Biomechanics
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Questions and Answers

What is the role of the femur during the last 30 degrees of knee extension in an open kinetic chain (OKC)?

  • It rolls posteriorly and slides posteriorly.
  • It rolls anteriorly and slides anteriorly.
  • It rolls internally and slides externally.
  • It rolls anteriorly and slides posteriorly. (correct)
  • According to the evidence-based review on the Kaltenborn rule, what can be said about the humeral head's arthrokinematic behavior?

  • It exhibits inconsistent behavior dependent on joint health. (correct)
  • It always rolls and slides in the same direction. (correct)
  • It is unaffected by any changes in the joint.
  • It always rolls and slides in opposite directions.
  • What accessory motion may be deficient in a patient with shoulder stiffness and pain during abduction based on the concave/convex rule?

  • Inferior glide of the humeral head. (correct)
  • Anterior glide of the humeral head.
  • Medial glide of the humeral head.
  • Posterior glide of the humeral head.
  • During knee flexion from 30 to 40 degrees in a closed chain, what motion occurs in terms of the femur and tibia?

    <p>Posterior roll and anterior glide of the femur. (D)</p> Signup and view all the answers

    What potential tissue issues could contribute to the shoulder stiffness and pain described in a patient with diabetes and hypertension?

    <p>Tendons and ligaments restricting motion. (C), Joint effusion from inflammation. (D)</p> Signup and view all the answers

    What distinguishes internal torque from external torque?

    <p>Internal torque originates from structures within the body, while external torque is produced by external forces. (C)</p> Signup and view all the answers

    Which type of lever has the axis of rotation located between the opposing forces?

    <p>First-class lever (A)</p> Signup and view all the answers

    During a concentric contraction, how does internal torque compare to external torque?

    <p>Internal torque is always greater than external torque. (A)</p> Signup and view all the answers

    What is an example of external torque?

    <p>Resistance applied by a therapist to a limb. (A)</p> Signup and view all the answers

    Which statement about the decomposition of forces is true?

    <p>Decomposing forces involves breaking down a single force into its x and y components. (D)</p> Signup and view all the answers

    Which of the following best describes the motion of a single point on one articular surface contacting multiple points on another articular surface?

    <p>Glide (D)</p> Signup and view all the answers

    When a convex surface moves on a concave surface, the roll and slide movements occur in which directions?

    <p>In opposite directions (C)</p> Signup and view all the answers

    In arthrokinematics, which term specifically refers to the predominant component to achieve a joint motion?

    <p>Primary Motion (A)</p> Signup and view all the answers

    Which of the following scenarios illustrates the motion of a concave surface moving on a convex surface?

    <p>Shoulder abduction (D)</p> Signup and view all the answers

    In which joint motion scenario does spin act as the primary motion?

    <p>Shoulder Internal/External Rotation at 90 degrees abduction (D)</p> Signup and view all the answers

    What happens during knee extension in closed kinetic chain (CKC) involving roll, slide, and spin?

    <p>Spin is combined with roll and slide (B)</p> Signup and view all the answers

    What best describes the role of accessory motion in joint movement?

    <p>It refers to the secondary and tertiary movements contributing to joint motion (C)</p> Signup and view all the answers

    During terminal knee extension, what combination of arthrokinematic motions occurs?

    <p>Rolling, sliding, and spinning (B)</p> Signup and view all the answers

    What characteristic is associated with closed packed positions?

    <p>Maximal congruency of joint surfaces (D)</p> Signup and view all the answers

    Which of the following motions is NOT considered an arthrokinematic motion?

    <p>Flexion (B)</p> Signup and view all the answers

    When is the knee considered to be in a closed packed position?

    <p>Full extension with external rotation of the tibia (C)</p> Signup and view all the answers

    In the context of kinematics, what does the term 'translation' refer to?

    <p>Linear movement in space (A)</p> Signup and view all the answers

    Which statement accurately describes the center of mass (CoM)?

    <p>It is the point at the exact center of mass distribution. (A)</p> Signup and view all the answers

    Which of the following best describes a scalar quantity?

    <p>Has magnitude but no direction (A)</p> Signup and view all the answers

    How does the angle of application of a force influence its components?

