inferior angle of the scapula moving medially and downward

Rotation upward

Rotary movement of the scapula with the inferior angle of the scapula moving laterally and upward

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Shoulder or Glenohumeral Joint Movements, 1

Horizontal abduction

Movement of the humerus in the horizontal plane away from the midline of the body

Also known as horizontal extension or transverse abduction

Horizontal adduction

Movement of the humerus in the horizontal plane toward the midline of the body

Also known as horizontal flexion or transverse adduction

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Shoulder or Glenohumeral Joint Movements, 2

Scaption

Movement of the humerus away from the body in the scapular plane

Glenohumeral abduction in a plane 30 to 45 degrees between the sagittal and frontal planes

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Spine Movements

Lateral flexion or side bending

Movement of the head and slash or trunk laterally away from the midline

Abduction of the spine

Reduction

Return of the spinal column to the anatomic position from lateral flexion

Adduction of the spine

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Wrist and Hand Movements, 1

Palmar flexion

Flexion movement of the wrist with the volar or anterior side of the hand moving toward the anterior side of the forearm

Dorsal flexion or dorsiflexion

Extension movement of the wrist in the sagittal plane with the dorsal or posterior side of the hand moving toward the posterior side of the forearm

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Wrist and Hand Movements, 2

Radial flexion or radial deviation

Abduction movement at the wrist in the frontal plane of the thumb side of the hand toward the forearm

Ulnar flexion or ulnar deviation

Adduction movement at the wrist in the frontal plane of the little finger side of the hand toward the forearm

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Wrist and Hand Movements, 3

Opposition of the thumb

Diagonal movement of the thumb across the palmar surface of the hand to make contact with the fingers

Reposition of the thumb

Diagonal movement of the thumb as it returns to the anatomical position from opposition with the hand and slash or fingers

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Movement Icons, 1

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Movement Icons, 2

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Movement Icons, 3

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Movement Icons, 4

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Movement Icons, 5

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Movement Icons, 6

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Movement Icons, 7

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Movement Icons, 8

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Movement Icons, 9

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Movement Icons, 10

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Movement Icons, 11

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Movement Icons, 12

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Physiological Movements versus Accessory Motions, 1

Physiological movements: Flexion, extension, abduction, adduction, and rotation

Occur by the bones moving through planes of motion about an axis of rotation at the joint

Osteokinematic motion

Motion of the bones relative to the three cardinal planes resulting from these physiological movements

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Physiological Movements versus Accessory Motions, 2

For osteokinematic motions to occur, there must be movement between the joint articular surfaces

Arthrokinematics: Motion between the articular surfaces

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Physiological Movements versus Accessory Motions, 3

Three specific types of accessory motions

Spin

Roll

Glide

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Physiological Movements versus Accessory Motions, 4

If accessory motion is prevented from occurring, then physiological motion cannot occur to any substantial degree other than by joint compression or distraction

Since most diarthrodial joints are composed of a concave surface articulating with a convex surface, roll and glide must occur together to some degree

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Physiological Movements versus Accessory Motions, 5

Example 1: As a person stands from a squatting position, the femur must roll forward and simultaneously slide backward on the tibia for the knee to extend

If not for the slide, the femur would roll off the front of the tibia

If not for the roll, the femur would slide off the back of the tibia

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Physiological Movements versus Accessory Motions, 6

Spin may occur in isolation or in combination with roll and glide

As the knee flexes and extends, spin occurs to some degree

In example 1, the femur spins medially or internally rotates as the knee reaches full extension

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Physiological Movements versus Accessory Motions, 7

Roll or rock

A series of points on one articular surface contacts a series of points on another articular surface 

Glide, slide, or translation

A specific point on one articulating surface comes in contact with a series of points on another surface 

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Physiological Movements versus Accessory Motions, 8

Spin: A single point on one articular surface rotates about a single point on another articular surface

Motion occurs around some stationary longitudinal mechanical axis in either a clockwise or counterclockwise direction

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Websites, 1

BBC Science and Nature

Allows interactive placement of bone and joint structures

Skeletal system

Pictures of dissected bones and their anatomical landmarks

ExRx Articulations

Detailed common exercises demonstrating movements of each joint and listing the muscles involved

Human Anatomy Online

Interactive skeleton labeling

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Websites, 2

Virtual skeleton

A 3-dimensional human osteology with Quicktime movies of each bone

Anatomy and Physiology Tutorials

BBC Science and Nature

Describes each bone and allows viewing of each from different angles

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Websites, 3

BBC Science and Nature

Describes each type of joint and allows viewing of how the joint moves within the body

University of Michigan Learning Resource Center, Hypermuscle: Muscles in action

Describes each motion and allows viewing of the motion preformed

Functions of the Skeletal System

Several pages with information on bone tissue, bone development and growth, and the joints

