1. Anatomical Position and Directional Terms

2. Anatomical Position (AP)
AP is the reference position used to describe the location of anatomical parts and to describe and explain human movement.
The subject is:
standing upright with feet flat on the floor
arms at the side of the body
facing the observer
palms are facing forward (supinated)

3. Anatomical Position

4. Directional Terms
Note: the midline is an imaginary vertical line that divides the body into equal left and right sides
Abduction
occurs when a body part is moved away from the midline of the body
e.g. shoulder, hip, fingers
Adduction
occurs when a body part is moved toward the midline of the body
remember “add to your midline”

5. Directional Terms
Anterior (ventral): nearer to or in front of the body
e.g. the sternum is anterior to the heart
Bilateral
Refers to both sides of the body
e.g. The victim in the car crash suffered bilateral tibia fractures.
Contralateral
Refers to the opposite side of the body
e.g. He has hurt his left knee before, but no history of contralateral injury.

6. Skeletal System Appendicular Axial
The section of the skeleton referring to the arms and legs.
Axial
The section of the skeleton referring to the head and trunk.

7. Skeletal System Bone Bursa Cartilage
The hard connective tissue that forms the skeleton of vertebrates.
Bursa
A fluid filled sac that reduces friction.
Cartilage
Connective tissue that covers the ends of bones

8. Coronal plane
vertical plane that cuts the body into anterior (front) and posterior (back) parts
Deep: farther away from the surface of the body
e.g. the ribs are deep to the skin of the chest
Distal: farther from the attachment of an extremity (limb) to themtrunk; farther away from the point of origin

9. Dorsiflexion: Flexion of the foot in an upward direction.
eg. Pulling your toes towards your nose
Eversion
turning the sole of the foot outward at the ankle (so the sole of the foot faces away from the midline)

10. Extension
extension at a joint results in an increase of the angle between the two segments that meet at that joint
if the movement occurs beyond the extended position, the action is called hyperextension
eg- To straighten
External Rotation: Rotation away from the midline

11. Fascia: Connective tissue that covers muscle
Flexion
flexion at a joint results in a decrease of the angle between the two segments that meet at that joint
eg- to bend
Inferior: farther away from the head. Situated below
e.g. the stomach is inferior to the lungs

12. Pronation
rotation of the forearm and hand to the palms down position
Prone
Lying face down
Proximal: nearer to the attachment of an extremity (limb) to the trunk; nearer to the point of origin
e.g. the humerus is proximal to the radius

13. Rotation
the movement of a bone around its own axis; this is also known as a pivot
e.g. the head, neck, and trunk can pivot around the longitudinal axis
Sagittal plane
a vertical plane that cuts the body into right and left sides
Superficial: on or near the surface of the body
e.g. the skin is the most superficial organ of the body

14. Superior: nearer the head
Situated above
e.g. the heart is superior to the liver
Supination
rotation of the forearm and hand to the palms up position (remember holding a cup of “soup”)
Supine
Lying face up
“Supine your on your spine”

15. Tendons
Connect muscle to bone
Transverse plane
horizontal plane that cuts the body into superior and inferior parts
Posterior (dorsal): nearer to or at the back of the body
e.g. the esophagus is posterior to the trachea

16. Planes of the Body

17. Directional Terms
Anterior (ventral): nearer to or in front of the body
e.g. the sternum is anterior to the heart
Posterior (dorsal): nearer to or at the back of the body
e.g. the esophagus is posterior to the trachea

18. Directional Terms
Note: the midline is an imaginary vertical line that divides the body into equal left and right sides
Superior: nearer the head
e.g. the heart is superior to the liver
Inferior: farther away from the head
e.g. the stomach is inferior to the lungs

19. Directional Terms Medial: closer to the midline of the body
e.g. the ulna is on the medial side of the forearm
Lateral: farther away from the midline of the body
e.g. the ear is lateral to the nose in all individuals

20. Directional Terms
Proximal: nearer to the attachment of an extremity (limb) to
the trunk; nearer to the point of origin
e.g. the humerus is proximal to the radius
Distal: farther from the attachment of an extremity (limb) to themtrunk; farther away from the point of origin
e.g. the phalanges are distal to the carpals (wrist bones)

21. Directional Terms Superficial: on or near the surface of the body
e.g. the skin is the most superficial organ of the body
Deep: farther away from the surface of the body
e.g. the ribs are deep to the skin of the chest

22. Planes of Motion and Axes
Biomechanics is the study of human movements through the use of physics. As such, biomechanics has its own language and terminology. The language of biomechanics establishes a common reference system of standard terms. Planes and axes of motion are an important part of this language.

