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rotation of the hands and forearms so that the palms face downward

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

In general, motion is classified according to the anatomical plane it occurs in. Flexion and extension are examples of angular 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 the shoulder, and are described as internal or external. Other terms, such as elevation and depression, refer to movement above or below the horizontal plane. Many anatomical terms derive from Latin terms with the same meaning.

1 Classification
- 1.1 Abnormal motion
2 General motion
- 2.1 Flexion and extension
- 2.2 Abduction and adduction
- 2.3 Elevation and depression
- 2.4 Rotation
- 2.5 Other
3 Special motion
- 3.1 Special motions of the hands and feet
  - 3.1.1 Flexion and extension of the foot
  - 3.1.2 Flexion and extension of the hand
  - 3.1.3 Pronation and supination
  - 3.1.4 Inversion and eversion
- 3.2 Special motions of the eyes
- 3.3 Special motions of the jaw and teeth
- 3.4 Other
4 See also
5 Notes
6 References
7 Sources
8 External links

Classification

Motions are classified after the anatomical 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:

Gliding motions occur between flat surfaces, such as in the intervertebral discs or between the carpal and metacarpal bones of the hand.^[1]
Angular motions occur over synovial joints and causes them to either increase or decrease angles between bones.^[1]
Rotational motions move a structure in a rotational motion along a longitudinal axis, such as turning the head to look to either side.^[3]

Apart from this motions can also be divided into:

Linear motions (or translatory motions), which move in a line between two points. A rectilinear motion refers to a motion in a straight line between two points, whereas a curvilinear motion refers to a motion following a curved path.^[2]
Angular motions (or rotary 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 is known as kinesiology.^[4] A categoric list of movements of the human body and the muscles involved can be found at list of movements of the human body.

Abnormal motion

The prefix hyper- is sometimes added to describe movement beyond the normal limits, such as in hypermobility, hyperflexion or hyperextension. The range 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 as hyperextended. Hyperextension increases the stress on the ligaments 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]

General motion

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

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

Flexion describes a bending movement that decreases the angle between a segment and its proximal segment.^[9] For example, bending the elbow, or clenching a hand into a fist, are examples of flexion. When sitting down, the knees are flexed. When a joint can move forward and backward, such as the neck and trunk, flexion refers to movement in the anterior direction.^[10] Flexion of the shoulder or hip refers to movement of the arm or leg forward.^[11]

Extension is the opposite of flexion, describing a straightening movement that increases the angle between body parts.^[12] When a joint can move forward and backward, such as the neck and trunk, extension refers to movement in the posterior direction.^[10] For example, when standing up, the knees are extended. Extension of the hip or shoulder moves the arm or leg backward.^[11] When the chin is against the chest, the head is flexed, and the trunk is flexed when a person leans forward. ^[10]

Abduction and adduction

Abduction and adduction refer to motions that move a structure away from or towards the centre of the body.^[13] The centre of the body is defined as the midsagittal plane.^[3] These terms come from the Latin words with the same meaning.^[b]

Abduction refers to a motion that pulls a structure or part away from the midline of the body. In the case of fingers and toes, it refers to spreading the digits apart, away from the centerline of the hand or foot. Abduction of the wrist is also called radial deviation.^[13] For example, raising the arms up, such as when tightrope-walking, is an example of abduction at the shoulder.^[11] When the legs are splayed at the hip, such as when doing a star jump or doing a split, the legs are abducted at the hip.^[3]

Adduction refers to a motion that pulls a structure or part toward the midline of the body, or towards the midline of a limb. In the case of fingers and toes, it refers to bringing the digits together, towards the centerline of the hand or foot. Adduction of the wrist is also called ulnar deviation. Dropping the arms to the sides, or bringing the knees together, are examples of adduction.^[13]

Ulnar deviation is the hand moving towards the ulnar styloid (or, towards the pinky/fifth digit). Radial deviation is the hand moving towards the radial styloid (or, towards the thumb/first digit). (See: https://o.quizlet.com/uDf07L6r7LRa.H4VxXXziQ_m.jpg for appropriate image)

Elevation and depression

The terms elevation and depression refer to movement above and below the horizontal. They derive from the Latin terms with the same meaning^[c]

Elevation refers to movement in a superior direction.^[16] For example, shrugging is an example of elevation of the scapula. ^[17]

Depression refers to movement in an inferior direction, the opposite of elevation.^[18]

Rotation

Rotation of body parts is referred to as internal or external, referring to rotation towards or away from the center of the body.^[19]

Internal rotation (or medial rotation) refers to rotation towards the axis of the body.^[19]

External rotation (or lateral rotation) refers to rotation away from the center of the body.^[19]

The lotus posture of yoga, demonstrating external rotation of the leg at the hip.
Rotating the arm away from the body is external rotation.
Rotating the arm closer to the body is internal rotation.

