PT入职培训3解剖学与人体运动学课件.ppt

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1、Chapter 3Anatomy and Kinesiology解剖学和人体运动学,Ch 3 - 1/2010,1,Chapter 3Anatomy and Kinesiol,Anatomical Position解剖学位置,Ch 3 - 1/2010,2,Anatomical Position解剖学位置Ch 3,矢状面 Sagittal 冠状面 Frontal 水平面 Horizontal,Ch 3 - 1/2010,3,矢状面 Sagittal 冠状面 Frontal,General Joint Action Terms常用关节动作术语,屈曲关节角度变小 (多数屈曲动作是向前的 除了膝关节

2、) Flexioncharacterized by the joint angle diminishing (most flexion movements are forwards, except for the knee joint)伸展屈曲的相反动作; 关节角度增大 Extensionreturn from flexion; joint angle increases外展远离身体中心线的运动 Abductionmovement away from the midline of the body内收接近身体中心线的运动 Adductionmovement toward the midline

3、 of the body旋转绕轴的运动 Rotationmovement around an axis环旋环绕 360的运动 Circumductionmovement in a 360 circle,Ch 3 - 1/2010,4,General Joint Action Terms常用关,Shoulder (Gleno-humeral) Joint Actions肩关节动作(浅窝肱骨),1. 肩屈曲 Shoulder Flexion2. 肩伸展 Shoulder Extension3. 肩外展 Shoulder Abduction4. 肩内收 Shoulder Adduction5. 肩水

4、平内收 (或屈曲) Shoulder Horizontal Adduction (or Flexion)6. 肩水平外展 (或伸展) Shoulder Horizontal Abduction (or Extension)7. 肩内旋 Shoulder Internal Rotation8. 肩外旋 Shoulder External Rotation9. 肩环旋 Shoulder Circumduction,Ch 3 - 1/2010,5,Shoulder (Gleno-humeral) Join,Shoulder Girdle (Scapular) Actions肩胛动作,肩胛上提 Sca

5、pular Elevation肩胛下压 Scapular Depression肩胛缩回 Scapular Retraction (内收) (Adduction)肩胛前引 Scapular Protraction (外展) (Abduction)肩胛上旋 Scapular Upward Rotation肩胛下旋 Scapular DownwardRotation肩胛上斜 Scapular Upward Tilt肩胛下斜 Scapular Reduction ofUpward Tilt,Ch 3 - 1/2010,6,Shoulder Girdle (Scapular) Act,PT入职培训3解剖

6、学与人体运动学课件,PT入职培训3解剖学与人体运动学课件,The Spine脊柱,Flexion屈曲Extension伸展Rotation旋转Lateral Flexion侧屈Cervical 颈椎Thoracic 胸椎Lumba 腰椎Sacrum 骶骨；荐骨Coccyx 尾骨,Ch 3 - 1/2010,9,The Spine脊柱Flexion屈曲Ch 3,Pelvis骨盆* Anterior pelvic tilt骨盆前倾* Posterior pelvic tilt骨盆后倾* Lateral pelvic tilt骨盆侧倾,Hip Joint髋关节1. Hip flexion髋屈曲2.

7、Hip extension髋伸展3. Hip abduction髋外展4. Hip adduction款内收5. Hip horizontal adduction(flexion) 髋水平内收（屈曲）6. Hip horizontal abduction(extension) 髋水平外展（伸展）7. Hip internal rotation 髋内旋8. Hip external rotation髋外旋9. Hip circumduction髋环旋,Ch 3 - 1/2010,10,Pelvis骨盆* Anterior pelvic ti,Knee Joint膝关节* Flexion屈曲* E

8、xtension伸展,Ch 3 - 1/2010,11,Knee Joint膝关节* Flexion屈曲*,Ankle Joint踝关节,Dorsiflexion 足背屈Plantarflexion 足跖屈Eversion 外翻Inversion 内翻,Ch 3 - 1/2010,12,Ankle Joint踝关节DorsiflexionCh,Six (6) Major Upper Body Muscle Groups:6组上身主要的肌肉群：1. Bicepselbow flexion肱二头肌：肘屈曲2. Tricepselbow extension肱三头肌：肘伸展,Ch 3 - 1/2010

