OTAS 1210 - Clinical Kinesiology

Credit Hours: 3.00

Objectives:

1. Identify the planes and axes and their relationship to joint motion.
2. Identify the motions, which occur in each plane.
3. Identify and use the proper anatomical terms of reference.
4. Describe the difference between open and closed kinematic chains and identify examples of occupation‐based closed and opened chained movements.
5. Describe degrees of freedom and the relationship to joint motion.
6. Describe diarthrodial joints and their characteristics.
7. Define and describe oosteokinematics versus arthrokinematics.
8. Describe convex/concave relationship in arthrokinematics.
9. Apply knowledge to functional activities.

Outcome 2: Upon completion of this course, students will be able to demonstrate an understanding of the forces that produce human motion.

Objectives:

1. Identify and describe the classes of levers and their function in the human body.
2. Describe forces as vectors and how they affect motion/muscle torque in the human body.
3. Define muscle torque and how it creates human joint motion.
4. Define movement of arms and their clinical relevance.
5. Identify the center of gravity of the body and the effects of gravity on the body.
6. Describe biomechanical principles of force systems to body equilibrium, joint function, motion and therapeutic situation.
7. Describe the lever system and discuss its application to the musculoskeletal system.
8. Identify the principles of stability and the relationship to gravity to base of support.
9. Identify the relationship of functional body mechanics to human movement, problem prevention and the role of occupation.
10. Apply knowledge to function/occupation‐based activities.

Outcome 3: Upon completion of this course, students will be able to demonstrate an understanding of the basic concepts of muscle function.

Objectives:

1. Define origin and insertion of muscle, tendon, ligament, and joint capsule.
2. Identify the characteristics of skeletal muscle.
3. Identify muscle fiber arrangements and the relationship to function.
4. Identify three types of muscle contractions.
5. Identify agonist and antagonist.
6. Describe muscle excitation and contraction.
7. Describe the relationship between nerve and muscle function.
8. Describe the length‐tension relationship of muscle and how active/passive insufficiency is utilized for normal movement.
9. Identify the relationship of the principles of manual muscle testing to muscle function.
10. Identify the role of the OTR/COTA in manual muscle testing.
11. Apply knowledge to function/occupation‐based activities.

Outcome 4: Upon completion of this course, students will be able to demonstrate an understanding of muscle function and the relationship to occupational based performance by anatomical structure and muscle groups.

Objectives:

1. Identify the major anatomical structures, nerve innervations and muscle function of the face and head.
2. Identify the major anatomical structures, nerve innervations and muscle function of the shoulder girdle and shoulder.
3. Identify the major anatomical structures, nerve innervations and muscle function of the elbow, wrist and hand.
4. Identify the major anatomical structures, nerve innervations and muscle function of the thorax.
5. Identify the major anatomical structures, nerve innervations and muscle function of the spine and trunk.
6. Identify the major anatomical structures, nerve innervations and muscle function of the pelvic girdle and hip.
7. Identify the major anatomical structures, nerve innervations and muscle function of the knee, ankle and foot.
8. Identify and describe gait and the relationship to occupational performance.
9. Apply knowledge to function/occupation‐based activities.

1. Kinematics
   1. Definition of kinesiology
   2. Kinematics
      1. Osteokinematics
      2. Arthrokinematics
   3. Planar classification of position and motion
   4. Open and closed occupation‐based kinematic chains
   5. Convex/concave relationship in arthrokinematics versus osteokinematics
   6. Classification of joint movement
   7. Joint nutrition and lubrication
   8. Pathology and clinical considerations
2. Kinetics ‐ Biomechanics
   1. Static biomechanics: basic principles
      1. Axes of rotation
      2. Force
      3. Center of gravity
      4. Lever arm and muscle attachments
      5. Movement arm
      6. Torque
   2. Dynamic motion
      1. Lever systems
      2. Effects of lever lengths
      3. Torque and angle of pull
   3. Gravity
      1. Center of gravity ‐ human body (posture)
      2. Principles of stability
      3. Body mechanics and effects of lever lengths
      4. Center of gravity as it relates to changing body positions
   4. Forces occurring between articular surfaces
   5. Effects of abnormal body mechanics
3. Muscle Function
   1. Characteristics of muscle
   2. Structure of muscle
   3. Muscle fiber arrangement and function
   4. Actions/function of muscle
   5. Physiological mechanism of muscle contraction
   6. Principles of manual muscle testing
4. Face and Head
   1. Temporomandibular joint
      1. Osteokinematics
      2. Anatomy ‐ skeletal and disc
      3. Capsule and ligaments
      4. Muscles
      5. Arthrokinematics
      6. Muscle group action
   2. Facial muscles and action
   3. Cranial nerve III and VII
5. Shoulder Girdle and Shoulder
   1. Shoulder complex ‐ composition
   2. Glenohumeral joint
      1. Motions
      2. Skeletal anatomy, ligaments and capsule
      3. Muscles
      4. Joint stabilization
   3. Sternoclavicular joint
   4. Acromioclavicular joint
   5. Scapulo thoracic joint
      1. Motions
      2. Skeletal anatomy
      3. Muscles
      4. Scapulohumeral rhythm
   6. Shoulder motion relationship to multi‐joint muscles of elbow
6. Elbow, Wrist and Hand
   1. Elbow joint
      1. Skeletal anatomy
      2. Ligaments
      3. Motions and muscles
      4. Arthrokinematics
   2. Forearm joints
      1. Skeletal anatomy
      2. Ligaments
      3. Actions and muscles
      4. Arthrokinematics
   3. Relationships of multi‐joint muscles to elbow and wrist
   4. Wrist complex
      1. Skeletal anatomy
      2. Joints and ROM
      3. Ligaments
      4. Muscles and actions
      5. Arthrokinematics
   5. Hand complex
      1. Joints
      2. Skeletal anatomy
      3. Ligaments
      4. Motion and ROM
      5. Arthrokinematics
      6. Muscles and actions
      7. Relationship of active and passive insufficiency to wrist motion
   6. Brachial plexus and nerve innervation to upper extremity muscles
7. Thorax
   1. Anatomical skeletal framework of thorax
   2. Joints
   3. Movements
   4. Muscle actions
   5. Respiration
      1. Anatomical relationship
      2. Muscle actions
8. Spine and Trunk
   1. Vertebral column ‐ regions and curves
      1. Regions and curves
      2. Skeletal structure and disc
      3. Joints and motion
   2. Ligaments
   3. Joint biomechanics
   4. Structure and function
   5. Muscle and actions
9. Pelvic Girdle and Hip
   1. Hip joint‐structure and function
   2. Anatomical structure
      1. Pelvis
      2. Hip joint
   3. Abnormal angulations of femur
   4. Ligaments
   5. Muscle, action and function
   6. Pelvic and femoral motions
   7. Arthrokinematics
   8. Lumbosacral plexus
10. Knee, Ankle and Foot
    1. Knee
       1. Joints ‐skeletal anatomy and meniscus
       2. Ligaments
       3. Motions, muscle and function
       4. Arthrokinematics
       5. Abnormal postures
    2. Talocrural joint
       1. Skeletal anatomy
       2. Ligaments
       3. Motions and muscles
       4. Arthrokinematics
       5. Abnormal postures
    3. Foot
       1. Joints
       2. Skeletal anatomy
       3. Ligaments
       4. Motions and muscles
       5. Arthrokinematics
       6. Abnormal postures
11. Gait
    1. Basic concepts of gait
    2. Center of gravity
    3. Gait cycle and phases
    4. Basic determinants of gait
    5. Critical events
    6. Critical muscle activity