Chapter 3: Myology Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Learning Objectives • Compare and contrast the three types of muscle tissue in the human body. • Discuss the five functions of skeletal muscle. • Compare and contrast parallel and pennate fiber arrangements and give an example of each. • Identify the six factors that make up muscle names. Give examples using each factor. • Explain the contribution of each of the five properties of skeletal muscle tissue to human movement. • Identify the major macroscopic and microscopic structures of muscle tissue and describe the function of each. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Learning Objectives (cont’d) • List the events that lead to a skeletal muscle contraction and identify all chemicals necessary in the process. • Discuss the factors that influence the amount of force produced by a muscle. • Compare and contrast slow twitch, fast twitch, and intermediate muscles fibers. • Compare and contrast isometric and isotonic muscle contractions. • Compare and contrast concentric and eccentric muscles contractions. • Discuss the functional interrelationships between agonist, synergist, and antagonist muscles. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Learning Objectives (cont’d) • Identify the major skeletal muscles of the human body. • Identify the components of a lever and give an example of each type of lever in the human body. • Identify and describe the anatomical structures of proprioception in the human body. • Define and demonstrate active, passive, and resisted range of motion. • Explain the purpose of performing active, passive, and resisted range of motion. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Types of Muscle Tissue • Smooth Muscle (involuntary) – In walls of hollow organs, vessels, & respiratory passageways; functions in digestion, reproduction, circulation, & breathing – Has no striations (visible alternating dark & light fibers) • Cardiac Muscle (involuntary) – Makes up wall of heart; creates pulsing action to circulate blood – Unique in that electrical impulse travels from cell to cell • Skeletal Muscle (voluntary) – Connected to bones; produces movement at joints Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Types of Muscle Tissue (cont’d) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Skeletal Muscle Functions • Motion: Primary function is to exert pull on bones, creating motion • Posture: Maintain upright posture against gravity • Protection: Protect underlying structures in areas where bones do not • Thermogenesis: Produce body heat • Vascular Pump: Help propel circulation of lymph & venous blood via contractions of skeletal muscles Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Fiber Direction and Naming Muscles • Parallel Arrangements – Fibers equal in length that do not intersect – Enables entire muscle to shorten equally & in same direction; maximizes range of motion – Fusiform: thick central belly with tapered ends (brachialis, biceps brachii) – Circular: fiber arrangements surround an opening to form a sphincter; designed to contract & close passages or relax & open them (orbicularis oris, sphincter ani) – Triangular: broad at base, converging to single point; fanshaped arrangement allows diverse actions (pectoralis major, trapezius) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Fiber Direction and Naming Muscles (cont’d) • Pennate Arrangements – Feather-shaped, with shorter fibers intersecting a central tendon – Maximize number of fibers in an area, cross-sectional area, & force production – Unipennate: Fibers run obliquely from one side of central tendon; look like half a feather (tibialis posterior, biceps femoris) – Bipennate: Fibers run obliquely along both sides of central tendon; look like a full feather (rectus femoris) – Multipennate: Multiple tendons with oblique muscle fibers on both sides; produce least amount of force (deltoid) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Fiber Direction and Naming Muscles (cont’d) • Naming Muscles – Fiber Direction • Oblique (slanting): external oblique • Rectus (straight): rectus abdominis – Location • Brachii (arm): biceps brachii • Femoris (thigh): rectus femoris • Pectoralis (chest): pectoralis major • Abdominus (abdomen): rectus abdominus Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Fiber Direction and Naming Muscles (cont’d) • Naming Muscles – Action • Flexor: flexor carpi radialis • Extensor: extensor digitorum • Pronator: pronator teres – Size • Major/minor: pectoralis major & minor • Maximus/medius/minimus: gluteus maximus, etc. • Longus/brevis/tertius: peroneus longus, etc. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Fiber Direction and Naming Muscles (cont’d) • Naming Muscles – Shape • Trapezoid: trapezius • Delta: deltoid • Saw-shaped: serratus anterior – Number of Heads • Biceps (2 heads): biceps brachii • Triceps (3 heads): triceps brachii • Quadriceps (4 heads): quadriceps (4 anterior thigh muscles) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Skeletal Muscle Properties • Extensibility – Ability to stretch without sustaining damage – Allows muscles to lengthen when relaxed • Elasticity – Ability to return to original shape after lengthening or shortening – Maintains a specific shape & geometry in muscles despite malleable nature • Excitability – Ability to respond to a stimulus by producing electrical signals – Allows muscle to contract & function Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Skeletal Muscle Properties (cont’d) • Conductivity – Ability to propagate electrical signals, including action potentials – Allows action potential to be transmitted along muscle cell, activating tissue & initiating muscle contraction • Contractility – Ability to shorten & thicken, thus producing force, in response to a specific stimulus – Allows force production & movement Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of Skeletal Muscle Tissue • Macroscopic Anatomy – Connective tissue wrappings support, protect, & separate portions of muscle & whole muscles – Fibers: individual muscle cells – Endomysium: sheath of connective tissue enveloping fibers – Fascicles: bundles of grouped muscle fibers – Perimysium: layer of connective tissue enveloping fascicles – Epimysium: layer of deep fascia enveloping bundle of fascicles – Musculotendinous junction: point where epimysium converges to form a tendon – Muscle belly: portion of muscle between tendons Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of Skeletal Muscle Tissue (cont’d) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of Skeletal Muscle Tissue (cont’d) • Microscopic Anatomy – Sarcolemma: cell membrane; regulates chemical transport into & out of fiber – Sarcoplasm: a