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CHAPTER 1:
Anatomy and
physiology
LEARNING OBJECTIVES
By the end of this chapter, you should be able to:
• Describe an overview of the skeletal system to include its functions, the axial and
appendicular skeletons as well as types of bone and cartilage
• Understand, describe and give examples of the different types of joint found in the
body
• Use a variety of anatomical terms to describe a moving body during physical activity
• Analyse a range of sporting techniques in terms of joint movements
• Identify the major muscles associated with the main joints of the human body and
explain their role as an agonist or an antagonist with reference to specific movements
in physical activity
• Carry out a full movement analysis of specific movements in physical activity
• Understand the difference between concentric, eccentric and isometric muscular
contraction
• Distinguish between the three types of skeletal muscle fibre in the body and apply their
characteristics to suggest reasons why certain individuals choose to take part in specific
types of physical activity
• Recognise the considerable benefits of a warm up and cool down on skeletal muscle
• Discuss the advantages of lifelong involvement in an active lifestyle in relation to bone,
joint and muscle health and evaluate certain disorders of bones, joints and muscles that
can result from different types of physical activity
the skeletal and muscular systems
APPLY IT!
The skeleton has five main functions: Support,
KEY TERMS Protection, Movement, Blood cell production and
Mineral store. Give examples of how the functions
Skeleton of the skeleton enable you to carry out your
The bony framework upon which the rest of the every-day needs and routine.
body is built. It provides attachments for the
muscular system and carries and protects the
cardiovascular and respiratory systems. The average human adult has 206 bones that are
divided into two different parts, the axial and the
Skeletal muscle appendicular skeleton:
This attaches to and moves the skeleton. It is
often termed striated muscle because it has 206 bones
obvious stripes on it caused by the long muscle
fibres of which it is composed. It is also called
voluntary muscle because it is the only type of
Axial skeleton Appendicular skeleton
muscle under our conscious control.
Skull Shoulder girdle and
Joint upper limbs
A place on the body where two or more bones Thoracic girdle Pelvic girdle and lower
meet. limbs
Vertebral column
Table 1
anatomy and physiology
KEY TERMS
Sternum Clavicle Appendicular skeleton
Ribs
Scapula The bones of the upper and lower limbs and their
Vertebral Humerus girdles that join to the axial skeleton
column
Key biceps
tendon
Axial
skeleton
Appendicular
skeleton
the skeletal and muscular systems
task 1
• shoulder girdle
• upper limb
2
• pelvic girdle 6
• lower limb.
5
2. Classification of joints: Identify the joints numbered 1-8 in the diagram above and list
the bones that articulate to form each of the joints you have identified. Record your
answers in a table similar to the one below:
Joint Joint name Bones that articulate Helpful hints
number
1 List three bones
anatomy and physiology
Remember
Bone is made of collagen fibres filled with
minerals, mainly calcium salts. There are five All bones of the limbs, except the patella and the
types of bone in the skeleton that are classified bones of the wrist and ankle are long bones. Even
according to their shape. One of these types is the the bones of your hands and feet (metacarpals,
long bone, which is longer than it is wide and metatarsals and phalanges) are long bones.
consists of a shaft, called the diaphysis and two
ends, each called the epiphysis. The epiphysis
articular task 2
cartilage
1. A long bone is one of the five types of
epiphysis
bone found in the skeleton. Identify
and give examples of the other four
types of bone.
growth plate
2. Articular cartilage is one of the three
types of cartilage found in the human
body. Identify, outline the function and
give examples of the other two types
of cartilage.
bone marrow
diaphysis
KEY TERMS
Collagen
A fibrous protein with great strength that is the
main component of bone
epiphysis Calcium
The mineral stored in bone that keeps it hard and
strong. 99% of the body’s calcium is stored in
Fig 1.3 The structure of a long bone during adolescence
bone
Class of joint Mobility Stability Examples from the Diagram
skeleton
Fibrous No Most Joints between the
movement stable bones of the skull
and between the
fused bones of the sacrum
sacrum and coccyx
coccyx
elbow
wrist
radio-ulnar ankle
knee
wrist
ankle
Table 2
anatomy and physiology
Epiphysis Remember
The end portion of a long bone
Freely movable joints are located in the limbs of
the appendicular skeleton, while immovable and
Bone marrow slightly movable joints are more commonly found
Connective tissue found in the spaces inside bone in the axial skeleton.
that is the site of blood cell production and fat
storage
Joints are classified in three ways according to
the balance that they allow between stability and
Growth plate mobility:
The area of growing tissue near the end of
long bones in children and adolescents, often
referred to as the epiphyseal plate. When physical
maturity is reached, the growth plate is replaced
Exam tip
by solid bone. As PE specialists, we are mainly interested in
joints that allow free movement as they allow us
Articular cartilage to perform skills and techniques during physical
activity. In preparation for your exam, be familiar
A thin layer of glassy-smooth cartilage that is quite
with all classes of joint but focus your study on
spongy and covers the end of bones at a joint
synovial joints.
