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 DR.BHARTI PAWAR
 (MSK ,PT)CONSULTANT ORTHO AND SPORTS PHYSIOTHERAPIST
 DIRECTOR ANDFOUNDER OF FLEX PHYSIOTHERAPY CLINIC,NASHIK
TYPES OF MOVEMENT AND POSTURE
• When the muscles are inactive or relatively so,movt.produced by the application of an
external force is known as PASSIVE MOVEMENT.
• The resulting from the contraction of muscles is ACTIVE MOVEMENT.
• FORCES maintaining the body in specific attitudes or postures may be external or
internal in character and balance or stability is achieved in both INACTIVE OR ACTIVE
POSTURES
• Inactive Posture: Describe postures adopted during
resting or sleeping, and they are more suitable for this
purpose when all the essential muscular activity
required to maintain life is reduced to a minimum.
• Active posture: Requires the coordinated action of
many muscles and structures within the body. Active
postures can be either static or dynamic. A static
posture occurs when we maintain one alignment for a
prolonged period of time. Examples include standing,
sitting, or kneeling.
TYPES OF MUSCLE CONTRACTION
 Muscle contraction may be isometric and isotonic.
 ISOMETRIC (ISO – EQUAL ,METRIC- MEASUREMENT):Contraction
involves the development of force by an increase in intra-muscular
tension without any change in the length of the muscle.
 ISOTONIC :A contraction constitutes an increase in intra-muscular
tension accompanied by a change in the length of the muscle .the
change in length may either shorten or lengthen the muscle.

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This document discusses various aspects of posture including definitions of different types of posture, muscle involvement in maintaining posture, postural reflexes, factors affecting posture, and descriptions and causes of some common postural deviations like kyphosis, lordosis, scoliosis, etc. Key points include: - Posture is the body position maintained by muscle activity and reflexes in response to stimuli from muscles, eyes, ears and joints. Both static and dynamic posture involve integration of postural reflexes. - Good posture allows maximum efficiency with minimal effort while poor posture causes unnecessary muscle strain and reduces function. - Common postural deviations include kyphosis (rounded back), lordosis (swayback), and scoliosis

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This document discusses the classification, structure, and function of different muscle types. It classifies muscles based on their striation, control, and location. Skeletal muscles are striated, voluntary muscles that are attached to bones and produce movement. They have origins, bellies, and insertions connected by tendons. Cardiac muscle is striated and involuntary, found only in the heart. Smooth muscle lacks striations and is involuntary, found in visceral organs. Skeletal muscle fibers are arranged in parallel or obliquely. They shorten during contraction. Muscle function includes prime movers, antagonists, and fixators that work together to enable movement.

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TYPE OF MUSCLE WORK
 WORK IS DEFINE AS THE PRODUCT OF FORCE AND THE DISTANCE
THROUGH WHICH THE FORCE ACTS.
 THE TYPES OF MUSCLE WORK USED IN CONTROLLING AND
MOVING THE BODY LEVERS ARE STATIC ,CONCENTRIC AND
EXCENTRIC.
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Role and RANGE OF MUSCLE WORK
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This document summarizes key aspects of skeletal muscle anatomy and physiology. It describes that skeletal muscles are under voluntary control and make up about 40% of body weight. It also explains how muscles contract and relax in pairs to enable movement, with one muscle contracting as its antagonist relaxes. Sensory receptors in muscles and tendons called muscle spindles and Golgi tendon organs provide stretch and tension feedback to regulate muscle contraction and relaxation through reflexes like the stretch reflex and autogenic inhibition. The document concludes by discussing how sustained muscle shortening can cause pain and limitations, and how specific exercises can help rebalance shortened and overstretched muscles to reduce pain.

