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Anatomy and Physiology I Seminar 6 Chapter 7 The Muscular System Renita K. Holmes, MSN, RN Kaplan University Slide 2 INTRODUCTION Muscular tissue enables the body and its parts to move Three types of muscle tissue exist in body (see Chapter 3) Movement caused by muscle cells (called fibers) shortening, or contracting Muscle movement occurs when chemical energy (obtained from food) is converted into mechanical energy Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 3 MUSCLE TISSUE Types of muscle tissue (Figure 7-1) Skeletal muscle—also called striated or voluntary muscle Microscope reveals crosswise stripes or striations Contractions can be voluntarily controlled Cardiac muscle—composes bulk of heart Cardiac muscle fibers branch frequently Characterized by unique dark bands called intercalated disks Interconnected nature of cardiac muscle fibers allows heart to contract efficiently as a unit Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 4 Muscle tissue Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 5 MUSCLE TISSUE Types of muscle tissue (cont.) Nonstriated muscle, or involuntary muscle—also called smooth or visceral muscle Lacks cross stripes or striations when seen under a microscope; appears smooth Found in walls of hollow visceral structures such as digestive tract, blood vessels, and ureters Contractions not under voluntary control; movement caused by contraction is involuntary Function—all muscle fibers specialize in contraction (shortening) Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 6 STRUCTURE OF SKELETAL MUSCLE Composition—mainly striated muscle fibers and connective tissue Most skeletal muscles extend from one bone across a joint to another bone Parts of a skeletal muscle Origin—attachment to the bone that remains relatively stationary or fixed when movement at the joint occurs Insertion—point of attachment to the bone that moves when a muscle contracts Body—main part of the muscle Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 7 STRUCTURE OF SKELETAL MUSCLE Composition Muscles attach to bone by tendons—strong cords of fibrous connective tissue; some tendons enclosed in synovial-lined tubes and are lubricated by synovial fluid; tubes called tendon sheaths Bursae—small synovial-lined sacs containing a small amount of synovial fluid; located between some tendons and underlying bones Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 8 STRUCTURE OF SKELETAL MUSCLE Microscopic structure (Figure 7-3) Contractile cells called fibers—grouped into bundles Fibers contain thick myofilaments (containing the protein myosin) and thin myofilaments (composed of actin) Basic functional (contractile) unit called sarcomere Sarcomeres separated from each other by dark bands called Z lines Sliding filament model explains mechanism of contraction Thick and thin myofilaments slide past each other as a muscle contracts Contraction requires calcium and energy-rich ATP molecules Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Structure of skeletal muscle. A: Each muscle organ has many muscle fibers, each containing many bundles of thick and thin filaments. The diagrams show the overlapping thick and thin filaments arranged to form adjacent segments called sarcomeres. During contraction, the thin filaments are pulled toward the center of each sarcomere, shortening the whole muscle. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.9 Slide Structure of skeletal muscle B, This electron micrograph shows that the overlapping thick and thin filaments within each sarcomere create a pattern of dark striations in the muscle. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.10 Slide Slide 11 FUNCTIONS OF SKELETAL MUSCLE Movement Muscles produce movement; as a muscle contracts, it pulls the insertion bone closer to the origin bone; movement occurs at the joint between the origin and the insertion Groups of muscles usually contract to produce a single movement Prime mover—muscle whose contraction is mainly responsible for producing a given movement Synergist—muscle whose contractions help the prime mover produce a given movement Antagonist—muscle whose actions oppose the action of a prime mover in any given movement Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 12 AGONIST (Prime Mover) ANTAGONIST Biceps Triceps Deltoids Pectoralis Major Latissimus Dorsi Trapezius/Rhomboids Rectus Abdominis Erector Spinae Iliopsoas Gluteus Maximus Quadriceps Hamstrings Hip Adductor Gluteus Medius Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 13 FUNCTIONS OF SKELETAL MUSCLE Posture A specialized type of muscle contraction, called tonic contraction, enables us to maintain body position In tonic contraction, only a few of a muscle’s fibers shorten at one time Tonic contractions produce no movement of body parts Tonic contractions maintain muscle tone called posture Good posture reduces strain on muscles, tendons, ligaments, and bones Poor posture causes fatigue and may lead to deformity Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 14 FUNCTIONS OF SKELETAL MUSCLE Heat production Survival depends on the body’s ability to maintain a constant body temperature Fever—an elevated body temperature—often a sign of illness Hypothermia—a reduced body temperature Contraction of muscle fibers produces most of the heat required to maintain normal body temperature Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 15 FATIGUE Reduced strength of muscle contraction Caused by repeated muscle stimulation without adequate periods of rest Repeated muscular contraction depletes cellular adenosine triphosphate (ATP)stores (the energy storage molecules of the cell) and outstrips the ability of the blood supply to replenish oxygen and nutrients Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 