Joints
Joints are links between the bones of the skeleton. Synovial joints
They act to allow movement but also work to
stabilise areas of the body. Consider the action of The structure of synovial joints
kicking a football. The knee of one leg is allowing Synovial joints have four main distinguishing
the lower part of the limb to swing freely while features, shown and analysed in Table 3.
ligament triceps brachii bic
the skeletal and muscular systems
humerus
bursa
pad of fat pa
femur
KEY TERM
Joint cavity head of humerus
A space within a synovial joint that contains
synovial fluid humerus
patella
meniscus
meniscus
Remember tibia
femur
ulna
APPLY IT!
head of humerus
Discuss the importance of mobilising each of
your synovial joints as part of a warm up routine
humerus
before physical activity. patella
Fig 1.5 (c) Ankle joint – pad of fat
meniscus
meniscus
As well as the four features in Table 3, some
tibia
synovial joints have additional features, the three KEY TERMS
most common of which are shown in Figures 1.5
a, b and c. Bursa (pl. bursae)
A flattened fibrous sac lines with synovial fluid
that contains a thin film of synovial fluid. Its
ligament triceps brachii
function is to prevent friction at sites in the biceps
body brachii
where ligaments, muscles,
humerus tendons or bones
bursa might rub together.
pad of fat pad of fat
Meniscus (pl menisci)
femur
A wedge of white fibrocartilage that improves the
fit between adjacent bone ends, making the joint ulna
more stable and reducing wear and tear on joint
head of humerus
surfaces.
humerus
Pad of fat patella
meniscus A fatty pad that provides cushioning between the
fibrous capsule and a meniscus
bone or muscle.
Fig 1.5 (a) Shoulder joint – bursa
tibia
anatomy and physiology
Gliding Spine (between the articulating surfaces are almost flat and Gliding allows
bony processes of of a similar size. movement in three
the vertebrae in the body of
cervical, thoracic and planes, but it is
bony vertebra
part of the lumbar process severely limited.
regions)
cartilaginous
gliding joint
disc
bony
process
Table 4
the skeletal and muscular systems
10
anatomy and physiology
APPLY IT!
It is useful to be familiar with other anatomical Exam tip
terminology and try to use the correct terms in
Remember the starting point for these
your exam paper. Read through the key terms
movements is the anatomical position. If you
below and do the following task.
get confused with a joint movement, freeze
With reference to the bones and joints of the your body in the position you want to describe
skeleton, write one sentence that makes use of and return to the anatomical position to work
each of the anatomical terms listed below. The first out what has happened at that joint. This might
one has been completed as an example. mean that you have to move in the exam – but
that’s OK!
• Anterior:
Example: The sternum is anterior to the scapula.
• Posterior
• Superior
• Inferior Main movements
• Medial
• Lateral Flexion and Extension
Flexion of a joint makes a body part move in a
forwards direction from the anatomical position.
Extension of a joint makes a body part move in
a backwards direction. (The knee joint is the only
KEY TERMS exception to this rule where flexion moves the
lower leg backwards and extension moves the
Anatomical position lower leg forwards.)
An upright standing position with head, shoulders,
chest, palms of hands, hips, knees and toes facing
forwards
Exam tip
Anterior For your exam you should focus on flexion and
extension at the following joints: the wrist, the
Ttowards the front of the body elbow, the shoulder, the spine, the hip and the
knee.
Posterior
Towards the back of the body
Superior Remember
Towards the head or upper part of the body Consider the foetal position of a baby in the
mother’s womb: moving into the foetal position
Inferior requires flexion of all the joints; straightening out
of the foetal position requires extension of all the
Towards the feet or the lower part of the body joints.
11
the skeletal and muscular systems
12
anatomy and physiology
Exam tip
For your exam you should focus on rotation at
the following joints: the shoulder and the hip. Other movements
Pronation and Supination
Pronation and supination are anatomical terms
unique to the radio-ulnar joint and are separate
terms to describe rotation of the forearm. In
Circumduction the anatomical position the radio-ulnar joint
Circumduction of a joint makes a body part move
is supinated. Pronation of the radio-ulnar joint
from the anatomical position, describing a cone
makes the palm move to face backwards or
shape. The joint performing circumduction stays
downwards. Supination of the radio-ulnar joint is
still while the furthest end of the body part moves
with the palm facing forwards or upwards.
in a circle.
Remember
Exam tip To help recognise the difference
between pronation and
For your exam you should focus on supination by thinking how
circumduction at the following joint: the you would carry a bowl of soup
shoulder. (‘sup’ination) in the palm of your hand!