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Roles of Muscles
► The roles a muscle can assume are those of an:
1. Agonist
2. Antagonist
3. Stabilizer or fixator
4. Synergist
Agonist:
 An agonist is a muscle or muscle group that causes the motion.
 It is sometimes referred to as the prime mover.
 A muscle that is not as effective but does assist in providing the motion is
called an assisting mover.(MUSCLE WHICH ASSIT THE PRIME MOVER )
 Factors that determine whether a muscle is a prime mover or an assisting
mover include
 Size
 Angle of pull
 Leverage
 Contractile potential
 Example:
 During elbow flexion, the biceps muscle is an agonist, and because of its size
and angle of pull, the pronator teres muscle is an assisting mover.

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This document discusses different types of stretching exercises. It defines stretching as flexing or stretching muscles to improve elasticity and range of motion. There are dynamic stretches like controlled swinging motions and static stretches where a muscle is held at its farthest point. PNF stretching is the fastest way to improve flexibility and involves isometric contractions of muscles during stretching to relax and further stretch muscles. Different PNF techniques like hold-relax involve isometric contractions followed by passive stretching to improve range of motion. The document cautions that certain techniques like ballistic stretching or advanced PNF methods should only be done by trained athletes due to injury risks.

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This document summarizes the different types of muscle contractions. It describes isotonic contractions where the load remains constant as the muscle changes length. Isokinetic contractions occur when muscle fibers shorten at a constant velocity. Isometric contractions prevent muscle shortening so tension develops at a constant length. The same internal events occur in each type of contraction, but they differ in whether the muscle shortens or changes length. Motor units, consisting of a motor neuron and muscle fibers it innervates, are also discussed.

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Suúm iziwlIkr[ Vyayam is a type of exercise focused on loosening joints through slow, voluntary movement with awareness of each part of the body. The goal is to bring peace, balance, and relaxation to the physical body and pranic energy levels by slowing brain waves and improving organ function. Specific exercises include forward bending, backward bending, twisting, and side bending done in a step-wise manner with breath awareness.

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Antagonist:
 An antagonist is a muscle that performs the opposite motion of the agonist.
 In the case of elbow flexion, the antagonist is the triceps muscle and biceps
muscle is agonist muscle.
 In the case of elbow extension, the triceps muscle is the agonist and the
biceps muscle is the antagonist.
Stabilizer:
 A stabilizer is a muscle or muscle group that supports, and allows the agonist
to work more efficiently.
For example:
 The abdominal muscles (trunk flexor muscles) act as stabilizers to keep the
trunk straight, while the arms move the trunk up and down. A stabilizer is
sometimes referred to as a fixator.
Synergist:
 A synergist is a muscle that works with one or more other muscles to enhance
particular motion. a
 It is a term used to encompass the role of agonists, assisting movers and
stabilizers.
 We describe muscles that work together to create a movement as synergists.
For example, iliacus, psoas major, and rectus femoris all can act to flex the hip
joint.
 Fixator
 A muscle which acts as the stabilizer and
helps the agonist work effectively of one part of the
body during movement of another part.
 The deltoid helps stabilize the bicep during a bicep
curl. Link of the muscular and skeletal system –
both systems work together to produce movement.
 A synergist that makes the insertion site more
stable is called a fixator.

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This document discusses muscle relaxation and tone. It defines relaxation as muscles being free from tension at rest. Tension develops with muscle contraction and is reduced during relaxation. Muscles always maintain some tone or firmness even at rest due to muscle spindles. The document describes anatomy and function of muscle spindles and Golgi tendon organs which help regulate muscle tone and relaxation. It provides techniques to achieve general relaxation through positioning, breathing, and progressive relaxation methods. Localized relaxation techniques are also discussed.

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This document discusses different types of postures including inactive, active, static, and dynamic postures. It defines posture as the alignment of the body with support during muscular activity or movement. Active postures require integrated muscle function to maintain a specific posture, either statically or dynamically. Good posture allows maximum efficiency with minimum effort while poor posture fails to benefit the intended function. Factors like illness, fatigue, pain and improper mental conditioning can contribute to poor posture.

