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Anatomy of the muscular system
Skeletal muscles
> tendons and aponeurosis
Deep fascial tissues
Physiology (functions of skeletal muscles)
Movement
•Posture maintenance
➢Posture: body positions maintained by muscle contractions
➢Ex: standing and sitting
➢Muscle tone (tonus): continuous/partial contraction of skeletal muscles
•Heat production
➢Thermogenesis: mechanism of body temperature maintenance
Posture
body positions maintained by muscle contractions
➢Ex: standing and sitting
Muscle tone (tonus)
continuous/partial contraction of skeletal muscles
•Heat production
Thermogenesis
mechanism of body temperature maintenance
Skeletal muscle
group of contractile tissues surrounded by connective tissue
➢Attached to bones
➢Can produce movement at joints
➢Organs of the muscular system
Muscle fibers
muscle cells and has properties of:
➢Excitability: ability to respond to stimulus
➢Contractility: ability to shorten
➢Extensibility: ability to lengthen or stretch
➢Elasticity: ability to return to precontraction after lengthening or stretching
Excitability
ability to respond to stimulus
Contractility
ability to shorten
Extensibility
ability to lengthen or stretch
Elasticity
ability to return to precontraction after lengthening or stretching
Fasciculi
groups of muscle fibers bundled together
➢Fascicle is singular
Muscle fiber anatomy
•Sarcolemma
~Motor end plates
~Receptors for acetylcholine
•Sarcoplasm
•Myofibrils
~sarcomeres
> thick filaments
> thin filaments
> I bands
> Z lines
> H zone
> A bands
• Sarcoplasmic Reticulum (SR)
~ transverse tubules (T tubules)
• Connective tissue
~ epimysium
~ perimysium
~ endomysium
~ tendons
~ aponeurosis
~ retinaculum
Sarcolemma
cell membrane
Motor end plate
folds in sarcolemma and has receptors for ACH
Acetylcholine (ACH)
neurotransmitter of muscle contraction
Sarcoplasm
intracellular fluid
➢Equivalent to cytoplasm in typical cells
Myofibrils
slender fibers with repeating compartments called sarcomeres
Sarcomeres
structural units of muscle contraction
Z Line
end of sarcomere
Filaments (myofilaments)
thin and thick strands within sarcomeres
➢Stacked in alternating, parallel rows
Thin filaments
actin, tropomyosin, troponin
➢Actin looks like a twisted double strand of beads; attaches to Z lines
Thick filaments: myosin
➢Chemically attracted to binding sites on actin
➢In center of sarcomere; does not attach to Z lines
➢Looks like golf clubs with shafts bundled together
➢Heads angle toward thin filaments
I bands
thin filaments and Z lines
H zone
center of sarcomere
➢Has only thick filaments
A bands
runs entire length of thick filaments
➢Includes H zone
Sarcoplasmic Reticulum (SR)
System of interconnected tubes
➢Surrounds myofibrils
•Stores/releases calcium
•Plays role in contraction
Transverse (T) tubules
indentations in SR
➢Called “transverse” because they extend transversely across the SR
➢Allows impulses to travel into the muscle fiber
Connective Tissues
Surround muscle fibers, anchor muscles to bones, stabilize their tendons
•Endomysium: around muscle/muscle group
•Perimysium: around fascicle
➢Allows for vascularization/innervation
•Epimysium: around muscle fibers in the fascicle
Tendons: dense bands of connective tissue
➢Attach muscles to bones
•Aponeurosis: broad/flat tendons
➢Tendons and aponeuroses serve same function
➢Differ only in shape
➢Tendons are cord-like; aponeuroses are flat
•Retinacula: bands of connective tissue
➢Around tendons to keep them in place
➢May function as pulleys for tendons
Endomysium
around muscle/muscle group
Perimysium
around fascicle
➢Allows for vascularization/innervation
Epimysium
around muscle fibers in the fascicle
Tendons
dense bands of connective tissue
➢Attach muscles to bones
Aponeurosis
broad/flat tendons
➢Tendons and aponeuroses serve same function
➢Differ only in shape
➢Tendons are cord-like; aponeuroses are flat
Retinacula
bands of connective tissue
➢Around tendons to keep them in place
➢May function as pulleys for tendons
Parts of a Skeletal Muscle
Belly: wide central portion
➢Contains sarcomeres
•Origin: attachment on less movable bone
➢Often more medial/proximal
•Insertion: attachment on more movable bone
➢Often more lateral/distal
➢Insertions move toward origins
➢Opposite can occur, called functional reversibility
Muscle belly
wide central portion
➢Contains sarcomeres
Origin
attachment on less movable bone
➢Often more medial/proximal
Insertion
attachment on more movable bone