Other

Anterograde and Retrograde flow, refers to movement of blood or other fluids in a normal (anterograde) or abnormal (retrograde) direction.^[20]
Circumduction refers to a conical movement of a body part, such as a ball-and-socket joint or the eye. Circumduction is a combination of flexion, extension, adduction and abduction. Circumduction can be best performed at ball and socket joints, such as the hip and shoulder, but may also be performed by other parts of the body such as fingers, hands, feet, and head.^[21] For example, circumduction occurs when spinning the arm when performing a serve in tennis or bowling a cricket ball. ^[22]
Reduction refers to a motion returning a bone to its original state,^[23] such as a shoulder reduction following shoulder dislocation, or reduction of a hernia.

The swinging action made during a tennis serve is an example of circumduction

Special motion

Special motions of the hands and feet

Flexion and extension of the foot

Dorsiflexion and plantar flexion refers to extension or flexion of the foot at the ankle. These terms refer to flexion between the foot and the body's dorsal surface, considered the front of the leg, and flexion between the foot and the body's plantar surface, considered the back of the leg.^[24] These terms are used to resolve confusion, as technically extension of the joint refers to dorsiflexion, which could be considered counter-intuitive as the motion reduces the angle between the foot and the leg. ^[25]

Dorsiflexion where the toes are brought closer to the shin. This decreases the angle between the dorsum of the foot and the leg.^[26] For example, when walking on the heels the ankle is not described as dorsiflexion.^[25]

Plantar flexion 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 a car pedal or standing on the tiptoes can be described as plantar flexion.^[25]

A ballerina, demonstrating plantar flexion of the feet.
Dorsi and plantar flexion of the foot.

Flexion and extension of the hand

Palmarflexion and dorsiflexion refer to movement of the flexion (palmarflexion) or extension (dorsiflexion) of the hand at the wrist.^[27] These terms refer to flexion between the hand and the body's dorsal surface, which is the back of the arm, and flexion between the hand and the body's plantar surface, which in anatomical position is considered the anterior side of the arm.^[28] The direction of terms are opposite to those in the foot because of embryological rotation of the limbs in opposite directions.^[10]

Palmarflexion refers to decreasing the angle between the palm and the anterior forearm.^[27]

Dorsiflexion refers to extension at the wrist joint. This brings the hand closer to the dorsum of the body.^[27]

Praying Hands by Albrecht Dürer, demonstrating dorsiflexion of the hands.

Pronation and supination

Pronation (/proʊˈneɪʃən/) and supination (/suːpᵻˈneɪʃən/) refer most generally to assuming prone or supine positions, but often they are used in a specific sense referring to rotation of the forearm or foot so that in the standard anatomical position the palm or sole is facing anteriorly (supination) or posteriorly (pronation).^[29]

Pronation at the forearm is a rotational movement where the hand and upper arm are turned inwards. Pronation of the foot refers to turning of the foot outwards, so that weight is borne on the medial part of the foot.^[30]

Supination of the forearm occurs when the forearm or palm are rotated outwards. Supination of the foot refers to turning of the sole of the foot inwards.^[31]

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

Inversion and eversion

Inversion and eversion refer to movements that tilt the sole of the foot away from (eversion) or towards (inversion) the midline of the body.^[32]

Eversion is the movement of the sole of the foot away from the median plane.^[33] Inversion is the movement of the sole towards the median plane. For example, inversion describes the motion when an ankle is twisted.^[26]

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

Special motions of the eyes

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

A version is an eye movement involving both eyes moving synchronously and symmetrically in the same direction.^[34]
Torsion refers to eye movement that affects the vertical axis of the eye,^[35] such as the movement made when looking in to the nose.