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RANGE
Range of muscle work:
The full range in which a muscle work refers to the muscle changing from a position of
full stretch and contracting to a position of maximal shortening.
The full range is divided into parts:
• Outer Range
• Inner Range
• Middle Range
 The full range is divided into:
 Full range:
The full range in which a muscle work refers to the muscle changing from a
position of full stretch and contracting to a position of maximal shortening
Outer range
Middle
range
Inner range

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Muscle tissue is composed of three main types: skeletal, cardiac, and smooth muscle. Skeletal muscle is attached to bones via tendons and contracts to create movement at joints. Muscle contraction occurs when thin actin filaments slide over thick myosin filaments in a repetitive process. Proprioceptors like muscle spindles and Golgi tendon organs provide feedback to the brain about muscle length, tension, and joint position to enable coordinated movement. Reciprocal inhibition ensures opposing muscle groups contract and relax in synchrony during motion. Factors like genetics, prior activities, and yoga influence characteristic movement patterns.

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1. Muscle contraction occurs through the interaction of actin and myosin fibers, generating tension while the muscle may shorten, lengthen, or remain the same length. 2. There are three main types of muscular contractions: concentric contractions which shorten the muscle, eccentric contractions which lengthen the muscle, and isometric contractions which maintain the same muscle length. 3. Additional contraction types include isotonic where tension remains constant during length changes, isokinetic where speed remains constant, and auxotonic which is a near isotonic contraction. Each contraction type serves a distinct functional role in movement.

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 Outer range:
Is from a position where the muscle is on full stretch
to a position half way though the full range of motion.
 Inner range:
is from a position halfway through the full range to a
position where the muscle is fully shortened.
 Middle range:
is the portion of the full range between the mid-
point of the outer range and the midpoint of the inner
range.
THE STRENGTH OF MUSCLE CONTRACTION
 As more and larger motor units are activated, the force of muscle contraction
becomes progressively stronger. A concept known as the size principle, allows
for a gradation of muscle force during weak contraction to occur in small steps,
which then become progressively larger when greater amounts of force are
required.
 Motor units
defined as a motoneuron and all of its
associated muscle fibers, are the basic
functional units of skeletal muscle.
 A motor unit consists of a single neuron
and the group of muscle fibers it
supplies.
 When the unit is activated by stimulation
of its cell (anterior horn cell)all its
component fibers contract.
 The greater the number of motor units
activated the stronger the contraction of
the muscle as a whole ,thus a weak
contraction requires the activity of only
relatively few motor units ,but the
strongest contraction the muscle can
produce i.e a maximal contraction is
only obtained when the fibers of all
available motor units are contracting.
Active and Passive Insufficiency

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1. A compound movement recruits multiple muscles working together as a team, with one muscle serving as the primary mover (agonist) and others assisting (synergists) or stabilizing. This teaches better coordination than isolation movements. 2. During a bench press, the chest is the agonist, while the triceps and deltoids are synergists. Stabilizer muscles like the forearms prevent injury. Antagonist muscles like the back muscles also work to provide balance. 3. Compound movements allow for continuous linear progression, increased functional strength and carryover to other exercises, and greater release of anabolic hormones compared to isolation movements. The biggest compound exercises are squats, deadlif

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 Insufficiency is the term used for describing the inability
of a muscle to generate adequate force bring out a
desired action / movement.
 In absence of disease process, muscle insufficiency is
seen when the length tension relation is altered.
 Muscle lengthened = Passive insufficiency
 Muscle shortened = Active insufficiency
 Active and Passive insufficiency is seen only in two joint
or multi-joint muscles.
 Active insufficiency occurs when a multi-joint
muscle shortens over BOTH joints
simultaneously, and hence, creates so much
slack, that muscle tension is almost completely
lost. It cannot maintain or generate active
tension.
 Passive insufficiency occurs when the multi-joint
muscle is lengthened to its fullest extent at both
joints, but also preventing the full ROM of each
joint it crosses. The muscle cannot elongate
further.
TYPES OF MOVEMENT AND POSTURE.pptx
 Rectus femoris causes Hip flexion and Knee extension. It
cannot cause full ROM together of hip flexion and knee
extension....this is active insufficiency.
 Similarly, Flexor Digitorum Profundus loses capability to
make a tight fist when the wrist is flexed.......active
insufficiency.
 When the hip is fully flexed, the knee cannot be extended
to fullest without pain or damage..............passive
insufficiency.