9、,13,Six (6) Major Upper Body Musc,Biceps Brachii肱二头肌 * elbow flexion肘屈曲,Ch 3 - 1/2010,14,Biceps Brachii肱二头肌 * elbow,Triceps Brachii肱三头肌 * elbow extension肘伸展,Ch 3 - 1/2010,15,Triceps Brachii肱三头肌 * elbo,Upper Body Muscle Groups, contd上半身肌肉群,三角肌：肩屈曲, 肩外展 (前和中间部分) Deltoids: shoulder flexion, shoulder ab

10、duction (anterior and medial portions)阔背肌： 肩伸展肩内收 Latissimus Dorsi: shoulder extension, shoulder adduction,Ch 3 - 1/2010,16,Upper Body Muscle Groups, cont,Deltoids三角肌(前和中) (anterior and medial) * 肩屈曲 Shoulder Flexion * 肩外展 Shoulder Abduction,Ch 3 - 1/2010,17,Deltoids三角肌(前和中) (anterior an,Latissimus

11、Dorsi阔背肌 * 肩伸展 Shoulder Extension * 肩内收 Shoulder Adduction,Ch 3 - 1/2010,18,Latissimus Dorsi阔背肌 * 肩伸展,Upper Body Muscle Groups, contd,胸大肌: 肩水平内收, 肩屈曲 (锁骨的), 肩内收和伸展 (胸骨的) Pectoralis Major: shoulder horizontal adduction, shoulder flexion (clavicular), shoulder adduction and extension (sternal)中斜方肌，菱形肌

12、，后三角肌：肩胛缩回，肩胛水平外展 Mid-Trapezius, Rhomboids, and Posterior Deltoid: scapular retraction, shoulder horizontal abduction,Ch 3 - 1/2010,19,Upper Body Muscle Groups, cont,Pectoralis Major 胸大肌 * 肩水平内收 Shoulder Horizontal Adduction * 锁骨部分: 肩屈曲 Clavicular Portion: shoulder flexion * 胸骨部分: 肩内收和肩伸展 Sternal Po

13、rtion: shoulder adduction and shoulder extension,Ch 3 - 1/2010,20,Pectoralis Major 胸大肌 * 肩水平内收,中斜方肌 和菱形肌 * 肩胛 缩回,Posterior Deltoid,后三角肌*肩水平外展,Rhomboids,Mid-Trapezius,Ch 3 - 1/2010,21,中斜方肌 和菱形肌 Posterior Deltoid后三角,Upper Body Muscle Groups, contd,Scapular protractors:肩胛前引Serratus Anterior前锯肌Pectorali

14、s Minor (also responsible for scapular depression胸小肌（肩胛下压）,Ch 3 - 1/2010,22,Upper Body Muscle Groups, cont,Serratus Anterior Pectoralis Minor前锯肌 胸小肌 * scapular protraction * scapular protraction肩胛前引 肩胛前引 * scapular depression 肩胛下压,Ch 3 - 1/2010,23,Serratus Anterior,Other Upper Body Muscles其他上半身肌肉群,R

15、otator Cuff Muscles:肩袖肌群（肌腱套肌肉群） : * Subscapularis肩胛下肌: shoulder internal rotation肩内旋 * Infraspinatus and Teres Minor冈下肌和小圆肌: shoulder external rotation肩外旋 * Supraspinatus冈上肌: shoulder abduction肩外展,Ch 3 - 1/2010,24,Other Upper Body Muscles其他上半身,Rotator Cuff Muscles肩袖肌群,Infraspinatus冈下肌shoulder exter

16、nal rotation肩外旋,Teres Minor小圆肌shoulder external rotation肩外旋,Supraspinatus冈上肌shoulder abduction肩外展,Subscapularis肩胛下肌shoulder internal rotation肩内旋,25 Ch 3 1/2010,Rotator Cuff Muscles肩袖肌群Infra,Torso Muscles and Their Joint Actions躯干肌肉及关节动作,Rectus Abdominis腹直肌: 脊柱屈曲External and Internal Obliques 腹内外斜肌:

17、spinal flexion with rotation带旋转的脊柱屈曲Transverse Abdominis腹横肌: 腹部下压，或用力吐气Erector Spinae:竖脊肌 脊柱伸展Quadratus Lumborum:腰方肌 脊柱侧屈,Ch 3 - 1/2010,26,Torso Muscles and Their Joint,Rectus Abdominis腹直肌 * Spinal Flexion脊柱屈曲,Ch 3 - 1/2010,27,Rectus Abdominis腹直肌 * Spinal,External Obliques 腹外斜肌Internal Obliques腹内斜肌*

