Joint Structure and Function Basics

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Questions and Answers

Arthrology is the study of the classification, structure, and function of muscles.

False (B)

Understanding the classification, structure, and function of joints is not important in the study of kinesiology.

False (B)

Detailed information about joint impairments is not required for effective rehabilitation of persons with joint dysfunction.

False (B)

Joint design and material selection are solely based on the function of the joint.

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

Joints designed for stability will have the same design as those designed for mobility.

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

The complexity of joint design increases as functional demands decrease.

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

Synarthroses joints allow significant movement between bones.

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

Arthrokinematics and osteokinematics are key objectives in the study of joint function.

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

Passive ROM involves the maximum force exerted by the flexors at the end range of motion.

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

Degrees of freedom in anatomy refer to the number of independent movements allowed at a joint.

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

During an impure swing in osteokinematics, the movement is restricted to back and forth rotation around a fixed pivot point.

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

Side-to-side translation is an example of angular motion in osteokinematics.

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

External force applied by a therapist can be used to assess the amount of maximal joint play.

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

The physiological barrier in anatomy refers to the middle range of motion.

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

Spin in osteokinematics involves rotation around a joint axis.

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

The loose-packed position provides more natural structural stability compared to the resting position.

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

A saddle joint has paired convex and convex surfaces oriented at ~90° to each other.

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

Synovial fluid is always associated with diarthrodial joints.

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

Articular capsule is part of the elements always associated with joints.

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

Blood vessels are sometimes associated with diarthrodial joints.

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

Osteokinematics describes the motion of bones relative to the three cardinal planes of the body.

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

Joint play is required to ensure articular surfaces can slide freely in the direction of desired movement.

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

Intraarticular discs are always associated with diarthrodial joints.

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

Synovial plicae decrease the synovial surface area of joints.

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

Soft tissue approximation is the end feel for elbow extension.

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

Muscle spasm is considered a normal end feel during joint examination.

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

Type I collagen fibers compose ligaments, tendons, and fibrocartilage.

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

Spasticity is associated with damage to lower motor neurons.

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

Empty end feel is a normal end feel during passive range of motion testing.

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

The concept of kinematic chains is useful for analyzing human motion only.

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

Ground substance is one of the biologic materials that form periarticular connective tissues.

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

Tissue stretch is the end feel for finger extension.

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

Type II fibers are thicker and stiffer than type I fibers.

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

Elastin fibers provide a flexible woven framework for maintaining the shape of structures like hyaline cartilage.

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

Tissues with a high proportion of elastin struggle to return to their original shape.

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

Collagen and elastin fibers are embedded in a dry matrix known as ground substance.

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

Glycosaminoglycans (GAGs) are positively charged and repel water.

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

Water assists in the diffusion of nutrients within the tissue.

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

Cells in periarticular connective tissues do not synthesize specialized ground substance and fibrous proteins unique to the tissue.

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

Cells in periarticular connective tissues confer significant mechanical properties on the tissue, similar to skeletal muscle cells.

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

Flashcards

Type II fibers

Thinner and less stiff than type I fibers, providing a flexible woven framework for maintaining shape and consistency of structures like hyaline cartilage.

Elastin fibers

Netlike interweaving of small fibrils, allowing for flexible and elastic properties. These fibers are found in tissues that need to stretch and recoil, like ligaments and blood vessels.

Ground substance

Matrix or gel-like substance surrounding cells and fibers in connective tissues. It's responsible for providing support, lubrication, and nutrient diffusion.

Glycosaminoglycans (GAGs)

Negatively charged polysaccharides attracting water, creating osmotic swelling pressure and swelling in ground substance.

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Cells in Connective Tissues

Cells responsible for synthesizing specialized ground substance and fibrous proteins specific to the tissue. They maintain and repair tissues, but don't significantly contribute to the mechanical properties.

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Osteokinematics

Study of bone motion relative to the three cardinal planes of the body (sagittal, frontal, and transverse).

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Arthrokinematics

Study of motion between the articular surfaces of joints.

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Synarthroses

Joints with slight to essentially no movement.

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Spin

Rotation around a bone's long axis.

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Swing

Rotation happening along a joint axis.

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Pure swing

Movement back and forth around a fixed pivot point in one plane.

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Impure swing

Secondary movement around another axis occurring in addition to the primary swing movement.

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Degree of freedom (DOF)

Number of independent movements a joint can perform.

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Active ROM

Range of motion of a joint when voluntarily controlled by the individual.

