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THE JOINTS
    IN
  YOGA
Types of Joints
• Joint are classified by their range of motion
• Threes classes of joints
  – Immovable – fibrous (collagen connects 2 bones)
  – Slightly movable – cartilaginous (cartilage
    connects 2 bones)
  – Freely moveable - synovial
• The freely moveable joints are the ones that
  are most important for the teaching and
  practice of yoga
Synovial Joints
• The two surfaces of the bones interacting are
  covered with a thin layer of hyaline cartilage.
• Separated by a joint cavity.
• A synovial membrane seals the joint cavity and
  secretes synovial fluid.
• The hyaline cartilage and the synovial fluid allows
  the bone surfaces to slide over each other
  without friction.
• Outside of the joint is tough fibrous joint capsule
Meniscus
• Fibrocartilaginous disc
• Found within the cavity of the synovial
  joint, between the two bones
• Act to make the two ends of the bones more
  congruent.
• Act as shock absorbers
Synovial Fluid
• Allows us to move smoothly
• Serves as a lubricant
• Serves as a shock absorber
• Serves as a source of nutrients for the joint
  cartilage
• Major components are
    – Glycosaminoglycan
    – Hyaluronic acid (HA)
Hyaluronic Acid
• A tissue lubricant that prevents inflammation and
  wear of the joint and conserves synovial fluid.
• During joint usage or prolonged immoblization
  HA is lost (this happens when you sleep
  overnight)
• Morning stiffness is related to the lose of HA. As
  we begin to move HA is secreted which replaces
  the amount lost during immobilization
• Movement therapy stimulates secretion of HA
  and those makes it an effective treatment for
  patients with oseoarthritis
Movement Direction
• Synovial joints move in one plane
  (uniaxial), two planes (biaxial), or multiple
  planes (multiaxial)
• Pivot, Hings and Gliding joints are uniaxial
• Condyloid and Saddle are biaxial
• Ball and socket are multiaxial
Freely Moveable Joints
• Ball and socket
• Hinge
• Saddle
• Pivot
• Condyloid
• Gliding
Condyloid


                                              Saddle


Ball and socket




                                      Pivot
                  Hinge
Pivot Joint
• One pivot joint in the body
• The interaction/connection between the first
  two cervical vertebrae
• C1 - the atlas
• C2 - the axis

• Allows the head to pivot/turn to the right and
  left
THUMB JOINT
Hinge Joint
• Allows movement in only one plane/direction
• Limited range of motion
• Simplest type of joint
• While the movement is limited to mainly
  flexion and extension, there is some slight
  rotation.
• The integrity of the joint is maintained by a
  strong network of ligaments which ensures
  stability.
Hinge Joints of the Body
KNEE JOINT
KNEE JOINT
• Largest and most complex joint in the body. It is
  not a simple hinge joint
• Three bones articulate to form the joint
   – Femur, tibia, and fibula
• Fundamental movements are flexion and
  extension.
• Hyperextension is possible, but is limited by the
  anterior cruciate ligament.
• When the knee is flexed the structures that
  provide stability are relaxed, which allows for
  rotation at the joint
Knee Structure
•   The meniscus
•   Provides cushioning
•   Has no blood supply
•   Has limited nerve supply
Knee Structure
• Joint integrity/stability is maintained by the
  knee ligaments.
  – Medial collateral ligament
  – Lateral collateral ligament
  – Anterior cruciate ligament
  – Posterior cruciate ligament
• These ligaments act as the primary stabilizers
  of the joint and guide the movement of the
  bones in proper relation to one another
The Knee in Yoga
• The knee is certainly a major participant in the
  yoga standing postures
• Proper alignment of the postures is essential
  for preventing misalignment joint stress to the
  surrounding structures of the joint capsule
• One of the most common joint injures in sport
  activities.
Knee Injuries
• Ligament strains
  – 1st degree – stretching of the ligament fibers
  – 2nd degree – stretching with some tearing of the fibers
  – 3rd degree – full tear of the ligament
• Cartilage damage (most often it is the medial
  meniscus)
• Bursitis – inflammation of the bursa sacks within
  the joint capsule
• Osteoarthritis (degenerative joint disease)– a
  wearing away of the cushion between the bones
Patellofemoral Joint
Patellofemoral Joint
• The patella is largest sesamoid (imbedded in the
  tendon) bone
• Contains the largest layers of cartilage in the body
• The patella improves the efficiency during the
  final straitening of the knee, because it holds the
  quadriceps tendon in alignment.
• Decreases friction of the quadriceps tendon
• Enhances our ability to flex and extend the knee
• Protects the knee joint
• Decrease mechanical stress of the joint
PatelloFemoral Joint cont.
• Patella/femoral joint is very complex joint
• Forces in this joint are a function of the
  quadriceps force and the angle of knee flexion
• Because it is poorly nourished and poorly
  protected it is susceptible to injury, particularly
  overuse injuries
• Sporting activities can create forces on this joint
  up to 20x one’s body weight
• The joint is very susceptible to degenerative joint
  disease
Knee Injuries
Iliotibial Band Syndrome
• A common injury that is manifested by pain on
  the outside of the knee.
• The ITB is a tendinous extension of
  the fascia covering two muscles
  the gluteus maximus and the
  tensor fascia latae
An overuse injury caused by repetitive flexing
  and extending the knee.
ITB Stretch
Ankle Joint
Ankle/Foot Joints
Ankle Muscles


