00:01
So now let's have a
look at the range of
movements that are
possible at the lower limb.
00:06
Let's start off by
looking at the hip joint.
00:08
So the hip joint
member is between the
head of the femur
and the acetabulum.
00:13
And the movement
that can occur here
is one of flexion
and one of extension.
00:17
So moving the
lower limb forward,
we have flexion and moving it
posteriorly, we have extension,
and that's going through the
sagittal plane of the body.
00:27
Also moving across
the coronal plane,
we have adduction when
you're bringing the limb
towards the midline,
and abduction.
00:34
Again, within the coronal plane,
but you're moving
away from the midline.
00:39
If we then have a look at
the hip joint, again, we have
external rotation where you
move the hip joint or laterally.
00:46
So you've rotated away
from the body important
when you make a beginning
part of your stride
to move the leg externally
rotated orientation.
00:56
And then the opposite of that
is internal rotation when
you swing your leg more into
the midline, or medially.
01:02
And that's internal
rotation or medial rotation.
01:05
So you can externally
rotate your hip
and you can medially
rotate your hip.
01:09
And these are important
as you're walking along.
01:12
So if we move to the knee joint,
then we have flexion of the
knee joint where the knee joint
actually moves posteriorly.
01:18
And then from this
posterior position,
again, it's within
the coronal plane.
01:22
But now we move the leg forward,
so it lays in a straight line
with the femur, we have
extension of the leg.
01:31
So flexion and
extension are both
occurring at the knee
joint of the leg.
01:35
So flexing it backwards
and then extending it
forwards occurring
within the coronal plane.
01:42
Now if we have a look at the
knee joint, again, you can see
there's a very subtle amount
of rotation that can occur.
01:48
So similarly, where we
looked at the hip joint
and had lateral and
medial rotation.
01:52
Here you can see we have lateral
rotation of the knee joint.
01:56
And then we can also have medial
rotation of the knee joint as well.
01:59
And again, this is important
when you're walking.
02:02
So as your knees and your
legs don't hit each other
when you are walking, you
can swing your limbs out
and then bring them
back together again,
as you end up walking
on one leg at a time.
02:13
If we then have a look at
movement of the ankle joint,
so we can dorsiflex or
we can lift the foot up.
02:18
And then we can plantarflex if
we're going to stand on our tiptoes.
02:21
So we have dorsiflexion
where we lift our toes up,
and plantarflexion where we
push our toes to the ground.
02:27
And therefore we lift up our
heel and we walk on tip toes.
02:30
If we have a look at
the subtalar joints,
the joints we mentioned
a few moments ago,
then what happens
here is inversion
very much when you
lift up your big toe.
02:40
So you've rested all of
your weight on the lateral
aspect of your foot run
alongside the big toe.
02:46
And then eversion is
when you do the opposite
and you lift up your
fifth digit and you rest
your balance on your
first digit your big toe,
so eversion and inversion.
02:57
And then finally
movement of the toes
similar to what can
happen in your fingers.
03:01
We have abduction, where we're
moving our toes away
from the midline.
03:06
This really does only happen at
the margins of our phalanges.
03:09
So our first and our
fifth digits can do this.
03:12
And then they can
adduct as well where
they're brought back
into the midline.
03:16
So there's quite a range of
movements that can happen
when you splay out your big
toe and your little toe,
but not half as much as what you can
do with your digits in your hand.
03:26
And then finally, you can do some
flexion and extension of your toes.
03:31
So again, when you're
trying to pushing your toes
onto the surface of your
shoe, you've got flexion
and then if you try and
touch the top of your shoe
with your toes, you're extending
your toes in that aspect.
03:43
So you can flex and extend your
toes in those two directions.
03:47
So that's the end
of this real kind of
tore through the bones
of the lower limb.
03:51
There's lots of bones here.
03:53
There's lots of bony structures
that lie on each of these bones.
03:56
And it's important you do
recognize what they are,
mostly because they form
important muscle attachment sites,
which we'll look to in
the next few lectures.