    <p>Smaller angles yield greater x components and smaller y components. (B)</p> Signup and view all the answers

    Which position is expected to provide more anterior/posterior glide of the knee?

    <p>Open packed position at 30 degrees flexion (B)</p> Signup and view all the answers

    In a second class lever, which type of force has greater leverage?

    <p>Internal Forces (D)</p> Signup and view all the answers

    What determines the efficiency of a lever?

    <p>Mechanical Advantage (D)</p> Signup and view all the answers

    In a third class lever, where is the axis of rotation located?

    <p>At one end of the lever (B)</p> Signup and view all the answers

    What is the typical mechanical advantage for internal forces in a second class lever?

    <p>Greater than 1 (A)</p> Signup and view all the answers

    Which type of lever is most commonly used in human anatomy?

    <p>Third class lever (D)</p> Signup and view all the answers

    How does the mechanical advantage of external forces typically compare in a third class lever?

    <p>Less than 1 (B)</p> Signup and view all the answers

    What is a key characteristic of first class levers?

    <p>Internal forces generally have greater leverage. (C)</p> Signup and view all the answers

    Which factor impacts the mechanical advantage of a lever?

    <p>The position of the forces relative to the axis (D)</p> Signup and view all the answers

    Which motion is associated with the sagittal plane?

    <p>Flexion (D)</p> Signup and view all the answers

    What is the maximum number of degrees of freedom a joint can have?

    <p>3 (A)</p> Signup and view all the answers

    In an open kinematic chain, which statement is true?

    <p>Proximal segment is free to move (B)</p> Signup and view all the answers

    Which motion describes the interaction between joint surfaces involving multiple points of contact?

    <p>Roll (D)</p> Signup and view all the answers

    Closed kinetic chain movements are characterized by which of the following?

    <p>Proximal segment rotates on a fixed distal segment (D)</p> Signup and view all the answers

    What happens to the axis of rotation during joint movement?

    <p>It can shift subtly during rotation (A)</p> Signup and view all the answers

    How many degrees of freedom does a typical shoulder joint possess?

    <p>3 (D)</p> Signup and view all the answers

    What does arthrokinematics primarily describe?

    <p>Motion between the articular surfaces of joints (D)</p> Signup and view all the answers

    Flashcards

    Axis of Rotation

    The imaginary line that a bone rotates around during joint movement.

    Degrees of Freedom

    The number of planes of motion a joint allows. A joint can have up to three degrees of freedom, corresponding to the sagittal, frontal, and horizontal planes.

    Open Kinematic Chain

    A movement where the distal segment is not fixed, allowing for free movement.

    Closed Kinematic Chain

    A movement where the distal segment is fixed to the ground or an immovable object, limiting movement.

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    Osteokinematics

    Movement of the bones in space, visible to the naked eye.

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    Arthrokinematics

    Movement occurring between the articular surfaces of a joint, unseen by the naked eye.

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    Roll

    The rolling motion of one joint surface across another. Think of a tire rolling on the road.

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    Glide

    A sliding motion between joint surfaces, where one surface moves parallel to the other. Think of sliding a book across a table.

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    Tibial Arthrokinematics in OKC Knee Extension

    During knee extension in an open kinematic chain (OKC), the tibia rolls anteriorly (forward) and slides anteriorly (forward) while spinning externally (outward).

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    Femoral Arthrokinematics in CKC Knee Flexion

    During knee flexion in a closed kinematic chain (CKC), the femur rolls posteriorly (backward) and slides anteriorly (forward).

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    Concave-Convex Rule

    The concave-convex rule is a guideline to predict joint motion. In a concave-on-convex joint, the moving surface rolls and glides in the same direction, while in a convex-on-concave joint, the moving surface rolls and glides in opposite directions.

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    Concave-Convex Rule in Treatment

    If a joint is restricted, applying the concave-convex rule to stretch tight structures is still an effective treatment approach.

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    Concave-Convex Rule Validity

    Studies have shown that the validity of the concave-convex rule is influenced by the joint's state (normal or dysfunctional) and the active/passive subsystems involved in joint motion.