Lateral flexion
Lateral flexion is an anatomical term unique to
task 8 the spine. It involves bending the spine sideways
as you might do as part of a warm up to mobilise
1. Working with a partner, identify your spine.
rotation of the shoulder and hip joints
and circumduction of the shoulder
joint.
2. For each of the three movements
you have identified, give a sporting
technique that demonstrates the
movement. For example, circumduction
of the shoulder occurs during the full
arm action in front crawl.
Fig 1.6
13
the skeletal and muscular systems
Exam tip
task 9
Make sure you know what each of the
1. Working with a partner, identify movements of each of the joints listed in the
table looks like. Your examiner can ask you to
pronation and supination of the radio-
identify the joint movements occurring at any
ulnar joint, lateral flexion of the spine of these joints in a large variety of sporting
and dorsiflexion and plantar flexion of techniques. If you are good at identifying the
the ankle joint. joint movement you will find it easy to apply the
2. For each of the five movements muscles in action as discussed on p. xx. Also, try
you have identified, give a sporting to learn the movements in pairs so if one joint
can carry out flexion, you automatically know
technique that demonstrates the
that it can also extend.
movement. For example, pronation
of the radio-ulnar joint occurs in the
execution and recovery phases of a
top-spin forehand drive in tennis.
task 10
14
anatomy and physiology
Table 6
The muscular system of the skeletal system, we know that muscles are
attached to bones by tendons. These points of
There are over 600 skeletal muscles in the human attachment at either end of the muscle form the
body but, do not worry, you do not need to know origin and the insertion.
them all! Most of the muscles you are required to
know are shown in Fig 1.8. You will be able to see It is important to remember that muscles can
that most of these muscles extend from one bone only pull, they can never push. When a muscle
to another, are attached in at least two places contracts, the pulling of one bone towards
and cross at least one joint. From our knowledge another across a movable joint causes movement.
trapezius
trapezius
deltoid deltoid
infraspinatus
triceps brachii triceps brachii teres major
biceps brachii
pectoralis major
latissimus dorsi
pronator teres
rectus abdominis
wrist flexors external oblique gluteus medius
internal oblique wrist extensors
gluteus maximus
Iliopsoas
adductor longus
rectus femoris
quadriceps
adductor magnus
vastus intermedius
vastus lateralis biceps femoris
vastus medialis
semitendinosus hamstrings
semimembranosus
gastrocnemius
gastrocnemius
soleus soleus
tibialis anterior
15
the skeletal and muscular systems
16
anatomy and physiology
Location and action of specific muscles for producing this movement and its location in
We will focus only on the muscles that you need to the body. It is worth noting here that many muscles
know for your specification. Learning these muscles are capable of producing more than one joint
is quite demanding, but the best way may be to take movement but in the tables below each muscle is
one joint at a time and for each movement that you associated with just one movement to help keep
know this joint can do learn the muscle responsible things relatively simple.
Remember
Muscles are arranged in pairs, so whatever movement one muscle can do, it will have a partner muscle that
can reverse that movement.
WRIST
Extension of the Wrist extensors Posterior forearm
wrist joint
Remember
The wrist joint is a condyloid joint with its articulating bones being the radius, ulna and carpals.
Table 7
Pronator teres
RADIO-ULNAR
Supination of radio-ulnar Supinator Lateral anterior forearm
joint
Supinator
17
the skeletal and muscular systems
Remember
The radio-ulnar joint is a pivot joint with its articulating bones being the radius and ulna.
Table 8
Biceps
brachii
ELBOW
Extension of elbow joint Triceps brachii Posterior
upper
arm
Triceps
brachii
Table 9
Remember
The elbow joint is a hinge joint with its articulating bones being the humerus, radius and ulna.
Exam tip
The deltoid is composed of three parts: anterior, middle and posterior. When revising for your exam it is
advisable to learn the deltoid in these three sections as they each produce different movements of the
shoulder joint as shown in Tables 10.1 and 10.2. Therefore, by just learning the one muscle, you have the
answer for the agonist of shoulder flexion, abduction and extension.
18
anatomy and physiology
Anterior
deltoid
Posterior
deltoid
Latissimus
dorsi
Pectoralis
major
Table 10.1
19
the skeletal and muscular systems
Trapezius
Teres
minor
Teres
major
Table 10.2
20
anatomy and physiology
Rectus
abdominis
Erector
spinae
group
Table 11.1
21
the skeletal and muscular systems
external
obliques
internal
obliques
Table 11.2
22
anatomy and physiology
Transverse
abdominis
Remember
The hip is a ball and socket joint with its
articulating bones being the pelvis and femur.
gluteus
maximus
Table 12.1
23
the skeletal and muscular systems
gluteus gluteus
medius minimus
adductor
group
Table 12.2
Remember
The gluteus maximus also produces lateral rotation of the hip, while the gluteus minimus produces medial
rotation.