18、 带旋转的脊柱屈曲 Spinal Flexion with Rotation,Ch 3 - 1/2010,28,External Obliques 腹外斜肌Interna,Transverse Abdominis腹横肌 * Abdominal Compression 腹部下压 * Vigorous Exhalation and Expulsion 强力吐气,Ch 3 - 1/2010,29,Transverse Abdominis腹横肌 * A,竖脊肌Erector Spinae* Spinal Extension 脊柱伸展longissimus:最长肌spinalis:棘肌illiocost

19、alis:髂肋肌capitis:头部cervicis:颈部thoracis: 胸部lumborum:腰部,Ch 3 - 1/2010,30,竖脊肌Erector Spinae* Spinal Ext,Multifidus (multifidi)多裂肌 * spinal extension,脊柱伸展spinal rotation,脊柱旋转spinal lateral flexion脊柱侧屈,Ch 3 - 1/2010,31,Multifidus (multifidi)多裂肌 *,Quadratus Lumborum腰方肌 * Spinal Lateral Flexion 脊柱侧屈,Ch 3 -

20、1/2010,32,Quadratus Lumborum腰方肌 * Spi,Hip Joint Muscles and Their Primary Joint Actions髋关节肌肉和主要肌肉动作,Iliopsoas and Rectus Femoris髂腰肌和股直肌: hip flexion髋屈曲Gluteus Maximus and Hamstrings臀大肌和后腿腱肌群: hip extension髋伸展Gluteus Medius臀中肌: hip abduction髋外展Adductor Longus长收肌, Adductor Magnus大收肌, Adductor Brevis短收

21、肌, Gracilis股薄肌, Pectineus耻骨肌: hip adduction髋内收Gluteus Minimus臀小肌: hip inward rotation髋内旋Gluteus Maximus and the 6 Outward Rotators臀大肌和六块外旋肌: hip outward rotation髋外旋,Ch 3 - 1/2010,33,Hip Joint Muscles and Their Pr,Hip Flexors 髋屈肌,Rectus Femoris 股直肌 * hip flexion髋屈曲 Iliopsoas 髂腰肌 * hip flexion 髋屈曲,Ch

22、3 - 1/2010,34,Hip Flexors 髋屈肌Ch 3 - 1/20103,Hip Extensors髋展肌,Gluteus Maximus臀大肌 * hip extension髋伸展 后腿腱肌群 Hamstrings * hip extension 髋伸展,Ch 3 - 1/2010,35,Hip Extensors髋展肌Ch 3 - 1/2010,Gluteus Medius臀中肌 * hip abduction髋外展,Ch 3 - 1/2010,36,Gluteus Medius臀中肌 * hip a,Hip Adductors髋内收肌,大收肌长收肌短收肌耻骨肌股薄肌Addu

23、ctor AdductorAdductorMagnus LongusBrevisPectineus Gracilis,Ch 3 - 1/2010,37,Hip Adductors髋内收肌大收肌长收肌,Gluteus Minimus臀小肌 * Hip Inward Rotation 髋内旋,Ch 3 - 1/2010,38,Gluteus Minimus臀小肌 * Hip Inw,Hip Outward Rotators髋外旋肌,6块外旋肌：梨状肌、闭孔内肌、闭孔外肌、股方肌上孖肌、下孖肌。 臀大肌 Gluteus Maximus,Ch 3 - 1/2010,39,Hip Outward Rot

24、ators髋外旋肌Ch 3,Knee Joint Muscles and Their Joint Actions膝关节肌肉及关节动作,Quadriceps股四头肌群 (rectus femoris 股直肌, vastus lateralis 股外侧肌, vastus intermedius 股中间肌, vastus medialis 股内侧肌): 膝伸展 knee extension后腿腱肌群(股二头肌, 半腱肌, 半膜肌): 膝屈曲 Hamstrings (biceps femoris, semitendinosus, semimembranosus): knee flexion,Ch 3

25、- 1/2010,40,Knee Joint Muscles and Their J,Quadriceps股四头肌群 * Knee Extension 膝伸展rectus femoris股直肌vastus lateralis股外侧肌vastus intermedius股中间肌vastus medialis股内侧肌,Ch 3 - 1/2010,41,Quadriceps股四头肌群 * Knee Ext,Hamstrings后腿腱肌群 * Knee Flexion膝屈曲,1. Biceps Femoris 股二头肌 2. Semitendinosus 半腱肌 3. Semimembranosus

