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24 January
2020
Skeletal System
Anatomy ,Physiology & Diet
by
Dr.Nutan Pakhare
Qualified For Assistant ProfesSOR
B.A.M.S, MSc Yoga, PGDYS,CCY & COUNSELLOR
Dr.Nutan Pakhare
Familiarity - Skeletal System &
Yoga
24 January 20202
 Structures & Functions of
■ Bones
■ Joints
■ Cartilage
■ Bone marrow
■ Role of Endocrine system for health of Bones
 Disorders of Bones & Joints
 Yoga therapy for healthy bones & joints
 Diet & Lifestyle for health of bones & join
Dr.Nutan Pakhare
Specific Characteristics of
bones
Most hard and tough part of the body.
Remains after death.
Though they are hard.
They are not heavy.
Contains 50% water.
Remaining solid part mostly contains calcium phosphate .
Long bones has cavity which contains bone marrow (soft
tissue)
24 January 2020
Dr.Nutan
Pakhare
3
• Skeletal system is the framework
,arranged symmetrically in the
combination of bones & Joints
• Bones are hard but they are living
organs, composed of various
connective tissues
• Cells in bone nourished by food mainly
rich in minerals & calcium.
• Assimilation of calcium is key for health
of bones, cartilage & ligaments, where
yoga plays important role.
• Skeletal bones are important for storage
of calcium & phosphate
24 January
2020
Dr.Nutan Pakhare 4
5
24 January
2020
Dr.Nutan Pakhare
Trunk & Limbs =206 Bones
6
24 January
2020
Dr.Nutan Pakhare
Skeleton - Storage of ca+ and
phosphorous
Upper limb 60 Lower Limbs
60Humerus
Radius &
Ulna
Hand
Pectoralis Girdle
(Clavicle &
scapula)
Femur Patella
Tibia & Fibula
foot
Pelvic Girdle (Dancing
bone) (Ilium, Ischium &
Pubis)
7
24 January
2020
Dr.Nutan Pakhare
Skeletal system –Two parts
8
24 January
2020
Dr.Nutan Pakhare
Bones - Hands & Feet
Carpal – 8
Metacarpal - 5
Phalanx -
14
27 x 2 = 54
Tarsal – 7
Metatarsal -5
Phalanx -
14
26 x 2 = 52
Types of bones
Long bones-
Humerus,Femur
(Extremities)
Short bones-
metacarpal,
phalanges
Flat bones -
Head,
Pelvic
bones
Irregular bones –
Vertebrae, ribs
Sesamoid-
Patella.
(formed by big
tendons of the
muscles)
Pneumatic bones
–Skull. (contains
more pores)
24 January 2020
Dr.Nutan
Pakhare
9
10
24 January
2020
Dr.Nutan Pakhare
Flat bones & irregular bones
11
24 January
2020
Dr.Nutan Pakhare
Short bones & Long bones
(Strenuous activities & Limbs)
12
24 January
2020
Dr.Nutan Pakhare
Structure & Function of Ribcage
(Malnourished ribcage - Rickets in
children)
13
Osteon - Haversian System
There are two types of bone tissue:
compact and spongy
The basic unit of Compact Bone is
an "osteon", which is also known as
a "Haversian System".
Three types of cells that contributes
bone homeostasis.
1.Osteoblasts are bone- makers
2.Osteoclasts are bone breakers
3.Osteocytes are
mature bone cells maintain
bone matrix
24 January
2020
Dr.Nutan Pakhare
14
24 January
2020
Dr.Nutan Pakhare
Joints ,Where two or more
bones meet (important for ROM)
Articulating cartilage &
Synovial Cavity made up of
Synovial membrane
Secreting Synovial Fluid
■ vicious liquid nourishing &
lubricating joints ,prevents
friction & absorb shocks.
■ It is also medium of gas
exchange & detoxify bones
Bursa –Pouch like structure
contains synovial fluid
24 January
2020
Dr.Nutan Pakhare 15
Structure of
Long bone
• Limbs –Upper & Lower limbs
• Epiphysis- RBC (both ends)
• Diaphysis –Shaft (Yellow
bon marrow)
• Metaphysis –Growing bone
• Articular cartilage ,covering
& cavity
• Medullary cavity –It contains
Yellow bone marrow &
spongy bones contains Red
bone marrow
• Endosteum- bone forming
cells
Cartilage - Semisolid
24 January 2020
Dr.Nutan
Pakhare
16
Elastic
and less
hard
than
bone.
