Muscles and Muscle Tissue Chapters 9 & 10 1 Joint Movements • • • • • • Extension – A movement that increases the angle at a joint • Straightening the elbow or knee Dorsiflexion – Flexion of the foot so the toe is moving back towards the shin Plantar flexion – Flexion of the foot so the toe pointing down Abduction – Moving body part away from the midline • Lifting arm out, away from the body Adduction – Moving body part towards the midline • Arms down at the side of the body Circumduction – Moving a limb in a circular motion • Swing the arms 2 Joint Movement Rotation Turning a bone around a single axis Head side to side Supination Turning the hand palm forward Pronation Turning the hand palm facing posteriorly Inversion Turning the foot so the sole faces medially Eversion Turning the foot so the sole faces laterally Protraction Jutting out the jaw Retraction Returning the jaw back to normal Elevation Lifting the body part superiorly (closing the jaw) Depression Lowering the body part (open the jaw) 3 Facial/ Cranial muscles 1st rib (cut) Anterior scalene Auriculotemporal nerve Brachial plexus nerves Brachiocephalic vein Buccinator Depressor anguli oris Depressor labii inferioris Digastric External jugular vein Facial nerve branches Frontalis Greater auricular nerve Hyoid bone Internal carotid artery Levator labii sup. Levator scapulae Masseter Mentalis Middle scalene Mylohyoid Nasalis 4 Facial Cranial Omohyoid Orbicularis oculi Oribicularis oris Parotid duct Parotid gland Posterior scalene Risorius Scalenes Splenius capitus Sternocleidomastoid Sternohyoid Stylohyoid Subclavian artery Subclavian vein Submandibular gland Supraclavicular nerves Temporal arteries Temporoparietialis Thyroidhyoid Transverse facial nerve Trapezius Zygomaticus Zygomaticus major Zygomaticus minor 5 Posterior shoulder Acromion of scapula Biceps brachii Brachialis Brachioradialis Clavicle Deltoid Extensor carpi radialis longus Infraspinatus Misc. Radial n. branches Spine of scapula Supraspinatus Triceps brachii, lateral head Triceps brachii, long head Teres major Teres minor 6 Anterior Shoulder Axillary artery Axillary nerve Biceps brachii Brachial artery Brachialis Brachial plexus Brachioradialis Clavicle Coracobrachialis Deltoid Forearm muscle group Latissimus dorsi (insertion) Median nerve Musculocutaneous nerve Subclavius Subscapularis Sup. ulnar collateral artery Supraspinatus Teres major Triceps brachii, long head Triceps brachii, medial head Thoracodorsal nerve Ulnar nerve 7 Posterior Forearm Abductor pollicis longus Anconeus (cubitalis rolani) Brachioradialis Extensor carpi radialis brevis Extensor carpi radialis longus Extensor carpi ulnaris Extensor digiti minimi Extensor digitorum Extensor pollicis brevis Extensor retinaculum Flexor carpi ulnaris 8 Anterior Forearm Biceps brachii Brachialis Brachioradialis Flexor carpi radialis Flexor carpi ulnaris Flexor digitorum superficialis Flexor retinaculum Median nerve Palmar arch arteries Palmaris longus Pronator teres 9 Temporalis Masseter Platysma Triceps brachii Biceps brachii Brachialis Brachioradialis Flexor carpi radialis Palmaris longus iliopsoas Frontalis Orbicularis oculi Zygomaticus Orbicularis oris Sternohyoid Sternocleidomastoid Deltoid Pectoralis Major Intercostals Rectus abdominis External Oblique Internal Oblique Transversus abdominis Pectineus Rectus femoris Vastus lateralis Vastus medialis Fibularis longus Extensor digitorum longus Tibialis anterior Sartorius Adductor longus Gracilis Gastrocnemius Soleus 10 Triceps Brachii Brachialis Brachioradialis Extensor carpi radialis longus Flexor carpi ulnaris Extensor carpi ulnaris Extensor digitorum Occipitalis Sternocleidomastoid Trapezius Deltoid Infraspinatus Teres major Rhomboid major Latissimus dorsi Gluteus medius Gluteus maximus Iliotibial tract Adductor magnus Biceps femoris Semitendinosus Gastrocnemius Semimembranosus Soleus Fibularis longus Calcaneal Achilles tendon 11 • Head – SCM – sternocleidomastoid – Trapezius (extender) • Muscle Relations & Actions Shoulder – Adductor • Pectoralis girdle • Trapezius • rhomboid – Elevator • Levator scapulae • serratus anterior • pectoralis minor • Upper arm – Flexors • Pectoralis major • coracobrachialis • deltoid extenders – Extenders • • • Latissimus dorsi teres major deltoid – Abduct • • • • • • • Pec major coracobrachialis latissimus dorsi teres major subscapularis deltoid supraspinatus 12 • Upper arm (cont) – Medially rotate Muscle Relations & Actions • Latissimus dorsi, pec major, coracobrachialis, teres major, subscapularis – Lateral rotation • Supraspinatus, infraspinatus, teres major • Lower arm – B flexors • Biceps brachii, brachialis, brachioradialis – Extension • Triceps brachii • Hand – Flexors • Anterior muscles – Extenders • Posterior • Trunk – Flexors • Rectus abdominus, iliopsoas – Extender Erector spinae 13 •Sarcolemma –Plasma membrane of striated muscle Muscular Terms •Intercalated disc –Gap junction connecting muscle cells of myocardium •Sarcoplasm –Cytoplasm of striated muscle •Fascicle –Bundle of nerve, muscle fibers bound by connective tissue •Striations –Striped, mark of fatty deposit on heart muscle •Myofiliments –Threadlike bundles of striated muscle fiber •T-tubules –Pathways for electrical excitation of muscle 14 Function of Muscle • • • • Movement Maintain posture Stabilize joints Heat generation 15 Characteristics of Muscle tissue • What are the special functional properties of muscle? – Excitability or irritability: What is this? • Ability to perceive and respond to stimulus – What is usually the stimulus in muscle? • Chemical. Neurotransmitter released by nerve cell or change in pH – Contractility: What it this? • Ability to shorten forcefully – Extensibility: What is this? • Stretch or extend – Elasticity: What is this? • Ability to recoil, resume resting length after stretched 16 •What are the 2 sets of intracellular tubules in skeletal muscle? –Sarcoplasmic ret –T tubules •What is the major role of the SR? Sarcoplamic reticulum T - tubules –Regulate intracellular levels of ionic calcium •What does calcium provide for muscle? –The final “go” for contraction •Where are the T tubules located on cell? –At each A and I band junctions •What is a triad? –Grouping of 3 membranous structures: •Terminal cisterna •T tubule •Terminal cisterna •What are the T tubules function? –Taking nerve impulses that travel from the sarcolemma deep into the muscle fiber and to every sarcomere •What do these impulses signal? –The release of calcium from the terminal cisternae •What is the result of these T tubule actions? –Every myofibril contracts virtually at the same time 17 Sarcoplasm reticulum 18 Role of ionic calcium • A: Tropomyosin blocks actin binding sites preventing cross bridges enforcing relaxed state • B: Higher Ca2+ concentrations, additional calcium binds to (TnC) or troponin • C: Calcium activated troponin undergoes change, moves tropomyosin away from actins binding sites • D: displacement allows myosin heads to bind and cycle, and contraction begins 19 •What is this process? –Sequence of events by which transmission of an action potential along the sarcolemma leads to the sliding of myofilaments Excitation/Contraction Coupling •When does this occur? –During the latent period; between action potential and mechanical activity •What causes filament sliding? –A rise in calcium ion concentration •Steps: –Action potential along sarcolemma –Transmission past triads; calcium released into sarcoplasm becomes available to myofilaments –Calcium binds to troponin which changes shape, stops blocking action of tropomyosin –Calcium about 10-5M, myosin heads attach and pull thin filaments toward center of sarcomere –Ca2+ signal ends (30ms after AP), fall in Ca2+begins calcium pumps action moving Ca2+ back into SR to be stored again –Ca2+drop too low for contraction, tropomyosin block reestablished. Cross bridge ends •When is this repeated? –When another impulse arrives from neuromuscular junction 20 3 Types of Muscle Tissue • Skeletal. Name Characteristics: – – – – – – Voluntary, striated Causes movement of the body Long, cylindrical Multinucleated