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    Slide/Glide

    A single point on one articular surface contacts multiple points on another articular surface. Imagine a tire skidding.

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    Spin

    A single point on one articular surface rotates on a single point of the other articular surface. Imagine a spinning top.

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    Primary Motion

    The predominant arthrokinematic motion that contributes to a joint's overall movement.

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    Accessory Motion

    Secondary and tertiary arthrokinematic movements that assist in achieving the joint motion.

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    Convex on Concave Rule

    If a convex surface moves on a concave surface, roll and slide occur in opposite directions.

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    Concave on Convex Rule

    If a concave surface moves on a convex surface, roll and slide occur in the same directions.

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    Spin as the primary motion

    Shoulder's internal and external rotation when the arm is at 90 degrees abduction, Hip Flexion and Extension, Humeroradial joint's supination and pronation.

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    Combined roll, slide, and spin

    Some joints combine roll, slide, and spin. For instance, terminal knee extension: knee extension in closed kinetic chain.

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    Internal Torque

    Torque produced by forces within the body, like muscles and ligaments.

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    External Torque

    Torque produced by forces outside the body, such as gravity or external loads.

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    Lever

    A simple machine consisting of a rigid rod that rotates around a pivot point.

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    First Class Lever

    A type of lever where the pivot point (axis of rotation) is located between the force being applied and the resistance.

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    Second Class Lever

    A type of lever where the resistance is located between the axis of rotation and the force being applied.

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    Closed Packed Position

    A position of maximal congruency between joint surfaces, typically at the end of range of motion. This position offers greater stability and less accessory movement due to taut ligaments and capsule.

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    Open Packed Position

    A position of less congruency between joint surfaces, allowing for more accessory movement. Ligaments and capsule are relatively slack, resulting in lower stability.

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    Center of Mass (CoM)

    The point within an object where its mass is evenly distributed in all directions. This point is considered the center of gravity for practical purposes in this context.

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    Vector

    A quantity that has both magnitude and direction.

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    Scalar

    A quantity that has only magnitude and no direction.

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    Kinetics

    The branch of mechanics that studies the effects of forces on the body, including their magnitude, direction, and point of application.

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    Third Class Lever

    The axis of rotation is located at one end of the lever, and the external forces have greater leverage.

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    Mechanical Advantage

    The efficiency of a lever is determined by its mechanical advantage. It is the ratio of the force exerted by the muscles (internal force) to the force exerted on the object (external force).

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    Second Class Lever Mechanical Advantage

    The mechanical advantage of the internal force is greater than 1, indicating a high mechanical advantage. This means the muscle force is amplified to move a greater external force.

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    Third Class Lever Mechanical Advantage

    The mechanical advantage of the internal force is less than 1, indicating a low mechanical advantage. This means the muscle force is smaller compared to the external force.

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    Prevalence of Third Class Levers

    Third class levers are the most common in the human body because they allow for a wide range of motion and increased speed. Even though they have a low mechanical advantage, they are efficient for fine movements and quick actions.

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    What is the mechanical advantage of the internal force?

    The force exerted by the muscles (internal force) to the force exerted on the object (external force).

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    What is the mechanical advantage of the external force?

    The force exerted by the muscles (internal force) to the force exerted on the object (external force).

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    Study Notes

    Movement Science I - Course Introduction

    • The course is titled "Movement Science I" and is part of a GW Physical Therapy program.
    • The course is adapted with permission from Dr. George Cole, a faculty member at George Washington University.
    • The course is offered by the School of Medicine & Health Sciences at the George Washington University.
    • The course focuses on Health, Human Function, and Rehabilitation Sciences.

    Acknowledgements

    • Dr. Keith Cole
    • Dr. Kenneth Harwood

    Syllabus - Part 1

    • Reflection and Free Body Diagram Assignment: 3%
    • Biomechanics Lab #1 and #2: 5% each, graded for completeness, key released later
    • Quizzes: 2 worth 5% each
    • Exam #1: 30%, free response, solve FBDs, draw graphs or figures

    Syllabus - Part 2

    • Reflection #2: 2%
    • Final Exam: 30%, cumulative, emphasis on the second half of the course, multiple choice
    • Gait Analysis Assignment: 15%

    Course Learning Objectives

    • Apply biomechanical and kinesiological principles to human structures and anatomical structures.
    • Discuss physiological and biomechanical consequences of mechanotransduction and tissue injury.
    • Analyze kinetic and kinematic factors influencing human movement.
    • Apply kinesiological principles of kinematics and biomechanics to movement dysfunction.
    • Assess how tissues are loaded and decide whether to load or unload a tissue.

    Importance of Kinesiology & Biomechanics

    • Discuss how kinesiology and/or biomechanics aid physical therapists.

    Session 1: Essentials of Biomechanics & Kinesiology

    • This session covers the fundamental components of biomechanics and kinesiology.

    Kinematics, Rotation, Translation

    • This section details the principles of kinematics, focusing on rotation and translation.

    Overview

    • Kinesiology: The study of movement, crucial for rehabilitation, MSK prevention, ergonomics, device and equipment design. Integrates anatomy, biomechanics, and physiology.
    • Kinematics (motion) and Kinetics (forces): This section explores the related areas of motion and forces.

    Kinematics

    • Kinematics: Branch of mechanics concerned with motion of a body without reference to forces.
    • Two types of motion: Translation, Rotation

    Translation

    • Translation: Movement of a body without changing its orientation.
    • Types: Rectilinear (straight line), Curvilinear (curved line).
    • Variables: Position/displacement, Velocity, Acceleration.

    Rotation

    • Rotation: Movement of a body in a circular path around a pivot point.
    • All points rotate the same angular direction and the same number of degrees.
    • Variables: Distance (degrees, radians), Velocity (degrees/sec) , Acceleration (radians/sec2)

    Rotation vs. Translation

    • Detailed explanation of the differences in these motions.

    Motion and Osteokinematics vs. Arthrokinematics

    • Describes the motion of bones relative to each other.

    Osteokinematics

    • Motion of bones relative to three cardinal planes.
    • Examples: Flexion/extension (sagittal plane), Abduction/adduction (frontal plane), Internal/external rotation (horizontal plane)
    • Includes assumptions about knowledge of cardinal planes and axes of rotation.

    Axis of Rotation

    • Bones rotate around a joint in a plane perpendicular to the axis.
    • Axis can be assumed to pass through the convex member, but this is a rough estimate.
    • In reality, the center of axis moves during rotation.

    Degrees of Freedom

    • Degrees of freedom are the number of permitted planes of angular motion at a joint, tied to cardinal planes.
    • Joints have up to 3 degrees of freedom.
    • Example: Number of degrees of freedom for shoulder, wrist.
    • 6 degrees total (3 angular and 3 linear)

    Open Chain vs. Closed Chain

    • Open Chain: Distal segment is not fixed to the ground.
    • Closed Chain: Distal segment is fixed to the ground.

    Osteokinematics: OKC and CKC

    • Both open and closed chain motions in osteokinamatics commonly happen simultaneously.

    Arthrokinematics

    • Motion between articular surfaces of joints.
    • Joints generally involve convex and concave surfaces.
    • Three main types of movement: Roll, Glide/Slide, Spin

    Arthrokinematic Motions

    • Roll: Multiple points of one surface contact multiple points on the other.
    • Slide/Glide: A single point on one surface contacts multiple points on another.
    • Spin: A single point on one surface rotates on a single point of another.

    Relative Motion (Rotation vs. Translation)

    • These diagrams show rotation and translation motions.

    Joint Motion

    • Primary Motion: Predominant arthrokinematic component to achieve joint motion.
    • Accessory Motion: Secondary and tertiary arthrokinematic components to achieve joint motion.

    Convex-Concave Rule

    • If a convex surface moves on a concave surface, roll and slide are in opposite directions.
    • If a concave surface moves on a convex surface, roll and slide are in the same directions.
    • This rule, also known as the Kaltenborn rule, describes the relationship between joint surface motions.