16 FATIGUE Contraction in the absence of adequate oxygen produces lactic acid, which contributes to muscle soreness Oxygen debt—term used to describe the metabolic effort required to burn excess lactic acid that may accumulate during prolonged periods of exercise; the body is attempting to return the cells’ energy and oxygen reserves to pre-exercise levels Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 17 ROLE OF OTHER BODY SYSTEMS IN MOVEMENT Muscle functioning depends on the functioning of many other parts of the body Most muscles cause movements by pulling on bones across movable joints Respiratory, circulatory, nervous, muscular, and skeletal systems play essential roles in producing normal movements Multiple sclerosis, brain hemorrhage, and spinal cord injury are examples of how pathological conditions in other body organ systems can dramatically affect movement Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 18 MOTOR UNIT (Figure 7-4) Stimulation of a muscle by a nerve impulse is required before a muscle can shorten and produce movement A motor neuron is the specialized nerve that transmits an impulse to a muscle, causing contraction A neuromuscular junction is the specialized point of contact between a nerve ending and the muscle fiber it innervates A motor unit is the combination of a motor neuron with the muscle fiber or fibers it innervates Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. A motor unit consists of one motor neuron and the muscle fibers supplied by its branches. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.19 Slide Slide 20 Motor neuron. A motor unit consists of one motor neuron and the muscle fibers supplied by its branches. Slide 21 MUSCLE STIMULUS A muscle will contract only if an applied stimulus reaches a certain level of intensity A threshold stimulus is the minimal level of stimulation required to cause a muscle fiber to contract Once stimulated by a threshold stimulus, a muscle fiber will contract completely, a response called all or none Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 22 MUSCLE STIMULUS Different muscle fibers in a muscle are controlled by different motor units having different threshold-stimulus levels Although individual muscle fibers always respond all or none to a threshold stimulus, the muscle as a whole does not Different motor units responding to different threshold stimuli permit a muscle as a whole to execute contractions of graded force Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 23 TYPES OF SKELETAL MUSCLE CONTRACTION Twitch and tetanic contractions Twitch contractions are laboratory phenomena and do not play a significant role in normal muscular activity; they are a single contraction of muscle fibers caused by a single threshold stimulus Tetanic contractions are sustained and steady muscular contractions caused by a series of stimuli bombarding a muscle in rapid succession Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 24 The muscle responds to a single stimulus (neural stimulation or electric shock) with a quick contraction and relaxation. Together, this is called a muscle twitch. A muscle is made up of individual muscle fibers Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 25 If you increase the frequency of the shock, eventually the second stimulus will be applied before the first muscle twitch is over, then the second stimulus will build upon the previous contraction and add to that response. This is called twitch summation Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 26 As you continue to increase the frequency of shocks, eventually no relaxation will be allowed and the muscle contraction will increase smoothly up to a point of maximum strength where individual twitches are not observed. This is called tetany. Tetany is the way by which normal muscle contractions occur Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 27 TYPES OF SKELETAL MUSCLE CONTRACTION Isotonic contractions Contraction of a muscle that produces movement at a joint because the muscle changes length During concentric contractions, the muscle shortens insertion end of the muscle to move toward the point of origin During eccentric contractions, the muscle lengthens under tension, thus moving the insertion away from the origin Most types of body movements such as walking and running are produced by isotonic contractions Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 28 TYPES OF SKELETAL MUSCLE CONTRACTION Isometric contractions Isometric contractions are muscle contractions that do not produce movement; the muscle as a whole does not shorten Although no movement occurs during isometric contractions, tension within the muscle increases Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 29 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 30 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 31 What is an isometric contraction? To understand, is when you perform without moving force (or shortening or muscle lengthening). For example, if you push a wall without moving, you’re doing strength and, unless you do get a lot and move the wall … you perform a static contraction. This is exactly an isometric contraction. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 32 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 33 EFFECTS OF EXERCISE ON SKELETAL MUSCLES Exercise, if regular and properly practiced, improves muscle tone and posture, results in more efficient heart and lung functioning, and reduces fatigue Muscles change in relation to the amount of work they normally do Prolonged inactivity causes disuse atrophy Regular exercise increases muscle size, called hypertrophy Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 34 EFFECTS OF EXERCISE ON SKELETAL MUSCLES Strength training is exercise involving contraction of muscles against heavy resistance Strength training increases the number of myofilaments in each muscle fiber, and as a result, the total mass of the muscle increases Strength training does not increase the number of muscle fibers Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 35 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 36 EFFECTS OF EXERCISE ON SKELETAL MUSCLES Endurance training is exercise that increases a muscle’s ability to sustain moderate exercise over a long period; it is sometimes called aerobic training Endurance training allows more efficient delivery of oxygen and nutrients to a muscle via increased blood flow Endurance training does not usually result in muscle hypertrophy Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 37 SKELETAL MUSCLE GROUPS (Table 7-1) Muscles of the head and neck (Figure 7-7) Facial muscles Orbicularis oculi Orbicularis oris Zygomaticus Muscles of mastication Masseter Temporal Sternocleidomastoid—flexes head Trapezius—elevates shoulders and extends head Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 38 Muscles of the head and neck. Muscles that produce most facial expressions surround the eyes, nose, and mouth. Large muscles of mastication stretch from the upper skull to the lower jaw. These powerful muscles produce chewing movements. The neck muscles connect the skull to the trunk of the body, rotating the head or bending the neck. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 39 SKELETAL MUSCLE GROUPS Muscles that move the upper extremities Pectoralis major—flexes upper arm Deltoid—abducts upper arm Biceps brachii—flexes forearm Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 40 Muscles that move the upper extremities Latissimus dorsi— extends upper arm Triceps brachii— extends forearm Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 41 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 42 SKELETAL MUSCLE GROUPS Muscles of the trunk (Figure 7-8) Abdominal muscles Rectus abdominis External oblique Internal oblique Transversus abdominis Respiratory muscles Intercostal muscles Diaphragm Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 43 Muscles of the trunk. A, Anterior view showing superficial muscles. B, Anterior view showing deeper muscles. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 44 SKELETAL MUSCLE GROUPS Muscles Iliopsoas—flexes thigh Gluteus maximus—extends thigh Adductor muscles—adduct thighs Hamstring muscles—flex lower leg Semimembranosus Semitendinosus Biceps femoris Quadriceps femoris group—extend lower leg that move the lower extremities Rectus femoris Vastus muscles Tibialis anterior—dorsiflexes foot Gastrocnemius—plantar flexes foot Peroneus group—flex foot Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 45 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 46 Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 47 MOVEMENTS PRODUCED BY SKELETAL MUSCLE CONTRACTIONS Flexion—movement that decreases the angle between two bones at their joint: bending Extension—movement that increases the angle between two bones at their joint: straightening Abduction—movement of a part away from the midline of the body Adduction—movement of a part toward the midline of the body Rotation—movement around a longitudinal axis Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Flexion and extension of the elbow. A and B, When the elbow is flexed, the biceps brachii contracts while its antagonist, the triceps brachii, relaxes. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.48 Slide Flexion and extension of the elbow. B and C, When the elbow is extended, the biceps brachii relaxes while the triceps brachii contracts. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.49 Slide Flexion and extension of the knee. A and B, When the knee flexes, muscles of the hamstring group contract while their antagonists in the quadriceps femoris group relax. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.50 Slide Flexion and extension of the knee. B and C, When the knee extends, the hamstring muscles relax while the quadriceps femoris muscle contracts. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.51 Slide Abduction means moving a part away from the midline of the body, such as moving your arm out to the side. Adduction means moving a part toward the midline, such as bringing your arms down to your sides from an elevated position. Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.52 Slide Rotation is movement around a longitudinal axis. You rotate your head and neck by moving your skull from side to side as in shaking your head “no” Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.53 Slide Supination and pronation refer to hand positions that result from rotation of the forearm. Prone refers to the body as a whole lying face down. Supine means lying face up. Supination results in a hand position with the palm turned to the anterior position (as in the anatomical position), and pronation occurs when you turn the palm of your hand so that it faces posteriorly Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.54 Slide Dorsiflexion and plantar flexion refer to ankle movements. In dorsiflexion the dorsum or top of the foot is elevated with the toes pointing upward. In plantar flexion the bottom of the foot is directed downward so that you are in effect standing on your toes Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.55 Slide Inversion and eversion are also ankle movements. Inversion moves turn the ankle so that the bottom of the foot faces toward the midline of the body. Eversion turns the ankle in the opposite direction, so that the bottom of the foot faces toward the side of the body Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.56 Slide Slide 57 QUESTIONS OR COMMENTS Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.