24
anatomy and physiology
Joint
Joint Muscle responsible Location of muscle
Movement
KNEE Flexion Biceps femoris Posterior thigh
Semitendinosus
Semimembranosus
Hamstring group
semitendinosus
semimembranosus
vastus lateralis
vastus medialis
Table 13
25
the skeletal and muscular systems
tibialis anterior
gastrocnemius
soleus
Table 14
Remember task 12
The ankle is a hinge joint with its articulating
bones being the tibia, fibula and talus. 1. Cut out some photographs of sports
performers from magazines or
newspapers and label as many of the
muscles identified in this chapter as
possible.
2. For each of the muscles identified
above, give an example of a sport
where the performer would need to
heavily utilise this muscle. Try to think
about the joint movement required.
26
anatomy and physiology
task 13
For revision purposes, copy and complete the following table and insert it in your file.
Table 15
27
the skeletal and muscular systems
The role of muscular contraction contraction can occur in two ways, concentric
Muscular contractions occur as a result of a contraction and eccentric contraction.
stimulus being sent to a muscle to produce
tension. All muscular contraction can be classified The table below explains the three types of
as being either isotonic or isometric. Isotonic muscular contraction in relation to the biceps
brachii muscle
Isotonic Contraction
Isometric Contraction
Concentric Contraction Eccentric Contraction
no movement
movement
movement
Table 16
Muscular contraction
Tension is developed in a muscle
Remember
The term muscle contraction can be confusing Isotonic contraction
as it suggests the muscle is always shortening Tension is developed in the muscle while
BUT in some types of contraction the muscle will joint movement occurs
stay the same length or even get longer, while
producing tension. Try to remember that muscular
contraction can be used to cause joint movement, Isometric
Concentric Eccentric
control joint movement or stop joint movement. contraction
contraction contraction
Tenson is
Tenson is Tenson is
developed in
produced while produced while
the muscle but no
the muscle the muscle
joint movement
shortens. lengthens.
occurs.
Fig 1.9 Explains the three types of It causes joint It controls joint
muscular contraction in relation It stops joint
movement movement
to the biceps brachii muscle movement
28
anatomy and physiology
Concentric contraction
A type of isotonic contraction that involves the
muscle shortening while producing tension. TAKE IT FURTHER
1. The next time you are working out in the gym,
Eccentric contraction for each resistance exercise you do, identify
A type of isotonic contraction that involves the the muscle you are working and the type of
muscle lengthening while producing tension. muscular contraction occurring in (i) the lifting
phase and (ii) the lowering phase. Make sure
you can explain your answers.
2. Research a type of training called plyometrics,
which involves movements that produce an
Exam tip eccentric contraction immediately followed by
a concentric contraction, such as bounding,
For any explosive sporting technique such as a hopping and jumping. Identify the advantages
penalty kick or conversion in rugby or a forehand and disadvantages of plyometric training.
in tennis, the type of contraction of the agonist
is concentric.
29
the skeletal and muscular systems
[V466770_ph_100]
Left Knee Hinge Flexion Biceps femoris, Concentric Recturs femoris, vastus
semitendinosus. lateralis, vastus medialis,
semimembranosus vastus intermedius
Exam tip
In your exam it is likely that a question on
‘Movement analysis of physical activity’ will be Exam tip
in table format (similar to Table 17). Some of the
detail will be given to you and some will be left The right and left sides refer to the performer in
out. You would need to be able to complete the the diagram NOT your right and left.
missing information. If the question is not given
in a table, it is advisable to draw one yourself.
30
anatomy and physiology
V466770_ph_101]
task 15
Look through the sporting pictures in the daily or Sunday newspapers or on BBC Sport
online. Select two action shots, one involving the upper limb and the other the lower limb
and complete a full movement analysis for each.
31
the skeletal and muscular systems
Aerobic exercise
Fig 1.10 Structure of skeletal muscle Is performed in the presence of oxygen at a
submaximal intensity over a prolonged period of
time, e.g. rowing
KEY TERM
Anaerobic exercise
Muscle fibre
Is performed in the absence of oxygen at a
A long cylindrical muscle cell. Muscle fibres are maximal intensity that can only be sustained for a
held together in bundles to make up an individual short period of time due to the build up of lactic
skeletal muscle – see fig 1.10. acid, e.g. sprinting
Not all muscle fibres within a skeletal muscle are There are two types of fast twitch muscle fibre:
the same. There are two main types:
• Fast oxidative glycolytic fibres – type 2a or
• Slow twitch fibres – type 1 FOG fibres
These are designed for aerobic exercise and use These anaerobic fibres are more resistant to
oxygen to produce a small amount of tension fatigue than type 2b, but generate slightly less
over a long period of time, as they are resistant force.