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Websites, 4

Wireframe Skeleton

Move around the skeleton's limbs arms legs body and make it do funny things

eSkeletons Project

An interactive site with a bone viewer showing the morphology, origins, insertions, and articulations of each bone

Introductory Anatomy: Joints

Notes on joint articulations

Radiographic Anatomy of the Skeleton

X-rays with and without labels of bony landmarks

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Websites, 5

Skeleton: The Joints

Point and click to detailed joint illustrations

TeachPE.com

Interactive questions on bones, joints, muscles

Skeletal System Quiz

Allows you to take a quiz on the skeletal system

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Appendices

Manual of Structural Kinesiology

Reference Positions, 2, Appendix

A rightward-pointing arrow labeled left is positioned to the left of the neck. A leftward-pointing arrow labeled right is positioned to the right of the neck. An upward-pointing arrow positioned from the lower part of the left arm to the upper part of the left arm is labeled proximal. An upward-pointing arrow positioned from the left foot to the left knee is labeled proximal. A downward-pointing arrow positioned from the upper part of the right arm to the lower part of the right arm is labeled distal. A downward-pointing arrow positioned from the right knee to the right foot is labeled distal. A dotted vertical line labeled midline is positioned at the center of the upper body. An arrow labeled medial points toward the midline. An arrow labeled lateral points outward from the midline. An upward-pointing arrow labeled superior open parenthesis cephalic close parenthesis is positioned from the middle to the upper half of the body. A downward-pointing arrow labeled inferior open parenthesis caudal close parenthesis is positioned from the elbow to the lower arm of the body.

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Reference Lines, 2, Appendix

The figure shows the upper body of a man facing forward. A vertical line is positioned along the middle of the body and is labeled mid-sternal line. A vertical line along the chest of the man is positioned to the left of the mid-sternal line and is labeled right mid-clavicular line. A vertical line along the shoulder of the man is positioned to the left of the right mid-clavicular line and is labeled right anterior axillary line.

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Reference Lines, 4, Appendix

The figure shows a picture of a man’s back. A vertical line is positioned along the middle of the body and is labeled vertebral line. A vertical line along the right side of the neck is positioned to the right of the vertebral line and is labeled scapular line. A vertical line along the shoulder of the man is positioned to the right of the scapular line and is labeled posterior axillary line.

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Anatomical Directional Terminology, 1, Appendix

There is a horizontal line passing through the torso of the body. There is a leftward-pointing arrow and a rightward-pointing arrow on the left and right ends of the line, respectively. The leftward-pointing arrow is labeled anterior open parenthesis ventral close parenthesis. The rightward-pointing arrow is labeled posterior open parenthesis dorsal close parenthesis. An upward-pointing arrow labeled proximal is positioned along the upper leg. A downward-pointing arrow labeled distal is positioned along the lower leg. An upward-pointing arrow labeled superior open parenthesis cephalic close parenthesis is positioned from the middle of the upper back to the head. A downward-pointing arrow labeled inferior open parenthesis caudal close parenthesis is positioned along the back of the body.

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Anatomical Directional Terminology, 2, Appendix

The figure is divided into four parts, with a line running through the center vertically and a line running through the center horizontally. The top and bottom ends of the vertical line are labeled anterior and posterior, respectively. The left and right ends of the horizontal line are labeled medial and lateral, respectively. The region between the ends anterior and lateral is labeled anterolateral. The different parts of the anterolateral region shown in the figure are tibial tuberosity and lateral meniscus. The region between the ends lateral and posterior is labeled posterolateral. The part of the posterolateral region shown in the figure is lateral tibial plateau. The region between the ends posterior and medial is labeled posteromedial. The different parts of the posteromedial region shown in the figure are posterior cruciate ligament and medial tibial plateau. The region between the ends medial and anterior is labeled anteromedial. The different parts of the anteromedial region shown in the figure are anterior cruciate ligament and medial meniscus.

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Anatomical Directional Terminology, 3, Appendix

The figure is divided into four parts, with a line running through the center vertically and a line running through the center horizontally. The top and bottom ends of the vertical line are labeled anterior and posterior, respectively. The left and right ends of the horizontal line are labeled medial and lateral, respectively. The region between the ends anterior and lateral is labeled anterolateral. The different parts of the anterolateral region shown in the figure are tibial tuberosity and lateral meniscus. The region between the ends lateral and posterior is labeled posterolateral. The part of the posterolateral region shown in the figure is lateral tibial plateau. The region between the ends posterior and medial is labeled posteromedial. The different parts of the posteromedial region shown in the figure are posterior cruciate ligament and medial tibial plateau. The region between the ends medial and anterior is labeled anteromedial. The different parts of the anteromedial region shown in the figure are anterior cruciate ligament and medial meniscus.