➢Often more lateral/distal
➢Insertions move toward origins
➢Opposite can occur, called functional reversibility
functional reversibility
Origin and insertion reversed roles
Muscle contraction
development of tension in muscle fibers through cross bridging
➢Sliding filament model: schema describing muscle contraction
•Muscle fibers shorten or lengthen, then return to their precontraction state
Sliding filament model
schema describing muscle contraction
•Muscle fibers shorten or lengthen, then return to their precontraction state
Cross Bridging
Begins with excitation by a motor neuron
•Thick filaments cross and bridge gap between them and the thin filaments
•Thick filaments attach and slide the thin filaments toward the sarcomere’s center
➢This shortens I bands and H zones, and pulls Z lines together
•The neuromuscular junction facilities excitation
Neuromuscular Junction
Motor neuron: presynaptic structure that transmits impulses to muscle fibers
➢Acetylcholine (ACH): neurotransmitter of contraction
•Synaptic gap (synapse): space between motor neuron and motor end plate
•Motor end plate: folded sections of sarcolemma
➢Contains receptor sites for ACH
Acetylcholine (ACH)
neurotransmitter of contraction
Synaptic gap (synapse)
space between motor neuron and motor end plate
Motor end plate
folded sections of sarcolemma
➢Contains receptor sites for ACH
Excitation of the Motor End Plate
Binding of ACH to receptors on motor end plate causes excitation of muscle fiber
•Impulse travels through T tubules into the SR
➢SR releases calcium
➢Calcium enters the sarcoplasm containing sarcomeres
Contraction
Troponin and tropomyosin slide off to expose binding sites on actin
➢This allow cross bridging
•Myosin heads attaches to actin and slides it toward the center of the sarcomere
➢Called the power stroke
•If ATP is present, myosin heads detach, toggle back, reattach to repeat power stroke
•Power strokes will continue if Ca is present
Power stroke
•Myosin heads attaches to actin and slides it toward the center of the sarcomere
•If ATP is present, myosin heads detach, toggle back, reattach to repeat power stroke
•Power strokes will continue if Ca is present
Relaxation
Released calcium is pumped back into SR
•Troponin/tropomyosin slide back
➢This covers binding sites on actin
•Myosin heads return to precontraction state
•Muscle is now at rest
Motor unit
single motor neuron and all muscle fibers it innervates
➢Motor neuron may connect to anywhere between 2 and 2000 muscle fibers
All-or-none law
when a muscle fiber receives a stimulus to contract, it will contract to its fullest ability or not contract at all
➢True for motor units, NOT entire muscle
Recruitment
Process of motor unit activation based on units needed to perform an action
➢If more strength is needed, more units are recruited
Energy Sources for Contraction
Main sources: adenosine triphosphate, glucose, and oxygen
Adenosine triphosphate (ATP)
➢Cell’s energy molecule
➢Produced by mitochondria
Glucose
used to produce ATP
Myoglobin
respiratory pigment
➢Stores oxygen
Muscle fatigue
decline in ability of muscles to generate force
➢Occurs when muscles run out of ATP, glucose, or oxygen
Delayed-onset muscle soreness
temporary muscle damage/inflammation after physical activity
Types of Contractions
•Isotonic: muscle length changes; involves movement
➢Dynamic contractions
➢Concentric: muscle shortens
➢Eccentric: muscle lengthens
•Isometric: muscle length remains the same; no movement occurs
➢Static contractions
Isotonic
muscle length changes; involves movement
➢Dynamic contractions
➢Concentric: muscle shortens
➢Eccentric: muscle lengthens
Isometric
muscle length remains the same; no movement occurs
➢Static contractions
Types of Muscle Fibers
Muscles/muscle fibers can be classified:
➢Structurally by amount of myoglobin, mitochondria, and blood vessels
•Type 1 and type 2
➢Functionally by rate of contraction and fatigue
•Slow twitch and fast twitch
Type 1 (Red/Slow Twitch)
Has large amounts of mitochondria, myoglobin, and blood capillaries
➢Red muscle: characteristics makes them appear red
➢Greater capacity for slow or sustained contraction and take longer to fatigue
➢Most postural or core muscles are type 1
Type 2 (White/Fast Twitch)
•Fewer mitochondria, myoglobin, and blood capillaries
➢White muscle: characteristics makes them appear lighter in color
➢More suited for movement, contracts faster, for shorter periods of time, and fatigues more quickly
➢Most phasic or dynamic muscles are type 2.
