Anatomical terms of motion

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This article is about anatomical terms of motion, for a general overview of anatomical terminology see Anatomical terminology, or for anatomical terms of location see Anatomical terms of location.

Motion

The voluntary movement of body structures is accomplished by the contraction of muscles. Muscles may move parts of the skeleton relatively to each other, or may move parts of internal organs relatively to each other. All such movements are classified by the directions in which the affected structures are moved. In human anatomy, all descriptions of position and movement are based on the assumption that the body is in its complete medial and abduction stage and is in anatomical position.

Classifications of motion[edit]

Body Movements I.jpg

Motions are classified after the planes they engage,[1]:212 although motions of the human body are more often than not a combination of differing motions.[2]

Gross movements are big body movements relating to the use of the large muscles of the human body, such as those in the legs, arms, and abdomen, as opposed to fine movement of for example fingers or wrist.

According to the movements of joints[edit]

Motions can be split into three categories as per how they engage different joints of the body:

According to the direction of the movement[edit]

Apart from this motions can also be divided into:[2]

Motions of the body[edit]

Motions occurring over joints are also known as joint movements or osteokinematics, and depend on the joints of the body (mainly synovial. All motions that are created by the body are considered to be a mixture of or a single contribution of the following types of movement.

Most terms of a motion have clear opposites, and as such, are treated below in pairs.

General motion[edit]

Body Movements II.jpg

Flexion and extension[edit]

Flexion and extension describe movements that affect the angle between two parts of the body.

Flexion describes bending movement that decrease the angle between two parts. Bending the elbow, or clenching a hand into a fist, are examples of flexion. When sitting down, the knees are flexed. Flexion of the hip or shoulder moves the limb forward (towards the anterior side of the body).

Extension is the opposite of flexion, describing a straightening movement that increases the angle between body parts. In a conventional handshake, the fingers are fully extended. When standing up, the knees are extended. Extension of the hip or shoulder moves the limb backward (towards the posterior side of the body).

The biceps brachii flex the lower arm. The brachoradialis, in the forearm, and brachialis, located deep to the biceps in the upper arm, are both synergists that aid in this motion.

Abduction and adduction[edit]

Abduction and adduction refer to motions that move a structure away from or towards the centre of the body.[3] :590-1

Abduction refers to a motion that pulls a structure or part away from the midline of the body (or, in the case of fingers and toes, spreading the digits apart, away from the centerline of the hand or foot). Abduction of the wrist is called radial deviation. Raising the arms laterally, such as when skiing, is an example of abduction at the shoulder. [3]:590-1

Adduction refers to a motion that pulls a structure or part toward the midline of the body, or towards the midline of a limb. Dropping the arms to the sides, or bringing the knees together, are examples of adduction. In the case of the fingers or toes, adduction is closing the digits together. Adduction of the wrist is called ulnar deviation. Bringing the arms closer to the body is an example of adduction at the shoulder. [3]:590-1 The inner thigh houses some adductors, including the adductor brevis, adductor longus, adductor magnus, and pectineus. The latissimus dorsi is a good example for the humerus.[citation needed]

Rotation[edit]

Rotation of body parts is referred to as internal or external, referring to rotation towards or away from the center of the body. [3]:590-1

Internal rotation (or medial rotation) refers to rotation towards the axis of the body. For example, a roman salute, in which the arm is placed against the chest, is an example of internal rotation. [3]:590-1 The pectoralis major and subscapularis both medially rotate the humerus. The adductor longus and adductor brevis both medially rotate the thigh.[citation needed]

External rotation (or lateral rotation) refers to rotation away from the center of the body. for example, external rotation of the toes would turn the toes or the flexed forearm outwards (away from the midline). The sartorius laterally rotates the femur. The infraspinatus and teres minor both laterally rotate the humerus.[citation needed]

Elevation and depression[edit]

Elevation refers to movement in a superior direction. For example, raising the arm upwards is elevating the arm.

Depression refers to movement in an inferior direction, the opposite of elevation. Opposite to the upper fibers, the lower half of the trapezius aids in depressing the apex of the shoulder.[clarification needed]

Special motions of the hands and feet[edit]

Flexion and extension of the foot[edit]

Dorsiflexion and plantarflexion refers to flexion (dorsiflexion) or extension of the foot at the ankle.

Dorsiflexion is the movement which decreases the angle between the dorsum (superior surface) of the foot and the leg, so that the toes are brought closer to the shin. [4]:123 and applies to the upward movement of the foot at the ankle joint. The muscles involved include those of the Anterior compartment of leg, specifically tibialis anterior muscle, extensor hallucis longus muscle, extensor digitorum longus muscle, and peroneus tertius. The range of motion for dorsiflexion indicated in the literature varies from 12.2[5] to 18[6] degrees.[7] Foot drop is a condition, that occurs when dorsiflexion is difficult for an individual that is walking.