gelatinous substance surrounding structures within fiber; cytoplasm of muscle cells – Nuclei: structures within a fiber that contain functional information for cell & control its operations – Myofibrils: specialized contractile proteins that make skeletal muscle tissue appear striated; two filaments: thin & thick – Sarcomere: functional unit of muscle fiber; their shortening causes contraction Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of Skeletal Muscle Tissue (cont’d) • Microscopic Anatomy – Mitochondria: produce adenosine triphosphate (ATP), a compound that stores energy needed for muscle contraction – Transverse tubules: network of tubules that run at right angles to sarcomeres & transmit nerve impulses from sarcolemma to cell interior – Sarcoplasmic reticulum: network of fluid-filled chambers that covers each myofibril like a lacy sleeve; stores calcium ions Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction • Steps Involved in Initiating Muscle Contraction – 1. A neuron sends electrical signal (action potential) down axon – 2. Signal reaches ends of axon branches, stimulates release of neurotransmitter acetylcholine (ACh) – 3. ACh molecules cross synaptic cleft & bind with receptors in sarcolemma – 4. A muscle action potential travels along sarcolemma & down transverse tubules Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Neuromuscular junction Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Sliding Filament Theory – 1. Action potential travels to sarcoplasmic reticulum & releases calcium ions into sarcoplasm – 2. Calcium ions bind with troponin, moving aside tropomyosin protein strands covering binding sites on actin filament – 3. Myosin heads are charged with energy from breakdown of ATP – 4. Energy binds myosin heads to active receptor sites on actin filament, making connections called cross-bridges – 5. Ratcheting action (power stroke) occurs as myosin heads pull sarcomere together, shortening the strand – 6. Myosin heads bind more ATP, providing energy needed to release hold on actin strand; process creates contractions Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Events of muscle contraction Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Sliding filament mechanism Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Factors Affecting Force Production – Motor unit recruitment • Motor neuron: neuron responsible for initiating motion • Motor unit: motor neuron & all fibers it controls • Few fibers = fine movement, less power; many fibers = no fine movement, greater power • One muscle is typically composed of multiple motor units • Body can control amount of force by varying number & size of motor units recruited • Summation: process of recruiting more & more motor units Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Motor unit Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Factors Affecting Force Production – Cross-Sectional Area • As myofibrils become larger, muscles increase in crosssectional area & can generate more force – Fiber Arrangement • Pennate fiber arrangements generate more total force than parallel fiber arrangements – Muscle Length • Shortened muscles have decreased ability to produce force • Muscles at resting length can produce greatest force Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Physiology of Muscle Contraction (cont’d) • Length-tension relationship Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Skeletal Muscle Fiber Types • Slow Twitch Fibers – Contract slowly but are resistant to fatigue – Rely on aerobic energy production – Used for long-duration activities (walking, jogging) • Fast Twitch Fibers – Contract rapidly & powerfully but fatigue quickly – Larger in diameter than slow twitch fibers due to having more myofilaments – Rely on anaerobic energy production – Used for short-duration activities (sprinting, lifting) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Skeletal Muscle Fiber Types (cont’d) • Intermediate Fibers – Have characteristics of both slow twitch & fast twitch fibers – May adapt to body’s demands – “Reservists” waiting to be called up when & where need arises • Distribution of Fiber Types – Intermingled & genetically determined – Those with higher concentration of slow twitch fibers have longer, leaner muscles & predisposition to endurance activities – Those with higher concentration of fast twitch fibers have larger, thicker muscles & predisposition for sprinting or body building Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Types of Muscle Contractions • Isometric Contractions – Tension is generated in muscle, but muscle length & joint angle don’t change (pushing against an immovable object) – Used to stabilize joints • Isotonic Contractions – Change muscle length & create movement – Two types • Concentric: muscle shortens (lifting a book off a table) • Eccentric: muscle lengthens (slowly lowering book to table) Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Muscle Relationships • Agonists – Create joint movement (prime movers) • Synergists – Assist agonist in creating movement – Stabilize, steer, or contribute to a particular joint movement – Muscles that have same action or actions are considered synergists • Antagonists – Perform opposite actions of agonist (i.e., flexion/extension) – Critical for proper posture & controlling & finishing movements Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Muscles of the Human Body • A. Anterior view. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Muscles of the Human Body (cont’d) • B. Posterior view. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Levers in the Human Body • A. First-class levers. B. Second-class levers. C. Thirdclass levers. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Proprioception • Proprioception: overall awareness of body position • Types of Proprioceptors – Muscle Spindles: distributed throughout skeletal muscle & monitor changes in tissue length – Golgi Tendon Organs: woven into connective tissue in tendons & monitor changes in muscle tension – Vestibular Apparatus: located in inner ear & provides feedback about head position – Mechanoreceptors: specialized nerve endings that deform in response to pressure & indicate position & movement of associated structures Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Range of Motion • Range of motion: extent of movement possible at a joint • Active Range of Motion – Client moves a given body part through its possible motions independently • Passive Range of Motion – Client rests while therapist moves joint through its possible movements • Resisted Range of Motion – Client meets resistance from practitioner in attempting to produce movement at a joint Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins