Skeletal joint actions
Spine Upper limbs Lower limbs
Standing legLifted leg
Neutral spine,
level pelvis
Slight shoulder flexion and
adduction; elbow flex-
ion; forearm pronation;
wrist, hand, and finger
extension
Neutral hip exten-
sion, neutral knee
extension
Hip flexion, exter-
nal rotation, and
abduction; knee
flexion; ankle
dorsiflexion
Muscular joint actions
Spine
To calibrate concentric and eccentric contractions to maintain neutral alignment of spine:
Spinal extensors and flexors
Lower limbs
Standing leg Lifted leg
Concentric
contraction
Eccentric
contraction
Concentric
contraction
Passively
lengthening
To keep knee in neu-
tral extension and
balance on single
leg:
Articularis genu,
quadriceps, ham-
strings, intrinsic
and extrinsic mus-
cles of foot and
lower leg
To allow lateral shift
of pelvis over
standing foot for
balance and to
keep pelvis level:
Gluteus medius and
minimus, pirifor-
mis, obturator
internus, superior
and inferior gemel-
lus, tensor fasciae
latae
To flex hip:
Iliacus, psoas major
To externally rotate
leg and open it to
side:
Gluteus maximus,
gluteus medius and
minimus (posterior
fibers), piriformis,
obturator inter-
nus and externus,
superior and in-
ferior gemellus,
quadratus femoris
To press foot into
standing leg:
Adductor magnus
and minimus
Pectineus, adductor
longus and brevis,
gracilis
(continued)