    Spin as a Primary Motion

    • Shoulder (Internal/External rotation with 90-degree abduction)
    • Hip (flexion/extension)
    • Humeroradial joint (supination/pronation)

    Combination: Roll and Slide with Spin

    • Some joints combine roll, slide, and spin, for example, knee extension.

    Evidence for the Convex/Concave Rule

    • Evidence-based review of the Kaltenborn rule validity applied to glenohumeral joint.
    • Demonstrates mixed results in the correlation of roll and glide in studies.
    • Different arthrokinematic behaviors were found in normal vs. dysfunctional joints.

    Breakout Questions

    • Questions for analyzing the principle in real world examples.

    Close Packed and Open Packed Positions

    • Closed packed: Maximal congruency (the joint fits best). Most ligaments and capsule are taut. Minimal accessory movement.
    • Open packed: Less congruency ("loose packed"). Relatively slack ligaments and capsule. Relatively more accessory movement.

    Kinematics Review

    • Two types of kinematic motion (translation, rotation)
    • Three types of arthrokinematic motions (spin, roll, glide/slide)
    • Application to patient care (joint mobilization).

    Kinetics

    • Branch of mechanics describing the effects of forces on the body.
    • Definitions such as force (push or pull), Newtons, and defined by point of application, spatial orientation, and magnitude.
    • Internal vs External forces
    • Internal forces – generated by body
    • External forces – sources outside the body

    Center of Mass

    • Point at the exact center of an object's mass (Mass evenly distributed).
    • Center of Gravity: Point about which gravity's effects completely balance.
    • CoM closely coincides with CoG (for class purposes).

    Review: Vector vs Scalar

    • Scalar: Magnitude only (e.g., temperature, mass, distance, speed).
    • Vector: Magnitude and direction (e.g., force, moment, velocity, acceleration).

    Vectors

    • Vectors have both x and y components.
    • Smaller angle implies larger x component/smaller y component.
    • Larger angle means smaller x component/larger y component.

    Torque, Moment, Force

    • Torque (moment) measures how much a force causes an object to rotate.
    • Torque is the rotary equivalent of force.
    • τ= Fd Moment arm: Distance between axis of rotation and line of action.

    Rotatory Motion

    • Torque (moment) measures how much a force causes an object to rotate.
    • Torque is equivalent a rotational force.

    Moment Arm

    • Difference in force and torque for different scenarios with biceps exerting a force on the forearm (ignore gravity).

    Discussion Question (Luggage & Elbow Flexion)

    • Explain why holding luggage greater torque at 90°elbow flexion (shoulder at 0°).

    Decomposition of Forces

    • Torque-generating capacity changes with the angle of force.
    • Break down force into x and y components.

    Internal and External Torque

    • Internal Torque: Produced by internal body structures.
    • External Torque: Produced by forces outside the body. Illustrates examples and gives measurements for illustration.

    Levers

    • Simple machines including a rigid rod across a pivot point.
    • Classified as first, second, and third class levers. The advantage of first, second, and third class for lever designs.

    First Class Levers

    • Axis of rotation between opposing forces.
    • Examples in the body include the head/neck.

    Second Class Levers

    • Axis of rotation located at one end of the lever. Internal forces have greater leverage. Examples in the body include the foot/ankle.

    Third Class Levers

    • Axis of rotation located at one end of the lever. External forces have greater leverage. Examples in the body include the elbow, for example during lifting.

    Mechanical Advantage

    • Efficiency based on its mechanical advantage - Internal force advantage = Ratio of lever length from axis. External force advantage= Ratio of lever length from axis.

    Why is a 3rd Class Lever Most Common?

    • Shorter moment arm allows for a larger arc of movement.
    • Distal segment moves through a wider range of motion faster.

    Questions and importance of Kinetics

    • Discusses the importance of biomechanics and kinetics with images.

    Breakout Questions

    • Sets of thought-provoking questions for analyzing provided cases.

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    Biomechanics Session 1 POST PDF

    Description

    Test your understanding of biomechanical principles related to the femur, humeral head movements, and knee and shoulder mechanics. This quiz explores factors such as internal and external torque, arthrokinematics, and the effects of conditions like diabetes on shoulder function. Perfect for students studying kinesiology, physical therapy, or related fields.

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