Understanding the Importance of Anatomical Pulleys in Physiotherapy As a physiotherapy student, it is essential to have a good understanding of the human body's anatomy and how it works. One of the essential structures in the body that plays a significant role in movement and biomechanics is the anatomical pulley. In this article, we will explore what an anatomical pulley is, its types, and its importance in physiotherapy. What is an Anatomical Pulley? A pulley is a simple mechanical machine that consists of a wheel that turns readily on the axle, usually grooved for a rope or a wire cable. In the human body, the pulley is replaced by a bone, cartilage, or ligament, and the cord is replaced by a muscle tendon. The tendon is lubricated by synovial fluid, and the surface of the tendon is covered by a thin visceral synovial membrane. The tendon is lubricated so that it may easily slide over the pulley. Classification of Anatomical Pulleys There are mainly four classes of pulleys