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Anatomical Directional Terminology, 4, Appendix

The figure is divided into four parts, with a line running through the center vertically and a line running through the center horizontally. The top and bottom ends of the vertical line are labeled anterior and posterior, respectively. The left and right ends of the horizontal line are labeled medial and lateral, respectively. The region between the ends anterior and lateral is labeled anterolateral. The different parts of the anterolateral region shown in the figure are tibial tuberosity and lateral meniscus. The region between the ends lateral and posterior is labeled posterolateral. The part of the posterolateral region shown in the figure is lateral tibial plateau. The region between the ends posterior and medial is labeled posteromedial. The different parts of the posteromedial region shown in the figure are posterior cruciate ligament and medial tibial plateau. The region between the ends medial and anterior is labeled anteromedial. The different parts of the anteromedial region shown in the figure are anterior cruciate ligament and medial meniscus.

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Anatomical Directional Terminology, 6, Appendix

A rightward-pointing arrow labeled left is positioned to the left of the neck. A leftward-pointing arrow labeled right is positioned to the right of the neck. An upward-pointing arrow positioned from the lower part of the left arm to the upper part of the left arm is labeled proximal. An upward-pointing arrow positioned from the left foot to the left knee is labeled proximal. A downward-pointing arrow positioned from the upper part of the right arm to the lower part of the right arm is labeled distal. A downward-pointing arrow positioned from the right knee to the right foot is labeled distal. A dotted vertical line labeled midline is positioned at the center of the upper body. An arrow labeled medial points toward the midline. An arrow labeled lateral points outward from the midline. An upward-pointing arrow labeled superior open parenthesis cephalic close parenthesis is positioned from the middle to the upper half of the body. A downward-pointing arrow labeled inferior open parenthesis caudal close parenthesis is positioned from the elbow to the lower arm of the body.

Jump back to Anatomical Directional Terminology, 6

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Anatomical Directional Terminology, 7, Appendix

The figure is divided into four parts, with a line running through the center vertically and a line running through the center horizontally. The top and bottom ends of the vertical line are labeled superior and inferior, respectively. The left and right ends of the horizontal line are labeled lateral and medial, respectively. The region between the ends superior and medial is labeled superomedial. The part of the superomedial region shown in the figure is medial epicondyle. The region between the ends medial and inferior is labeled inferomedial. The different parts of the inferomedial region shown in the figure are patella, medial femoral condyle, medial tibial condyle, tibial tuberosity, and tibia. The region between the ends inferior and lateral is labeled inferolateral. The different parts of the inferolateral region shown in the figure are lateral femoral condyle, lateral tibial condyle, fibular head, and fibula. The region between the ends lateral and superior is labeled superolateral. The part of the superolateral region shown in the figure is lateral epicondyle.

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Anatomical Directional Terminology, 11, Appendix

A rightward-pointing arrow labeled left is positioned to the left of the neck. A leftward-pointing arrow labeled right is positioned to the right of the neck. An upward-pointing arrow positioned from the lower part of the left arm to the upper part of the left arm is labeled proximal. An upward-pointing arrow positioned from the left foot to the left knee is labeled proximal. A downward-pointing arrow positioned from the upper part of the right arm to the lower part of the right arm is labeled distal. A downward-pointing arrow positioned from the right knee to the right foot is labeled distal. A dotted vertical line labeled midline is positioned at the center of the upper body. An arrow labeled medial points toward the midline. An arrow labeled lateral points outward from the midline. An upward-pointing arrow labeled superior open parenthesis cephalic close parenthesis is positioned from the middle to the upper half of the body. A downward-pointing arrow labeled inferior open parenthesis caudal close parenthesis is positioned from the elbow to the lower arm of the body.

Jump back to Anatomical Directional Terminology, 11

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Anatomical Directional Terminology, 12, Appendix

A rightward-pointing arrow labeled left is positioned to the left of the neck. A leftward-pointing arrow labeled right is positioned to the right of the neck. An upward-pointing arrow positioned from the lower part of the left arm to the upper part of the left arm is labeled proximal. An upward-pointing arrow positioned from the left foot to the left knee is labeled proximal. A downward-pointing arrow positioned from the upper part of the right arm to the lower part of the right arm is labeled distal. A downward-pointing arrow positioned from the right knee to the right foot is labeled distal. A dotted vertical line labeled midline is positioned at the center of the upper body. An arrow labeled medial points toward the midline. An arrow labeled lateral points outward from the midline. An upward-pointing arrow labeled superior open parenthesis cephalic close parenthesis is positioned from the middle to the upper half of the body. A downward-pointing arrow labeled inferior open parenthesis caudal close parenthesis is positioned from the elbow to the lower arm of the body.

