ISB bearings are necessary when in a given machine or system, one structural part needs to rotate in the opposite direction to another along a fixed axis, whilst guaranteeing the axial and radial link between the two parts.

The term "bearing" is derived from the verb "to bear"; a bearing being a machine element that allows one part to bear (i.e., to support) another. The simplest bearings are bearing surfaces, cut or formed into a part, with varying degrees of control over the form, size, roughness and location of the surface. Other bearings are separate devices installed into a machine or machine part. The most sophisticated bearings for the most demanding applications are very precise devices; their manufacture requires some of the highest standards of current technology.