Destroy
after
death.
Respiratorytrack
Thoracic
cage
Joints
Ears
17
24 January
2020
Dr.Nutan Pakhare
Ligaments –Bone to bone
connection
Tendons – Muscle to bone
connection
18
24 January
2020
Dr.Nutan Pakhare
Types of Joints
19
24 January
2020
Dr.Nutan Pakhare
20
24 January
2020
Dr.Nutan Pakhare
Movable & Slightly Movable
Joints
The adult human body has approximately
230 movable and semi-movable joints.
Gliding
joints move
against each
other on asingle
plane.E.g..
intervertebral
joints and
wrists and
ankles bones.
Hinge
joints
move on just
one
axis. These
joints
allow for
flexion and
extension.
E.g. the elbow
and finger
joints.
A pivot
jointprovides
rotation.E.g. the atlas
and axis
allows for
rotation of the
head.
A condyloid
jointallows for
circularmotion,
flexion, and
extension.E.g. The wrist
joint between
the radius and
the
carpal bones.
A saddle
joint allows for
flexion,
extension, andother
move , butments
no
rotation.In the hand,
the thumb’s
saddle joint
(between the
first
metacarpal
and the
trapezium) lets
the thumb
cross over the
palm, making it
opposable.
The ball-
and- socket
joint is a
freely movingjoint that
canrotate on
any
axis.E.g. The
hip and
shoulder
joints
24 January
2020
Dr.Nutan Pakhare 21
Types of
Synovial
Joints
22
24 January
2020
Dr.Nutan Pakhare
Synovial Joints movements
23
24 January
2020
Dr.Nutan Pakhare
The adult human body has approximately 230 movable and semi-
movable joints.
1. Gliding joints move against each other on a single plane. E.g..
intervertebral joints and wrists and ankles bones.
2. Hinge joints move on just one axis. These joints allow for flexion and
extension. E.g. the elbow and finger joints.
3. A pivot joint provides rotation. E.g. the atlas and axis allows for
rotation of the head.
4. A condyloid joint allows for circular motion, flexion, and extension.
E.g. The wrist joint between the radius and the carpal bones.
5. A saddle joint allows for flexion, extension, and other movements,
but no rotation. In the hand, the thumb’s saddle joint (between the
first metacarpal and the trapezium) lets the thumb cross over the
palm, making it opposable.
6. The ball-and-socket joint is a freely moving joint that can rotate on
any axis. E.g. The hip and shoulder joints
24
24 January
2020
Dr.Nutan Pakhare
Function Of Skeletal System
24 January 2020 Dr.Nutan Pakhare 25
Support to muscles & ligaments
Protection-delicate organs like brain, lungs,
uterus
Movement (Tendons) - Locomotion
Holding postures - Maintains Specific
position
Formation of blood cells
Hearing – 3 tiny bones(in each ear)
Homeostasis- Store house of calcium(99%)
& phosphorous & fat
26
24 January
2020
Dr.Nutan Pakhare
Normal Curve
Total - 33
bones
Cervical – 7
Thoraci
c – 12
Lumbar
– 5
Sacru
m –1
Coccyx – 4 (at times
counted a 1 bone)
Backward
Cervical
Lumber
Forward-
Thoracic
Sacral
Yoga Therapy For
Musculoskeletal
Disorders
28
24 January
2020
Dr.Nutan Pakhare
Abnormal Spine Curve
my case study
24 January 2020 Dr.Nutan Pakhare 29
S
Marjarasana
30
24 January
2020
Dr.Nutan Pakhare
Bone marrow
Bone marrow is a Soft tissues mainly
present in the centre part of long
bones
Types– Red & Yellow
Adults - average about 2.6kg (50%
RBM)
Red Bone Marrow- produces RBC
platelets and most white blood
cells .Red marrow is found mainly in
the flat bones such as hip bone,
breast bone, skull, ribs, vertebrae
and shoulder blades, and in the
cancellous ("spongy") material at the
proximal ends of the long bones
femur and humerus
Yellow marrow –Produces white
cells, Cartilage & fat cells
31
24 January
2020
Dr.Nutan Pakhare
Leukaemia & Multiple
myeloma Blood/Bone Cancer
Symptoms –Lack of immunity & anaemia
Treatment - Medication, Chemotherapy , Bone
Marrow Transplantation.