Because the bulk of the
muscles involved in
ankle joint movement
are located above the
different
joints, rehabilitation of
ankle injuries is
prolonged

Ankle stability is integral
to normal motion and
minimizing risk of ankle
sprain
Common Ankle Injuries




Inversion
Sprains – most
common of the ankle injuries
Common Foot Problems
• Most foot problems are related to the shoes
  we wear
• 80% of foot problems occur in women
• Finding the write foot wear – choosing
  comfort and function over style and status
• Important tips for good foot care – shoes
  made of leather or canvas are good, but
  sandals are the best, use a foot powder, wash
  daily.
Common Foot Problems

Poor Foot
  Wear




             Plantar Fasciitis
The Ankle and Yoga
• Standing poses build awareness of the feet.
• Work on developing range of motion in the
  toes.
• Range of motion exercise for the ankles
• Toes raises
Ankle Rehab Exercises
Wrist Joint
Wrist Joint
Muscular Development of the Forearm
Arm Balances
• The ankle joint is much more suited for
  supporting the body because with gravity and
  our upright posture the ankle becomes
  stronger as we begin to walk and perform our
  activities of daily living.
• The wrist is not as suited for supporting the
  body because placing the weight of our body
  on the wrist is not the norm.
• How do we perform arm poses proficiently?
Arm Balances