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Passive ROM

Range of motion of a joint when moved passively by an external force.

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End feel

Sensation at the end of the ROM.

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Ovoid joint

Type of joint with one articular surface being convex and the other concave, like an egg and its socket.

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Saddle joint

Type of joint where each member has paired convex and concave surfaces oriented at 90° to each other, resembling a saddle.

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Synovial fluid

Fluid that reduces friction within the joint, allowing smooth movement.

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Articular cartilage

Specialized cartilage that covers the articular surfaces of bones, providing a smooth, low-friction surface.

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Articular capsule

Structure that encloses the joint, providing stability and support.

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Synovial membrane

Inner layer of the articular capsule that produces synovial fluid.

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Ligaments

Tough, fibrous bands of connective tissue that connect bones and provide stability.

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Blood vessels in synovial joints

Blood vessels that supply the synovial membrane.

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Sensory nerves in synovial joints

Sensory nerves that detect pain and proprioception.

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Osteokinematics (joint kinematics)

Describes bone motion relative to the three cardinal planes of the body (sagittal, frontal, and transverse).

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Arthrokinematics (joint kinematics)

Describes motion between articular surfaces of joints.

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Axial translatory forces (normal forces)

Forces that act perpendicular to the surface of a joint.

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Compression

Movement in which joint surfaces move closer to each other.

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Tension/traction

Movement in which joint surfaces are pulled away from each other.

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Joint play

Movement of articular surfaces that must be present for normal joint motion.

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Study Notes

Biologic Materials that form Periarticular Connective Tissues

  • Fibers/Fibrous Proteins:
    • Type II fibers: thinner and less stiff than type I fibers, providing a flexible woven framework for maintaining shape and consistency of structures like hyaline cartilage
    • Elastin fibers: netlike interweaving of small fibrils, allowing for flexible and elastic properties
    • Elastin-rich tissues (e.g., hyaline or elastic cartilage and ligamentum flavum) return to their original shape after deformation

Ground Substance

  • Matrix or gel-like substance surrounding cells and fibers
  • Composed of glycosaminoglycans (GAGs): negatively charged polysaccharides attracting water, creating osmotic swelling pressure and swelling
  • GAGs:
    • Attract water, creating an osmotic swelling pressure
    • Water provides a fluid medium for nutrient diffusion within tissues and assists mechanical properties

Cells

  • Responsible for synthesizing specialized ground substance and fibrous proteins unique to the tissue
  • Maintain and repair tissues, but do not confer significant mechanical properties

Joint Structure and Function

  • Osteokinematics: studies the motion of bones relative to the three cardinal planes of the body
  • Arthrokinematics: studies the motion between the articular surfaces of joints
  • Joint design and materials depend on joint function and nature of components

Classification of Joints

  • Synarthroses: junctions between bones with slight to essentially no movement
  • Classification based on movement potential:
    • Classification of joints based on movement potential

Joint Movement

  • Osteokinematics:
    • Spin: rotation around a bone's long axis
    • Swing: rotation around a joint axis
      • Pure swing: movement back and forth around a fixed pivot point in one plane (pendulum)
      • Impure swing: secondary movement around another axis
  • Degree of freedom (DOF):
    • 3 translational motions (side-to-side, AP, and distraction/compression)
    • 3 angular motions (side-to-side, AP, and rotation around vertical axis)
  • Range of Motion (ROM):
    • Active ROM
    • Passive ROM
    • End feel: sensation at the end of the ROM

Joint Function

  • Ovoid joint (egg-shaped): articular surface of one bone is convex, and the other is concave
  • Saddle joint: each member presents paired convex and concave surfaces oriented at ~90° to each other
  • Elements of diarthrodial/synovial joints:
    • Synovial fluid (reduces friction)
    • Articular cartilage (covers)
    • Articular capsule (encloses)
    • Synovial membrane (inner layer)
    • Ligaments (capsular or extracapsular)
    • Blood vessels (synovial membrane)
    • Sensory nerves (capsule)

Joint Kinematics

  • Osteokinematics: describes bone motion relative to the three cardinal planes of the body
  • Arthrokinematics: describes motion between articular surfaces of joints
  • Kinetics: axial translatory forces (normal forces)
    • Compression: moving closer to each other
    • Tension/traction: distraction (moving away)
  • Osteokinematics is based on arthrokinematics
  • Joint play is essential for determining if articular surfaces are free to slide in the direction of the desired movement

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