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Relationship between Active and Passive Insufficiency?
• When the agonist is trying to contract, the antagonist is
relaxing/ lengthening.
• The extensibility of the antagonist therefore is a factor in
limiting capability of the agonist......passive insufficiency.
• Therefore, the agonist becomes:
• Actively insufficient when it is placed in shortened position.
• Passively insufficient if the antagonist is tight.
THANK YOU !

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Soft tissue injuries are more common than bony injuries and include damage to muscles, ligaments, tendons and other connective tissues. Management of soft tissue injuries is generally conservative and focuses on controlling pain and inflammation in the acute stage, restoring mobility and range of motion in the subacute stage, and strengthening and returning to full function in the chronic stage through physiotherapy. Physiotherapy treatment progresses from rest and protection to increasingly active movement, stretching and strengthening exercises tailored to each injury stage.

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TYPES OF MOVEMENT AND POSTURE.pptx

  • 1.  DR.BHARTI PAWAR  (MSK ,PT)CONSULTANT ORTHO AND SPORTS PHYSIOTHERAPIST  DIRECTOR ANDFOUNDER OF FLEX PHYSIOTHERAPY CLINIC,NASHIK
  • 2. TYPES OF MOVEMENT AND POSTURE • When the muscles are inactive or relatively so,movt.produced by the application of an external force is known as PASSIVE MOVEMENT. • The resulting from the contraction of muscles is ACTIVE MOVEMENT. • FORCES maintaining the body in specific attitudes or postures may be external or internal in character and balance or stability is achieved in both INACTIVE OR ACTIVE POSTURES
  • 3. • Inactive Posture: Describe postures adopted during resting or sleeping, and they are more suitable for this purpose when all the essential muscular activity required to maintain life is reduced to a minimum. • Active posture: Requires the coordinated action of many muscles and structures within the body. Active postures can be either static or dynamic. A static posture occurs when we maintain one alignment for a prolonged period of time. Examples include standing, sitting, or kneeling.
  • 4. TYPES OF MUSCLE CONTRACTION  Muscle contraction may be isometric and isotonic.  ISOMETRIC (ISO – EQUAL ,METRIC- MEASUREMENT):Contraction involves the development of force by an increase in intra-muscular tension without any change in the length of the muscle.  ISOTONIC :A contraction constitutes an increase in intra-muscular tension accompanied by a change in the length of the muscle .the change in length may either shorten or lengthen the muscle.
  • 5. TYPE OF MUSCLE WORK  WORK IS DEFINE AS THE PRODUCT OF FORCE AND THE DISTANCE THROUGH WHICH THE FORCE ACTS.  THE TYPES OF MUSCLE WORK USED IN CONTROLLING AND MOVING THE BODY LEVERS ARE STATIC ,CONCENTRIC AND EXCENTRIC.
  • 8. Role and RANGE OF MUSCLE WORK Kinesiology
  • 9. Roles of Muscles ► The roles a muscle can assume are those of an: 1. Agonist 2. Antagonist 3. Stabilizer or fixator 4. Synergist
  • 10. Agonist:  An agonist is a muscle or muscle group that causes the motion.  It is sometimes referred to as the prime mover.  A muscle that is not as effective but does assist in providing the motion is called an assisting mover.(MUSCLE WHICH ASSIT THE PRIME MOVER )
  • 11.  Factors that determine whether a muscle is a prime mover or an assisting mover include  Size  Angle of pull  Leverage  Contractile potential
  • 12.  Example:  During elbow flexion, the biceps muscle is an agonist, and because of its size and angle of pull, the pronator teres muscle is an assisting mover.
  • 13. Antagonist:  An antagonist is a muscle that performs the opposite motion of the agonist.  In the case of elbow flexion, the antagonist is the triceps muscle and biceps muscle is agonist muscle.  In the case of elbow extension, the triceps muscle is the agonist and the biceps muscle is the antagonist.
  • 14. Stabilizer:  A stabilizer is a muscle or muscle group that supports, and allows the agonist to work more efficiently. For example:  The abdominal muscles (trunk flexor muscles) act as stabilizers to keep the trunk straight, while the arms move the trunk up and down. A stabilizer is sometimes referred to as a fixator.