Jump back to Anatomical Directional Terminology, 12

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Cardinal Planes of Motion, 1, Appendix

Figures A, B, and C show the sagittal plane with frontal axis, frontal plane with sagittal axis, and transverse plane with vertical axis, respectively. They show a human body in an upright position. In figure A, the human body is divided into left and right sections, that is, the sagittal plane open parenthesis anteroposterior, A P close parenthesis. The area above the head is labeled superior, and the area below the feet is labeled inferior. A double-ended arrow positioned diagonally across the torso is labeled frontal axis open parenthesis coronal, lateral, and mediolateral close parenthesis. A vertical line runs between the legs of the human body. A horizontal line labeled medial aspect points to the upper half of the lower leg and a horizontal line labeled lateral aspect points to the lower half of the lower leg. In figure B, the human body is divided into ventral and dorsal sections, that is, the frontal plane open parenthesis lateral, coronal close parenthesis. A double-ended arrow positioned diagonally across the torso is labeled sagittal axis open parenthesis anteroposterior, A P close parenthesis. In figure C, the human body is divided into superior and inferior sections, that is, the transverse plane open parenthesis axial, horizontal close parenthesis. A double-ended arrow positioned vertically across the middle of the body is labeled vertical axis open parenthesis longitudinal, long close parenthesis.

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Cardinal Planes of Motion, 2, Appendix

The figure shows a human body in an upright position that is divided into left and right sections, that is, the sagittal plane open parenthesis anteroposterior, A P close parenthesis. The area above the head is labeled superior, and the area below the feet is labeled inferior. A double-ended arrow positioned diagonally across the torso is labeled frontal axis open parenthesis coronal, lateral, and mediolateral close parenthesis. A vertical line runs between the legs of the human body. A horizontal line labeled medial aspect points to the upper half of the lower leg and a horizontal line labeled lateral aspect points to the lower half of the lower leg.

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Cardinal Planes of Motion, 3, Appendix

The figure shows a human body in an upright position that is divided into ventral and dorsal sections, that is, the frontal plane open parenthesis lateral, coronal close parenthesis. A double-ended arrow positioned diagonally across the torso is labeled sagittal axis open parenthesis anteroposterior, A P close parenthesis.

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Cardinal Planes of Motion, 4, Appendix

The figure shows a human body in an upright position that is divided into superior and inferior sections, that is, the transverse plane open parenthesis axial, horizontal close parenthesis. A double-ended arrow positioned vertically across the middle of the body is labeled vertical axis open parenthesis longitudinal, long close parenthesis.

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Diagonal Planes of Motion, 1, Appendix

Figures A, B, and C show the upper-extremity high diagonal plane movement and axis, upper-extremity low diagonal plane movement and axis, and lower-extremity low diagonal plane movement and axis, respectively. In figure A, a baseball pitcher is pitching a ball. A dotted line is positioned diagonally across his hand and is labeled axis. In figure B, a golfer is swinging his club in order to hit the golf ball. A dotted line is positioned diagonally across his hand and is labeled axis. The trajectory of the swing is labeled diagonal plane of motion. In figure C, a football player is kicking a football. A dotted line is positioned diagonally across the image and is labeled axis. The trajectory of the kicking action is labeled diagonal plane of motion.

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Axes of Rotation, 2, Appendix

The figure shows a human body in an upright position that is divided into left and right sections, that is, the sagittal plane open parenthesis anteroposterior, A P close parenthesis. The area above the head is labeled superior, and the area below the feet is labeled inferior. A double-ended arrow positioned diagonally across the torso is labeled frontal axis open parenthesis coronal, lateral, and mediolateral close parenthesis. A vertical line runs between the legs of the human body. A horizontal line labeled medial aspect points to the upper half of the lower leg and a horizontal line labeled lateral aspect points to the lower half of the lower leg.

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Axes of Rotation, 3, Appendix

The figure shows a human body in an upright position that is divided into ventral and dorsal sections, that is, the frontal plane open parenthesis lateral, coronal close parenthesis. A double-ended arrow positioned diagonally across the torso is labeled sagittal axis open parenthesis anteroposterior, A P close parenthesis.

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Axes of Rotation, 4, Appendix

The figure shows a human body in an upright position that is divided into superior and inferior sections, that is, the traverse plane open parenthesis axial, horizontal close parenthesis. A double-ended arrow positioned vertically across the middle of the body is labeled vertical axis open parenthesis longitudinal, long close parenthesis.

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Axes of Rotation, 5, Appendix

Figures A, B, and C show the upper-extremity high diagonal plane movement and axis, upper-extremity low diagonal plane movement and axis, and lower-extremity low diagonal plane movement and axis, respectively. In figure A, a baseball pitcher is pitching a ball. A dotted line is positioned diagonally across his hand and is labeled axis. In figure B, a golfer is swinging his club in order to hit the golf ball. A dotted line is positioned diagonally across his hand and is labeled axis. The trajectory of the swing is labeled diagonal plane of motion. In figure C, a football player is kicking a football. A dotted line is positioned diagonally across the image and is labeled axis. The trajectory of the leg kicking the football is labeled diagonal plane of motion.