to fatigue. Performers in endurance events • Fast glycolytic fibres – type 2b or FG fibres
tend to have a high percentage of slow twitch These fibres have the greatest anaerobic
muscle fibres. capacity and therefore generate the largest
amount of force
• Fast twitch fibres – type 2
These are designed for anaerobic exercise and The three types of muscle fibre mentioned above
produce a large amount of force in a very vary in structure and function as summarised in
short time, as they fatigue easily. Performers in the table below.
power events tend to have a high percentage of
fast twitch muscle fibres.
32
anatomy and physiology
Structural Differences
Characteristic Slow Twitch Fast Oxidative Fast Glycolytic
(Type 1) Glycolytic (Type 2b / FG)
(Type 2a / FOG)
Fibre size small large large
Number of mitochondria large moderate small
Number of capillaries large moderate small
Myoglobin content high moderate low
PC stores low high high
Glycogen stores low high high
Triglyceride stores high moderate low
Functional Differences
Speed of contraction slow fast fastest
Force of contraction low high highest
Resistance to fatigue high low lowest
Aerobic capacity high low lowest
Anaerobic capacity low high highest
Activity suited
Marathon 1500m 110m hurdler
Table 19
Muscle fibre types in relation to events such as training, muscle size and the
efficiency of their cardiovascular and respiratory
choice of physical activity systems.
Once you know a little about the characteristics
of the different muscle fibre types, it is possible
to predict the type of activity a performer
might excel at. For example, we could say that Asafa Powell has a high percentage of
FG fibres in his gastrocnemius. This is
performers who have a high percentage of slow
because his legs can generate a large
twitch muscle fibres in their gastrocnemius
oxygen force in the absence of oxygen
would be well suited to endurance events, while over a short period of time.
performers who have a high percentage of FG
fibres in their gastrocnemius, would be suited to
speed and strength events.
So, if a performer can determine their relative [V466770 _ph_102, Fig 1.14
percentages of the three types of muscle fibre,
they could chose to take part in an activity that is
highly suited to their physiological make up.
33
the skeletal and muscular systems
Remember
An individual’s mix of muscle fibre type is largely
genetic. It is determined using biopsy, which
involves a hollow needle being inserted into the
[V466770 _ph_103, Fig 1.15 muscle to extract a small sample of muscle tissue.
This can then be analysed to determine the relative
percentage of slow twitch to fast twitch fibres.
APPLY IT!
Paula Radcliffe has a high percentage
World Champion marathon runners have been
of slow (twitch) fibres in her
reported to have up to 99% of slow twitch muscle
gastrocnemius. This is because her legs
fibres in their gastrocnemius muscle.
can produce force over a prolonged
period of time without fatigue.
Table 20
34
anatomy and physiology
KEY TERMS
[V466770_ph_104 – Lawrence Dallaglio,
Warm up or other sportsman, in an ice bath]
Light aerobic exercise that takes place prior to
physical activity, normally including some light
exercise to elevate the heart rate, muscle and
core body temperature, some mobilising exercises
for the joints, some stretching exercises for the
muscles and connective tissue and some easy
rehearsal of the skills to follow.
Cool down
Low intensity aerobic exercise that takes place
after physical activity and facilitates the recovery
process.
Effect of a warm up on skeletal muscle tissue. Effect of a cool down on skeletal muscle tissue.
• an increase in core body temperature will • an increase in the speed of removal of lactic acid
produce the following physiological effects on and carbon dioxide that raise the acidity levels
skeletal muscle tissue: of the muscle and affect pain receptors due to
• a reduction in muscle viscosity, leading to an oxygen rich blood being flushed through the
improvement in the efficiency of muscular muscle
contractions • a decrease in the risk of DOMS, which is the
• a greater speed and force of contraction due to muscular pain experienced 24-48 hours after
a higher speed of nerve transmission intense exercise due to microscopic tears in the
• an increased flexibility that reduces the risk of muscle fibres
injury due to increased extensibility of tendons
and ligaments
Table 21
35
the skeletal and muscular systems
36
anatomy and physiology
task 18
1. Research the condition of osteoporosis to find out how bones become weaker and what
other risk factors contribute to the disease.
