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Kinesiology – Concepts & Definitions

Kinesiology Concepts & Definitions

Anatomical Directional Terms

Directional terms help describe the location of structures in relation to other structures. These terms are often paired for clarity and precision. Below are key terms to know for the MBLEx:

Anterior: In front of; toward the front (e.g., the sternum is anterior to the spine).
Posterior: Toward the back or rear (e.g., the scapula is posterior to the ribs).

Superior: Above or over (used for the trunk, head, and pelvis). Example: The nose is superior to the mouth.
Inferior: Below or under (used for the trunk, head, and pelvis). Example: The navel is inferior to the sternum.

Proximal: Closer to the point of origin (used for extremities). Example: The shoulder is proximal to the elbow.
Distal: Farther from the point of origin (used for extremities). Example: The fingers are distal to the wrist.

Superficial: Closer to the surface. Example: The skin is superficial to the muscles.
Deep: Below or farther from the surface. Example: The femur is deep to the quadriceps muscle.

Lateral: Away from the midline; toward the side. Example: The ears are lateral to the nose.
Medial: Toward the midline of the body. Example: The sternum is medial to the shoulders.

Bilateral: On or involving both sides of the body. Example: The kidneys are bilateral structures.
Unilateral: On or involving only one side of the body. Example: A stroke affecting only one hemisphere of the brain can cause unilateral paralysis.

Dorsal: Toward the back. Example: The spine is on the dorsal side of the body.
Ventral: Toward the anterior torso or belly. Example: The navel is on the ventral side of the body.

Radial: Lateral (thumb) side of the forearm or hand. Example: The radial artery is palpable at the wrist near the thumb.
Ulnar: Medial side of the forearm or hand. Example: The ulnar nerve runs along the medial side of the forearm.

Ipsilateral: On the same side of the body. Example: The right hand and right foot are ipsilateral.
Contralateral: On the opposite side of the body. Example: The left brain controls contralateral motor function, meaning it controls the right side of the body.


Some anatomical terms combine two directional references to describe a location more precisely. These terms help pinpoint structures in relation to multiple planes of the body, making anatomical descriptions more specific and useful in clinical communication and documentation. Examples include:

  • Anterolateral – Both anterior and lateral
  • Anteromedial – Both anterior and medial
  • Posterolateral – Both posterior and lateral
  • Posteromedial – Both posterior and medial
  • Superolateral – Both superior and lateral
  • Superomedial – Both superior and medial
  • Inferolateral – Both inferior and lateral
  • Inferomedial – Both inferior and medial

Other movement terms include:

Deviation: Movement away from the standard position (e.g., ulnar deviation of the wrist).

Tilt: Angling a structure without rotation (e.g., head tilt).

Hyperextension: Extension beyond the normal range of motion (e.g., knee hyperextension).

Circumduction: Circular movement involving multiple joint motions (e.g., arm circumduction at the shoulder).

Types of Movement

These are fundamental movements of the body, often grouped in pairs of opposing motions. We’ll explore specific examples in future lessons when discussing joints, movement, and range of motion.

Flexion / Extension: Decreasing or increasing the angle of a joint (e.g., bending and straightening the elbow).

Elevation / Depression: Raising or lowering a structure (e.g., shrugging and lowering the shoulders).

Medial / Lateral Rotation (Also called Internal / External Rotation): Rotating toward or away from the midline (e.g., rotating the humerus inward or outward at the shoulder joint).

Right / Left Lateral Flexion: Bending the trunk or neck sideways (also called side bending).

Abduction / Adduction: Moving a limb away from or toward the midline (e.g., spreading and closing the fingers).

Horizontal Abduction / Adduction: Moving a limb away from or toward the midline in the transverse plane (e.g., moving the arm outward or inward while it is at shoulder height).

Dorsiflexion / Plantarflexion: Flexing or extending the foot at the ankle (e.g., lifting toes upward vs. pointing toes downward).