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Body Regions, 1, Appendix

The different parts shown in figure A are as follows: nasal open parenthesis nose close parenthesis, otic open parenthesis ear close parenthesis, oral open parenthesis mouth close parenthesis, cephalic open parenthesis head close parenthesis, frontal open parenthesis forehead close parenthesis, orbital open parenthesis eye close parenthesis, buccal open parenthesis cheek close parenthesis, mental open parenthesis chin close parenthesis, cervical open parenthesis neck close parenthesis, clavicular open parenthesis collar bone close parenthesis, acromial open parenthesis point of the shoulder close parenthesis, throat, axillary open parenthesis armpit close parenthesis, sternal, mammary open parenthesis breast close parenthesis, the pectoral region open parenthesis chest close parenthesis, brachial open parenthesis arm close parenthesis, antecubital open parenthesis front of the elbow close parenthesis, anterior cubital open parenthesis cubital fossa close parenthesis, celiac or abdominal open parenthesis abdomen close parenthesis, navel, inguinal open parenthesis groin close parenthesis, antebrachial open parenthesis forearm close parenthesis, carpal open parenthesis wrist close parenthesis, palmar open parenthesis palm close parenthesis, digital open parenthesis finger close parenthesis, coxal open parenthesis hip close parenthesis, genital, femoral open parenthesis thigh close parenthesis, patellar open parenthesis kneecap close parenthesis, anterior crural open parenthesis leg close parenthesis, talus open parenthesis ankle close parenthesis, the dorsum of the foot, digital open parenthesis toe close parenthesis, and tarsal open parenthesis instep close parenthesis. The different parts shown in figure B are as follows: cranial open parenthesis surrounding the brain close parenthesis, occipital open parenthesis base of skull close parenthesis, nuchal open parenthesis posterior neck close parenthesis, posterior thoracic, scapula open parenthesis shoulder blade close parenthesis, shoulder, vertebral open parenthesis spinal column close parenthesis, brachial open parenthesis arm close parenthesis, abdominal, olecranon open parenthesis point of elbow close parenthesis, lumbar open parenthesis lower back or loin close parenthesis, dorsum of the hand, gluteal open parenthesis buttock close parenthesis, sacral, perineal, femoral open parenthesis thigh close parenthesis, popliteal fossa open parenthesis back of knee close parenthesis, sural open parenthesis calf close parenthesis, peroneal open parenthesis fibular close parenthesis, and plantar open parenthesis sole close parenthesis.

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Skeletal System, Appendix

The different parts shown in figure A are as follows: skull, which consists of frontal bone and zygomatic bone; manubrium; coracoid process; humeral head; rib cage, which consists of sternum and ribs open parenthesis 12 pairs close parenthesis; medial epicondyle; radial head; radial tuberosity; pelvic girdle; iliac crest; ilium; femoral head; obturator foramen; ischium; pubis; tibial tuberosity; medial malleolus; greater tubercle; lesser tubercle; costal cartilages; xiphoid process; patella; tarsal bones open parenthesis 7 close parenthesis; metatarsal bones open parenthesis 5 close parenthesis; and phalanges open parenthesis 5 close parenthesis. The different parts shown in figure B are as follows: occipital bone; occipital protuberance; cervical vertebrae open parenthesis 7 close parenthesis; thoracic vertebrae open parenthesis 12 close parenthesis; axillary border; vertebral border; inferior angle; lumbar vertebrae open parenthesis 5 close parenthesis; lateral epicondyle; olecranon process of ulna; pelvic girdle; greater trochanter; lesser trochanter; phalanges open parenthesis 5 close parenthesis; medial femoral condyle; lateral femoral condyle; spine of scapula; superior angle; ischial tuberosity; talus; and calcaneus. The different parts that are shown in both figure A and figure B are as follows: parietal bone; temporal bone; maxilla; mandible; clavicle; acromion process, scapula; humerus; vertebral column; ulna; os coxa; sacrum; coccyx; radius; carpal bones open parenthesis 8 close parenthesis; metacarpal bones open parenthesis 5 close parenthesis; femur; fibula head; tibia; fibula; and lateral malleolus.

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Typical Bony Features, 1, Appendix

The different parts shown in the figure are as follows: the epiphyseal plates, the articular cartilage, the spongy bone, the space occupied by red marrow, the endosteum, the cortex, the medullary cavity, the yellow marrow, the periosteum, the proximal epiphysis, the diaphysis, and the distal epiphysis.

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Typical Bony Features, 2, Appendix

The different parts shown in the figure are as follows: the epiphyseal plates, the articular cartilage, the spongy bone, the space occupied by red marrow, the endosteum, the cortex, the medullary cavity, the yellow marrow, the periosteum, the proximal epiphysis, the diaphysis, and the distal epiphysis.

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Typical Bony Features, 4, Appendix

The different parts shown in the figure are as follows: the epiphyseal plates, the articular cartilage, the spongy bone, the space occupied by red marrow, the endosteum, the cortex, the medullary cavity, the yellow marrow, the periosteum, the proximal epiphysis, the diaphysis, and the distal epiphysis.