26、半膜肌,Ch 3 - 1/2010,42,Hamstrings后腿腱肌群 * Knee Flexi,Major Ankle Joint Muscles and Their Actions主要踝关节肌肉和关节动作,Anterior Tibialis 胫骨前肌: ankle dorsiflexion 踝关节背屈Gastrocnemius and Soleus腓肠肌和比目鱼肌: ankle plantarflexion踝关节跖屈Anterior Tibialis and Posterior Tibialis胫骨前肌和胫骨后肌: ankle inversion踝关节内翻Extensor Digitor

27、um Longus 趾长伸肌, Peroneus Tertius第三腓骨肌, Peroneus Longus腓骨长肌, and Peroneus Brevis 腓骨短肌: ankle eversion踝关节外翻,Ch 3 - 1/2010,43,Major Ankle Joint Muscles and,Anterior Tibialis胫骨前肌 * Ankle Dorsiflexion 踝关节背屈,Ch 3 - 1/2010,44,Anterior Tibialis胫骨前肌 * Ankl,AnklePlantarflexors踝关节跖屈肌,* Ankle Plantarflexion 踝关节

28、跖屈 腓肠肌 比目鱼肌,Ch 3 - 1/2010,45,AnklePlantarflexors踝关节跖屈肌Ch,Anterior Tibialis 胫骨前肌&Posterior Tibialis胫骨后肌 * Ankle Inversion 踝关节内翻,Ch 3 - 1/2010,46,Anterior Tibialis 胫骨前肌&Poste,Ankle Evertors踝关节外翻肌,趾长伸肌第三腓骨肌腓骨长肌腓骨短肌Extensor Peroneus Peroneus PeroneusDigitorum Tertius Longus BrevisLongus,51. Ch 3 1/2010,

29、Ankle Evertors踝关节外翻肌51. Ch 3,Connective Tissues结缔组织,Ligamenta non-elastic band of fibrous tissue that connects bone to bone and provides joint stability 韧带 一种无弹性的纤维束，能把骨骼连接在一起，它附着于骨骼的可活动部分，起到固定关节的作用伤。 Tendondense, fibrous tissue that forms the end of a muscle and attaches muscle to bone 腱一种连接肌肉和骨骼的由

30、结缔组织所构成的高密度纤维束或膜。 Fasciafibrous tissue that forms sheaths for individual muscles, fasciculi, and muscle fibers 筋膜指肌肉的坚韧部分。附于骨节者为筋，包于肌腱外者为膜。是联络关节、肌肉，主司运动的组织。 Cartilagewhite, semi-opaque tissue that cushions joints and prevents wear on joint surfaces 软骨种半透明的有弹性的组织 ，用来充填关节，并防止关节表面组织的撕裂。,Ch 3 - 1/2010,4

31、8,Connective Tissues结缔组织 Ligamen,Roles Muscles Play肌肉功能,主动肌或原动肌直接负责你所看到运动的肌肉 Agonist or Prime Moverthe muscle directly responsible for the movement that you see对抗肌跟主动肌运动相反的肌肉 Antagonistthe muscle that works in opposition to the prime mover 辅助肌辅助运动的肌肉 Assistorthe muscle that assists in performing a m

32、ovement稳定肌保持静态或等长收缩的，避免不必要运动的肌肉 Stabilizera muscle that maintains a static or isometric contraction and prevents unwanted movement,Ch 3 - 1/2010,49,Roles Muscles Play肌肉功能主动肌或原动肌,Muscle Actions肌肉动作,等长保持住的静态肌肉动作，关节角度和肌肉长度都没有发生变化。 Isometrica held, static muscle action in which there is no change in the joint angle or muscle length等张/动态关节发生运动 Isotonic/Dynamicjoint movement occurs2种类型: Two Types:* 向心缩短的动作 Concentricshortening action* 离心拉长的动作 Eccentriclengthening action,Ch 3 - 1/2010,50,Muscle Actions肌肉动作等长保持住的静态肌肉,Opposing Muscle Groups,Ch 3 - 1/2010,51,Opposing Muscle GroupsJOINT 关节,