Survival rate – 15-70%
Relapse rate - 33-78%
https://www.yoga-teacher-
training.org/2011/07/27/yoga-for-leukemia-
patients/
Dr.Paul Jerard
Asana - Ushtrasana, or Camel pose,
Gomukhasana, or Cow Face pose, and Balasana
or Child’s pose with arms extended in front,
combined with Bhujangasana or Cobra pose ,
Sarvangasana, or Bridge Pose are all excellent
chest openers.
Meditation & Breathing yoga techniques -
Emotional & mental health support
The most common type of
bone cancer that starts in
the bone marrow is called
multiple myeloma
24 January 2020 Dr.Nutan Pakhare 32
• People who exercise regularly have thicker bones
than people who are more sedentary.
Yoga, Diet & healthy activities are important
to maintain proper BONE DENSITY &
HEALTH OF BONES
• Calcium rich food leafy green vegetables, certain
fish, oatmeal and other grains, tofu, cabbage,
summer squash, green beans, garlic, yoghruta ,
Vit D,C,B12 , Magnesium, phosphorous
24 January 2020
Dr.Nutan
Pakhare
33
Hardness.
Due to absorption &
assimilation of Calcium
phosphate in the bones
maintained by digestion ,
estrogen & testosterone
hormones .
Good
density
means
Long life.
High working
capacity.
Bone Density
24 January 2020
Dr.Nutan
Pakhare
34
Disturbed
proportion of
Calcium and
phosphorous
in the blood
Disturbance
in hormones
like
estrogen,
Calcitonin
&
other Para-
thyroid
hormones
Lack of
exercise
Factors Responsible for
Degeneration of bones
35
24 January
2020
Dr.Nutan Pakhare
Age, Hormones & Bone mass
Importance of pelvis & spine
health
Role Of Endocrine System
in Skeletal system
Testosterone - growth & hardness of the
bones.
Estrogen –in female its helps for protein
anabolism & calcium intake. This increases the
hardness of bones
Parathyroid hormone –It helps in calcium
transport
,inhibits the loss of calcium filtered by kidney &
improves the absorption of calcium ,magnesium
from intestine.
Calcitonin – Its secreted by thyroid gland & it
helps in uptake of calcium & phosphate in bone.
So it stores calcium.
27-Jan-
19
BY Dr.Nutan Pakhare -
Kaivalyadhama
26
24 January
2020
Dr.Nutan Pakhare 36
37
24 January
2020
Dr.Nutan Pakhare
Osteoporosis & Joints
disorders
(Intervertebral disc-Spring like)
38
24 January
2020
Dr.Nutan Pakhare
Fractures ,Calcaneal spur &
Sprain etc.
39
24 January
2020
Dr.Nutan Pakhare
Disc & Disorders
Slip discs etc. & Yoga
■ Forward bends –
compress disc
■ Backward bend –Release
compression & bring disc
back to natural position
■ Lateral bends strengthen
muscles around spine
■ Disc Allows space to pass
through sensory & motor
nerves to & from body &
brain
24 January 2020
Dr.Nutan
Pakhare
40
Increases
density
Improves
Flexibility
Increases
elasticity and
strength of
ligaments
Improves blood
formation
Increases
working stamina
Avoids early
degeneration.
Benefits Of Yoga For Healthy Skeletal
System
Enhances function of VIT D formation in the liver & kidney
& calcium uptake inside bones
24 January
2020
Dr.Nutan Pakhare 41
Ref link -
https://well.blogs.nyti
mes.com/2015/12/21/
12-minutes-of-yoga-
for-stronger-bones/
■Yoga include better posture,
improved balance, enhanced
coordination, greater range of
motion, higher strength,
reduced levels of anxiety and
better gait.
■“By opposing one group of
muscles against another,
■ it stimulates osteocytes, the
bone-making cells.”