  • 15. Synergist:  A synergist is a muscle that works with one or more other muscles to enhance particular motion. a  It is a term used to encompass the role of agonists, assisting movers and stabilizers.  We describe muscles that work together to create a movement as synergists. For example, iliacus, psoas major, and rectus femoris all can act to flex the hip joint.
  • 16.  Fixator  A muscle which acts as the stabilizer and helps the agonist work effectively of one part of the body during movement of another part.  The deltoid helps stabilize the bicep during a bicep curl. Link of the muscular and skeletal system – both systems work together to produce movement.  A synergist that makes the insertion site more stable is called a fixator.
  • 18. RANGE Range of muscle work: The full range in which a muscle work refers to the muscle changing from a position of full stretch and contracting to a position of maximal shortening. The full range is divided into parts: • Outer Range • Inner Range • Middle Range
  • 19.  The full range is divided into:  Full range: The full range in which a muscle work refers to the muscle changing from a position of full stretch and contracting to a position of maximal shortening
  • 21.  Outer range: Is from a position where the muscle is on full stretch to a position half way though the full range of motion.  Inner range: is from a position halfway through the full range to a position where the muscle is fully shortened.  Middle range: is the portion of the full range between the mid- point of the outer range and the midpoint of the inner range.
  • 22. THE STRENGTH OF MUSCLE CONTRACTION  As more and larger motor units are activated, the force of muscle contraction becomes progressively stronger. A concept known as the size principle, allows for a gradation of muscle force during weak contraction to occur in small steps, which then become progressively larger when greater amounts of force are required.
  • 23.  Motor units defined as a motoneuron and all of its associated muscle fibers, are the basic functional units of skeletal muscle.  A motor unit consists of a single neuron and the group of muscle fibers it supplies.  When the unit is activated by stimulation of its cell (anterior horn cell)all its component fibers contract.  The greater the number of motor units activated the stronger the contraction of the muscle as a whole ,thus a weak contraction requires the activity of only relatively few motor units ,but the strongest contraction the muscle can produce i.e a maximal contraction is only obtained when the fibers of all available motor units are contracting.
  • 24. Active and Passive Insufficiency
  • 25.  Insufficiency is the term used for describing the inability of a muscle to generate adequate force bring out a desired action / movement.  In absence of disease process, muscle insufficiency is seen when the length tension relation is altered.  Muscle lengthened = Passive insufficiency  Muscle shortened = Active insufficiency  Active and Passive insufficiency is seen only in two joint or multi-joint muscles.
  • 26.  Active insufficiency occurs when a multi-joint muscle shortens over BOTH joints simultaneously, and hence, creates so much slack, that muscle tension is almost completely lost. It cannot maintain or generate active tension.  Passive insufficiency occurs when the multi-joint muscle is lengthened to its fullest extent at both joints, but also preventing the full ROM of each joint it crosses. The muscle cannot elongate further.
  • 28.  Rectus femoris causes Hip flexion and Knee extension. It cannot cause full ROM together of hip flexion and knee extension....this is active insufficiency.  Similarly, Flexor Digitorum Profundus loses capability to make a tight fist when the wrist is flexed.......active insufficiency.  When the hip is fully flexed, the knee cannot be extended to fullest without pain or damage..............passive insufficiency.
  • 31. Relationship between Active and Passive Insufficiency? • When the agonist is trying to contract, the antagonist is relaxing/ lengthening. • The extensibility of the antagonist therefore is a factor in limiting capability of the agonist......passive insufficiency. • Therefore, the agonist becomes: • Actively insufficient when it is placed in shortened position. • Passively insufficient if the antagonist is tight.