Plantarflexion (or plantar flexion) is the movement which increases the approximate 90 degree angle between the front part of the foot and the shin, as when depressing an automobile pedal or standing on the tiptoes. The word "plantar" is commonly understood in medical terminology as the bottom of the foot - it translates as "toward the sole". This movement is normally performed in either the supine, prone or standing position. Primary muscles for plantar flexion are situated in the Posterior compartment of leg, namely the superficial Gastrocnemius, Soleus and Plantaris (only weak participation), and the deep muscles Flexor hallucis longus, Flexor digitorum longus and Tibialis posterior. Muscles in the Lateral compartment of leg also weakly participation, namely the Fibularis longus and Fibularis brevis muscles. Those in the lateral compartment only have weak participation in plantar flexion though. The range of motion for plantar flexion is usually indicated in the literature as 30° to 40°, but sometimes also 50°. The nerves are primarily from the sacral spinal cord roots S1 and S2. Compression of S1 roots may result in weakness in plantarflexion, these nerves run from the lower back to the bottom of the foot.[citation needed]

Flexion and extension of the hand[edit]

Palmarflexion and dorsiflexion refer to movement of the flexion (palmarflexion) or extension (dorsiflexion) of the hand at the wrist. For example, prayer is often conducted with the hands dorsiflexed.[3]:591-3

Palmarflexion is one of the movements of the wrist and hand which takes place at the wrist joint, where the angle between the palm and the forearm is decreased. In this context, this consists of bending the hand towards the inside of the wrist, an action known as flexion in anatomical terms. [3]:591-3

Dorsiflexion refers to extension at the wrist joint. The opposite of this is dorsiflexion or extension; in the case of palmar extension, the angle between the back (dorsum) of hand and the forearm is reduced - specifically, the hand bends away from the inside of the wrist.[3]:591-3

Pronation and supination[edit]

Pronation and supination refer to rotation of the forearm or foot so that in the anatomical position the palm or sole is facing anteriorly (supination) or posteriorly (pronation). [3]:591-2

Pronation at the forearm is a rotational movement at the radioulnar joint, or of the foot at the subtalar and talocalcaneonavicular joints.[8][9] For the forearm, when standing in the anatomical position, pronation will move the palm of the hand from an anterior-facing position to a posterior-facing position without an associated movement at the shoulder (glenohumeral joint). This corresponds to a counterclockwise twist for the right forearm and a clockwise twist for the left (when viewed superiorly). In the forearm, this action is performed by pronator quadratus and pronator teres muscle. Brachioradialis puts the forearm into a midpronated/supinated position from either full pronation or supination. For the foot, pronation will cause the sole of the foot to face more laterally than when standing in the anatomical position.

Pronation of the foot is a compound movement that combines abduction, eversion, and dorsiflexion. Regarding posture, a pronated foot is one in which the heel bone angles inward and the arch tends to collapse. Pronation is the motion of the inner and outer ball of the foot with the heel bone.[10] One is said to be "knock-kneed" if one has overly pronated feet. It flattens the arch as the foot strikes the ground in order to absorb shock when the heel hits the ground, and to assist in balance during mid-stance. If habits develop, this action can lead to foot pain as well as knee pain, shin splints, achilles tendinitis, posterior tibial tendinitis, piriformis syndrome, and plantar fasciitis[citation needed].

Supination of the forearm occurs when the forearm or palm face to the front (anteriorly) of the body. This action is performed by the biceps brachii and the supinator muscle. The arm is supine when in the anatomical position,[11] and the supine position is also used when taking blood pressure. Supination of the foot occurs when the foot rolls outwards, placing most of the weight onto the outside of the foot and raising the arch. It is a compound movement that combines adduction, inversion, and plantar flexion.

Inversion and eversion[edit]

Inversion and eversion refer to movements that tilt the sole of the foot away from (eversion) or towards (inversion) the midline of the body. [3]:591

Eversion is the movement of the sole of the foot away from the median plane. It occurs at the subtalar joint. The muscles involved in this include Fibularis longus and fibularis brevis, which are innervated by the superficial fibular nerve. Some sources also state that the fibularis tertius everts.[4]:108 - Inversion is the movement of the sole towards the median plane (as when an ankle is twisted). The muscles Tibialis anterior and tibialis posterior invert. Some sources also state that the triceps surae and extensor hallucis longus invert.[4]:123 Inversion occurs at the subtalar joint and transverse tarsal joint.[12]

Other special motions[edit]

Such terms include:

Rare or very specific terms[edit]

Nutation at left, counternutation at right

Abnormal motion[edit]