Anteversion / Retroversion: Tilting a structure forward or backward (e.g., pelvic tilt).

Protraction / Retraction: Moving a structure forward or backward (e.g., jutting the jaw forward vs. pulling it back).

Pronation / Supination: Rotating the forearm so the palm faces down (pronation) or up (supination).

Opposition / Reposition: Moving the thumb to touch another finger (opposition) and returning it to anatomical position (reposition).

Inversion / Eversion: Rotating the sole of the foot inward or outward.

Skeletal System Overview

The skeleton is divided into two main parts: the axial skeleton and the appendicular skeleton.

Axial skeleton

  • Composed of the skull, vertebral column, and thoracic cage (ribs and sternum).
  • Contains 80 bones in total.
  • Provides central support and protection for vital organs like the brain, spinal cord, and thoracic organs.

Appendicular skeleton

  • Includes the bones of the upper and lower extremities, as well as the shoulder and pelvic girdles.
  • Contains 126 bones in total.
  • Responsible for movement and interaction with the environment.

Upper & Lower Extremities

Upper extremity

  • Functions in grasping, manipulating objects, and fine motor control.
  • Extends from the clavicle to the fingers, including the shoulder girdle (scapula and clavicle) and the upper limb (humerus, radius, ulna, carpals, metacarpals, phalanges).

Lower extremity

  • Designed for weight-bearing, stability, and locomotion.
  • Extends from the pelvic girdle to the toes, including the femur, patella, tibia, fibula, tarsals, metatarsals, and phalanges.

Medial means toward the midline of the body, while lateral means away from the midline of the body.

The scapula moves in three key ways to support shoulder function: 

  1. Protraction and Retraction
  2. Elevation and Depression
  3. Upward and Downward Rotation

Protraction moves the scapula forward along the ribcage, as in reaching forward, while retraction pulls it back toward the spine, as in a rowing motion. 
Elevation raises the scapula, like shrugging the shoulders, while depression lowers it, as in pressing the shoulders down. 
Upward rotation allows the arm to lift overhead, while downward rotation returns it to the resting position.
These movements, controlled by muscles such as the trapezius, serratus anterior, rhomboids, pectoralis minor, and levator scapulae, are essential for proper shoulder mechanics, stability, and functional movement.

Contralateral refers to the opposite side of the body, while ipsilateral refers to the same side of the body. For example:

  • Massage and other tactile stimulation on the limb contralateral to an amputated limb may provide relief from phantom limb pain.
  • The referred pain pattern for a trigger point is normally on the ipsilateral side, and it is uncommon for referred pain to be felt on the contralateral side.
  • In neurology, motor control often operates contralaterally. For instance, the left hemisphere of the brain controls movements on the right side of the body. However, in some reflex pathways and sensory functions, responses can be ipsilateral.

The elbow is proximal to the wrist. This means that it is closer to the point of origin of the upper extremity (the shoulder). In contrast, the wrist is distal to the elbow, meaning it is farther from the point of origin.

The esophagus is posterior to the trachea. This means it is located behind the trachea, while the trachea is positioned anteriorly, closer to the front of the body. The trachea, or windpipe, lies in front of the esophagus to allow air to pass freely from the mouth and nose to the lungs. The esophagus, responsible for transporting food and liquids to the stomach, sits directly behind it. This anatomical arrangement is important in clinical settings, such as during an emergency tracheotomy, which is performed through the anterior neck to avoid damaging the esophagus. Additionally, conditions like esophageal compression from an enlarged thyroid or aortic aneurysm can impact swallowing due to the esophagus’s posterior position.

Axial Skeleton: Includes the skull, vertebral column, and thoracic cage (ribs and sternum)—a total of 80 bones. This division primarily functions in protection and central support.

Appendicular Skeleton: Includes the shoulder and pelvic girdles, as well as the bones of the upper and lower extremities—a total of 126 bones. This division is responsible for movement and interaction with the environment.