cells Banded, striated in appearance Contracts rapidly, tires easily • Cardiac. Name Characteristics – Found in walls of heart – Involuntary – Striated – One centrally located nucleus (uninucleate) – Branched fibers – Intercalated discs Contractions of cardiac initiated by special cardiac muscle cells 21 3 Types of Muscle Tissue (cont) • Smooth muscle. Characteristics – – – – – Spindle shaped cells No striations Uninucleate Walls of organs Slow sustained contractions 22 •What surrounds muscle tissue? Skeletal Muscle Structure –Connective tissue called fascia •How many layers of connective tissue found in skeletal muscle and what are they? –3 –Epimysium •Around entire muscle –Perimysium •Wraps around bundles of muscle fibers called fascicles –Endomysium •Surrounds each individual muscle fiber or cell 23 Muscle Action • Muscle Action – The body movement caused by a muscle when it contracts • How does movement occur when muscles contract? – The stationary bone remains stationary while the other bone it is attached to moves • What is the non-moving point called? – Origin • What it the point where movement occurs called? – Insertion • What are synergists? – Group of muscles working together to do the same action • What is the prime mover? – The one muscle that does the most work • What are antagonists? – Muscles that work opposite of each other 24 Skeletal Nerve and blood supply • How many nerves, arteries, and veins to each muscle? – At least 1 nerve, artery and 1 or more veins • What controls the activity of each skeletal muscle? – Nerve ending • How much energy does contracting muscle use? – Huge amounts (continuous supply of oxygen and nutrients) • How do the large amounts of metabolic waste leave muscle cells? – Through veins • What characteristics define muscle capillaries? – – – – Long, winding Numerous cross links Straighten when muscle stretched Contort when contracted 25 Structure of muscle 26 •What is a muscle fiber composed of? –Thousands of stacked, cylindrical, contractile structures called myofibrils •What are the smaller contractile units of myofibrils? Structure of skeletal muscle fiber –Sarcomeres •What are the rod-like protein filaments each sarcomere contains? –Actin, myosin •What gives skeletal muscle its striated appearance? –The arrangement of actin and myosin filaments •What is the sarcoplasm? –Like the cytoplasm of typical cell but contains myoglobin •What is myoglobin? –Red pigment that stores oxygen in muscle cells •What is the sarcolemma? –Plasma membrane of muscle fiber –Forms hollow T-tubules that conduct impulses deep into muscle fiber 27 Structure of skeletal muscle fiber (cont) • What is the sarcoplasmic reticulum? – An interconnecting system of endoplasmic reticulum that surrounds each myofibril – In muscle cell it stores calcium ions that are needed for muscle contraction • What does the sarcoplasmic reticulum do at each end of the sarcomere? – Widens into larger channels called terminal cisternae • What is the terminal cisternae’s function? – Release calcium when striated muscle is activated – Surround each T tubule 28 Structure of a Sarcomere • What is a sarcomere? – The smallest contractile unit of a muscle fiber • Are myosin filaments thin or thick? – Thick – Each have a rod-like tail that terminates in a globular head • What are the 6 thin filaments surrounding each myosin filament? – Actin filaments • How are the myosin and actin filaments arranged? – They are stacked in such a way that they overlap each other in some areas but in other areas there are just one or the other • What gives its striated appearance? – The pattern of myosin and actin overlapping • What is a “Z” line? – Where a sheet of protein anchors the actin filaments and attaches each myofibril to the next • Where do sarcomere extend to? – One “Z” line to the next 29 • What is the H zone? Sarcomere Regions – A light area in the center of the sarcomere with no actin filaments • What runs down the center of the H zone? – A dark M line • What is the A band? – The darkened area containing both actin and myosin filaments • What is the I band? – The light area at both ends of the sarcomere where only actin filaments are present (no myosin) • What runs down the center of the I band? – The Z line 30 •How is skeletal muscle innervated? The Neuromuscular Junction –By motor neurons –Axon from motor neurons travel in bundles called nerves to the muscles they serve •How many nerves serve each muscle? –At least one motor nerve composed of many motor neurons •What do axons form when they branch into smaller endings? –Neuromuscular junction •Does the axon ending touch the muscle fiber? –No. It sits very close but does not touch it •What is the small space between the neuron axon and muscle fiber? –Synaptic cleft 31 •Where do motor neurons reside? –In the brain, spinal cord Neuromuscular junction •What are their long threadlike extensions called? –Axons •What is the synaptic cleft and what is it filled with? –Space at attachment site of muscle –Filled with gel-like substance rich in glycoproteins •How is Ach released into the cleft? –Exocytosis 32 •The Axon Terminal: •What is the axon terminal? Neuromuscular Junction –The small branch of the axon that forms the neuromuscular junction with the muscle fiber •What are small membrane bound sacs found in the axon terminal that contain acetylcholine? –Synaptic vesicles •What is the neurotransmitter secreted by the neuron axon that binds to receptor sites on the muscle fiber initiating an impulse in the sarcolemma? –Acetylcholine •What happens when a nerve impulse reaches the axon terminal? –Calcium channels in its cell membrane open •When open, what do the channels allow to enter? –Large amounts of calcium ions •What is the function of the calcium? –It causes the Ach to be released into the synaptic cleft by exocytosis 33 Neuromuscular Junction • An indented trough-like area on the muscle fiber where the Ach is released by the axon terminal of the motor neuron is? – Motor end plate • Where are numerous Ach receptors present? – On the motor end of the sarcolemma • One neuron may supply as few as 4 or as many as several hundred what? – Muscle fibers • What is a motor unit? – A motor neuron and all the muscle fibers it supplies 34 Action Potential and Sarcolemma • 1. The difference between the charge inside and outside the membrane is called the? – Resting Membrane potential • Polarized sarcolemma: The outside face is positive, inside negative. Predominate extracellular ion is sodium; intracellular is potassium. Sarcolemma impermeable to both ions Inside the sarcolemma, more negative 4. Immediately after or positive? waveatpasses, 2.depolarization End plate potential motor end causes adjacent areasagain: of sarcolemma changes Na+ sarcolemma toKbecome permeable + channels channels close, • What diffuses out of the fiber? to sodium (voltage gated sodium + diffuses open, K from cell. channels open). Sodium ionsThis • K+ ions restores potential. diffuseresting rapidly into the cell, resting –+ What is the sodium pumps function in potential decreases – in same Repolarization occurs ↑ Na Stimulus this process? depolarization. If stimulus is direction as depolarization and strong enough action potential is • Restores ionic conditions to restore a occurcharge 3. Positive inside initial must again before muscle initiated patch of sarcolemma changes the negative resting membrane potential stimulated again. Ionic permeablility of an adjacent patch, • Action potential generation: concentrations resting opening voltage of gated Na+ potential restored by sodium channels there. Membrane potential inpump. that region decreases potassium – Negative and depolarization occurs there also. Action potential travels rapidly over entire sarcolemma 35 Steps of the Action Potential • Depolarization • Propagation • Repolarization • What happens once acetylcholine is released and bound to receptors? – It is destroyed by acetylcholinesterase (AChE) • What does this breakdown assure? – That the muscle won’t continually contract • What resumes contraction? – Further nerve stimulation • What