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Bone Growth, 1, Appendix

These stages are labeled from a to f. Stage a shows a cartilaginous model. Stage b shows the developing periosteum and a calcified cartilage. Stage c shows the compact bone developing, a blood vessel, and a primary ossification center are shown. Stage d shows the secondary ossification centers and a medullary cavity. Stage e shows epiphyseal plates, a medullary cavity, and a compact bone. Stage f shows the remnants of epiphyseal plates, the articular cartilages, the spongy bones, and a medullary cavity.

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Bone Growth, 2, Appendix

These stages are labeled from a to f. Stage a shows a cartilaginous model. Stage b shows the developing periosteum and a calcified cartilage. Stage c shows the compact bone developing, a blood vessel, and a primary ossification center are shown. Stage d shows the secondary ossification centers and a medullary cavity. Stage e shows epiphyseal plates, a medullary cavity, and a compact bone. Stage f shows the remnants of epiphyseal plates, the articular cartilages, the spongy bones, and a medullary cavity.

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Bone Growth, 3, Appendix

The image on the left shows a growing bone, and the image on the right shows an adult bone. The growing bone is categorized into epiphyseal growth, growth in length, and growth in diameter. The stages under epiphyseal growth are as follows: growth in cartilage surrounding epiphysis, cartilage replaced by bone, and bone remodeled. The stages under growth in length are as follows: cartilage growth in the epiphyseal plate, cartilage replaced by bone, bone remodeled, and bone resorption. The stages under growth in diameter are as follows: bone addition and bone resorption. The different parts shown in the adult bone are as follows: articular cartilage and epiphyseal line. An arrow originating from the growing bone points to the adult bone.

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Bone Growth, 4, Appendix

The image on the left shows a growing bone, and the image on the right shows an adult bone. The growing bone is categorized into epiphyseal growth, growth in length, and growth in diameter. The stages under epiphyseal growth are as follows: growth in cartilage surrounding epiphysis, cartilage replaced by bone, and bone remodeled. The stages under growth in length are as follows: cartilage growth in the epiphyseal plate, cartilage replaced by bone, bone remodeled, and bone resorption. The stages under growth in diameter are as follows: bone addition and bone resorption. The different parts shown in the adult bone are as follows: articular cartilage and epiphyseal line. An arrow originating from the growing bone points to the adult bone.

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Synarthrodial Joints, Appendix

The image on the left is labeled suture. The image on the right is labeled gomphosis. A part of the suture and a part of the gomphosis are enlarged and are together labeled fibrous connective tissue.

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Amphiarthrodial Joints, 1, Appendix

Figures A, B, and C show the syndesmosis joint, symphysis joint, and synchondrosis joint, respectively. Figure A shows the enlarged image of the fibrous connective tissue in the syndesmosis joint. Figure B shows the pubic symphysis, interpubic disk open parenthesis fibrocartilage close parenthesis, and an enlarged image of the body of vertebra inside which the intervertebral disk open parenthesis fibrocartilage close parenthesis is labeled. A part of the synchondrosis joint is enlarged, and it has the following regions labeled in it: the sternum, the clavicle, the rib, and the costal cartilage.

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Amphiarthrodial Joints, 3, Appendix

This figure shows the pubic symphysis, interpubic disk open parenthesis fibrocartilage close parenthesis, and an enlarged image of the body of vertebra inside which the intervertebral disk open parenthesis fibrocartilage close parenthesis is labeled.

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Diarthrodial Joints, 1, Appendix

The different parts that are shown in the figure are as follows: bones; blood vessel; nerve; bursa; joint cavity open parenthesis filled with synovial fluid close parenthesis; articular cartilage; tendon sheath; tendon; periosteum, which consists of fibrous layer and membranous layer; and joint capsule, which consists of synovial membrane and fibrous capsule.

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Diarthrodial Joints, 2, Appendix

The different parts that are shown in the figure are as follows: bones; blood vessel; nerve; bursa; joint cavity open parenthesis filled with synovial fluid close parenthesis; articular cartilage; tendon sheath; tendon; periosteum, which consists of fibrous layer and membranous layer; and joint capsule, which consists of synovial membrane and fibrous capsule.

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Diarthrodial Joints, 13, Appendix

The figure consists of a square box, an upward-pointing arrow, and a downward-pointing arrow. The square box is divided into four rows. The first row reads diarthrodial joint stability. The second row is divided into three columns. The first column reads static; the second column contains three bullet points that read bony architecture, cartilaginous structure, and ligamentous and connective tissue laxity; and the third column reads structural. The third row is divided into three columns. The first column reads dynamic; the second column contains two bullet points that read muscle strength, endurance, and flexibility, and proprioception and motor control; and the third column reads functional. The fourth row reads diarthrodial joint mobility. The downward-pointing arrow reads increased joint stability leads to decreased joint mobility and is positioned on the left side of the square box. The upward-pointing arrow reads increased joint mobility leads to decreased joint stability and is positioned on the right side of the square box.

