Introduction to Joint Mobility & Stability (Part 1):
Aligning the Basics
15
SEPTEMBER, 2018
Mobility and stability… two words that would seem to be at odds with each other, especially from a body movement perspective.
Yet, in order to maintain a healthy movement practice, it’s important to find the right balance of both mobility and stability in your body, and more specifically, in your joints.
In this four-part series, we’ll dive into the crucial relationship between mobility and stability, to understand how to produce safe and efficient movement by manifesting the right balance of active and passive controls in your joints.
- We begin below with the technical details, by reviewing the basics of joint anatomy and unpacking the concepts of “mobility” and “stability.”
- In Part 2, we’ll look at different types of stability and the vital role that stiffness plays in maintaining injury-free movements.
- The third article expands on the concept of stability into other parts of the body, including one of the most talked-about areas of musculoskeletal control, the abdominal core (which is different from a six-pack!)
- Finally, Part 4reveals how you can maintain stability while going about your daily activities and highlights how things can go wrong when your body’s stabilizing mechanisms fail.
Anatomy of a Joint… Simplified*
*Admittedly, it’s not necessarily all that easy to “simplify” one of the most frequently used joints in the human body. But for simplicity’s sake, let’s start with the basic mechanics of a single joint and its moving parts. A basic model of a joint has two bones in contact with each other; the contacting ends are lined with smooth cartilage at the ends where the bones meet or “articulate” (see Figure 1A).FIGURE 1: This simple model demonstrates the “passive” and “active” elements (or restraints) of joints. Passive elements include the shape and structure of the bones in contact and their cartilage (A) and ligaments (B). Active elements include the muscles that cross the joint (C).
Two categories of elements and/or factors work to stabilize the bones in a joint and allow them to move without falling apart: the passive and active elements or restraints.
Passive Elements
Physically restrain end-ranges of movement, while at the same time, guiding the available motion in a way that’s mechanically safe for our joints.
Features:
- Aren’t actively controlled
- Are non-contractile
e.g., cartilage, ligaments, and the actual shape of the bones and the joint capsules
Active Elements
When contracting, they pull on our bones—thereby creating movement—or compress one bone into the other—thereby creating active stiffness that’s essential for safe movement.
Features:
- Actively controlled
- Contract with movement
e.g., muscles
The passive restraints include the actual shape of the articulating bones and their cartilage, as well as the joint capsule and ligaments (Figure 1A–B). They’re responsible for physically restraining the end-ranges of movement—that’s to say, keeping the bones together—while at the same time guiding the available movement in a way that’s mechanically safe for the joint.
Muscles, on the other hand, attach to the bones and form the active elements of the joints (Figure 1C). When contracting, they create forces that get transmitted to the bones they attach to. These forces can pull on the bones, rotating or gliding one bone on the other, creating movement. The forces created by these muscles can also compressone bone into the other, creating “active stiffness” that restrains movement across the joint—an essential for safe and injury-free movement.
Muscles are the toolkit that the body uses to “get stuff done”
In order to keep movement safe, multiple muscles must work together to create a careful balance of forces that restrainmovement and create stiffnessacross a joint (vs. forces that create movement). This all starts with the carefully coordinated signals our nervous system sends to the body, to get it to act. Think of muscles as tools that our nervous system uses to move the body, and essentially, to get stuff done. It integrates the information gathered from the body’s various senses (including balance, body positioning, etc.) in order to perform movements that complete required tasks.Defining flexibility vs. mobility
When it comes to a body’s ability to create movement, it’s important to differentiate between what’s considered “flexibility of joints” vs. “mobility of movement.” Flexibility refers to the amount of range of motion of a joint or set of joints. This is what people are trying to increase when they perform passive stretches, such as placing your foot on a side-rail for leverage while performing a hamstring stretch. Meanwhile, mobility is defined as “the ability to move or be moved freely and easily.” Our bodies require the ability to move to “get stuff done,” and all moveable joints have an inherent range of motion (flexibility) associated with them. Range of motion is dictated by several factors, including the joint’s boney architecture (i.e., the depth of the socket) and the ability of the joint’s associated soft tissues (i.e., ligaments and muscles) to stretch and lengthen.So, mobility differs from flexibility as it refers to our ability to actively move a joint and not simply our ability to stretch a joint to a particular range of motion. And though some level of joint flexibility is important—as we need range of motion to carry out tasks—we really need mobility (which includes joint flexibility, as well as muscle strength and coordination) to complete specific movements or tasks. And to ensure that those tasks are injury-free, we need stability.
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