Special motions of the jaw and teeth

Occlusion refers to motion of the mandibula towards the maxilla making contact between the teeth.^[36]
Protrusion and Retrusion are sometimes used to describe the anterior (protrusion) and posterior (retrusion) movement of the jaw.^[37]

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

Other

Other terms include:

Nutation and counternutation^[d] refer to movement of the sacrum defined by the rotation of the promontory downwards and anteriorly, as with lumbar extension (nutation); or upwards and posteriorly, as with lumbar flexion (counternutation).^[39]
Opposition refers to the movement that involves grasping of the thumb and fingers.^[40]
Protraction and Retraction refer to an anterior (protraction) or posterior (retraction) movement,^[41] such as of the arm at the shoulders, although these terms have been criticised as non-specific.^[42]
Reciprocal motion refers to alternating motions in opposing directions.^[43]
Reposition refers to restoring an object to its natural condition.^[44]

Nutation at left, counternutation at right
An example of opposition
Example of opposition of the thumb and index finger

Notes

^ "to stretch out" (Latin: extendere), "to bend" Latin: flectere) ^[8]
^ "to bring in" (Latin: adductere), "to lead away" Latin: abducere^[14]
^ "press down" (Latin: deprimere), "to raise" (Latin: elevare)^[15]
^ "to nod" (Latin: Nutare)^[38]

References

^ ^a ^b ^c Marieb 2010, p. 212.
^ ^a ^b ^c Lippert 2011, pp. 6-7.
^ ^a ^b ^c Kendall 2005, p. 57.
^ Lippert 2011, pp. 1-7.
^ Kendall 2005, p. G-4.
^ Seeley 1998, p. 229.
^ "Anatomy & Physiology". Openstax college at Connexions. Retrieved November 16, 2013.
^ OED 1989, "flexion", "extension".
^ OED 1989, "flexion".
^ ^a ^b ^c ^d Kendall 2005, p. 56.
^ ^a ^b ^c Cook 2012, pp. 180-193.
^ OED 1989, "extension".
^ ^a ^b ^c Swartz 2010, pp. 590–591.
^ OED 1989, "adduction", "abduction", "abduct".
^ OED 1989.
^ OED 1989, "elevation".
^ Kendall 2005, p. 303.
^ OED 1989, "depression".
^ ^a ^b ^c Swartz 2010, pp. 590-1.
^ OED 1989, "anterograde", "retrograde".
^ Saladin 2010, p. 300.
^ Kendall 2005, p. 304.
^ Taber 2001, "reduction".
^ OED 1989, "plantar flexion", "dorsiflexion".
^ ^a ^b ^c Kendall 2005, p. 371.
^ ^a ^b Kyung 2005, p. 123.
^ ^a ^b ^c Swartz 2010, pp. 591-593.
^ OED 1989, "plantarflexion", "dorsiflexion".
^ Swartz 2010, pp. 591–592.
^ OED 1989, "pronation".
^ OED 1989, "supination".
^ Swartz 2010, p. 591.
^ Kyung 2005, p. 108.
^ DMD 2012, "version".
^ Taber 2001, "torsion".
^ Taber 2001, "occlusion".
^ Taber 2001, "protrusion", "retrusion".
^ OED 1989, "nutation".
^ Houglum 2012, p. 333.
^ Taber 2001, "opposition".
^ OED 1989, "protraction", "retraction".
^ Kendall 2005, p. 302.
^ Taber 2001, "reciprocation".
^ OED 1989, "resposition".

Sources

Albert, Daniel (2012). Dorland's Illustrated Medical Dictionary. (32nd ed.). Philadelphia, PA: Saunders/Elsevier. ISBN 978-1416062578.
Chung, Kyung Won (2005). Gross Anatomy (Board Review). Lippincott Williams & Wilkins. ISBN 0-7817-5309-0.
Cook, Chad E. (2012). Orthopedic Manual Therapy: An Evidence Based Approach (2nd ed.). Upper Saddle River, NJ: Pearson Education. ISBN 978-0-13-802173-3.
Houglum, Peggy A.; Bertoli, Dolores B. (2012). Brunnstrom's Clinical Kinesiology. F. A. Davis Company. ISBN 978-0-8036-2352-1.
Kendall, Florence Peterson; [et al.]; et al. (2005). Muscles : testing and function with posture and pain (5th ed.). Baltimore, MD: Lippincott Williams & Wilkins. ISBN 0-7817-4780-5.
Lippert, Lynn S. (2011). Clinical Kinesiology and Anatomy (5th ed.). F. A. Davis Company. ISBN 978-0-8036-2363-7.
Marieb, Elaine N.; Wilhelm, Patricia B.; Mallat, Jon (2010). Human Anatomy. Pearson. ISBN 978-0-321-61611-1.
Saladin, Kenneth S. (2010). Anatomy & Physiology The Unity of Form and Function (5th ed.). McGraw Hill.
Seeley, Rod R.; Stephens, Trent D.; Tate, Philip (1998). Anatomy & Physiology (4th ed.). WCB/McGraw-Hill. ISBN 0-697-41107-9.
Simpson, John A.; Weiner, Edmung (1989). The Oxford English Dictionary. Oxford: Clarendon Press. ISBN 9780198611868.
Swartz, Mark H. (2010). Textbook of Physical Diagnosis: History and Examination (6th ed.). Saunders/Elsevier. ISBN 978-1-4160-6203-5.
Venes, Donald (Editor); Thomas, Clayton L. (Editor); Egan, Elizabeth J. (Managing Editor); Morelli, Nancee A. (Assistant Editor); Nell, Alison D. (Assistant Editor); Matkowski, Joy (2001). Taber's Cyclopedic Medical Dictionary (illustrated in full color 19th ed.). Philadelphia: F.A.Davis Co. ISBN 0-8036-0655-9.