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Movement Terminology, Appendix

Figure A shows examples of sagittal plane movements: extension of left toes, ankle open parenthesis plantar flexion close parenthesis, knee, hip, shoulder, elbow, wrist, fingers, lumbar and cervical spine; flexion of right toes, ankle open parenthesis dorsiflexion close parenthesis, knee, hip, shoulder, elbow, wrist, and fingers. Figure B shows examples of frontal plane movements: abduction of left transverse tarsal slash subtalar joints open parenthesis eversion close parenthesis, shoulder, wrist, fingers, and shoulder girdle open parenthesis upward rotation close parenthesis, lumbar open parenthesis lateral flexion to right close parenthesis and cervical spine open parenthesis lateral flexion to left close parenthesis, and right hip; adduction of right transverse tarsal slash subtalar joints open parenthesis inversion close parenthesis, shoulder, wrist, fingers, and shoulder girdle open parenthesis downward rotation close parenthesis. Figure C shows examples of transverse plane movements: internal rotation of right shoulder, right radioulnar joints open parenthesis pronation close parenthesis; external rotation of right knee, right hip, left shoulder, left radioulnar joints open parenthesis supination close parenthesis; and lumbar open parenthesis left rotation close parenthesis and cervical spine open parenthesis left rotation close parenthesis.

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General, 1, Appendix

The movements are the abduction of left transverse tarsal slash subtalar joints open parenthesis eversion close parenthesis, shoulder, wrist, fingers, and shoulder girdle open parenthesis upward rotation close parenthesis, lumbar open parenthesis lateral flexion to right close parenthesis and cervical spine open parenthesis lateral flexion to left close parenthesis, and right hip; adduction of right transverse tarsal slash subtalar joints open parenthesis inversion close parenthesis, shoulder, wrist, fingers, and shoulder girdle open parenthesis downward rotation close parenthesis.

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General, 2, Appendix

The movements are the abduction of left transverse tarsal slash subtalar joints open parenthesis eversion close parenthesis, shoulder, wrist, fingers, and shoulder girdle open parenthesis upward rotation close parenthesis, lumbar open parenthesis lateral flexion to right close parenthesis and cervical spine open parenthesis lateral flexion to left close parenthesis, and right hip; adduction of right transverse tarsal slash subtalar joints open parenthesis inversion close parenthesis, shoulder, wrist, fingers, and shoulder girdle open parenthesis downward rotation close parenthesis.

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General, 3, Appendix

The movements are the extension of left toes, ankle open parenthesis plantar flexion close parenthesis, knee, hip, shoulder, elbow, wrist, fingers, lumbar and cervical spine; flexion of right toes, ankle open parenthesis dorsiflexion close parenthesis, knee, hip, shoulder, elbow, wrist, and fingers.

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General, 4, Appendix

The movements are the extension of left toes, ankle open parenthesis plantar flexion close parenthesis, knee, hip, shoulder, elbow, wrist, fingers, lumbar and cervical spine; flexion of right toes, ankle open parenthesis dorsiflexion close parenthesis, knee, hip, shoulder, elbow, wrist, and fingers.

 

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General, 7, Appendix

The movements are the internal rotation of right shoulder, right radioulnar joints open parenthesis pronation close parenthesis; external rotation of right knee, right hip, left shoulder, left radioulnar joints open parenthesis supination close parenthesis; and lumbar open parenthesis left rotation close parenthesis and cervical spine open parenthesis left rotation close parenthesis.

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General, 8, Appendix

The movements are the internal rotation of right shoulder, right radioulnar joints open parenthesis pronation close parenthesis; external rotation of right knee, right hip, left shoulder, left radioulnar joints open parenthesis supination close parenthesis; and lumbar open parenthesis left rotation close parenthesis and cervical spine open parenthesis left rotation close parenthesis.

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Movement Icons, 1, Appendix

This figure is divided into six columns. The six columns show icons of scapula elevation, scapula depression, scapula abduction, scapula adduction, scapula upward rotation, and scapula downward rotation, respectively.

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Movement Icons, 2, Appendix

This figure is divided into eight columns. The eight columns show icons of shoulder flexion, shoulder extension, shoulder abduction, shoulder adduction, shoulder external rotation, shoulder internal rotation, shoulder horizontal abduction, and shoulder horizontal adduction, respectively.

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Movement Icons, 3, Appendix

This figure is divided into two columns. The header of the first column reads elbow, and the header of the second column reads radioulnar joints. The first column shows icons of elbow flexion and elbow extension. The second column shows icons of radioulnar supination and radioulnar pronation.

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Movement Icons, 4, Appendix

This figure is divided into four columns. The four columns show icons of wrist extension, wrist flexion, wrist abduction, and wrist adduction, respectively.