“Yoga looks like it’s safe, even for
people who have suffered significant
bone loss,
“Spinal fractures can result from poor
posture, and there’s no medication for
that, but yoga is helpful,”(Dr.Loren M
Fishman)physiatrist at Columbia
University who specializes in
rehabilitative medicine (Osteoporosis in
women)
24 January 2020 Dr.Nutan Pakhare 42
24 January 2020 Dr.Nutan Pakhare 43
pakharenutan@gmail.co
m
9821842424

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Skeletal system (Healthy of Bones,Joints)& Yoga by Dr.Nutan Pakhare

  • 1. 1 24 January 2020 Skeletal System Anatomy ,Physiology & Diet by Dr.Nutan Pakhare Qualified For Assistant ProfesSOR B.A.M.S, MSc Yoga, PGDYS,CCY & COUNSELLOR Dr.Nutan Pakhare
  • 2. Familiarity - Skeletal System & Yoga 24 January 20202  Structures & Functions of ■ Bones ■ Joints ■ Cartilage ■ Bone marrow ■ Role of Endocrine system for health of Bones  Disorders of Bones & Joints  Yoga therapy for healthy bones & joints  Diet & Lifestyle for health of bones & join Dr.Nutan Pakhare
  • 3. Specific Characteristics of bones Most hard and tough part of the body. Remains after death. Though they are hard. They are not heavy. Contains 50% water. Remaining solid part mostly contains calcium phosphate . Long bones has cavity which contains bone marrow (soft tissue) 24 January 2020 Dr.Nutan Pakhare 3
  • 4. • Skeletal system is the framework ,arranged symmetrically in the combination of bones & Joints • Bones are hard but they are living organs, composed of various connective tissues • Cells in bone nourished by food mainly rich in minerals & calcium. • Assimilation of calcium is key for health of bones, cartilage & ligaments, where yoga plays important role. • Skeletal bones are important for storage of calcium & phosphate 24 January 2020 Dr.Nutan Pakhare 4
  • 6. 6 24 January 2020 Dr.Nutan Pakhare Skeleton - Storage of ca+ and phosphorous Upper limb 60 Lower Limbs 60Humerus Radius & Ulna Hand Pectoralis Girdle (Clavicle & scapula) Femur Patella Tibia & Fibula foot Pelvic Girdle (Dancing bone) (Ilium, Ischium & Pubis)
  • 8. 8 24 January 2020 Dr.Nutan Pakhare Bones - Hands & Feet Carpal – 8 Metacarpal - 5 Phalanx - 14 27 x 2 = 54 Tarsal – 7 Metatarsal -5 Phalanx - 14 26 x 2 = 52
  • 9. Types of bones Long bones- Humerus,Femur (Extremities) Short bones- metacarpal, phalanges Flat bones - Head, Pelvic bones Irregular bones – Vertebrae, ribs Sesamoid- Patella. (formed by big tendons of the muscles) Pneumatic bones –Skull. (contains more pores) 24 January 2020 Dr.Nutan Pakhare 9
  • 10. 10 24 January 2020 Dr.Nutan Pakhare Flat bones & irregular bones
  • 11. 11 24 January 2020 Dr.Nutan Pakhare Short bones & Long bones (Strenuous activities & Limbs)
  • 12. 12 24 January 2020 Dr.Nutan Pakhare Structure & Function of Ribcage (Malnourished ribcage - Rickets in children)
  • 13. 13 Osteon - Haversian System There are two types of bone tissue: compact and spongy The basic unit of Compact Bone is an "osteon", which is also known as a "Haversian System". Three types of cells that contributes bone homeostasis. 1.Osteoblasts are bone- makers 2.Osteoclasts are bone breakers 3.Osteocytes are mature bone cells maintain bone matrix 24 January 2020 Dr.Nutan Pakhare
  • 14. 14 24 January 2020 Dr.Nutan Pakhare Joints ,Where two or more bones meet (important for ROM) Articulating cartilage & Synovial Cavity made up of Synovial membrane Secreting Synovial Fluid ■ vicious liquid nourishing & lubricating joints ,prevents friction & absorb shocks. ■ It is also medium of gas exchange & detoxify bones Bursa –Pouch like structure contains synovial fluid
  • 15. 24 January 2020 Dr.Nutan Pakhare 15 Structure of Long bone • Limbs –Upper & Lower limbs • Epiphysis- RBC (both ends) • Diaphysis –Shaft (Yellow bon marrow) • Metaphysis –Growing bone • Articular cartilage ,covering & cavity • Medullary cavity –It contains Yellow bone marrow & spongy bones contains Red bone marrow • Endosteum- bone forming cells