Postural Muscles
involved in maintaining an upright posture
➢Ex: spinal and calf muscles
Phasic muscles
responsible for movement
➢Ex: glutes and shoulder muscles
Classifying Muscles
•Muscles can be classified by their
➢Shape
➢Actions they provide
➢Number of joints they cross
➢Lever system used to produce movement
Classifying Muscles by Levers
➢Load: weight of body/object to be moved
➢Pull: effort or muscle contraction needed to move the bone or lever
➢Fulcrum: joint
•Lever systems organized by the arangments of the load, pull, and fulcrum
Class 1-3
•Class 1: fulcrum/joint positioned between load and pull or muscle (L-F-P)
➢Ex: seesaw or scissors
•Class 2: pull/muscle at one end, load in middle, fulcrum/joint at other end (P-L-F)
➢Ex: wheelbarrow
•Class 3: load at one end, pull/muslc in middle, fulcrum/joint at other end (L-P-F)
➢Ex: shovel
➢Most common arrangement
Load (lever system)
weight of body/object to be moved
Pull (lever system)
effort or muscle contraction needed to move the bone or lever
Fulcrum (lever system)
joint
Class 1 (lever system)
fulcrum/joint positioned between load and pull or muscle (L-F-P)
➢Ex: seesaw or scissors
Class 2 (lever system)
pull/muscle at one end, load in middle, fulcrum/joint at other end (P-L-F)
➢Ex: wheelbarrow
Class 3 (lever system)
load at one end, pull/muslc in middle, fulcrum/joint at other end (L-P-F)
➢Ex: shovel
➢Most common arrangement
Classifying Muscles by Shape
•Muscles can be classified by shape
➢Ex: parallel, convergent, spiral, circular, pennate
•Some muscles fall into several categories
➢Ex: pectoralis major in chest can be convergent or spiral
Parallel/fusiform
fibers parallel and pull in one direction
➢Most are this type
➢Fusiform: spindle shaped, tapered ends, with larger central region or belly
•Ex: biceps brachii
➢Nonfusiform: more rectangular shaped with constant diameter
•Ex: rectus abdominis
Fusiform
spindle shaped, tapered ends, with larger central region or belly
•Ex: biceps brachii
Nonfusiform
more rectangular shaped with constant diameter
•Ex: rectus abdominis
Convergent
fibers join at one end and spread out at other end; fanlike
➢Allows for more movement
➢Often has triangular shape
➢Ex: pectoralis major
spiral
twist between points of attachment
➢Ex: latissimus, levator scapulae
Circular
rounded fiber arrangement
➢Cause an opening to become smaller
➢Ex: orbicularis oris, orbicularis oculi
Pennate
•Fibers emerge diagonally from one or more central tendons
➢Unipennate: muscle fibers on same side of tendon
➢Bipennate: muscles fibers on both sides of tendon
➢Multipennate: muscles have several tendons within the muscle with fibers running diagonally between them
Unipennate
muscle fibers on same side of tendon
Bipennate
muscles fibers on both sides of tendon
Multipennate
muscles have several tendons within the muscle with fibers running diagonally between them
Classifying Muscles by Action
•Prime movers/agonists: muscles causing the desired action
•Synergists: assist prime movers
➢Performs same movement at the same time
•Fixators/stabilizers: stabilize joints or maintains posture
•Antagonists: lengthen while prime movers and their synergists perform desired action
Prime movers/agonists
muscles causing the desired action
Synergists
assist prime movers
➢Performs same movement at the same time
Fixators/stabilizers
stabilize joints or maintains posture
Antagonists
lengthen while prime movers and their synergists perform desired action
Classifying Muscle by
Number of Joints Crossed
•When a muscle crosses a joint, it acts on the joint to create movement
➢Uniarticular: crosses one joint
➢Biarticular: crosses two joints
➢Multiarticular: crosses three or more joints
Uniarticular
crosses one joint
Biarticular
crosses two joints
Multiarticular
crosses three or more joints
Muscular Pathologies
•Fibromyalgia syndrome
•Headaches
➢Tension, migraine, and cluster headaches
•Myofascial pain syndrome
•Plantar fasciitis
•Shin splints (medial tibial stress syndrome)
•Strain
•Tendinopathies
➢Tendonitis, tendinosis, tenosynovitis, and epicondylitis
•Rotator cuff tears and impingement syndrome
•Torticollis
•Whiplash-associated disorders
Fibromyalgia syndrome (FMS)
a chronic condition characterized by widespread pain and joint stiffness, restless sleep, and chronic fatigue. "Widespread" is defined as pain. on both sides of the body, and above and below the waist Individuals with FMS also experience headaches, lack of concentration, bowel dysfunction, temporomandibular dis-orders, and mood problems ranging from anxiety to depression.
Headaches
pain or discomfort in the face, head, or neck.
Primary headaches are not caused by an underlying condition, disorder, or pathology.
Tension headaches, migraine headaches, and cluster headaches are primary headaches.
Tension (headache)
the most common type and usually has a band-like or bilateral pattern with non-throbbing pain ranging from mild to moderate.
pain may occur frequently and does not worsen during routine daily activities such as bending over or walking upstairs.