terminology 101

Transcription

terminology 101
TERMINOLOGY 101
TERMINOLOGY 101
Edward P. Mulligan, PT, DPT, OCS, SCS, ATC
Planes, Motions, and Positions
MOTION PLANE
Ê
Assistant Professor
Professor;; Residency Chair
UT Southwestern School of Health Professions
Department of Physical Therapy – Dallas, TX
the plane in which the anatomical
segment is moving
AXIS OF MOTION
Ê
The contents of this presentation are copyrighted © 2002 by continuing ED.
ED. They may not
be utilized, reproduced, stored, or transmitted in any form or by any means, electronic or
mechanical, or by any information storage or retrieval system, without permission in writing
from Edward P. Mulligan
Mulligan..
Ê
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the pivot about which motion takes
place or an imaginary line passing
through the center of a body about
which a rotating body turns
this pivot is always perpendicular to
the direction of motion
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TERMINOLOGY 101
TERMINOLOGY 101
Cardinal Plane Motions of the Foot-Ankle
SAGITTAL PLANE
When promulgating your esoteric cogitations or
articulating your superficial sentimentalities and
amicable philosophical and psychological observations,
beware of platitudinous ponderosity
ponderosity..
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Plantar--Dorsiflexion
Plantar
FRONTAL PLANE
Let your verbal explanations have lucidity,
intelligibility and veracious vivacity without
rodomontade or thespian bombast.
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Inversion--Eversion
Inversion
TRANSVERSE PLANE
Sedulously avoid all polysyllabic profundity, pompous
propensity, and sophomoric vacuity
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Abd--Adduction
Abd
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TERMINOLOGY 101
TERMINOLOGY 101
Planes, Motions, and Positions
Planes, Motions, and Positions
SINGLE PLANE MOTION
SAGITTAL PLANE
Ê
•
divides the body into right and left halves
FRONTAL PLANE
Ê
divides the body into anterior and posterior halves
TRIPLANAR MOTION
TRANSVERSE PLANE
Ê
motion taking place in a
cardinal plane with the axis
of motion parallel to the
other two cardinal planes
•
divides the body into superior and inferior halves
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motion which occurs
simultaneously in all three
cardinal planes
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TERMINOLOGY 101
MOTION TERMINOLOGY 101
Planes, Motions, and Positions
CLOSED CHAIN MOTION (Weight Bearing)
Ê
DORSIFLEXION
• sagittal plane motion where
distal approximates the
proximal
motion in which the distal end segment is fixed
OPEN CHAIN MOTION (Non
(Non--Weight Bearing)
Ê
motion in which the distal end segment is free
PLANTARFLEXION
• sagittal plane motion where
distal separates from the
proximal
Making Jargon from Kinetic and Kinematic Chains
Richard DeFabio, Editor; JOSPT 29(3): 142142-143, 1999
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TERMINOLOGY 101
MOTION TERMINOLOGY 101
Suffixes
ION
ING
ED
US
INVERSION
Motion
• frontal plane motion where plantar
surface moves toward the midline
Movement
EVERSION
• frontal plane motion where plantar
surface moves away from midline
Position
Fixed Structural
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…. terminology 101
MOTION (ion)
MOVEMENT (ing)
POSITION (ed)
FIXED DEFORMITY (us)
Invers ion
Invert ing
Invert ed
Var us
Evers ion
g
Evert ing
Evert ed
Valg
g us
Dorsiflex ion
Dorsiflex ion
Dorsiflex ed
Calcane us
Plantarflex ion
Plantarflex ing
Plantarflex ed
Equin us
Abduct ion
Abduct ing
Abduct ed
Abduct us
Adduct ion
Adduct ing
Adduct ed
Adduct us
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MOTION TERMINOLOGY 101
ABDUCTION
• transverse plane motion of distal
part away
p
y from the midline
ADDUCTION
• transverse plane motion of distal
part toward the midline
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MOTION TERMINOLOGY 101
PRONATION
GAIT TERMINOLOGY 101
CONTACT PHASE
Ê
• triplanar motion at STJ of OKC
¾ Dorsiflexion
¾ Abduction
¾ Eversion
MIDSTANCE
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• triplanar motion at STJ of OKC
ANGLE OF GAIT - angle formed by a line from bisection of
the plantar surface of the foot and direction of locomotion
•
BASE OF GAIT - distance between the step of one side to
that of the other
•
STEP - distance covered from a given point on one foot to
the same point on the other foot
•
STRIDE - distance covered by one swing phase of gait
•
CADENCE - number of step per unit of time
heel off to toe off
SWING
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pre (acceleration) - mid (toe clearance) terminal (deceleration)
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GAIT TERMINOLOGY 101
•
foot flat to heel off
PROPULSION
SUPINATION
¾ Plantarflexion
¾ Adduction
¾ Inversion
heel contact to foot flat (forefoot loading
weight acceptance
STRUCTURAL TERMINOLOGY 101
• RAY - metatarsal bone and its articulating cuneiform
• MEDIAL PILLAR (column) - talus, navicular, cuneiforms, and
rays 1-2-3
123
• LATERAL PILLAR (column) - calcaneus, cuboid, and rays 4-5
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GAIT TERMINOLOGY 101
•
DOUBLE LIMB SUPPORT - phase of gait when both
feet are on the ground
•
SINGLE LIMB SUPPORT - that phase of gait when
g
one foot is on the ground
•
FLOAT - that phase of gait in which neither foot is on
the ground
•
STANCE PHASE - heel contact to toe off on one limb
(60%)
•
SWING PHASE - toe off to heel contact on one limb
(40%)
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STRUCTURAL TERMINOLOGY 101
• REARFOOT
• talus and calcaneus
• MIDFOOT
• navicular, cuboid, and
cuneiforms
• FOREFOOT
• metatarsal and phalanges
STRUCTURAL TERMINOLOGY 101
•
PES (talipes) - foot
•
PES CAVUS - high arched foot
•
PES PLANUS - low arched foot
•
TORSION - twist in a bone or soft tissue
along its longitudinal axis
•
VERSION - inclination or tilt
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…. terminology 101
ACCELERATION – concentric vs. DECELERATION - eccentric
STABILIZATION – isometric vs. DISLOCATION - disarticulation
SUBLUXATION – separation vs. SPLAY - excessive laxity or ROM
DEFORMITY - change from normal structure
COMPENSATION - adaptive change in structure or function
ABNORMAL COMPENSATION – abnormal change in structural
alignment, position, or movement
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