is the, “all or none response?” – Once the action potential triggers the muscle contraction, it will completely contract or not contract at all. – There is no partial contraction 36 • What is a quick contraction/relaxation of a muscle due to a single, brief stimulus? – • Muscle Contraction Muscle twitch What does the strength of a muscle twitch depend on? – How many motor units are involved • Name the 3 phases of a twitch: 1. The latent period – • • Initiation of the action potential to beginning of the shortening of the muscle fiber Usually a few milliseconds 2. Period of contraction – • • Onset of shortening to the peak of the pull 10-100 milliseconds 3. Period of relaxation – • • • • Ca++ reenters the sarcoplasmic reticulum. Muscle tension decreases to zero. Returns to normal length Cell will not respond to further stimulation until the repolarization is complete – “absolute refractory period” 37 Graded muscle response • Muscle contractions don’t usually occur as single twitches. How do they usually occur? – As long smooth contractions • Do they vary in strength? – Yes • What are these variations called? – Graded responses • Name the 2 ways to grade responses: – Change of stimulation speed (frequency) – Change of number of motor proteins involved (strength) 38 Wave summation • What happens if 2 electrical stimuli are delivered to a muscle in rapid succession? – The second will be stronger than the first • Why? – There is more shortening of the second because the muscle is already partially contracted when the second one begins (they are added together making the second bigger) • What is the exception to this rule? – When the second stimulus occurs before the refractory period is over 39 Tetanus • What is tetanus? – Smooth, sustained contraction • What causes it? – Increasing the rate of the stimulus to the point that relaxation time between twitches becomes shorter and shorter and the degree of summation becomes greater • What eventually occurs due to this? – All evidence of muscle relaxation disappears and contractions fuse into a sustained contraction • What will prolonged tetanus result in? – Muscle fatigue • Unfused/incomplete tetanus – if stimulate at 20-30 times/second, there will be only partial relaxation between stimuli • Fused/complete tetanus – if stimulate at 80-100 times/second, a sustained contraction with no relaxation between stimuli will result 40 Multiple Motor Unit Summation • What is another name for this process? – Recruitment • Describe it. – Delivering shocks of increasing voltage to make more muscle fibers respond to the stimulus • What is the stimulus at which the first noticeable contraction occurs? – Threshold stimulus • As the stimulus increases and more motor units respond causing more vigorous contraction, what is ultimately reached? – Maximal stimulus • What is the maximal stimulus? – The point at which all motor units are responding and and increase in stimulus intensity will no longer increase the strength of the contraction 41 Motor Unit • What is a motor unit? – A motor neuron and all the muscle fibers it supplies • What happens when a motor neuron fires? – All the muscles it innervates contract • How many muscle fibers per motor unit? – From several hundred to 4 • Which muscles have small motor units? – Muscles with fine control (eyes, fingers) • Which have large? – Weight bearing muscles (hip) • What type of contraction occurs when only a single motor unit is stimulated and why? – Weak contraction – Muscle fibers are not clustered they are spread out so a single motor unit does not affect enough of the muscle 42 Treppe/Muscle Tone • What is another name for Treppe? – The staircase effect • Explain this process. – If a stimulus of the same strength is repeated several times, contraction strength increases with each successive stimulus • What is the reason for this? – Increased efficiency of the muscle’s enzymes after it warms up and the increased availability of calcium • Muscle Tone: • What is it? – State of slight but constant contraction in skeletal muscle • What is the result of this? – Joint stability and posture maintenance • Does it result in movement? – No 43 Isotonic/Isometric Contractions • What is an isotonic contraction? – Muscle contracts – Changes in length – Causes movement of the load put on it • What are the 2 flavors of isotonic contractions? – Concentric – muscle shortens and does work – Eccentric – muscle contracts as it lengthens • What is an isometric contraction? – Muscle contracts – Tension increases – Length of muscle doesn’t change (does not shorten or lengthen) 44 •How many myofibrils are in a single muscle fiber? –100’s to 1000’s Anatomy of skeletal muscle fiber •How much of a cells volume are myofibrils? –About 80% •What are the dark and light bands on each myofibril? –A and I bands •What is the name of the region between Z discs? –Sarcomere •What are the functional units of skeletal muscle? –Sarcomeres aligned end to end •What is squeezed in between the myofibrils and sarcoplasm? –mitochondria 45 •What is the tail of myosin composed of? Myofilament composition –Heavy polypeptide chains •What are the business ends of myosin? –Globular heads •What do the heads link together during contraction? –Thick and thin filaments (cross bridges) •What other binding sites beside actin sites are found on the myosin heads? –ATP and ATPase enzymes •Where do myosin heads attach during contraction? –G actin (globular) •The G actin monomers are polymerized into what? – long actin filaments called F actin (fibrous) 46 •What is the backbone of of thin filament formed by? –Actin filament that coils back on itself, forms helical, double strand of pearls Myofilament comp (cont) •What are the regulatory proteins found in thin filament? –2 strands of tropomyosin (stiffens) –Troponin •What is tropomyosin’s function? –In relaxed muscle it blocks actin’s active sites, preventing myosin from binding •What is troponin’s function? –3 polypeptide complex • (TnI) inhibitory, binds to actin •(TnT) binds to tropomyosin, positions it on actin •(TnC) binds calcium ions •What do both of these regulatory proteins help control? –Myosin/actin interactions during contraction •What is the newly discovered muscle filament? –Elastic filament •What are its functions? What is it made of? –Holds thick filaments in place –Helps muscle spring back into shape –Titin 47 Sliding filament Mechanism for Muscle fiber contraction • What occurs when a muscle contracts? – Each individual sarcomere shortens – Overall length of muscle cell decreases • What is the position of actin filaments in a relaxed state? – Barely overlapping each other • What is their position during contraction? – Pulled inward – Overlap to a major extent • What happens to the distance between Z lines? – They are reduced, and the overall length of the sarcomere is shortened • What are major role players in the “Sliding Filament Mechanism?” – The structure of myosin and actin 48 •Once actin binding sites are exposed what are the events of contraction? Muscle fiber Contraction –Cross bridge: myosin heads strongly attracted to exposed sites –Power stroke: As binding occurs, head of myosin pivots (70o) to bent low energy shape; pulls on thin filament, sliding toward center or sarcomere –Cross bridge detachment: ATP bind to myosin head, loosens hold on actin; cross bridge detaches –Cocking of myosin head: ATPase in myosin head hydrolyzes ATP to ADP and Pi; returns myosin head to pre-stroke, high-energy, position. Ready for next sequence. 