2. It has been suggested that high impact sports have a greater effect on peak bone density
in young people than non-impact sports. Discuss the relative benefits of the following
sports and physical activities in minimising the risk of osteoporosis:
In early adulthood, bone growth is mostly complete it closes and is replaced by solid bone.
complete and this represents a time when the This usually occurs towards late adolescence.
bone is at its strongest or has peak bone density. A
high peak bone density helps to minimise the risk Growth plate and physical activity
of osteoporosis in later life, although other risk During physical activity, injuries to the growth
factors should be considered. High impact activity plate in young people are common because it is
is thought to be more effective at achieving the weakest area of the growing skeleton, weaker
peak bone density than other types of physical even than ligaments and tendons. An impact
activity. NICE (the National Institute for Health injury that would cause a sprain in an adult can
and Clinical Excellence) suggests that participation be associated with a growth plate injury in a
in resistance or strength training, weight-bearing child.
activities and high impact activities has a positive
effect on bone health and is associated with a long Growth plate injuries are fractures and are caused
term reduced risk of osteoporosis by a sudden force travelling through the bone in
competitive, contact and impact activities such as
football, rugby, hockey and basketball. However,
injuries in young performers can also result from
APPLY IT! overuse caused by repetitive practice of specific
skills such as a young tennis player who spends
During space travel, astronauts who experience
weightlessness due to the lack of gravity, can lose too much time continually trying to perfect their
up to one third of their bone density within a few volley or their serve.
weeks of being in space.
APPLY IT!
Ask other students in your class if they have ever
Growth plate suffered a fracture. Discuss whether this could
Look back to p. xx to remind yourself that the have been caused by damage to the growth plate
growth plate is the delicate area found between in their bone and whether it was down to an
the shaft and either end of a long bone in children impact or overuse injury.
and adolescents. When the growth plate is
37
the skeletal and muscular systems
task 19
38
anatomy and physiology
Osteoarthritis and physical activity looked at the how the shapes and depths of the
For many people the cause of the onset of articulating surfaces within a joint can contribute
osteoarthritis is unknown although risk factors to its stability.
include a major injury to a joint or being
overweight, both of which cause excessive Deeper joints that have a larger surface area of
mechanical strain on a joint and will contribute to connecting bone are the most stable types of joint.
the wear and tear of the articular cartilage. The ball and socket joint of the hip is particularly
stable for this reason compounded by the fact
There is also some evidence that suggests that that weight bearing pushes the head of the femur
injuries sustained when you are younger can lead further into the deep socket of the acetabulum.
to osteoarthritis in later life, depending on how Another factor that contributes to joint stability
the injury was managed in the first place. is ligaments. Usually, the more ligaments a joint
has, the greater its stability. Consider the knee
It seems therefore that the risk factors associated joint that has four ligaments, which work to limit
with osteoarthritis are closely linked with physical mobility to flexion and extension.
activity, particularly those types where there is
a risk of large or abrupt forces acting on the Although the strength of ligaments is an
joints. However, the health of cartilage depends advantage in increasing joint stability, it is a
on it being used and the onset of osteoarthritis disadvantage in the fact that they are not very
depends very much on the frequency, intensity elastic, making them prone to stretching and even
and duration of physical activity that, if snapping.
carefully managed, can have a positive effect
on osteoarthritis. Exercise will increase aerobic
capacity, manage weight and reduce body fat
therefore reducing the mechanical strain on
the joints. Regular activity will also improve
joint stability by strengthening the surrounding
muscles and joint mobility can also be ligament 1 ligament 2
maintained, or in some instances, improved.
ligament 4
APPLY IT! ligament 3
39
the skeletal and muscular systems
KEY TERMS
Joint stability
Muscle health:
This refers to the resistance offered by various
musculo-skeletal tissues that surround a joint. Posture and alignment
You might remember being told by your parents
Muscle tone to ‘stand up straight’ when you were young. This
The continual state of partial contraction of a would have involved you using your skeletal
muscle that helps to maintain posture. muscles as stabilisers to maintain good posture.
Posture can be thought of in terms of alignment
and good posture, meaning that you can carry
out physical activity with maximum efficiency
and minimum risk of injury. The skeletal muscles
Joint stability and physical activity
responsible for posture tend to be centred around
Physical activity is very important for the efficient
the trunk area and we mentioned two of them,
functioning of the joint structures, especially the
the multifidis and the transverse abdominis on p.
articular cartilage, ligaments and surrounding
xx. Even during rest, muscles are in a constant
muscles. Exercise strengthens these structures
state of partial contraction, called muscle tone.
and will lead to an increase in the stability of the
The greater the muscle tone in the muscles
joint. Without regular exercise, ligaments will
that stabilise the trunk, the better your posture
shorten and become even less elastic, making
and core stability. This is important to lifelong
them more prone to injury and muscle tone will
involvement in physical activity because it
be lost in the surrounding muscles decreasing
prevents excess pressure being put on the lumbar
their stabilising effect. The muscles will also
spine, which causes lower back pain.
