Skeletal joint actions
Spine Upper limbs Lower limbs
Neutral spine or flexionScapular abduction and
upward rotation, shoulder
flexion and adduction,
elbow flexion, forearm
pronation
Hip flexion, internal rotation,
and adduction; knee flex-
ion and internal rotation (of
tibia); ankle dorsiflexion;
lifted foot pronation
Muscular joint actions
Spine
To calibrate concentric and eccentric contractions to maintain neutral alignment of spine:
Spinal extensors and flexors
Upper limbs
Concentric contraction Passively lengthening
To abduct and upwardly rotate scapula:
Serratus anterior
To stabilize, flex, and adduct shoulder joint:
Rotator cuff, coracobrachialis, pectoralis major
and minor, anterior deltoid, biceps brachii
(short head)
To flex elbow:
Biceps brachii, brachialis
To pronate forearm:
Pronator quadratus and teres
Rhomboids, middle and lower trapezius,
latissimus dorsi
Lower limbs
Standing leg Lifted leg
Concentric
contraction
Eccentric
contraction
Concentric
contraction
Passively
lengthening
To adduct and
inwardly rotate
hip:
Pectineus, adductor
brevis and longus
To allow hip and knee
flexion and ankle
dorsiflexion without
collapsing into grav-
ity:
Gluteus maximus,
medius, and mini-
mus; hamstrings
at hip joint; vastii;
soleus; intrinsic
muscles of foot
To allow lateral shift of
pelvis over standing
foot and to maintain
balance by actively
lengthening:
Gluteus medius and
minimus, piriformis,
obturator internus,
superior and inferior
gemellus
To flex, adduct, and
internally rotate
hip:
Psoas major,
iliacus, pectineus,
adductor brevis
and longus,
gracilis
To flex and inter-
nally rotate knee:
Popliteus, gracilis,
medial ham-
strings
To pronate foot:
Peroneals, extensor
digitorum longus
Gluteus maximus,
gluteus medius and
minimus (posterior
fibers), piriformis,
obturator internus,
superior and in-
ferior gemellus
(continued)