The prefix hyper- is sometimes added to describe movement beyond the normal limits to a limb's or organ's motion, such as in hyperflexion or hyperextension. Such movements are variously important; they may be used in surgery, such as in temporarily dislocating joints for surgical procedures, and also may be important in that they may seriously stress the joints involved. Such prefixes are common in Medical terminology. If a part of the body such as a joint is overstretched or "bent backwards" because of exaggerated extension motion, then one speaks of a hyperextension (as with the knee). This puts a lot of stress on the ligaments of the joint, and need not always be a voluntary movement, but may occur as part of accidents, falls, or other causes of trauma. Hyperextension is also sometimes defined as normal movement into the space posterior to the anatomical position.[21]

Movements of the human body[edit]

The following movements of bones constitute what movements are normally possible in various joints of the human body. Animals may have different degrees of movement; due to different position of joints, different muscles and different structures that block motion in the human body.

Certain movements are difficult to classify, such as movements of the carpal bones of the hand, or the tarsal bones of the foot, and are only really known by the orthopedic surgeon or hand surgeon specializing in their movements and not by ordinary medical practitioners.[citation needed]

Movements of the shoulder joint.[22]
MovementMusclesOriginInsertion
Flexion
(150°–170°)
Anterior fibers of deltoidClavicleMiddle of lateral surface of shaft of humerus
Clavicular part of pectoralis majorClavicleLateral lip of bicipital groove of humerus
Long head of biceps brachiiSupraglenoid tubercle of scapulaTuberosity of radius, Deep fascia of forearm
Short head of biceps brachiiCoracoid process of scapula
CoracobrachialisCoracoid processMedial aspect of shaft of humerus
Extension
(40°)
Posterior fibers of deltoidSpine of scapulaMiddle of lateral surface of shaft of humerus
Latissimus dorsiIliac crest, lumbar fascia, spines of lower six thoracic vertebrae, lower 3–4 ribs, inferior angle of scapulaFloor of bicipital groove of humerus
Teres majorLateral border of scapulaMedial lip of bicipital groove of humerus
Abduction
(160°–180°)
Middle fibers of deltoidAcromion process of scapulaMiddle of lateral surface of shaft of humerus
SupraspinatusSupraspinous fossa of scapulaGreater tuberosity of humerus
Adduction
(30°–40°)
Sternal part of pectoralis majorSternum, upper six costal cartilagesLateral lip of bicipital groove of humerus
Latissimus dorsiIliac crest, lumbar fascia, spines of lower six thoracic vertebrae, lower 3-4 ribs, inferior angle of scapulaFloor of bicipital groove of humerus
Teres majorLower third of lateral border of scapulaMedial lip of bicipital groove of humerus
Teres minorUpper two thirds of lateral border of scapulaGreater tuberosity of humerus
Lateral rotation
(in abduction: 95°;
in adduction: 70°)
InfraspinatusInfraspinous fossa of scapulaGreater tuberosity of humerus
Teres minorUpper two thirds of lateral border of scapulaGreater tuberosity of humerus
Posterior fibers of deltoidSpine of scapulaMiddle of lateral surface of shaft of humerus
Medial rotation
(in abduction: 40°–50°;
in adduction: 70°)
SubscapularisSubscapular fossaLesser tuberosity of humerus
Latissimus dorsiIliac crest, lumbar fascia, spines of lower 3-4 ribs, inferior angle of scapulaFloor of bicipital groove of humerus
Teres majorLower third of lateral border of scapulaMedial lip of bicipital groove of humerus
Anterior fibers of deltoidClavicleMiddle of lateral surface of shaft of humerus

Elbow[edit]

JointFromToDescription
Humeroulnar jointtrochlear notch of the ulnatrochlea of humerusIs a simple hinge-joint, and allows of movements of flexion and extension only.
Humeroradial jointhead of the radiuscapitulum of the humerusIs a ball-and-socket joint.
Superior radioulnar jointhead of the radiusradial notch of the ulnaIn any position of flexion or extension, the radius, carrying the hand with it, can be rotated in it. This movement includes pronation and supination.

Wrist and fingers[edit]

Wrist & MidcarpalsFlexionExtension / Hyperextension
Adduction (Ulna Deviation)Abduction (Radial Deviation)
Metacarpophalangeal(finger)FlexionExtension / Hyperextension
AdductionAbduction
Interphalangeal (finger)FlexionExtension
Carpometacarpal (thumb)FlexionExtension
AdductionAbduction
Opposition
Metacarpophalangeal (thumb)FlexionExtension
AdductionAbduction
Interphalangeal (thumb)FlexionExtension / Hyperextension

Neck[edit]

Neck (Atlantoccipital & Antlantoaxial)FlexionExtension / Hyperextension
Lateral Flexion (Abduction)Reduction (Adduction)
Rotation

Spine[edit]