shorten reducing the flexibility of the joint and
increasing the chances of injury. Inactivity will
also lead to a reduction in synovial fluid being Posture and physical activity
released into the joint which can make the joint The right type of physical activity will improve
prone to other disorders. your posture. Aerobic exercise will help to
control body weight meaning less strain is put
However, the type of physical activity is again on the muscles and joints and it becomes easier
important as large forces exerted on a joint, such to maintain the correct body alignment when
as those experienced in impact and contact sports standing, sitting and exercising.
can lead to ligament damage and dislocation of
less stable joints. The knee and ankle joints are Strength training or Swiss ball training will
particularly at risk of ligament damage, while the increase the muscle tone in the postural muscles
shallow joint of the shoulder makes it susceptible of the trunk and develop core stability. This will
to dislocation. improve the alignment of the spine and minimise
the risk of lower back pain.
40
anatomy and physiology
task 20
The above discussion focuses on the positive and negative factors that affect the musculo-
skeletal system during different types of physical activity. For revision purposes, copy and
complete the following table:
Factor affecting the Positive impact of physical activity Negative impact of physical
musculo-skeletal and type of activity needed activity and type of activity
system needed
Osteoporosis
Growth Plate
Osteoarthritis
Joint Stability
Exam tip
Your examiner might ask you to critically examine or critically evaluate the impact of different types of
physical activity on the skeletal or muscular system. In your answer make sure you:
• talk accurately and in detail about positive and • mention the disorders given above as relevant
negative factors using correct terminology examples where appropriate
• relate these factors to different types of • proofread your answer.
physical activity, e.g. contact & impact,
repetitive, endurance work etc
41
ExamCafé Relax, refresh, result!
Refresh your memory
Revision checklist for the skeletal and muscular systems
You should be able to describe and explain:
The Skeleton
an overview of the skeleton
3
Joints
the different types of joint found in the body
3
Movements of synovial joints
the anatomical position
3
movements that relate to the following joints: wrist, elbow, radio-ulnar, shoulder, spine, hip,
3
knee, ankle
Muscles
the terms: origin, insertion, agonist, antagonist, antagonistic muscle action
3
the major muscles associated with the main joints of the human body and explain their
3
role as an agonist or an antagonist with reference to specific movements in physical
activity
full movement analysis of different types of sporting techniques
3
the three types of muscular contraction: concentric, eccentric, isometric
3
the three types of muscle fibre found in skeletal muscle: slow twitch, fast oxidative
3
glycolytic and fast glycolytic
the physiological benefits to skeletal muscle of a warm up and a cool down
3
Bone and Muscle Health
factors affecting the efficiency of the musculo-skeletal system
3
the positive and negative impact of different types of physical activity on the above
3
conditions.
42 Exam Café
Revise as you go!
1. The shoulder, elbow, hip, knee and ankle joints, are all synovial joints:
i. identify the bones that articulate at each of these joints
ii. identify the type of synovial joint located at each of these joints
2. The spine has a number of different types of joint located in its different regions. Explain
this statement giving specific examples.
3. Identify the movement performed at each of the joints listed in brackets from the
sporting techniques stated below:
i. upward phase of a sit up (spine and hip)
ii. downward phase of a press up (shoulder and elbow)
iii. preparation phase of a vertical jump(hip, knee, ankle)
iv. execution phase of a top-spin forehand in tennis (shoulder, elbow, radio-ulnar)
4. Identify the agonist and antagonist muscles for each of the movements you have
identified in your answer to question 3.
5. Identify, explain and give sporting examples of concentric, eccentric and isometric
muscular contraction
6. What are the three types of muscle fibre found in skeletal muscle? Identify two
structural and two functional differences in their characteristics.
7. Explain why elite marathon runners have a high percentage of slow twitch muscles in
their gastrocnemius muscle.
8. Skeletal muscles work more efficiently if a performer caries out a warm up prior to the
exercise session and a cool down afterwards. Explain this statement.
9. Describe the positive effects of exercise on preventing osteoporosis.
10. Describe the potential dangers of high impact and contact sports on the musculo-skeletal
system.
Exam Café 43
examiner’s tips
• There is a lot being asked here, but you must expect this for the ten-mark question in 1e.
• The first thing to do is read the question, then read it again and pay attention to the command
word – discuss.
• Now take some more time to organise your thoughts and plan your answer. Your examiner can
only give you maximum marks if have covered all that is being asked
• A plan similar to one below seems sensible here:
• When you have finished your plan, check that you have enough information for all 10 marks.
• When it comes to writing your answer, make it concise (don’t waffle!) and use accurate
specialist vocabulary – check your spelling!
• At the end of your answer, give yourself sufficient time for proofreading.