External links

Hypermuscle: Muscles in Action at med.umich.edu

UpToDate Contents

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1. 活動的な小児または骨格発達の未成熟な思春期における前足部および中足部の痛み：原因の概要 forefoot and midfoot pain in the active child or skeletally immature adolescent overview of causes
2. 成人における肘痛の評価 evaluation of elbow pain in adults
3. 成人における足の痛みの評価と一般的な原因の診断 evaluation and diagnosis of common causes of foot pain in adults
4. Musculoskeletal ultrasound of the wrist
5. 活動的な小児または骨格発達の未成熟な思春期における踵痛：原因の概要 heel pain in the active child or skeletally immature adolescent overview of causes

English Journal

Passive stiffness of coupled wrist and forearm rotations.

Drake WB1, Charles SK.
Annals of biomedical engineering.Ann Biomed Eng.2014 Sep;42(9):1853-66. doi: 10.1007/s10439-014-1054-0. Epub 2014 Jun 8.
Coordinated movement requires that the neuromuscular system account and compensate for movement dynamics. One particularly complex aspect of movement dynamics is the interaction that occurs between degrees of freedom (DOF), which may be caused by inertia, damping, and/or stiffness. During wrist rota
PMID 24912766

Treatment of medial epicondylar tendinopathy in athletes.

Mishra A1, Pirolo JM, Gosens T.
Sports medicine and arthroscopy review.Sports Med Arthrosc.2014 Sep;22(3):164-8. doi: 10.1097/JSA.0000000000000031.
Medial epicondylar tendinopathy, also known as golfer's elbow, is less common than lateral elbow tendinopathy. Overhead throwing athletes and those participating in sports that require repeated forearm pronation and wrist flexion are most commonly affected by this disorder. This problem predominates
PMID 25077746

Dynamics of wrist and forearm rotations.

Peaden AW1, Charles SK2.
Journal of biomechanics.J Biomech.2014 Aug 22;47(11):2779-85. doi: 10.1016/j.jbiomech.2014.01.053. Epub 2014 Mar 13.
Human movement generally involves multiple degrees of freedom (DOF) coordinated in a graceful and seemingly effortless manner even though the underlying dynamics are generally complex. Understanding these dynamics is important because it exposes the challenges that the neuromuscular system faces in
PMID 24745814

Japanese Journal

症例研究前腕回内制限に対するアプローチにより改善が見られたde Quervain病の一症例

平田史哉,財前知典,小関博久
理学療法科学 29(5), 825-827, 2014-10
NAID 40020248741

ランニングシューズソール構造の人間工学的評価のための測定システムの検討 (MEとバイオサイバネティックス)

小野寺裕太,林豊彦,三國学
電子情報通信学会技術研究報告 = IEICE technical report : 信学技報 114(79), 9-14, 2014-06-13
NAID 40020125154

前腕回内制限に対するアプローチにより改善が見られたde Quervain病の一症例

平田史哉,財前知典,小関博久
理学療法科学 29(5), 825-827, 2014
〔目的〕de Quervain病症例に対する前腕回内制限に着目したリハビリテーションにおいて良好な結果が得られたため，その有効性を報告する．〔対象〕ADL，仕事による右母指橈背側痛を主訴とする40歳代女性とした．〔方法〕右手関節に対して疼痛検査，整形外科テスト，ROM測定，手根骨アーチ評価を行い，その結果に基づく，右前腕回内制限に対するアプローチを実施した．〔結果〕前腕回内可動域改善，手根骨アーチ …
NAID 130004701628

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[9] "to stretch out" (Latin: extendere), "to bend" Latin: flectere) ^[8]

[16] "to bring in" (Latin: adductere), "to lead away" Latin: abducere^[14]

[18] "press down" (Latin: deprimere), "to raise" (Latin: elevare)^[15]

[42] "to nod" (Latin: Nutare)^[38]

[FOOTNOTEMarieb2010212-1] Marieb 2010, p. 212.

[FOOTNOTELippert20116-7-2] Lippert 2011, pp. 6-7.

