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Anatomical terms of motion

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Terms describing animal motion
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Anatomical terminology

Motion, the process of movement, is described using specificanatomical terms. Motion includes movement oforgans,joints,limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative to theanatomical position of the body parts involved.Anatomists and others use a unified set of terms to describe most of the movements, although other, more specialized terms are necessary for describing unique movements such as those of the hands, feet, and eyes.

In general, motion is classified according to theanatomical plane it occurs in.Flexion andextension are examples ofangular motions, in which two axes of a joint are brought closer together or moved further apart.Rotational motion may occur at other joints, for example theshoulder, and are described asinternal orexternal. Other terms, such aselevation anddepression, describe movement above or below the horizontal plane. Many anatomical terms derive fromLatin terms with the same meaning.

Classification

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Motions are classified after theanatomical planes they occur in,[1] although movement is more often than not a combination of different motions occurring simultaneously in several planes.[2] Motions can be split into categories relating to the nature of the joints involved:

Apart from this motions can also be divided into:

  • Linear motions (ortranslatory motions), which move in a line between two points.Rectilinear motion is motion in a straight line between two points, whereascurvilinear motion is motion following a curved path.[2]
  • Angular motions (orrotary motions) occur when an object is around another object increasing or decreasing the angle. The different parts of the object do not move the same distance. Examples include a movement of the knee, where the lower leg changes angle compared to the femur, or movements of the ankle.[2]

The study of movement in the human body is known askinesiology.[4] A categoric list of movements and themuscles involved can be found atlist of movements of the human body.

Abnormal motion

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Hyperextended finger inhypermobility spectrum disorder
Hyperextended thumb inhypermobility spectrum disorder

The prefixhyper- is sometimes added to describe movement beyond the normal limits, such as inhypermobility,hyperflexion orhyperextension. Therange of motion describes the total range of motion that a joint is able to do.[5] For example, if a part of the body such as a joint is overstretched or "bent backwards" because of exaggerated extension motion, then it can be described ashyperextended. Hyperextension increases the stress on theligaments of a joint, and is not always because of a voluntary movement. It may be a result of accidents, falls, or other causes of trauma. It may also be used in surgery, such as in temporarily dislocating joints for surgical procedures.[6] Or it may be used as apain compliance method to force a person to take a certain action, such as allowing a police officer to take him into custody.

General motion

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Further information:Anatomical terms of muscle

These are general terms that can be used to describe most movements the body makes. Most terms have a clear opposite, and so are treated in pairs.[7]

Flexion and extension

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See also:List of flexors of the human body andList of extensors of the human body
Flexion and extension

Flexion and extension are movements that affect the angle between two parts of the body. These terms come from theLatin words with the same meaning.[a]

Flexion is a bending movement thatdecreases the angle between a segment and its proximal segment.[9] For example, bending theelbow, or clenching a hand into a fist, are examples of flexion. When a person is sitting down, the knees are flexed. When a joint can move forward and backward, such as the neck and trunk, flexion is movement in the anterior direction.[10] When the chin is against the chest, the neck is flexed, and the trunk is flexed when a person leans forward.[10] Flexion of the shoulder or hip is movement of the arm or leg forward.[11]

Extension is the opposite of flexion, a straightening movement thatincreases the angle between body parts.[12] For example, when standing up, the knees are extended. When a joint can move forward and backward, such as the neck and trunk, extension is movement in the posterior direction.[10] Extension of the hip or shoulder moves the arm or leg backward.[11] Even for other upper extremity joints – elbow and wrist, backward movement results in extension. The knee, ankle, and wrist are exceptions, where the distal end has to move in the anterior direction for it to be called extension.[13][page needed]

For thetoes, flexion is curling them downward whereas extension is uncurling them or raising them.[14]

Abduction and adduction

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See also:List of abductors of the human body andList of adductors of the human body
Abduction and adduction

Abduction is the motion of a structure away from the midline while adduction is motion towards the center of the body.[15] The center of the body is defined as themidsagittal orlongitudinal plane.[3] These terms come fromLatin words with similar meanings,ab- being the Latin prefix indicating'away',ad- indicating'toward', andducere meaning'to draw or pull'.[b]

Abduction is a motion that pulls a structure or partaway from the midline of the body, carried out by one or moreabductor muscles. In the case of fingers and toes, it is spreading the digits apart, away from the centerline of the hand or foot.[15] For example, raising the arms up, such as whentightrope-walking, is an example of abduction at theshoulder.[11] When the legs are splayed at the hip, such as when doing astar jump or doing asplit, the legs are abducted at the hip.[3]

Adduction is a motion that pulls a structure or parttowards the midline of the body, or towards the midline of a limb, carried out by one or moreadductor muscles. In the case of fingers and toes, it is bringing the digits together, towards the centerline of the hand or foot. Dropping the arms to the sides, and bringing the knees together, are examples of adduction.[15]