Student answer
Types of Positive impact Negative impact
Physical activity
low impact / builds strong, healthy bones – reduces risk of wear & tear on art cartilage = e.g.
endurance osteoporosis esp child, teens osteoarthritis
can increase health of joints: manage weight therefore
less strain therefore reduced risk of osteoarthritis
improve joint stability – strengthen surrounding
muscles – ligaments – tendons – increased muscle tone
e.g rotator cuff/knee
improve posture/alignment = max eff/min injury:
multifidis & transverse abdominis – increased muscle
tone/core stability = reduced risk of lower back pain
(Swiss ball training)
high impact also good for osteoporosis – increases peak bone density dangerous for osteoporosis sufferers
= fracture
stress fractures
Examiner says: risk of sprains /dislocation esp less
Great plan! stable joints e.g. knee, ankle shoulder
growth plate injuries
strains / muscle tears = plyometrics
contact sports growth plate injuries
repetitive growth plate injuries
movements wear & tear on art cartilage =
osteoarthritis esp knee, hip & ankle
44 Exam Café
Examiner says:
Concise introduction to There are many benefits to being active but certain types if physical activity
set the scene on where
the answer is heading
can be a risk to the bones, joints and muscles. Low impact, endurance based
and already shows me activities seem to have the most positive effects on the skeletal and muscular
you know what is meant
by different types of
systems, while high impact, contact sports cause the most potential risks.
physical activity
Regular aerobic exercise helps to build strong and healthy bones, which
reduces the risk of osteoporosis in later life. This is especially the case if
Examiner says: weight-bearing work is carried out during childhood and the early teens.
Good use of specialist However, high impact activities have a part to play here, as they can also
vocabulary here – well
done! Also like the way
increase the strength of bones. Endurance work also helps to manage weight,
you have brought in meaning that less strain is put on the joints during activity and this reduces
high impact activity as
it makes it a discussion.
the risk of contracting osteoarthritis. The fact that regular light exercise
Some more specialist
strengthens the skeletal muscles, ligaments and tendons, means that joint
vocabulary – good! stability is increased as muscle tone has increased. This is particularly
important in joints that rely on the surrounding muscles and ligaments to
make them more stable, such as the shoulder joint relying on the rotator
cuff muscles and the knee joint relying on the four ligaments that surround
it. Performers who are at risk of injury to their shoulders and knees e.g.
rugby and football players, would especially benefit from an increased joint
Examiner says:
stability in these areas. Another advantage of regular aerobic exercise is the
Good use of sporting
positive effect it will have on posture and alignment. Performers with good
example, which is just posture can carry out sporting techniques with the maximum efficiency and
what you need to score
in the top band.
the minimum risk of injury. This would be particularly important for weight
lifters or performers who rely on good core stability such as gymnasts. Good
posture also limits the risk of lower back pain and poor alignment of the
lumbar vertebrae. Two muscles that play a major part in maintaining good core
stability are the multifidis and transverse abdominis, which can be exercised
using a Swiss ball.
On the other hand, performers who chose to take part regularly in high
Examiner says:
impact or contact sports are at greater risk of injury. Sudden impacts can
Great use of analysis
– another important cause fractures, sprains and dislocations. The less stable joints such as the
aspect of achieving shoulder, knee and the ankle are particularly at risk. The shoulder, being a
max
shallow ball and socket joint, is relatively easy to dislocate while sprains at
Exam Café 45
the knee and ankle joints are also common. High impact sports are especially
Examiner says:
risky in young players, whose bones are not fully matured, as there is a big
I like the way you have
risk of damage to the growth plate, which is very delicate while the bone
brought in types of is still growing. Performers who also carry out a lot of eccentric muscular
muscular contraction
– it’s certainly relevant
contractions are at greater risk of muscle strains and tears, such as hurdlers
here and gymnasts. Another type of activity that can have a negative effect on
joints is activity involving repetitive movements, which can also cause damage
to the growth plate in children but will also cause wear and tear to the
articular cartilage. When the articular cartilage is damaged, there is risk of
Examiner says:
contracting osteoarthritis. This is especially the case in the hip, knee and
Some more excellent
ankle joints that tend to take most of the force in all weight-bearing activities.
examples! Many old hockey and rugby players end up with osteoarthritis in one or more
of their leg joints, while tennis players are more like to get this condition in
their shoulder and elbow joints.
Examiner says:
A quick and simple way Having weighed up the positive and negative effects of different types of
to finish
physical activity on joints and muscles, it seems that the positives outweigh
Overall this is a well
structured answer. It
the negatives and an active lifestyle should be encouraged.
has a brief introduction
and conclusion (you
need both for a
discussion) and there
is a paragraph related
to the positive effects
of exercise linked to
low impact work and
a paragraph related
to the negative effects
of exercise linked to
high impact/contact
and repetitive work.
There is good quality of
written communication
throughout: an A grade
answer.
46 Exam Café