23. Planes of Motion
A plane of motion can be defined as the two dimensional space cut by a moving body or the plane along which movements occur. There are generally three planes used to describe segmental and body movements in physical activity. These are:
Sagittal plane
a vertical plane that cuts the body into right and left sides
Frontal plane
vertical plane that cuts the body into anterior (front) and posterior (back) parts
Transverse plane
horizontal plane that cuts the body into superior and inferior parts

24. Anatomical Planes

25. Anatomical Axes
An axis is the point about which rotation of a body or of a body segment occurs. There are three axes of rotation. Each axis is associated with a plane of motion and the axis is perpendicular to that plane.
Horizontal axis (…think East and West)
passes through the body from side to side
perpendicular to the sagittal plane
Antereoposterior axis (axis)
passes through the body from front to back
perpendicular to the frontal plane
Longitudinal axis (…think North and South pole)
passes through the body from top to bottom
perpendicular to the transverse plane

26. Planes & Movements
Movements in the sagittal plane around a horizontal axis
(e.g. front roll, back roll, cycling, running)
Flexion
flexion at a joint results in a decrease of the angle between the two segments that meet at that joint
Extension
extension at a joint results in an increase of the angle between the two segments that meet at that joint
if the movement occurs beyond the extended position, the action is called hyperextension

27. Examples of flexion and extension
shoulder flexion and extension
elbow flexion and extension
wrist flexion and extension
fingers flexion and extension
hip flexion and extension
knee flexion and extension
ankle dorsi flexion and plantar flexion
tilt of pelvis under
Dorsi flexion: bringing the toes toward the shin
Plantar flexion: pointing the toes away from the shin (toward the floor)

28. Planes & Movements
Movements in the frontal plane around a antereoposterior axis
(e.g. cartwheel, jumping jacks, galloping)
Abduction
occurs when a body part is moved away from the midline of the body
e.g. shoulder, hip, fingers
Adduction
occurs when a body part is moved toward the midline of the body
remember “add to your midline”

29. Movements & Planes Inversion
Turning the sole of the foot inward at the ankle (so the sole of the foot faces toward the midline)
Eversion
turning the sole of the foot outward at the ankle (so the sole of the foot faces away from the midline)
Elevation
raising a part to a superior position
e.g. raising your shoulders toward your ears; closing your jaw
Depression
lowering a part to an inferior position
e.g. lowering your shoulders to normal or lower than normal position; lowering your jaw to an open position

30. More… Protraction Sticking jaw out (pouting) Retraction
Bringing jaw back to anatomical position
Lateral bending
bending of the spinal column in the frontal plane to the left or right
e.g. bending side to side at the waist

31. And More… Movements in the transverse plane around a longitudinal axis
(e.g. twist, pirouette)
Rotation
the movement of a bone around its own axis; this is also known as a pivot
e.g. the head, neck, and trunk can pivot around the longitudinal axis
Internal (medial) rotation
Rotation towards the midline
E.g. turning forearn in towards body
External (lateral) rotation
Rotation away from midline
E.g. turning forearm away from body

32. More…
Pronation
rotation of the forearm and hand to the palms down position
Supination
rotation of the forearm and hand to the palms up position (remember holding a cup of “soup”)
Protraction
Shoulder rounding (hunching shoulders)
Retraction
Bringing shoulders back to anatomical position, or squeezing shoulder blades together at back

33. Special movements Circumduction
a combination of abduction, adduction, flexion and extension
this action describes a circle
e.g. moving the shoulder in a circle (swimming, windmill throw in baseball); can also be done at the hip joint
Opposition
Bringing thumb towards fingers
Reposition
Returning thumb back to anatomical position