Adduction of thewrist is also known asulnar deviation which moves the hand towards theulnar styloid (or, towards thelittle finger). Abduction of the wrist is also calledradial deviation which moves the hand moving towards theradial styloid (or, towards thethumb).[15][17]

Elevation and depression

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See also:List of elevators of the human body andList of depressors of the human body

Elevation and depression are movements above and below the horizontal. The words derive from the Latin terms with similar meanings.[c]

Elevation is movement in a superior direction.[19] For example, shrugging is an example of elevation of the scapula.[20]

Depression is movement in an inferior direction, the opposite of elevation.[21]

Rotation

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See also:List of internal rotators of the human body,List of external rotators of the human body, andEye movement
Rotation

Rotation of body parts may be internal or external, that is, towards or away from the center of the body.[22]

Internal rotation (medial rotation orintorsion) is rotation towards the axis of the body,[22] carried out byinternal rotators.

External rotation (lateral rotation orextorsion) is rotation away from the center of the body,[22] carried out byexternal rotators.

Internal and external rotators make up therotator cuff, a group of muscles that help to stabilize theshoulder joint.

  • The lotus position of yoga, demonstrating external rotation of the thigh at the hip.
    Thelotus position ofyoga, demonstratingexternal rotation of the thigh at the hip.
  • Rotating the arm away from the body is external rotation.
    Rotating the arm away from the body isexternal rotation.
  • Rotating the arm closer to the body is internal rotation.
    Rotating the arm closer to the body isinternal rotation.

Other

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  • Anterograde andretrograde flow refer to movement of blood or other fluids in a normal (anterograde) or abnormal (retrograde) direction.[23]
  • Circumduction is a conical movement of a body part, such as aball and socket joint or theeye. Circumduction is a combination of flexion, extension, adduction and abduction. Circumduction can be best performed at ball and socket joints, such as thehip andshoulder, but may also be performed by other parts of the body such as fingers, hands, feet, and head.[24] For example, circumduction occurs when spinning the arm when performing a serve intennis or bowling acricket ball.[25]
  • Reduction is a motion returning a bone to its original state,[26] such as a shoulder reduction followingshoulder dislocation, or reduction of ahernia.
  • The swinging action made during a tennis serve is an example of circumduction
    The swinging action made during atennis serve is an example ofcircumduction

Special motion

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Hands and feet

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Flexion and extension of the foot

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Dorsiflexion andplantar flexion refer to extension or flexion of the foot at the ankle. These terms refer to flexion in direction of the "back" of the foot, which is the upper surface of the foot when standing, and flexion in direction of the sole of the foot. These terms are used to resolve confusion, as technicallyextension of the joint is dorsiflexion, which could be considered counter-intuitive as the motion reduces the angle between the foot and the leg.[27]

Dorsiflexion is where the toes are brought closer to theshin. This decreases the angle between the dorsum of the foot and theleg.[28] For example, when walking on theheels the ankle is described as being in dorsiflexion.[27] Similarly, dorsiflexion helps in assuming a deepsquat position.[29]

Plantar flexion or plantarflexion is the movement which decreases the angle between the sole of the foot and the back of the leg; for example, the movement when depressing acar pedal or standing on tiptoes.[27]

  • A ballerina, demonstrating plantar flexion of the feet
    Aballerina, demonstratingplantar flexion of the feet
  • Dorsi and plantar flexion of the foot
    Dorsi and plantar flexion of the foot

Flexion and extension of the hand

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Palmarflexion and dorsiflexion refer to movement of the flexion (palmarflexion) or extension (dorsiflexion) of the hand at the wrist.[30] These terms refer to flexion between the hand and the body'sdorsal surface, which inanatomical position is considered the back of the arm; and flexion between the hand and the body'spalmar surface, which in anatomical position is considered the anterior side of the arm.[31] The direction of terms are opposite to those in the foot because ofembryological rotation of the limbs in opposite directions.[10]

Palmarflexion is flexion of the wrist towards thepalm andventral side offorearm.[30]

Dorsiflexion ishyperextension of thewrist joint, towards thedorsal side of forearm.[30]

Pronation and supination

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See also:Pronation of the foot

Pronation and supination refer generally to theprone (facing down) orsupine (facing up) positions. In the extremities, they are the rotation of the forearm or foot so that in thestandard anatomical position the palm or sole is facing anteriorly when in supination and posteriorly when in pronation.[32] As an example, when a person is typing on a computer keyboard, their hands are pronated; when washing their face, they are supinated.

Pronation at theforearm is a rotational movement where the hand and upper arm are turned so the thumbs point towards the body. When the forearm and hand are supinated, the thumbs point away from the body. Pronation of the foot is turning of the sole outwards, so that weight is borne on the medial part of the foot.[33]

Supination of the forearm occurs when the forearm or palm are rotated outwards. Supination of the foot is turning of the sole of the foot inwards, shifting weight to the lateral edge.[34]

  • Supination and pronation of the foot
    Supination and pronation of the foot
  • Supination and pronation of the arm
    Supination and pronation of the arm

Inversion and eversion

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Inversion and eversion are movements that tilt the sole of the foot away from (eversion) or towards (inversion) the midline of the body.[35]

Eversion is the movement of thesole of the foot away from themedian plane.[36]Inversion is the movement of thesole towards themedian plane. For example, inversion describes the motion when anankle is twisted.[28]

  • Example showing inversion and eversion of the foot
    Example showing inversion and eversion of the foot
  • Eversion of the right foot
    Eversion of the right foot
  • Inversion of the right foot
    Inversion of the right foot

Eyes

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Main article:Eye movement § Terminology

Unique terminology is also used to describe the eye. For example:

  • Aversion is an eye movement involving botheyes moving synchronously and symmetrically in the same direction.[37]
  • Torsion is eye movement that affects the vertical axis of the eye,[38] such as the movement made when looking in to the nose.

Jaw and teeth

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  • Examples showing protrusion and retrusion.
    Examples showing protrusion and retrusion.
  • Elevation and depression of the jaw.
    Elevation and depression of the jaw.

Other

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Other terms include:

  • Nutation andcounternutation[d] are movement of thesacrum defined by the rotation of thepromontory downwards and anteriorly, as with lumbar extension (nutation); or upwards and posteriorly, as with lumbar flexion (counternutation).[42]
  • Opposition is the movement that involves grasping of the thumb and fingers.[43]
  • Protraction andretraction is an anterior (protraction) or posterior (retraction) movement,[44] such as of the arm at the shoulders, although these terms have been criticised as non-specific.[45]
  • Reciprocal motion is alternating motions in opposing directions.[46]
  • Reposition is restoring an object to its natural condition.[47]
  • Nutation at left, counternutation at right
    Nutation at left, counternutation at right
  • An example of opposition
    An example ofopposition
  • Example of opposition of the thumb and index finger
    Example ofopposition of the thumb and index finger

See also

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Notes

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  1. ^ "to stretch out" (Latin:extendere), "to bend" (Latin:flectere)[8]
  2. ^ "to bring in" (Latin:adductere), "to lead away" (Latin:abducere)[16]
  3. ^"press down" (Latin:deprimere), "to raise" (Latin:elevare)[18]
  4. ^"to nod" (Latin:Nutare)[41]

References

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  1. ^abcMarieb 2010, p. 212.
  2. ^abcLippert 2011, pp. 6–7.
  3. ^abcKendall 2005, p. 57.
  4. ^Lippert 2011, pp. 1–7.
  5. ^Kendall 2005, p. G-4.
  6. ^Seeley 1998, p. 229.
  7. ^"Anatomy & Physiology". Openstax college at Connexions.Archived from the original on June 29, 2014. RetrievedNovember 16, 2013.
  8. ^OED 1989, "flexion", "extension".
  9. ^OED 1989, "flexion".
  10. ^abcdKendall 2005, p. 56.
  11. ^abcCook 2012, pp. 180–193.
  12. ^OED 1989, "extension".
  13. ^Kendall 2005.
  14. ^Platzer 2004, p. 258.
  15. ^abcdSwartz 2010, pp. 590–591.
  16. ^OED 1989, "adduction", "abduction", "abduct".
  17. ^See:for appropriate imageArchived 2015-12-22 at theWayback Machine
  18. ^OED 1989.
  19. ^OED 1989, "elevation".
  20. ^Kendall 2005, p. 303.
  21. ^OED 1989, "depression".
  22. ^abcSwartz 2010, pp. 590–1.
  23. ^OED 1989, "anterograde", "retrograde".
  24. ^Saladin 2010, p. 300.
  25. ^Kendall 2005, p. 304.
  26. ^Taber 2001, "reduction".
  27. ^abcKendall 2005, p. 371.
  28. ^abKyung 2005, p. 123.
  29. ^Kasuyama, Tatsuya; Sakamoto, Masaaki; Nakazawa, Rie (2009)."Ankle Joint Dorsiflexion Measurement Using the Deep Squatting Posture".Journal of Physical Therapy Science.21 (2):195–199.doi:10.1589/jpts.21.195.Archived from the original on 2024-05-23. Retrieved2024-05-23.
  30. ^abcSwartz 2010, pp. 591–593.
  31. ^OED 1989, "palmarflexion", "dorsiflexion".
  32. ^Swartz 2010, pp. 591–592.
  33. ^OED 1989, "pronation".
  34. ^OED 1989, "supination".
  35. ^Swartz 2010, p. 591.
  36. ^Kyung 2005, p. 108.
  37. ^DMD 2012, "version".
  38. ^Taber 2001, "torsion".
  39. ^Taber 2001, "occlusion".
  40. ^Taber 2001, "protrusion", "retrusion".
  41. ^OED 1989, "nutation".
  42. ^Houglum 2012, p. 333.
  43. ^Taber 2001, "opposition".
  44. ^OED 1989, "protraction", "retraction".
  45. ^Kendall 2005, p. 302.
  46. ^Taber 2001, "reciprocation".
  47. ^OED 1989, "resposition".

Sources

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External links

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