Cervical spineFlexionExtension / Hyperextension
Lateral Flexion (Abduction)Reduction (Adduction)
Rotation
Thoracic spineFlexionExtension / Hyperextension
Lateral Flexion (Abduction)Reduction (Adduction)
Rotation
Lumbar spineFlexionExtension / Hyperextension
Lateral Flexion (Abduction)Reduction (Adduction)
Rotation
Hip (acetabulofemoral joint - art.coxae)FlexionExtension
AdductionAbduction
Transverse AdductionTransverse Abduction
Medial Rotation (Internal Rotation)Lateral Rotation (External Rotation)
Knee - atriculatio genusFlexionExtension
Medial Rotation (Internal Rotation)Lateral Rotation (External Rotation)
AnklePlantar FlexionDorsi Flexion

Feet[edit]

Intertarsal - (foot)InversionEversion
Plantarflexion
Metatarsophalangeal (toes)FlexionExtension / Hyperextension
AbductionAdduction
Interphalangeal (toes)FlexionExtension

Additional images[edit]

See also[edit]

References[edit]

  1. ^ a b Elaine N. Marieb, Particia Brady Wilhelm, Jon Mallat (2010). Human Anatomy. Pearson. ISBN 978-0-321-61611-1. 
  2. ^ a b Lynn S. Lippert (2011). Clinical kinesiology and anatomy / Lynn S. Lippert. — 5th ed. Philadelphia: F. A. Davis Company. pp. 6–7. ISBN 978-0-8036-2363-7. 
  3. ^ a b c d e f g h i j Swartz, Mark H. (2010). Textbook of physical diagnosis : history and examination (6th ed. ed.). Philadelphia, PA: Saunders/Elsevier. ISBN 978-1-4160-6203-5. 
  4. ^ a b c Kyung Won, PhD. Chung (2005). Gross Anatomy (Board Review). Hagerstown, MD: Lippincott Williams & Wilkins. ISBN 0-7817-5309-0. 
  5. ^ Boone, Donna C.; Stanley P. Azen (July 1979). "Normal range of motion of joints in male subjects.". The Journal of Bone and Joint Surgery 61–A: 756–759. Retrieved 24 October 2012. 
  6. ^ American Academy of Orthopaedic Surgeons (1965). Joint Motion: Method of Measuring and Recording. Chicago: American Academy of Orthopaedic Surgeons. 
  7. ^ Roaas, Asbjørn; Gunnar B. J. Andersson (1982). "Normal Range of Motion of the Hip, Knee and Ankle Joints in Male Subjects, 30–40 Years of Age". Acta Orthopaedica 53 (2): 205–208. Retrieved 24 October 2012. 
  8. ^ Kendall FP, McCreary EK and Provance PG. (1993).Muscles Testing and Function. 4th Edition. Lippincott Williams and Wilkins. Philadelphia. ISBN 0-683-04576-8.
  9. ^ Brukner P and Khan K. (1993). Clinical Sports Medicine. 1st Edition. McGraw-Hill Book Company. Sydney. ISBN 0-07-452852-1.
  10. ^ "Foot in the bottom of the foot – RealHealthyNet". Realhealthynet.com. 2012-07-11. Retrieved 2013-08-30. 
  11. ^ Basic Human Anatomy, A Regional Study of Human Structure, Ronan O'Rahilly, M.D., Fabiola Müller, Dr. rer. nat., Stanley Carpenter, Ph.D., Rand Swenson, D.C., M.D., Ph.D. Copyright O'Rahilly 2008, Chapter 9: The Arm and Elbow
  12. ^ Gross Anatomy: Functional Anatomy Of The Ankle And Foot. Accessed 18th December 2013
  13. ^ Anatomy at Dartmouth shoulder/surface/scsurface4
  14. ^ Scapula & Clavicle Articulations
  15. ^ Anatomy at Dartmouth shoulder/surface/scsurface3
  16. ^ Animation at exrx.net
  17. ^ Saladin, Kenneth S. :Anatomy & Physiology The Unity of Form and Function, McGraw Hill 5th Edition. 2010. p. 300
  18. ^ "The Occlusion". Retrieved November 15, 2013. 
  19. ^ "Spine Articulations". Retrieved November 18, 2013. 
  20. ^ Peggy A. Houglum, Dolores B. Bertoli (2012). Brunnstrom's Clinical Kinesiology. F.A. Davis Company. ISBN 978-0-8036-2352-1. 
  21. ^ Rod R Seeley, Trent D Stephens, Philip Tate. Anatomy & Physiology 4th Edition. WCB/McGraw-Hill, 1998 pg. 229 ISBN 0-697-41107-9
  22. ^ Snell, Richard S. Clinical Anatomy by Systems. Lippincott Williams & Wilkins. pp. 427–428. 

External references[edit]

External links[edit]