49 •What is the structure of thick filament? –Head of each thick filament is extended on a flexible arm –Head attracted to active sites on the actin molecule –Myosin can cleave to ATP to form ADP and release energy (ATPase enzyme) Sliding filament (cont) •What is the structure of thin filament? –Two actin strands coiled with a tropomyosin strand –Tropomyosin strand covers the binding sites that myosin heads are attracted to •What is troponin? –Protein molecule that is bound to both the tropomyosin strand and actin –Binds calcium ions 50 Steps in Sliding Filament Mechanism Step 1. • What is the position of actin filaments when relaxed? – Slightly overlapping • When ATP binds to myosin head what is it cleaved into? – ADP • What is the result of this process? – Energy released is stored – Myosin head is in cocked position (perpendicular to actin and myosin strands) Step 2. • What travels down the sarcolemma of the muscle cell? – An action potential • What carries the impulse deep into the myofibrils? – T tubules • What does it trigger? – The release of Ca++ from the sarcoplasmic reticulum 51 Steps of Sliding Mechanism (cont) • What flows into the sarcoplasm surrounding the myofibrils? – Calcium ions Step 3. • What occurs from the Ca++ binding to troponin? – Troponin and tropomyosin becomes buried deeper into the actin filaments • What happens to the active binding sites for the myosin heads? – They uncover Step 4. • What do the myosin heads do at this stage? – Bind to the uncovered active sites on the actin strands • What is the result of this binding? – Stored energy form the cleavage of the ATP is used to tilt the head inward 52 Steps of Sliding Mechanism (cont) Step 5. • As the myosin head tilts inward, what becomes of the actin strand? – It is pulled with it • What is this inward pulling of the actin strand called? – Power stroke Step 6. • Once tilted, what does the myosin head do? – Releases ADP • What binds to the head after this? – A new ATP molecule • What is the result of this? – Head detaches from the actin Step 7. • What becomes of the new ATP molecule? – It is cleaved into ADP, head is cocked again – ready to reattach to a new active site 53 Anaerobic Glycolysis and Lactic Acid Formation • What is the first step of aerobic or anaerobic respiration? – Glycolysis • Where does this occur? – In the cytoplasm (no oxygen required) • What is glycolysis? – Glucose molecule is split into 2 pyruvic acid molecules • What is released when the glucose is split? – Energy to form some ATP • How much ATP is obtained from each glucose molecule that is split? – A net gain of 2 ATP’s • What happens to the pyruvic acids in the mitochondria if oxygen is available? – They will be broken down by aerobic respiration • What happens when no oxygen is available for this process? – Pyruvic acids are converted into lactic acid • What is this conversion process called? – Anaerobic glycolysis 54 Creatine Phosphate •Excess ATP within resting muscle used to form creatine phosphate •Creatine phosphate 3-6 times more plentiful than ATP within muscle •Its quick breakdown provides energy for creation of ATP •Sustains maximal contraction for 15 sec (used for 100 meter dash). •Athletes tried creatine supplementation –gain muscle mass but shut down bodies own synthesis (safety?) 55 Aerobic Cellular Respiration •ATP for any activity lasting over 30 seconds –if sufficient oxygen is available, pyruvic acid enters the mitochondria to generate ATP, water and heat –fatty acids and amino acids can also be used by the mitochondria •Provides 90% of ATP energy if activity lasts more than 10 minutes •Where does aerobic respiration occur? •In mitochondria •What does it require? •Oxygen •What does it involve? •Sequence of chemical reactions in which bonds of fuel molecules are broken and energy released is used to make ATP •What is broken down and what is the final product of ACR? •Glucose •Final product is: water, carbon dioxide and large amounts of ATP 56 Anaerobic Cellular Respiration •ATP produced from glucose breakdown into pyruvic acid during glycolysis –if no O2 present •pyruvic converted to lactic acid which diffuses into the blood •Glycolysis can continue anaerobically to provide ATP for 30 to 40 seconds of maximal activity (200 meter race) 57 Anaerobic Glycolysis and Lactic Acid Formation • Is anaerobic glycolysis an efficient source of energy? – No • Why? – Large amounts of glucose are needed and small amounts of ATP are generated • What can lactic acid build up in muscle cause? – Muscle fatigue – Muscle soreness 58 Use of Energy Systems • When are ATP and creatine phosphate reserves used? – Activities requiring short power surges – Weight lifting, sprinting, diving • When is anaerobic glycolysis used? – More sustained activity – Tennis, soccer, swimming • When is aerobic respiration used? – Very prolonged activities – Marathons, jogging, bicycling • What kicks in when an activity becomes prolonged or strenuous and the aerobic mechanism can’t keep up with ATP production? – The anaerobic mechanism 59 Muscle Fatigue • What occurs when ATP production cant keep up with ATP usage? – Muscle contractions become less effective until eventually the muscle activity ceases completely • What occurs is no ATP is available? – Contractures • What are contractures? – The state of continuous contraction • Why does this occur? – Because myosin heads cannot detach 60 Oxygen debt • What is required following exercise? – Large amounts of oxygen • Why? – In order to complete and restore all the oxygen requiring activities that were put on hold or slowed down during exercise • What is an oxygen debt? – The extra amount of oxygen that must be taken in by the body to perform these restorative processes following exercise • What must be restored? – ATP – Creatine phosphate reserves – Muscle oxygen reserves must be replenished 61 Heat Production • How much energy released during a muscle contraction is actually used for work? – 20 to 25% • Where does the rest go? – Into heat • How does the body respond to this? – By dilating blood vessels in the skin and sweating to release some of the heat • What does the body do when it is too cold? – Stimulates rapid muscle contractions to produce heat 62 Force, Velocity and Duration of Muscle Contraction • What affects the force or strength of a muscle contraction? 1. Number of muscle fibers contracting The more motor units recruited, stronger the contraction 2. The relative size of the muscle – Greater bulk = Greater strength Strength increases from exercise – hypertrophy 3. Series – Elastic elements – Non-contracting components of muscle Transfer tension to load being worked on More rapid stimulation = more force exerts 4. The degree of muscle twitch Optimal operational length of skeletal muscle = 80-120% of resting length Muscles maintain this length by the way they are attached to bone 63 Velocity and Duration of Muscle Contraction • What is a load? – The resistance the contracting muscle is up against • What happens if the force of contraction is greater than the load? – Movement occurs • What if the load exceeds the force of contraction? – Muscle length does not change and the contraction is isometric (no movement) 64 Fiber types Red (slow twitch) fibers – – These thin muscle cells contract slowly and are rich in? • Myoglobin – They have abundant supply of ____________? • Oxygen – What do they use for ATP production? • Aerobic pathway • They are fatigue resistant. What does this mean? – They can contract for long periods of time • Because they are thin, they don’t generate much? – Power White (fast twitch) Fiber – – Large, light colored fibers with little? • Myoglobin – Contract rapidly – Depend on aerobic pathway for ATP generation – Powerful contractions but fatigue easily Intermediate (fast twitch) fibers – – Reddish pink – Intermediate size, quick contractions – Fatigue resistant (but less than slow twitch fibers) 65 Fibers • What kind of fibers do most muscles contain? – A mixture of: – Red fibers – slow twitch, fatigue resistant – White fibers – fast twitch, easily fatigued – Intermediate fibers – fast twitch, fatigue resistant (less than slow twitch) • What determines the percentage of each fiber type? – Genetics • Do athletes in endurance events have higher % of slow or fast twitch fibers? – Slow twitch • Athletes in sprint events. Higher % of slow or fast twitch fibers? – Fast twitch 66 Effects of Exercise on Muscle • What effects does aerobic exercise have on muscle? 1. 2. 3. 4. 