 

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Movement Icons, 5, Appendix

This figure is divided into three columns. The header of the first column reads thumb carpometacarpal joint, the header of second column reads thumb metacarpophalangeal joint, and the header of the third column reads thumb interphalangeal joint. The first column shows icons of thumb C M C flexion, thumb C M C extension, and thumb C M C abduction. The second column shows icons of thumb M C P flexion and thumb M C P extension. The third column shows icons of thumb I P flexion and thumb I P extension.

 

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Movement Icons, 6, Appendix

This figure is divided into five columns. The header of the first column reads second, third, fourth, and fifth M C P, P I P, and D I P joints. The first column contains icons of second to fifth M C P, P I P, and D I P flexion and second to fifth M C P, P I P, and D I P extension. The header of second column reads second, third, fourth, and fifth M C P and P I P joints. The second column contains an icon of second to fifth M C P and P I P flexion. The header of the third column reads second, third, fourth, and fifth metacarpophalangeal joints. The third column contains icons of second to fifth M C P flexion and second to fifth M C P flexion. The header of the fourth column reads second, third, fourth, and fifth P I P joints. The fourth column contains an icon of second to fifth P I P flexion. The header of the fifth column reads second, third, fourth, and fifth D I P joints. The fifth column contains an icon of second to fifth D I P flexion.

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Movement Icons, 7, Appendix

This figure is divided into six columns. The six columns show icons of hip flexion, hip extension, hip abduction, hip adduction, hip external rotation, and hip internal rotation, respectively.

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Movement Icons, 8, Appendix

This figure is divided into four columns. The four columns show icons of knee flexion, knee extension, knee external rotation, and knee internal rotation, respectively.

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Movement Icons, 9, Appendix

This figure is divided into two columns. The header of the first column reads ankle, and the header of the second column reads transverse tarsal and subtalar joints. The first column shows icons of ankle plantar flexion and ankle dorsal flexion. The second column shows icons of transverse tarsal and subtalar inversion and transverse tarsal and subtalar eversion.

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Movement Icons, 10, Appendix

This figure is divided into two columns. The header of the first column reads great toe metatarsophalangeal and interphalangeal joints, and the header of the second column reads second to fifth metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints. The first column shows icons of great toe M T P and I P flexion and great toe M T P and I P extension. The second column shows icons of second to fifth M T P, P I P, and D I P flexion and second to fifth M T P, P I P, and D I P extension.

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Movement Icons, 11, Appendix

This figure is divided into four columns. The four columns show icons of cervical flexion, cervical extension, cervical lateral flexion, and cervical rotation unilaterally, respectively.

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Movement Icons, 12, Appendix

This figure is divided into four columns. The four columns show icons of lumbar flexion, lumbar extension, lumbar lateral flexion, and lumbar rotation unilaterally, respectively.

 

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Physiological Movements versus Accessory Motions, 3, Appendix

Figures A, B, and C shows the accessory motions of spin, roll, and glide, respectively. The images resemble a spinning top that is rested on a stationary surface, and the top is in contact with the surface during the three accessory motions, spin, roll, and slide. In figure A, the top is spinning with the vertical axis as its axis of rotation. In figure B, the top is spinning such that its vertical axis moves around the circumference of the base of a cone with the axis being the vertex of the cone. In figure C, the top swings from the left to the right.

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Physiological Movements versus Accessory Motions, 5, Appendix

The figure shows a stationary tibia and the spin, roll, slide, and extension motions. It shows the movement of the femur from a horizontal to a vertical position, which is labeled extension. Spin is represented by the rotation of the femur in the vertical position, with the vertical axis being its axis of rotation. Slide is represented by the rotation of the femur when it is in the horizontal position, with the vertical axis being its axis of rotation. The figure also shows the femur rolling forward on the stationary tibia.

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Physiological Movements versus Accessory Motions, 6, Appendix

The figure shows a downward extension of the knee joint with stationary femur. Spin, roll, slide, and extension motions are labeled. It shows the movement of the tibia from a horizontal to a vertical position, which is labeled extension. Spin is represented by the rotation of the tibia in the vertical position, with the vertical axis being its axis of rotation. The figure also shows the tibia rolling or sliding on the stationary femur.

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Physiological Movements versus Accessory Motions, 7, Appendix 1

The image resembles a spinning top that is rested on a stationary surface, and the top is in contact with the surface during the accessory motion of roll. The top is spinning such that its vertical axis moves around the circumference of the base of a cone with the axis being the vertex of the cone.

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Physiological Movements versus Accessory Motions, 7, Appendix 2

The image resembles a spinning top that is rested on a stationary surface, and the top is in contact with the surface during the accessory motion of glide. The top swings from the left to the right.

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Physiological Movements versus Accessory Motions, 8, Appendix

The image resembles a spinning top that is rested on a stationary surface, and the top is in contact with the surface during the accessory motion of spin. The top is spinning with the vertical axis as its axis of rotation.

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