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3 Anatomy
3 Anatomy
3 Anatomy
MANUAL 3
ANATOMY
1
CONTENTS
CONTENTS CONTINUED...
1 | FUNCTIONAL ANATOMY
Anatomical Position
Standing erect, facing the observer, arms are at the sides with
palms facing forward.
Flexion Supination
Away from an anatomical position in sagittal plane External rotation of the radiohumeral joint
Extension Inversion
Return to anatomical position from flexed position Turn sole of foot until it faces inward
Hyper-extension Eversion
Movement past midline in sagittal plane Turn sole of foot until it faces outward
Superior Medial
Toward the head Toward the mid line that divides left and right
Inferior Lateral
Away from the head To the side away from the mid line
Anterior Proximal
The front of the body or body part Closer to the torso
Posterior Distal
The back of the body or body part Farther away from the torso
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• Deltoid
• Pectoralis major
• Biceps brachii
• Triceps brachii
• Rotator cuff
Deltoid
Anterior portion
• Flex and medially rotate arm
at shoulder joint
Middle portion
• Abduct arm
Posterior portion
• Flex and laterally rotate arm
at shoulder joint
Figure 4: Deltoid
Biceps Brachii
Rotator Cuff
• Supraspinatus
• Infraspinatus
• Subscapularis
• Teres Minor
A. B.
B.
A.
Infraspinatus
Lower Extremity
• Quadriceps
• Hamstrings
• Gluteus Maximus
• Calf muscles
• Hip Adductors
• Iliopsoas
Made up of 4 muscles:
• Vastus Lateralis
• Vastus Medialis
• Vastus Intermedialis
• Rectus Femoris
Quadriceps
Knee extension =
• Vastus Lateralis
• Vastus Medialis
• Vastus Intermedialis
Hip flexion and knee extension =
• Rectus Femoris
Comprises of 3 muscles:
• Semi-membranosus
• Semi-tendinosus
• Bicepsfemoris
Gluteus Maximus
Hip Adductors
• Adductor Magnus
• Adductor Longus
• Adductor Brevis
Trunk Muscles
• Latissmus Dorsi
• Trapezius
• Abdominal muscles
• Erector Spinae
A. B. C.
Figure 22: Trunk Muscles, A. Abdominal, B. Latissimus Dorsi & Trapezius, C. Erector Spinae
Trapezius
C. D.
Erector Spinae
• Major extensor
of the trunk
A. B. C.
Figure 30: Erector Spinae. A: Spinalis Group, B: Longissimus Group, C: Iliocostalis Group
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RECIPROCAL INHIBITION
CO-CONTRACTION
STRETCH REFLEX
34 A:
• Reverse Origin & Insertion
can happen when the
insertion point becomes
relatively fixed
• This usually occurs at a
closed chain situation
where the insertion point
is in contact of a surface 34 B:
33:
Figure 33: Insertion point at contact of a surface Figure 34 A & B: Insertion towards origin
Reciprocal Inhibition
PNF
Two Principles:
• Reciprocal Inhibition
• Golgi Tendon Reflex
• Since there are two principles, there are several
ways to conduct PNF
• One of the ways is to use both principles,
“Slow reversal contract relax”
Method 1:
1. First bring the muscle to a stretched 1. Dig heels into mat and
engage hamstrings
position
2. Apply tension so that the target muscle is
contracting isometrically (no movement)
for 6 seconds (trigger Golgi tendon reflex)
3. Relax the target muscle
4. Contract its antagonist muscle
concentrically and stretch out the target 2. Engage quadriceps to
straighten the knee
muscle
5. Repeat the above processes (2 – 4) until
the end range is achieved Figure 40: Slow Reversal Contract Relax 1
6. Stay in the new range for at least 10
seconds before coming out of the pose
Method 2:
1. Press knees against elbows on
either side to engage hip adductor
muscles
2. Push knees towards mat
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CONSISTS OF A SERIES OF 33
CALLED VERTEBRAE, 26 OF
1. CERVICAL (7)
2. THORACIC (12)
3. LUMBAR (5)
4. SACRUM (5 FUSED)
5. COCCYX (4)
Thoracic Vertebrae
Sacrum
Intervertebral Disc
• Compression
• Tension
• Proportion
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Patello-Femoral joint
Knee Complex
Movement:
• Flexion
• Extension
• Rotation (Knee bent)
Unhappy Triad
• Warrior Pose
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JOINT.
THE JOINT.