5. • Increased capillaries surrounding skeletal muscle Mitochondria in each skeletal muscle increases Skeletal muscles synthesize more myoglobin Improved delivery of nutrients and oxygen to body tissues Heart develops greater stroke volume What becomes of muscle that isn’t used? – Atrophy – Degeneration – Loss of muscle mass 67 Skeletal Muscle Characteristics •Elaborate sarcoplasm –Yes •Gap junctions –No •Neuromuscular junctions –Yes •Regulation of contraction –Voluntary via axonal endings of somatic •Source of Ca++ •Location –Attached to bone or skin •Appearance –Single, long, , cylindrical, multinucleate, striated •Connective Tissue components –Epimysium, perimysium, endomysium •Myofibrils composed of sarcomeres –Yes •T tubules, site invagination –Yes; 2 in each sarcomere –At A-I junctions –SR •Site of calcium regulation –Troponin on actin thin filaments •Pacemakers –No •Speed of contraction –Slow to fast •Rhythmic contraction –No •Response to stretch –Contractile strength increases with degree of stretch •Respiration –Aerobic and anaerobic 68 Cardiac Characteristics •Location –Walls of heart •Appearance –Branching chains of cells, uni/binucleate; striations •Connective Tissue components –Endomysium, attached to fibrous skeleton of heart •Myofibrils composed of sarcomeres –Yes. But myo’s irregular thickness •T tubules, site invagination –Yes. One in each sarcomere at Z disc –Larger than skeletal •Elaborate sarcoplasmic ret. –Less than skeletal. 1-8% of cell volume; scant terminal cisternae •Gap junctions –Yes. At intercalated discs •Neuromuscular junctions –No •Regulation of contraction –Involuntary •Source of Ca++ –SR, extracellular fluid •Site of calcium regulation –Troponin on actin thin filaments •Pacemakers –Yes •Speed of contraction –Slow •Rhythmic contraction –Yes •Response to stretch –Contractile strength increases with degree of stretch •Respiration –Aerobic 69 Smooth Muscle Characteristics •Neuromuscular junctions •Location –Walls of hollow organs( - Heart) •Appearance –Uninucleate, fusiform, no striations •Connective Tissue components –Endomysium •Myofibrils composed of sarcomeres –No. Actin/myo throughout –Dense bodies anchor actin filament •T tubules, site invagination –No. Only caveoli •Elaborate sarcoplasm –Equivalent to cardiac –Some SR contacts the sarcolemma •Gap junctions –No in single unit –Yes in multi •Regulation of contraction –Involuntary •Source of Ca++ –SR, extracellular fluid •Site of calcium regulation –Calmodulin in the sarcoplasm •Pacemakers –Yes (single only) •Speed of contraction –Very slow •Rhythmic contraction –Yes (single unit only) •Response to stretch –Stress-relaxation response •Respiration –Mainly aerobic 70 Neck Muscles (Cat) 1. 2. 3. 4. 5. 6. 7. Digastricus Mylohyoideus Geniohyoid Sternohyoideus Sternomastoid Clavotrapezius External Jugular Vein 71 Thoracic superficial (cat) 1. Pectoantebrachialis 2. Pectoralis Major 3. Pectoralis Minor 4. Xiphihumeralis 5. Linea Albea 6. Epitrochlearis 7. Triceps (Long Head) 8. Teres Major 9. Subscapularis 10.Serratus Anterior 11.Latissimus Dorsi 72 Thoracic – deep (cat) 1. x 2. Rectus Abdominis 3a. Scalenus Anterior 3b. Scalenus Medius 3c. Scalenus Posterior 4. Serratus Anterior 5. Subscapularis 6. Teres Major 7. Coracobrachialis 8. Latissimus Dorsi 73 Shoulder & Upper Back - superficial 1. 2. 3. 4. 5. Latissimus Dorsi Spinotrapezius Acromiotrapezius Clavotrapezius Levator Scapulae Ventralis 6. Spinodeltoid 7. Acromiodeltoid 8. Clavodeltoid 9. Triceps Lateral Head 10. Triceps Long Head 74 Shoulder and Upper Back - deep 1. Trapezius (Reflected) 2. Acromiotrapezius 3. Supraspinatus 4. Infraspinatus 5. Triceps (Long Head) 6. Triceps (Lateral Head) 7. Acromiodeltoid 8. Clavodeltoid 9. x 10.x 11.Rhomboideus Minor 12.Rhomboideus Major 13.Trapezius 14.Latissimus Dorsi 15.x 75 Deep Back – view 2 76 Upper Arm - lateral 1. 2. 3. 4. 5. 6. 7. 8. 9. Trapezius Levator Scapulae Teres Major Triceps Lateral Head (Reflected) Triceps Long Head Triceps Medial Head Brachialis Clavodeltoid x 77 Upper Arm - Medial 1. 2. 3. 4. Clavodeltoid Biceps Brachii Triceps Medial Head Epitrochlearis (Cat Muscle) 5. Triceps Long Head 78 Forearm - lateral 1. Long Head of Triceps 2. Lateral Head of Triceps 3. Brachialis 4. Brachioradialis 5. Extensor Carpi Radialis Longus 6. Extensor Carpi Radialis Brevis 7. Extensor Digitorum Communis 8. Extensor Digitorum Lateralis 9. Extensor Carpi Ulnaris 10. Flexor Carpi Ulnaris 11. X 79 Forearm - medial 1. Brachioradialis 2. 3. 4. 5. 6. 7. Extensor Carpi Radialis Longus Extensor Carpi Radialis Brevis Pronator Teres Flexor Carpi Radialis Palmaris Longus Flexor Carpi Ulnaris 8. Clavodeltoid 9. Biceps Brachii 10. x 11. Long Head of Triceps 12. Medial Head of Triceps 13. Flexor Digitorum Superficialis 80 Abdominal & Lower Back 1. 2. 3. 4. 5. Aponeurosa Rectus Abdominus Transversus Abdominus External Oblique Internal Oblique 81 Lower Back 1. 2. 3. 4. 5. 6. Multifidus Erector Spinae External Oblique Latissimus Dorsi Spinotrapezius Thoracolumbar Fascia (Cut) 82 Upper Leg – lateral, superficial 1. 2. 3. 4. 5. 6. 7. Semitendinosus Biceps Femoris Caudofemoralis Gluteus Maximus Gluteus Medius Tensor Fascia Lata Sartorius 83 Upper Leg – lateral, deep 1. 2. 3. 4. 5. 6. 7. 8. 9. Biceps Femoris (Reflected) Caudofemoralis (Reflected) Gluteus Maximus (Reflected) Gluteus Medius Tensor Fascia Lata (Reflected) Semitendinosus Semimembranosus Adductor Femoris Sciatic Nerve 10. 11. 12. 13. 14. 15. 16. 17. Vastus Lateralis Sartorius Tibialis Anterior Extensor Digitorum Longus Peroneus Complex Soleus Gastrocnemius Skippy's Tail 84 Upper Leg - medial, superficial 1. 2. 3. 4. 5. 6. 7. Sartorius Gracilis Skippy's Scrotum Semitendinosus Gastrocnemius Plantaris Soleus 85 Upper Leg – medial, deep 1. 2. 3. 4. 5. 6. Sartorius Vastus Lateralis Rectus Femoris Vastus Medialis Iliopsoas Complex Pectineus 7. Adductor Longus 8. Adductor Femoris (2 Heads) 9. Semimembranosus 10. Semitendinosus 11. Gastrocnemius 86 Lower Leg - lateral 1. 2. 3. 4. 5. 6. 7. Tibialis Anterior Extensor Digitorm Longus Peroneus Longus Peroneus Brevis Peroneus Tertius Soleus Gastrocnemius 8. Biceps Femoris 9. Semitendinosus 10. Semimembranosus 11. Adductor Femoris 12. Vastus Lateralis 87 Lower Leg - Medial 88 Frontalis Corrugator supercilli Orbicularis oculi Levatator labil superioris Zygomatic Minor/Major Galea aponeurotica Temporalis Epicranius Occipitalis Buccinator Risorius Orbicularis oris Mentalis Depressor labil inferioris Depressor Anguli oris Platysma Masseter Sternocleidomastoid Splenius capitis Trapezius 89 •Epicranius/ occipitalfrontalis •Desc Muscles of scalp –Bipartite –Frontalis/occipitalis connected by cranial aponeuroses •Actions –Pull scalp back and forward •Frontalis •Desc –Covers forehead and dome of skull –No bony attachments •Origin/Insertion? –O: Galea aponeurotica –I: Skin of eyebrows and root of nose •Action –Raise eyes, wrinkles forehead horizontally •Nerve –Cranial VII 90 •Occipitalis •Desc Muscles of Scalp –Overlies posterior occiput –Fixes origin of frontalis •O/I – O: Occipital, temporal – I: Galea aponeurotica •Action –Fixes aponeurosis –Pulls scalp posteriorly •Nerve –Facial 91 •Corrugator supercilii •Desc –Small muscle associated with ocularis oculi Muscles of the face Expression •O/I – O: Arch of frontal above nasal – I: Skin of eyebrow •Action –Draws eyebrows together –Wrinkles forehead skin vertically (frown) •Facial nerve •Orbicularis oculi •Desc –Thin, tripartite sphincter of eyelid –Surround rim of orbit •O/I – O: Frontal, maxillary, ligs around orbit – I: Tissue of eyelid •Action –Protect from light/injury –Blink, squint, eyebrows inferiorly •Nerve –Facial 92 •Zygomaticus •Desc –Pair of muscles diagonal from cheek to corner of mouth Face muscles Expression •O/I –Zygomatic –Skin and muscle at corner of mouth •Action –Raises corner of mouth upward (smile) •Nerve –Facial •Risorius •Desc –Slender, inferior and lateral to zygo •O/I –Lateral fascia – masseter –Skin at angle of mouth •Action –Draws corner of lip laterally; tenses lips; synergist of zygomaticus 93 •Levator labil superioris •Desc –Thin muscle between orbicularis oris and inferior eye margin Facial muscles Expression •O/I –Zygomatic bone, infraorbital margin of maxilla –Skin and muscle of upper lip •Action –Open lips; raises and furrows the upper lip •Depressor labil inferioris •Desc –Small muscle running from mandible to lower lip •O/I –Body of mandible lateral to its midline –Skin and muscle of lower lip •Action –Draws lower lip inferiorly (pout) 94 •Depressor anguli oris •Desc –Small muscle lateral to depressor labii inferioris Facial muscles Expression •O/I –Body of mandible below incisors –Skin and muscle at angle of mouth below insertion of zygo •Action –Draws corner of mouth downward and lateral (tragedy mask grimace) •Obicularis oris •Desc –Complicated, multi-layered, fibers in many directions, most circular •O/I –Arises indirectly from maxilla and mandible; associated with lips –Encircles mouth; inserts into muscle and skin at angles of mouth •Action –Closes lips, purses and protrudes lips (kissing, whistling) 95 •Mentalis •Desc –One of pair forming V-shaped muscle of chin Facial muscles Expression •O/I –Mandible below incisors –Skin of chin •Action –Protrude lower lip –Wrinkles chin •Buccinator •Desc –Thin, horizontal cheek muscle, deep to masseter •O/I –Molar region of maxilla and mandible –Orbicularis oris •Action –Draws corner of mouth laterally –Holds food during chewing –Whistling, sucking 96 Facial muscles Expression •Platysma •Desc –Unpaired, thin, sheet-like superficial neck muscle •O/I –Fascia of chest (over pec and delt) –Lower margin of mandible and skin and muscle at corner of mouth •Action –Depress mandible –Pull lower lip back and down –Downward sag of mouth –Tensed skin of neck (shaving) 97 •Masseter •Desc –Powerful muscle at lateral aspect of mandible Mastication and tongue Chewing •O/I –Zygomatic arch and maxilla –Angle and ramus of mandible •Action –Prime mover of jaw closure; elevates mandible •Nerve –Trigeminal (cranial V) •Temporalis •Desc –Fan shaped –Covers temporal, frontal and parietal bones •O/I –Temporal fossa –Coronoid process of mandible via tendon deep to zygomatic arch 98 •Medial pterygoid •Desc –Deep 2 headed muscle runs along internal surface of mandible –Largely concealed by bone Mastication and tongue Chewing •O/I –Medial surface of lateral pterygoid plate, maxilla, palatine –Medial surface of mandible, near angle •Action –Elevate mandible –Side to side (grinding teeth) –Protrude mandible •Lateral pterygoid •Desc –Deep 2 headed, superior to medial pterygoid •O/I –Greater wing, pterygoid plate –Mandible condyle, capsule of temporomandibular joint •Action –Protrude mandible anteriorly –Forward, side to side grind of lower teeth 99 •Buccinator •Desc –Thin, horizontal cheek muscle, deep to masseter Mastication and tongue Chewing •O/I –Molar region of maxilla and mandible –Orbicularis oris •Action –Draws corner of mouth laterally –Holds food during chewing –Whistling, sucking 100 •Genioglossus –Fan shaped muscle forms bulk of inferior tongue –Prevents tongue from falling backward obstructing respiration Mastication and tongue Chewing •O/I –Internal mandible near symphysis –Inferior tongue, body of hyoid bone •Action –Protrudes tongue –Can depress, or with other muscles retract tongue •Nerve –Hypoglossal (cranial XII) 101 •Hypoglossus •Flat quadrilateral muscle •O/I –Body, greater horn of hyoid –Inferolateral tongue Mastication and tongue Chewing •Action –Depress tongue, draw its sides downward •Nerve –Hypoglossal nerve •Styloglossal •Slender, runs superior, right angles hypoglossus •O/I –Styloid process of temporal bone –Inferolateral tongue •Action –Retract, elevate tongue •Nerve –Hypoglossal nerve 102 Indentify muscles 103 •Digastric •Two bellies united by inter tendon, V shape under chin •O/I Suprahyoid Muscles Swallow –Lower margin of mandible (anterior belly), mastoid process (posterior belly) –Connective tissue loop to hyoid bone •Action –In concert, elevate hyoid –Steady for swallowing, speech –Open mouth, depress mandible •Nerve –Cranial V (anterior) –Cranial VII (posterior) 104 •Stylohyoid Suprahyoid muscles - swallow –Slender, below jaw angle –O-styloid process –I- hyoid, median raphe –Action: elevate, retract hyoid, elongate mouth floor during swallow –Facial nerve •Mylohoid –Flat, triangular, deep to digi, pair forms sling, floor of anterior mouth –O: medial mandible –I: hyoid, raphe –Action: elevate hyoid, floor of mouth; tongue back, up, force food into pharynx –Mandible trigeminal nerve •Geniohyoid –Narrow, partner medially, chin to hyoid –O: inner mandible surface –I: Hyoid bone –Action: pull hyoid superiorly, anteriorly; widen pharynx to receive food –Cranial XII 105 •Sternohyoid Infrahyoid Muscles - swallow –Most medial of neck, thin, superficial (-neck), covered by SCM –O: manubrium, medial clavicle –I: Lower hyoid –Action: Depress larynx, hyoid (mandible fixed), flex skull –C1-C3 thru ansa cervicals •Sternothyroid –Lateral, deep to sternohyoid –O: posterior manubrium –I:thyroid cartilage –Action: Pull thyroid cartilage, larynx, hyoid inferiorly –Same as sterno •Omohyoid –Strap like, 2 bellies, lateral to sternohyoid –O: superior scapula –I: hyoid, lower border –Action: Depress, retract hyoid –Same as sterno 106 •Thyrohyoid Infrahyoid muscles - swallow –Superior continuation of sternothyroid –O:thyroid cartilage –I: hyoid bone –Action: depress hyoid, elevate larynx if hyoid fixed –1st cervical nerve vie hypoglossal •Pharyngeal constrictor –3 paired, fibers run circularly in pharynx wall, superior – innermost, inferior – outer –O: anteriorly to mandible, medial pterygoid plate, hyoid, laryngeal cartilages –I: posterior median raphe of pharynx –Action: as group, in sequence, constrict pharynx during swallowing, peristalsis 107 Identify throat muscles 108 Identify muscles 109 Identify muscles 110 •Sternocleidomastoid Anterolateral Neck –2 headed, deep to platysma, anterolateral neck, key muscle in neck –O: manubrium, medial clavicle –I: mastoid process, superior nuchal line –Action: Prime head mover, neck flexion, •Alone: rotate head toward shoulder, tilt head side to side –Cranial XI, Cervical spinal 2-4 •Scalenes –More lateral than anterior; deep to Platysma and SCM –O: transverse process of Cervical Vert –I: anterolateral 1st 2 ribs –Action: elevate 1st 2 ribs (breathing), flex, rotate neck 111 Intrinsic back Head and trunk movement Splenius –Broad bipartite superficial, upper thoracic to skull, bandage muscle –O: ligamente nuchae, spinous process C7-T6 –I: mastoid, occipital (capitis), transverse processes C2-C4 –Action: group – extend/ hyperextend head, splenius on one side – rotate head, bent toward same side –Cervical spinal nerves 112 •Erector spinae –Prime mover of back extension –3 columns: Intrinsic back head and trunk movement •Iliocostalis •Longissimus •Spinalis –Bending at waist, return to erect position –Full flexion (touch toes) – relaxed –Reversal (come up) – inactive. Hamstrings, gluteus max responsible for straightening (back injury) •Iliocostalis –Most lateral group of ES; from pelvis to neck –O: iliac crests, inferior 6 ribs; 3 to 6 cervicals –I: angles of ribs, transverse of C6C4 –Action: extend vertebral column; maintain erect posture; one side – bend vertebral to same side –Spinal nerves 113 •Longissimus –Intermediate tripartite of ES; lumbar to skull; between transverse processes of vert –O: transverse of lumbar through cervical –I: transverse of thoracic or cervical, ribs superior to origin name; capitis into mastoid –Action: thoracis and cervicis extend vert column; one side – bend laterally; capitis – extend head, turn face same side –Spinal nerve Intrinsic back Head and trunk movement •Spinalis –Most medial column of ES, cervicis rudimentary, poor –O: spines of upper lumbar, lower thoracic –I: spines of upper thoracic, cervical –Action: extends vertebral column –Spinal nerves 114 •Semispinalis –Deep layer of intrinsic back; thoracic to head –O: transverse of C7 –T12 –I: occipital (capitis), spinous process of cervicis and T1-T4 –Action: extend vertebral and head, rotate to opposite side; synergistically with SCM –Spinal nerves Intrinsic back head and trunk movement •Quadratus lumborum –Fleshy muscles, part of posterior abdominal wall –O: iliac crest, lumbar fascia –I: transverse of upper lumbar, lower margin of rib 12 –Action: flexes vertebral laterally (alone), maintains