  • 16. Cartilage - Semisolid 24 January 2020 Dr.Nutan Pakhare 16 Elastic and less hard than bone. Destroy after death. Respiratorytrack Thoracic cage Joints Ears
  • 17. 17 24 January 2020 Dr.Nutan Pakhare Ligaments –Bone to bone connection Tendons – Muscle to bone connection
  • 20. 20 24 January 2020 Dr.Nutan Pakhare Movable & Slightly Movable Joints The adult human body has approximately 230 movable and semi-movable joints. Gliding joints move against each other on asingle plane.E.g.. intervertebral joints and wrists and ankles bones. Hinge joints move on just one axis. These joints allow for flexion and extension. E.g. the elbow and finger joints. A pivot jointprovides rotation.E.g. the atlas and axis allows for rotation of the head. A condyloid jointallows for circularmotion, flexion, and extension.E.g. The wrist joint between the radius and the carpal bones. A saddle joint allows for flexion, extension, andother move , butments no rotation.In the hand, the thumb’s saddle joint (between the first metacarpal and the trapezium) lets the thumb cross over the palm, making it opposable. The ball- and- socket joint is a freely movingjoint that canrotate on any axis.E.g. The hip and shoulder joints
  • 21. 24 January 2020 Dr.Nutan Pakhare 21 Types of Synovial Joints
  • 23. 23 24 January 2020 Dr.Nutan Pakhare The adult human body has approximately 230 movable and semi- movable joints. 1. Gliding joints move against each other on a single plane. E.g.. intervertebral joints and wrists and ankles bones. 2. Hinge joints move on just one axis. These joints allow for flexion and extension. E.g. the elbow and finger joints. 3. A pivot joint provides rotation. E.g. the atlas and axis allows for rotation of the head. 4. A condyloid joint allows for circular motion, flexion, and extension. E.g. The wrist joint between the radius and the carpal bones. 5. A saddle joint allows for flexion, extension, and other movements, but no rotation. In the hand, the thumb’s saddle joint (between the first metacarpal and the trapezium) lets the thumb cross over the palm, making it opposable. 6. The ball-and-socket joint is a freely moving joint that can rotate on any axis. E.g. The hip and shoulder joints
  • 25. Function Of Skeletal System 24 January 2020 Dr.Nutan Pakhare 25 Support to muscles & ligaments Protection-delicate organs like brain, lungs, uterus Movement (Tendons) - Locomotion Holding postures - Maintains Specific position Formation of blood cells Hearing – 3 tiny bones(in each ear) Homeostasis- Store house of calcium(99%) & phosphorous & fat
  • 26. 26 24 January 2020 Dr.Nutan Pakhare Normal Curve Total - 33 bones Cervical – 7 Thoraci c – 12 Lumbar – 5 Sacru m –1 Coccyx – 4 (at times counted a 1 bone) Backward Cervical Lumber Forward- Thoracic Sacral
  • 28. 28 24 January 2020 Dr.Nutan Pakhare Abnormal Spine Curve my case study
  • 29. 24 January 2020 Dr.Nutan Pakhare 29 S Marjarasana
  • 30. 30 24 January 2020 Dr.Nutan Pakhare Bone marrow Bone marrow is a Soft tissues mainly present in the centre part of long bones Types– Red & Yellow Adults - average about 2.6kg (50% RBM) Red Bone Marrow- produces RBC platelets and most white blood cells .Red marrow is found mainly in the flat bones such as hip bone, breast bone, skull, ribs, vertebrae and shoulder blades, and in the cancellous ("spongy") material at the proximal ends of the long bones femur and humerus Yellow marrow –Produces white cells, Cartilage & fat cells