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Joints in yoga (1) 4

  • 1. THE JOINTS IN YOGA
  • 2. Types of Joints • Joint are classified by their range of motion • Threes classes of joints – Immovable – fibrous (collagen connects 2 bones) – Slightly movable – cartilaginous (cartilage connects 2 bones) – Freely moveable - synovial • The freely moveable joints are the ones that are most important for the teaching and practice of yoga
  • 3. Synovial Joints • The two surfaces of the bones interacting are covered with a thin layer of hyaline cartilage. • Separated by a joint cavity. • A synovial membrane seals the joint cavity and secretes synovial fluid. • The hyaline cartilage and the synovial fluid allows the bone surfaces to slide over each other without friction. • Outside of the joint is tough fibrous joint capsule
  • 4. Meniscus • Fibrocartilaginous disc • Found within the cavity of the synovial joint, between the two bones • Act to make the two ends of the bones more congruent. • Act as shock absorbers
  • 5. Synovial Fluid • Allows us to move smoothly • Serves as a lubricant • Serves as a shock absorber • Serves as a source of nutrients for the joint cartilage • Major components are – Glycosaminoglycan – Hyaluronic acid (HA)
  • 6. Hyaluronic Acid • A tissue lubricant that prevents inflammation and wear of the joint and conserves synovial fluid. • During joint usage or prolonged immoblization HA is lost (this happens when you sleep overnight) • Morning stiffness is related to the lose of HA. As we begin to move HA is secreted which replaces the amount lost during immobilization • Movement therapy stimulates secretion of HA and those makes it an effective treatment for patients with oseoarthritis
  • 7. Movement Direction • Synovial joints move in one plane (uniaxial), two planes (biaxial), or multiple planes (multiaxial) • Pivot, Hings and Gliding joints are uniaxial • Condyloid and Saddle are biaxial • Ball and socket are multiaxial
  • 8. Freely Moveable Joints • Ball and socket • Hinge • Saddle • Pivot • Condyloid • Gliding
  • 9. Condyloid Saddle Ball and socket Pivot Hinge
  • 10. Pivot Joint • One pivot joint in the body • The interaction/connection between the first two cervical vertebrae • C1 - the atlas • C2 - the axis • Allows the head to pivot/turn to the right and left
  • 12. Hinge Joint • Allows movement in only one plane/direction • Limited range of motion • Simplest type of joint • While the movement is limited to mainly flexion and extension, there is some slight rotation. • The integrity of the joint is maintained by a strong network of ligaments which ensures stability.
  • 13. Hinge Joints of the Body
  • 15. KNEE JOINT • Largest and most complex joint in the body. It is not a simple hinge joint • Three bones articulate to form the joint – Femur, tibia, and fibula • Fundamental movements are flexion and extension. • Hyperextension is possible, but is limited by the anterior cruciate ligament. • When the knee is flexed the structures that provide stability are relaxed, which allows for rotation at the joint
  • 16. Knee Structure • The meniscus • Provides cushioning • Has no blood supply • Has limited nerve supply
  • 17. Knee Structure • Joint integrity/stability is maintained by the knee ligaments. – Medial collateral ligament – Lateral collateral ligament – Anterior cruciate ligament – Posterior cruciate ligament • These ligaments act as the primary stabilizers of the joint and guide the movement of the bones in proper relation to one another
  • 18. The Knee in Yoga • The knee is certainly a major participant in the yoga standing postures • Proper alignment of the postures is essential for preventing misalignment joint stress to the surrounding structures of the joint capsule • One of the most common joint injures in sport activities.
  • 19. Knee Injuries • Ligament strains – 1st degree – stretching of the ligament fibers – 2nd degree – stretching with some tearing of the fibers – 3rd degree – full tear of the ligament • Cartilage damage (most often it is the medial meniscus) • Bursitis – inflammation of the bursa sacks within the joint capsule • Osteoarthritis (degenerative joint disease)– a wearing away of the cushion between the bones
  • 21. Patellofemoral Joint • The patella is largest sesamoid (imbedded in the tendon) bone • Contains the largest layers of cartilage in the body • The patella improves the efficiency during the final straitening of the knee, because it holds the quadriceps tendon in alignment. • Decreases friction of the quadriceps tendon • Enhances our ability to flex and extend the knee • Protects the knee joint • Decrease mechanical stress of the joint
  • 22. PatelloFemoral Joint cont. • Patella/femoral joint is very complex joint • Forces in this joint are a function of the quadriceps force and the angle of knee flexion • Because it is poorly nourished and poorly protected it is susceptible to injury, particularly overuse injuries • Sporting activities can create forces on this joint up to 20x one’s body weight • The joint is very susceptible to degenerative joint disease
  • 24. Iliotibial Band Syndrome • A common injury that is manifested by pain on the outside of the knee. • The ITB is a tendinous extension of the fascia covering two muscles the gluteus maximus and the tensor fascia latae An overuse injury caused by repetitive flexing and extending the knee.
  • 28. Ankle Muscles Because the bulk of the muscles involved in ankle joint movement are located above the different joints, rehabilitation of ankle injuries is prolonged Ankle stability is integral to normal motion and minimizing risk of ankle sprain
  • 29. Common Ankle Injuries Inversion Sprains – most common of the ankle injuries
  • 30. Common Foot Problems • Most foot problems are related to the shoes we wear • 80% of foot problems occur in women • Finding the write foot wear – choosing comfort and function over style and status • Important tips for good foot care – shoes made of leather or canvas are good, but sandals are the best, use a foot powder, wash daily.
  • 31. Common Foot Problems Poor Foot Wear Plantar Fasciitis
  • 32. The Ankle and Yoga • Standing poses build awareness of the feet. • Work on developing range of motion in the toes. • Range of motion exercise for the ankles • Toes raises
  • 33.
  • 37. Muscular Development of the Forearm
  • 38. Arm Balances • The ankle joint is much more suited for supporting the body because with gravity and our upright posture the ankle becomes stronger as we begin to walk and perform our activities of daily living. • The wrist is not as suited for supporting the body because placing the weight of our body on the wrist is not the norm. • How do we perform arm poses proficiently?