upright, assists inspiration –T12 and upper lumbar nerves 115 Identify back muscles 116 •External intercostals –11 pairs, between ribs; run obliquely from rib to rib below; in lower, fibers continuous with external oblique forming part of abdominal –O: inferior border of rib above –I: superior border of rib below –Action: With 1st ribs fixed by scalenes, pull ribs toward each other to elevate rib cage; inspiration –Intercostal nerves Thorax Breathing •Internal intercostals –11 pairs between ribs; deep and at angles to externals; lower continuous with internal oblique, abdominal wall –O: superior border of rib below –I: costal groove of rib above –Action: 12th ribs fixed by quadratus lumb, posterior abdominal and obliques – draw ribs together, depress rib cage; forced expiration –Intercostal nerves 117 •Diaphragm –Broad muscle pierced by aorta, inferior vena cava, esophagus; floor of thoracic cavity; dome shaped; fibers converge from margins of thoracic to central tendon –O: inferior, internal surface of rib cage, sternum, costal cartilage of last 6 ribs and lumbar vert –I: central tendon –Action: prime inspiration –Phrenic nerves Thorax Breathing 118 Identify the parts of diaphragm 119 •Rectus abdominis –Medial, superficial, pair; pubis to rib cage; 3 segments –O: pubic crest, symphysis –I: xiphoid process, costals of ribs 5-7 –Flex, rotate lumbar region; fix, depress ribs; stabilize pelvis during walking –Intercostal nerves Anterior, lateral abdomen •External oblique –Largest, most superficial of 3 lateral muscles; fibers – down, medial; –O: fleshy strips outer surface of 8 ribs –I: anteriorly via aponeurosis into linea alba; pubic crest, tubercle, iliac crest –Flex vert column, compress ab wall, aid back and trunk rotation –Intercostal nerves 120 •Internal oblique Abdomen –Fibers upward, medial; muscle fans inferior run downward medial –O: lumbar fascia, iliac crest, inguinal lig –I: linea alba, pubic crest, last 3-4 ribs, costal margin –Action: same as external –Intercostal nerves •Transversus abdominis –Deepest abdominal muscle, fiber – horizontal –O: inguinal lig, lumbar fascia, cartilage of last 6 ribs, iliac crest –I: linea alba, pubic crest –Compresses abdominal wall –Intercostal nerves 121 Identify muscles 122 Abdomen 123 •Levator ani Pelvic Diaphragm –Broad thin, tripartite (pubococcygeus, puborectalis, iliococcygeus); fibers extend inferomedially –O: pelvis from pubis to ischial spine –I: inner coccyx, levator ani of opposite side –Support, maintain pelvic viscera, resists thrusts (coughing, vomit); forms sphincters; lifts anal canal –S4, inferior rectal nerve •Coccygeus –Small, triangular, posterior to ani, –O: ischial spine –I: sacrum, coccyx –Support pelvic viscera, coccyx; pulls forward (defecation, childbirth) –S4-S5 124 Identify pelvic muscles 125 •Deep transverse perineus Urogenital diaphragm –Pair spans distance of ischial rami; females – posterior to vagina –O: ischial rami –I: midline central tendon, some into vagina wall –Supports pelvic organs; steadies central tendon –Pudendal nerve •Sphincter urethrae –Muscle incircling urethra and vagina –O: ischiopubic rami –I: midline raphi –Constricts urethra; support pelvis –Pudendal nerve 126 Identify urogenital 127 •Ischiocavernosus Superficial genital –Pelvis to base of penis or clitoris –O: ischial tuberosities –I: crus of corpus cavernosa or male penis, female clit –Empties male urethra; erection of penis and clitoris –Pudendal nerve •Bulbospongiosus –Encloses base of penis, deep to labia (female) –O: central tendon, midline raphe –I: anteriorly into corpus cavernosa of penis, clit –Stabilize, strengthen midline tendon –Pudendal nerve 128 Identify genital muscles 129 •Pectoralis minor –Flat, thin muscle beneath pec major –O: anterior surface of ribs 3-5 –I: coracoid process –Ribs fixed: draw scap forward/downward; scap fixed: draw ribs superiorly –Pectoral nerves Anterior Thorax •Serratus anterior –Deep to scap; beneath, inferior to pecs on lateral rib cage; medial wall of axilla; serrated origins; –O: muscle slips – ribs 1-8 –I: entire anterior scapula –Prime mover to hold scap against chest; rotate scap lateral/up; raise shoulder; abduct/raise arm; –Long thoracic nerve 130 •Subclavius Anterior thorax –Small cylindrical; from rib 1 to clavicle –O: costal of rib 1 –I: groove, inferior clavicle –Stabilize pec girdle –Subclavius nerve 131 Identify anterior thorax 132 •Trapezius –Most superficial of post thorax; flat, triangular –O: occipital, nuchae, spines of C7, all of thoracic –I: continuous along acromion, spine of scap, lat 3rd of clavicle –Stabilize, rotate, retract, raise scapula; –Cranial XI Posterior thorax •Levator scapulae –Back/side of neck; deep to traps, thick, strap like –O: transverse of C1-C4 –I: medial border of scap –Elevates/adducts scap; tilts glenoid down; –Cervical/spinal nerves •Rhomboid –2 rectangular; deep to trap –O: spinous of C7 – T1 –I: medial scap border –Square shoulders –C4-C5 nerves 133 Identify posterior thorax muscles 134 •Pectoralis major Arm movement –O: sternal end of clavicle –I: fibers converge into intertubercular groove of humerus –Action: prime mover of arm; rotates medially; adducts; pulls rib cage •Latissimus dorsi –O: indirect via lumbodorsal fascia into lower 6 thoracic vert; lower 3-4 ribs; iliac crest –I: spirals around teres major into intertubercular groove of humerus –Action: prime arm extender; adduct; rotate at shoulder; depress scap •Deltoid –O: trapezius; lateral 1/3 of clavicle; acromion/spine scapula –I: deltoid tuberosity of humerus –Action: prime abduction; adduct; rotate medially; extend 135 •Subscapularis –O: subscap fossa –I: lesser tubercle of humerus –Action: chief rotator of humerus; holds humerus head in glenoid Arm movement •Supraspinatus –O: supraspinous fossa –I: superior greater tubercle –Action: stabilize shoulder; prevent downward dislocation •Infraspinatus –O: infraspinous fossa –I: greater tubercle to supraspinatus –Action: hold head of humerus in glenoid; rotates humerus laterally •Teres minor –O:lateral,dorsal scapula –I: greater tubercle to infraspinatus insertion •Teres major –O: posterior scapula (inferior angle) –I: intertubercular groove; latissimus dorsi –Action: posteromedially extends, medially rotates; adducts humerus 136 •Triceps –O: long head:infraglenoid tubercle; Lateral head: posterior shaft of humerus; medial: humerus shaft; –I: tendon into olecranon process –Action: extend forearm; flex forearm; Arm Posterior Muscles •Anconeus –O: lateral epicondyle –I: lateral olecranon process of ulna –Action: abduct ulna; elbow extension 137 •Biceps brachii –O: short head: coracoid process; long head: tubercle above glenoid; groove of humerus –I: radial tuberosity –Flexes elbow joint; supinate forearm Arm Anterior Muscles •Brachialis –O: front of distal humerus; deltoid muscle –I: coronoid process of ulna –Major forearm flexor •Brachioradialis –O:lateral supracondyle ridge at distal humerus –I: styloid process of radius –Forearm flexion; stabilize elbow 138 Identify anterior shoulder muscles 139 Identify posterior shoulder muscles 140 •Pronator teres –O: medial epicondyle; coronoid process of ulna –I: common tendon into lateral radius –Pronate forearm Forearm anterior - superficial hand, wrist, finger movement •Flexor carpi radialis –O: medial epicondyle –I: base of 2nd and 3rd metacarpals; –Wrist flexor •Palmaris longus –O: medial epicondyle –I: palmar aponeurosis; skin and fascia of palm –Weak wrist flexor; tense skin and fascia of palm; •Flexor carpi ulnaris –O: medial epicondyle; olecranon process, posterior ulna –I: pisiform, hamate; base of 5th metacarpal –Flexor of wrist; adducts hand with extensor carpi ulnaris; stabilize wrist 141 •Flexor digitorum superficialis Forearm anterior - superficial –2 head; deeply placed (intermediate); overlain, but visible at distal forearm –O: Medial epicondyle of humerus; coronoid of ulna; shaft of radius –I: 4 tendons into middle phalanges 2-5 –Flex wrist and middle phalanges 25; important finger flexor –Median nerve 142 Identify anterior superficial 143 •Flexor pollicis longus Forearm anterior - deep –O: anterior surface of radius and interosseous membrane –I: distal phalanx of thumb –Flexes distal phalanx of thumb –Median nerve •Flexor digitorum profundus –O: coronoid process, anteromedial ulna; interosseous membrane –I: 4 tendons into distal phalanges 2-5 –Slow flexing of any or all fingers; flex wrist; only muscle that can flex distal interphalangeal joints –Ulnar nerve; median nerve 144 •Pronator quadratus Forearm anterior - deep –O: distal anterior ulnar shaft –I: distal anterior radius –Prime mover of forearm pronation; helps hold radius and ulna together –Median nerve 145 Identify anterior forearm deep 146 •Extensor carpi radialis longus –O: lateral supracondylar ridge of humerus –I: base of 2nd meta –Extend, abduct wrist –Radial nerve Forearm – posterior superficial •Extensor carpi radialis brevis –O: lateral epicondyle –I: base of 3rd meta –Extend, abduct wrist; steady wrist –Deep radial nerve •Extensor digitorum –O: lateral epicondyle –I: 4 tendons into extensor expansions, distal phalanges 2-5 –Prime mover of finger extensions; extend wrist; abduct fingers (flare) 147 •Extensor carpi ulnaris Posterior forearm - superficial –O: lateral epicondyle, posterior border of ulna –I: base of 5th meta –Extends wrist (+carpi radialis); adducts wrist (+carpi ulnaris) –Posterior interosseous nerve 148 Identify forearm posterior superficial 149 •Supinator –O: lateral epicondyle; proximal ulna –I: proximal radius –Assists biceps brachii to supinate forearm; slow supination; –Posterior interosseous nerve Posterior forearm - deep •Abductor pollicis longus –O: posterior radius and ulna; interosseous membrane –I: base of 1st meta, trapezium –Adducts, extend thumb; abducts wrist –Posterior interosseous nerve •Extensor pollicis brevis/longus –O: dorsal shaft of radius/ulna; interosseous membrane –I: base of proximal and distal phalanx of thumb –Extends thumb –Posterior interosseous nerve •Extensor indicis –O: posterior ulna; interosseous membrane –I: extensor expansion of index finger; joins tendon of digitorum –Extends index finger; wrist extension –Posterior interosseous nerve 150 Identify forearm muscles deep 151 Muscles acting on the arm • Name the muscles that act on the arm. 1. Pectoralis 2. Latissimus dorsi 3. Deltoid 4. Subscapularis 5. Supraspinatus 6. Infraspinatus 7. Teres major/minor 8. Coracobrachialis 9. Biceps brachii 10.Triceps brachii 152 Muscles acting on forearm • Name the muscles acting on forearm. 1. 2. 3. 4. 5. 6. 7. 8. Biceps brachii Triceps Anconeus Brachialis Brachioradialis Pronator teres Pronator quadratus supinator 153 Muscles acting on wrist./fingers • Anterior 1. 2. 3. 4. 5. 6. • Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Flexor digitorum superficialis Flexor pollicis longus Flexor digitorum profundus Posterior 1. 2. 3. 4. 5. 6. Extensor carpi radialis longus/brevis Extensor digitorum Extensor carpi ulnaris Abductor pollicis longus Extensor pollicis longus Extensor indicis 154 •Abductor pollicis brevis Hand – Thenar ball of thumb –O: flexor retinaculum, nearby carpals –I: lateral base of thumb’s proximal phalanx –Abducts thumb –Median nerve •Flexor pollicis brevis –O: flexor retinaculum, trapezium –I: lateral side of base of proximal thumb –Flex thumb –Median (occasionally ulnar) •Adductor pollicis –O: capitate bone and bases of meta’s 2-4, front of meta 3 –I: medial side of base of proximal phalanx of thumb 155 •Abductor digiti minimi –O: pisiform –I: medial side of proximal phalanx of little finger –Abducts little finger –Ulnar nerve Hypothenar muscles in ball of little finger •Flexor digiti minimi brevis –O: hamate, flexor retinaculum –I: same as abductor minimi –Flexes little finger –Ulnar nerve •Opponens digiti minimi –O: same as flexor –I: most of length of meta 5 –Brings meta 5 toward thumb to cup hand 156 •Palmar interossei –4 long cone shaped between meta’s –O: side of each meta that faces midaxis of hand –I: extensor expansion on 1st phalanx of each finger (3) –Adduct fingers; pull fingers in; extend fingers –Ulnar nerve Midpalmar muscles •Dorsal interossei –4 bipennate; fill space between meta’s; deepest palm muscles –O: sides of meta –I: extensor expansion over 1st phalanx of fingers 2-4 –Abduct fingers; extend fingers; flex fingers –Ulnar nerve 157 Midpalmar muscles •Lumbricals –O: lateral side of each tendon of flexor digitorum profundus –I: lateral edge of extensor expansion of first phalanx of 2-5 –Flex fingers at meta joints; extend at interphalangeal –Median nerve 158 Identify hand muscles 159 •Iliopsoas –Iliacus/psoas major –Pass under inguinal lig to insert via tendon on femur Thigh and leg Origin on pelvis •Iliacus –O: iliac fossa/crest; lateral sacrum –I: femur on below lesser trochanter –Prime mover for flexing thigh; trunk during bow –Femoral nerve •Psoas major –O: fleshy slips from transverse processes, bodies, discs of lumbar and T12 –I: lesser trochanter of femur –Same as iliacus; also, lateral flexion of vert column; posture –Ventral rami •Sartorius –O: anterior superior iliac spine –I: winds around medial aspect of knee; inserts into medial, proximal tibia –Flexes, abducts, lateral rotation of thigh; flex knee; tailor’s muscle –Femoral nerve 160 •Adductor magnus –O: ishchial and pubic rami and ischial tuberosity –I: linea aspera, adductor tubercle of femur –Adduct, medially rotate and flex thigh; hamstring extension –Obturator nerve Medial thigh •Adductor longus –O: pubis near symphysis –I: linea aspera –Adduct, flex, rotate thigh –Anterior obturator nerve •Adductor brevis –O: body and inferior ramus of pubis –I: linea aspera above adductor longus – adducts, medially rotate thigh –Femoral nerve •Pectineus –O: pectineal line of pubis, superior ramus –I: inferior from lesser trochanter to linea aspera –Same as longus –Femoral, obturator •Gracilis –O: inferior ramus, body of pubis, ischial ramus –I: medial surface of tibia –Adduct thigh, flex, medially rotate thigh 161 •Quadriceps femoris – 4 separate heads, front and side of thigh, common insertion into patella and tibial tuberosity Anterior thigh •Rectus femoris –O: anterior inferior iliac spine, superior margin of acetabulum –I: patella and tibial tuberosity via patellar ligament –Extend knee; flex thigh at hip –Femoral nerve •Vastus lateralis –O: greater trochanter, interotrochanteric line, linea aspera –I: same as femoris –Extend, stabilize knee –Femoral nerve •Vastus medialis –O: linea aspera, interotrochanteric line –I: same as femoris –Extends knee, stabilize patella –Femoral nerve 162 •Vastus intermedius –O: anterior, lateral proximal femur shaft –I: same as rectus femoris –Extend knee –Femoral nerve Anterior thigh •Tensor fasciae latae –O: anterior iliac crest; anterior, superior iliac spine –I: iliotibial tract – flexes and abducts thigh of the iliopsoas and gluteus medius and minimus; rotate thigh medially; steady the knee and trunk 163 •Gluteus maximus –Largest, most superficial gluteal –Bulk of buttocks –O: dorsal ilium, sacrum, and coccyx –I: gluteal tuberosity of femur; iliotibial tract –Major extensor of thigh; –Inferior gluteal nerve Gluteal muscles •Gluteus medius –Covered by glut max –O: between anterior and posterior gluteal lines – lateral ilium –I: short tendon lateral aspect of greater trochanter –Same as max –Superior gluteal •Gluteus minimus –Smallest, deepest glut –O: between ant/inf gluteal lines on ilium –I: ant bord of greater trochanter of femur 164 •Piriformis –Pyramidal muscle posterior hip –O: anterolateral sacrum –I: superior border of greater trochanter femur –Rotates thigh laterally; abduct thigh –S1-S2 – L5 Lateral Rotators •Obturator externus –Flat, triangular; deep upper medial thigh –O: outer obturator membrane; pubis; ischium –I: trochanter fossa of femur –Same as piriform –Obturator nerve •Obturator internus –O: inner surface of obturator; greater schiatic; obturator foramen –I: greater trochanter –Same as piri •Gemellus –O: ischial spine; ischial tuberosity –I:greater trochanter •Quadratus femoris –O: ischial tuberosity –I: trochanteric crest –Rotates thigh laterally 165 Anterior thigh 166 Posterior thigh 167 Deep gluteal muscles 168