[FOOTNOTEKendall200557-3] Kendall 2005, p. 57.

[FOOTNOTELippert20111-7-4] Lippert 2011, pp. 1-7.

[FOOTNOTEKendall2005G-4-5] Kendall 2005, p. G-4.

[FOOTNOTESeeley1998229-6] Seeley 1998, p. 229.

[Openstax_Anatomy_.26_Physiology-7] "Anatomy & Physiology". Openstax college at Connexions. Retrieved November 16, 2013.

[FOOTNOTEOED1989.22flexion.22.2C_.22extension.22-8] OED 1989, "flexion", "extension".

[FOOTNOTEOED1989.22flexion.22-10] OED 1989, "flexion".

[FOOTNOTEKendall200556-11] Kendall 2005, p. 56.

[FOOTNOTECook2012180-193-12] Cook 2012, pp. 180-193.

[FOOTNOTEOED1989.22extension.22-13] OED 1989, "extension".

[FOOTNOTESwartz2010590.E2.80.93591-14] Swartz 2010, pp. 590–591.

[FOOTNOTEOED1989.22adduction.22.2C_.22abduction.22.2C_.22abduct.22-15] OED 1989, "adduction", "abduction", "abduct".

[FOOTNOTEOED1989-17] OED 1989.

[FOOTNOTEOED1989.22elevation.22-19] OED 1989, "elevation".

[FOOTNOTEKendall2005303-20] Kendall 2005, p. 303.

[FOOTNOTEOED1989.22depression.22-21] OED 1989, "depression".

[FOOTNOTESwartz2010590-1-22] Swartz 2010, pp. 590-1.

[FOOTNOTEOED1989.22anterograde.22.2C_.22retrograde.22-23] OED 1989, "anterograde", "retrograde".

[FOOTNOTESaladin2010300-24] Saladin 2010, p. 300.

[FOOTNOTEKendall2005304-25] Kendall 2005, p. 304.

[FOOTNOTETaber2001.22reduction.22-26] Taber 2001, "reduction".

[FOOTNOTEOED1989.22plantar_flexion.22.2C_.22dorsiflexion.22-27] OED 1989, "plantar flexion", "dorsiflexion".

[FOOTNOTEKendall2005371-28] Kendall 2005, p. 371.

[FOOTNOTEKyung2005123-29] Kyung 2005, p. 123.

[FOOTNOTESwartz2010591-593-30] Swartz 2010, pp. 591-593.

[FOOTNOTEOED1989.22plantarflexion.22.2C_.22dorsiflexion.22-31] OED 1989, "plantarflexion", "dorsiflexion".

[FOOTNOTESwartz2010591.E2.80.93592-32] Swartz 2010, pp. 591–592.

[FOOTNOTEOED1989.22pronation.22-33] OED 1989, "pronation".

[FOOTNOTEOED1989.22supination.22-34] OED 1989, "supination".

[FOOTNOTESwartz2010591-35] Swartz 2010, p. 591.

[FOOTNOTEKyung2005108-36] Kyung 2005, p. 108.

[FOOTNOTEDMD2012.22version.22-37] DMD 2012, "version".

[FOOTNOTETaber2001.22torsion.22-38] Taber 2001, "torsion".

[FOOTNOTETaber2001.22occlusion.22-39] Taber 2001, "occlusion".

[FOOTNOTETaber2001.22protrusion.22.2C_.22retrusion.22-40] Taber 2001, "protrusion", "retrusion".

[FOOTNOTEOED1989.22nutation.22-41] OED 1989, "nutation".

[FOOTNOTEHouglum2012333-43] Houglum 2012, p. 333.

[FOOTNOTETaber2001.22opposition.22-44] Taber 2001, "opposition".

[FOOTNOTEOED1989.22protraction.22.2C_.22retraction.22-45] OED 1989, "protraction", "retraction".

[FOOTNOTEKendall2005302-46] Kendall 2005, p. 302.

[FOOTNOTETaber2001.22reciprocation.22-47] Taber 2001, "reciprocation".

[FOOTNOTEOED1989.22resposition.22-48] OED 1989, "resposition".

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Contents

Classification

Abnormal motion

General motion

Flexion and extension

Abduction and adduction

Elevation and depression

Rotation

Other

Special motion

Special motions of the hands and feet

Flexion and extension of the foot

Flexion and extension of the hand

Pronation and supination

Inversion and eversion

Special motions of the eyes

Special motions of the jaw and teeth

Other

See also

Notes

References

Sources

External links

UpToDate Contents

English Journal

Japanese Journal

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