Joint Structure and Function in Physiotherapy
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Questions and Answers

Passive Range Of Motion (ROM) refers to movements generated by the individual's own muscles.

False

The physiological barrier is located at the middle range of motion.

False

Degrees of freedom represent the number of independent movements allowed at a joint.

True

Spin in osteokinematics refers to movement back and forth around a fixed pivot point in multiple planes.

<p>False</p> Signup and view all the answers

Impure swing involves pure rotation around another axis.

<p>True</p> Signup and view all the answers

Joint play is increased when ligaments and capsules are relatively taut.

<p>False</p> Signup and view all the answers

Active Range Of Motion (ROM) requires external force by a therapist to move one articular surface on another.

<p>False</p> Signup and view all the answers

Squeezing out of fluid during joint compression has a negative effect on joint nutrition.

<p>False</p> Signup and view all the answers

The study of the classification, structure, and function of joints is an important foundation for the overall study of kinesiology.

<p>True</p> Signup and view all the answers

Detailed information about joint structure and function is not a prerequisite for understanding joint impairments and effective rehabilitation.

<p>False</p> Signup and view all the answers

The design of a joint depends solely on the function of the joint.

<p>False</p> Signup and view all the answers

Joints with the main function of stability will have a different design than joints with the main function of mobility.

<p>True</p> Signup and view all the answers

Synarthroses are joints that allow no movement between the bones.

<p>True</p> Signup and view all the answers

The design of a joint becomes less complex as functional demands increase.

<p>False</p> Signup and view all the answers

Joints can be classified based on their potential for movement.

<p>True</p> Signup and view all the answers

Arthrokinematics and osteokinematics are not important topics in the study of joint structure and function.

<p>False</p> Signup and view all the answers

Accessory motion is under voluntary control and can be tested by the application of an external force.

<p>False</p> Signup and view all the answers

If the joint structures are tight, the joint will have too much play and become unstable.

<p>False</p> Signup and view all the answers

For a convex-on-concave surface movement, the convex member rolls and slides in the same directions.

<p>False</p> Signup and view all the answers

In a saddle shape joint, the combined movements involve roll-and-slide.

<p>True</p> Signup and view all the answers

In a ball and socket joint, the combined movements involve roll-and-slide and spin.

<p>True</p> Signup and view all the answers

Abduction without a concurrent inferior slide causes the humeral head to impinge against the arch and block further abduction.

<p>True</p> Signup and view all the answers

The knee joint is relatively externally rotated when fully extended.

<p>True</p> Signup and view all the answers

In the close-packed position, the joint is in a position of maximal natural structural stability and is resistant to tensile forces that tend to cause distraction (separation) of the joint surfaces.

<p>True</p> Signup and view all the answers

Fibroblasts are found in ligaments and tendons.

<p>True</p> Signup and view all the answers

Chondrocytes are found in hyaline and fibrocartilage.

<p>True</p> Signup and view all the answers

Dense connective tissue contains a high content of ground substance.

<p>False</p> Signup and view all the answers

The collagen fibers in tendons are oriented in a single direction.

<p>True</p> Signup and view all the answers

Ligaments have slack fibers oriented in multiple directions.

<p>True</p> Signup and view all the answers

Articular cartilage covers the ends of articulating bones in synovial joints.

<p>True</p> Signup and view all the answers

The collagen fibers in articular cartilage are of type I.

<p>False</p> Signup and view all the answers

Dense connective tissue has a high metabolism due to its rich blood supply.

<p>False</p> Signup and view all the answers

Bone is a specialized connective tissue.

<p>True</p> Signup and view all the answers

The outer cortex of bone is porous and cancellous.

<p>False</p> Signup and view all the answers

Bone fibers are made of highly cross-linked type I collagen.

<p>True</p> Signup and view all the answers

The ground substance in bone has a high content of glycosaminoglycans (GAGs).

<p>False</p> Signup and view all the answers

Osteocytes are the cells found in bone tissue.

<p>True</p> Signup and view all the answers

Bone has a poor potential for healing.

<p>False</p> Signup and view all the answers

Bone remodeling occurs in response to physical activity and hormonal influences.

<p>True</p> Signup and view all the answers

Bone is strongest against tensile forces.

<p>False</p> Signup and view all the answers

Viscoelasticity refers to a material's ability to return to its original state after deformation.

<p>False</p> Signup and view all the answers

Tissues with high viscosity exhibit low resistance to deformation.

<p>False</p> Signup and view all the answers

Study Notes

Joint Position and Play

  • Joint position refers to the relationship between two adjacent articular surfaces
  • Loose-packed (resting) position: ligaments and capsule are relatively slackened, less natural structural stability, and increased joint play
  • Close-packed position: maximal congruency, ligaments and capsule are pulled taut, maximal natural structural stability, and resistant to tensile forces

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
  • Impure swing: secondary movement around another axis
  • Degree of freedom (DOF): the number of independent movements allowed at a joint
  • 3 translational motions and 3 angular motions

Range of Motion (ROM)

  • Active ROM: maximum force in middle range for flexors and inner range for extensors
  • Passive ROM: end feel, physiological barrier, and outer range
  • Start ROM: 1/3, 1/3, and inner range
  • End feel: overpressure at the end of ROM to determine the quality of each passive movement

Bone Structure and Function

  • Bone is a specialized connective tissue that resists deformation, provides a rigid lever to transmit muscle force, and allows for dynamic metabolism and good healing potential
  • Bone composition: compact and cancellous bone, with a framework of highly cross-linked type I collagen and hard mineral salts
  • Haversian canals system allows for a rich source of blood and nerves deep within the cortex

Connective Tissue

  • Viscoelasticity: combination of elasticity and viscosity
  • Elasticity: a solid material's ability to return to its original state following deformation
  • Viscosity: resistance of a fluid to change in shape, measured by the resistance to gradual deformation by shear or tensile stress

Arthrokinematic Principles of Movement

  • Convex-concave rule: convex member rolls and slides in opposite directions, while concave member rolls and slides in the same direction
  • Combined movements: roll-and-slide, spin, and glide
  • Saddle shape joint, ball and socket joint, condyloid or trochoginglymus joint

Dense Connective Tissue

  • Anatomic location: most nonmuscular "soft tissues" surrounding a joint
  • Fibers: high type I collagen fiber content, parallel fibers in bundles oriented in several directions
  • Ground substance: low content
  • Cells: fibroblasts, limited blood supply, and low metabolism

Articular Cartilage

  • Anatomic location: covers the ends of articulating bones in synovial joints
  • Fibers: high type II collagen fiber content, forming a restraining "scaffolding" that adds structural stability
  • Ground substance: high content

Joint Structure and Function

  • Arthrology: study of the classification, structure, and function of joints
  • Objectives: joint design, arthrokinematics, osteokinematics, and properties and functions of materials in human joints

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Description

Explore the classification, structure, and function of joints in the field of physiotherapy, covering joint design and arthrokinematics. Gain detailed knowledge to understand impairments and rehabilitate individuals with joint dysfunction effectively.

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