Hip Joint
• In the healthy hip joint the femoral head • These joint structures create a passive
is continually in close and stable contact resistant force on the hip joint that keeps
with the socket during all movements the femoral head in close contact with the
• The stability of the healthy hip joint is hip joint socket during all movements
provided by: • Moreover, the 19 muscles surrounding the
- thick joint capsule hip joint provide further dynamic stability
- a system of joint ligaments built in the to the hip joint
joint capsule
- ligament inside the hip joint itself
(ligamentum teres)
• Flexion
• Extension
• Abduction
• Adduction
• InternalRotation
• ExternalRotation
• Circumduction
Q Angle ASIS
Q Angle
Figure 68: Trikonasana - Triangle Pose Figure 69: Padmasana - Lotus Pose
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Shoulder Girdle
4 different joints:
• Sternoclavicular joint
• Glenohumeral joint
• Acromoclavicular joint
• Scapulohumeral joint
Exploded view
Glenohumeral Joint
• Flexion
• Extension
• Abduction
• Adduction
• Internal rotation
• External rotation
• Circumduction
Shoulder Stabilisers
Scapulohumeral joint
• Elevation
• Depression
• Protraction
• Retraction
Figure 79: Adho Mukha Svanasana - Figure 80: Salamba Sirsasana - Figure 81: Chakrasana /Urdhva
Downward Facing Dog Supported Headstand Dhanurasana - Wheel Pose/ Upward
Bow Pose
Weight transmission
Pelvic Movement
• Anterior Tilt
• Posterior Tilt
• Lateral Tilt
Sacro-iliac Joint
• The SI joint is a very large joint and • More commonly, sacroiliac pain occurs
is frequently seen as being a pain from dysfunction- either stresses
generator in the low back on the joint or too much movement
• Typical complains include: lower (hypermobility)
back pain, pain that radiates or • Stresses to the SI Joint can occur from
goes into the upper buttock the following activities: persistent
• Pain may be worse on one side standing on one leg, falling, swinging a golf
more so than the other club, lifting something, or even bending
• Pain increases with walking and over
does not go below the knee • If the joint is hyper mobile, pain occurs
• People with stiff lumbar spine are anytime the joint is displaced. This occurs
especially prone to sacro-iliac joint more commonly in females due to their
dysfunction, probably from lack of joint structure, hormonal changes, and
motion above, causing increased childbirth strains
stress on the SI joint
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2 | DIGESTIVE ANATOMY
Main purpose:
• Break down food
• Absorb nutrients
• Gastroitestinal (GI)
tract (also known as
the alimentary canal)
• Accessory digestive
organs
• Mouth
• Pharynx
• Oesophagus
• Stomach
• Small Intestine
• Large Intestine
Accessory Organs
• Teeth
• Tongue
• Salivary glands
• Liver
• Gall bladder
• Pancreas
• Ingestion
• Secretion
• Propulsion
• Digestion
• Absorption
• Defecation
• Mechanical Digestion =
Chewing up the food, your
stomach and small intestine
churning the food
• Chemical Digestion = the
work of enzymes - breaking
large carbohydrate, lipid,
protein and nucleic acid
molecules down into their sub
components (nutrients)
Esophagus
Bile
Pancreas
Pancreas
Small Intestine
• Cecum:
Midden, dilated pouch, about 6cm
long, located slightly below the
ileocecal valve
• Colon:
Makes up most of the large intestine,
divided into four regions - the
ascending, transverse, descending
and sigmoid portions
Cecum
• Ascending colon
The part moving up the right side of the
body
• Transverse colon
The part that travels from the right side
Transverse
to the left side of the body Colon
• Descending colon
The part connecting transverse colon to Descending
Colon
sigmoid colon by travelling down the left Ascending
Colon
side of the body
Sigmoid
• Sigmoid colon Colon
Located low in the abdomen, connects
to the descending colon at the left side
of the body and stretches to the middle Figure 100: Colon
of the body where it meets the rectum
• Rectum
The last 20cm of the large intestine,
located just in front of the sacrum and
coccyx bones
• Anal Canal
The last 2 to 3 cm of the rectum,
leading to the opening of the anal
canal (the anus). The internal and
external sphincters guard this opening
Anal Canal
Rectum
3 | RESPIRATORY ANATOMY
Consists of
• Airways, the lungs, and the respiratory
muscles
• Within the alveolar system of the lungs,
oxygen and carbon dioxide are passively
exchanged, by diffusion, between the
gaseous environment and the blood
• Thus, the respiratory system facilitates
oxygenation of the blood with a
concomitant removal of carbon dioxide
and other gaseous metabolic wastes
from the circulation
• The system also helps to maintain the
acid-base balance of the body through
the efficient removal of carbon dioxide
from the blood
• Nose
• Trachea
• Thoracic cavity
• Main bronchi
• Primary, secondary and tertiary
divisions (first, second and third levels
of bronchioles) (16 times smaller than
the main bronchi)
• Respiratory bronchioles
• Alveolar ducts
• Alveoli (the multi-lobulated sacs
in which most of the gas exchange
occurs)
Figure 104: Respiratory Tract
Breathing Mechanism
• An active process
• Diaphragm contracts and lowers
• External intercostal muscles contracts
to elevate the ribcage
• Increase in thoracic volume
• Decrease in intra-thoracic pressure
• Air moves into the conducting zone
• Inhaled air is filtered, warmed, and
humidified as it flows to the lungs
Exhalation
• A passive process
• Diaphragm and external intercostal
muscle relax
• Volume of thoracic cavity decrease
• Lungs relax due to the natural elasticity
• Pressure inside lungs increases
• Air flows back out
• Expiratory muscles including the
abdominal muscles and internal
intercostal muscles will be involved in
forced exhalation
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4 | APPLIED ANATOMY
Pose
Movements involved
Joints involved
Muscles involved
Compression
Tension
Proportion
Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? ___________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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_______________________________________________________________________________________________
_______________________________________________________________________________________________
Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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_______________________________________________________________________________________________
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Ankle ________________________________________________________________________________________
Knee _________________________________________________________________________________________
Hip __________________________________________________________________________________________
Pelvis ________________________________________________________________________________________
Spine ________________________________________________________________________________________
Shoulder _____________________________________________________________________________________
Elbow ________________________________________________________________________________________
Compression? ________________________________________________________________________________
Tension? _____________________________________________________________________________________
Proportion? __________________________________________________________________________________
Hips _________________________________________________________________________________________
Knees ________________________________________________________________________________________
SI joint _______________________________________________________________________________________
Muscles involved:
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Muscle recruitment?
Joint alignment?
Potential limitation?
Should I adjust?
Need props?
How to adjust?