  • 31. 31 24 January 2020 Dr.Nutan Pakhare Leukaemia & Multiple myeloma Blood/Bone Cancer Symptoms –Lack of immunity & anaemia Treatment - Medication, Chemotherapy , Bone Marrow Transplantation. Survival rate – 15-70% Relapse rate - 33-78% https://www.yoga-teacher- training.org/2011/07/27/yoga-for-leukemia- patients/ Dr.Paul Jerard Asana - Ushtrasana, or Camel pose, Gomukhasana, or Cow Face pose, and Balasana or Child’s pose with arms extended in front, combined with Bhujangasana or Cobra pose , Sarvangasana, or Bridge Pose are all excellent chest openers. Meditation & Breathing yoga techniques - Emotional & mental health support The most common type of bone cancer that starts in the bone marrow is called multiple myeloma
  • 32. 24 January 2020 Dr.Nutan Pakhare 32 • People who exercise regularly have thicker bones than people who are more sedentary. Yoga, Diet & healthy activities are important to maintain proper BONE DENSITY & HEALTH OF BONES • Calcium rich food leafy green vegetables, certain fish, oatmeal and other grains, tofu, cabbage, summer squash, green beans, garlic, yoghruta , Vit D,C,B12 , Magnesium, phosphorous
  • 33. 24 January 2020 Dr.Nutan Pakhare 33 Hardness. Due to absorption & assimilation of Calcium phosphate in the bones maintained by digestion , estrogen & testosterone hormones . Good density means Long life. High working capacity. Bone Density
  • 34. 24 January 2020 Dr.Nutan Pakhare 34 Disturbed proportion of Calcium and phosphorous in the blood Disturbance in hormones like estrogen, Calcitonin & other Para- thyroid hormones Lack of exercise Factors Responsible for Degeneration of bones
  • 35. 35 24 January 2020 Dr.Nutan Pakhare Age, Hormones & Bone mass Importance of pelvis & spine health
  • 36. Role Of Endocrine System in Skeletal system Testosterone - growth & hardness of the bones. Estrogen –in female its helps for protein anabolism & calcium intake. This increases the hardness of bones Parathyroid hormone –It helps in calcium transport ,inhibits the loss of calcium filtered by kidney & improves the absorption of calcium ,magnesium from intestine. Calcitonin – Its secreted by thyroid gland & it helps in uptake of calcium & phosphate in bone. So it stores calcium. 27-Jan- 19 BY Dr.Nutan Pakhare - Kaivalyadhama 26 24 January 2020 Dr.Nutan Pakhare 36
  • 37. 37 24 January 2020 Dr.Nutan Pakhare Osteoporosis & Joints disorders (Intervertebral disc-Spring like)
  • 38. 38 24 January 2020 Dr.Nutan Pakhare Fractures ,Calcaneal spur & Sprain etc.
  • 39. 39 24 January 2020 Dr.Nutan Pakhare Disc & Disorders Slip discs etc. & Yoga ■ Forward bends – compress disc ■ Backward bend –Release compression & bring disc back to natural position ■ Lateral bends strengthen muscles around spine ■ Disc Allows space to pass through sensory & motor nerves to & from body & brain
  • 40. 24 January 2020 Dr.Nutan Pakhare 40 Increases density Improves Flexibility Increases elasticity and strength of ligaments Improves blood formation Increases working stamina Avoids early degeneration. Benefits Of Yoga For Healthy Skeletal System Enhances function of VIT D formation in the liver & kidney & calcium uptake inside bones
  • 41. 24 January 2020 Dr.Nutan Pakhare 41 Ref link - https://well.blogs.nyti mes.com/2015/12/21/ 12-minutes-of-yoga- for-stronger-bones/ ■Yoga include better posture, improved balance, enhanced coordination, greater range of motion, higher strength, reduced levels of anxiety and better gait. ■“By opposing one group of muscles against another, ■ it stimulates osteocytes, the bone-making cells.” “Yoga looks like it’s safe, even for people who have suffered significant bone loss, “Spinal fractures can result from poor posture, and there’s no medication for that, but yoga is helpful,”(Dr.Loren M Fishman)physiatrist at Columbia University who specializes in rehabilitative medicine (Osteoporosis in women)
  • 42. 24 January 2020 Dr.Nutan Pakhare 42
  • 43. 24 January 2020 Dr.Nutan Pakhare 43 pakharenutan@gmail.co m 9821842424