Muscular System Notes

Muscular System Functions (M2RPC3)

  • Movement of the body.
  • Maintenance of posture.
  • Respiration.
  • Production of body heat.
  • Communication.
  • Constriction of organs and vessels.
  • Contraction of the heart.

Characteristics of Skeletal Muscle

  • Constitutes approximately 40% of body weight.
  • Muscles are attached to the skeletal system.
  • Also called Striated Muscle due to transverse bands or striations.

Major Functional Characteristics of Skeletal Muscle

  • Contractility: ability to shorten with force.
  • Excitability: capacity to respond to a stimulus.
  • Extensibility: ability to be stretched to their normal resting length.
  • Elasticity: ability to recoil to their original resting length.

Skeletal Muscle Structure

Connective Tissue Coverings

  • Epimysium/Muscular fascia: connective tissue sheath that surrounds a skeletal muscle.
  • Muscle fasciculi: numerous visible bundles that make up the muscle.
  • Perimysium: loose connective tissue that surrounds the muscle fasciculi.
  • Muscle fibers: several muscle cells that compose a fasciculus.
  • Endomysium: loose connective tissue that surrounds a muscle fiber.

Muscle Fiber Structure

  • Sarcolemma: cell membrane of the muscle fiber.
  • Transverse tubules (T tubules): tube-like invaginations which occur at regular intervals along the muscle fiber.
  • Sarcoplasmic reticulum: highly organized smooth endoplasmic reticulum with a relatively high concentration of Ca2+Ca^{2+} (for muscle contraction).
  • Sarcoplasm: cytoplasm of a muscle fiber.
  • Myofibrils: threadlike structures composed of:
    • Actin Myofilaments (thin filaments; purple).
    • Myosin Myofilaments (thick filaments; green).
  • Sarcomere: highly ordered, repeating units of actin + myosin myofilaments; joined end to end to form the myofibril.
Actin and Myosin Myofilaments
  • Troponin molecules: binding sites for Ca2+Ca^{2+}; attached at specific intervals along the actin myofilaments.
  • Tropomyosin filaments: cover the attachment sites on the actin myofilaments; located along the groove between the twisted strands of actin myofilaments.
  • Myosin heads: resemble golf club heads;
    • Bind to attachment sites.
    • Bend and straighten.
    • Break down ATP.
Sarcomere
  • Basic structural and functional unit of skeletal muscle.
  • Z disk: network of protein fibers forming an attachment site for actin myofilaments.
  • I band: consists of actin myofilaments; spans each Z disk.
  • A band: darker, central region that extends the length of the myosin myofilaments.
  • H zone: second light zone that consists of myosin myofilaments.
  • M line: dark-staining bands.
  • The arrangement of actin and myosin filaments in sarcomeres gives the myofibrils a banded appearance.
  • The alternating I bands and A bands of the sarcomeres are responsible for the striations in the skeletal muscle fibers.
Excitability of Muscle Fibers
  • Resting membrane potential: cell membranes have a negative charge on the inside relative to a positive charge outside; occurs because there is an uneven distribution of ions.
    1. Concentration of K+K^+ inside the cell membrane > outside the cell membrane.
    2. Concentration of Na+Na^+ outside the cell membrane > inside the cell membrane.
Different types of Ion Channels
  • Nongated/Leak channels: always open.
  • Chemically gated channels: closed until a chemical binds them and stimulates them to open.
  • Depolarization: the inside of the cell membrane comes more positive than the outside of the cell; Na+Na^+ ions move into cells.
  • Repolarization: the change back to the resting membrane potential; K+K^+ ions move out of cells.
  • Action Potentials: the rapid depolarization and repolarization of the cell membrane; results in muscle contraction.

Nerve Supply

  • Motor neurons: specialized nerve cells that stimulate muscles to contract.
  • Neuromuscular junction: a branch that forms a junction with a muscle fiber.
  • Synapse: cell-to-cell junction between a nerve cell and another nerve cell/effector cell.
  • Motor unit: a single motor neuron and all the skeletal muscle fibers it innervates.
  • Presynaptic terminal: enlarged axon terminal.
  • Synaptic cleft: the space between the presynaptic terminal and the muscle fiber membrane.
  • Postsynaptic membrane: the muscle fiber membrane.
  • Synaptic vesicles: presynaptic terminal that contains small vesicles.
  • Acetylcholine (ACh): neurotransmitter contained in the vesicles; a molecule released by a presynaptic nerve cell that stimulates/inhibits a postsynaptic cell.
  • Acetylcholinesterase: an enzyme that rapidly breaks down the acetylcholine in the synaptic cleft between the neuron and the muscle fiber.

Muscle Contraction

  • Sliding filament model: sliding of actin myofilaments past myosin myofilaments during contraction.
  • Cross-bridges: myosin heads attach to the myosin attachment sites on the actin myofilaments.

Muscle Twitch, Summation, Tetanus, Recruitment

  • Muscle Twitch: contraction of a muscle fiber in response to a stimulus.
    1. Lag/Latent Phase: time between the application of a stimulus and the beginning of contraction.
    2. Contraction Phase: time during which the muscle contracts.
    3. Relaxation Phase: time during which the muscle relaxes.
  • Summation: the force of contraction of an individual muscle fiber is increased by rapidly stimulating them.
  • Tetanus: convulsive tension; a sustained contraction that occurs when the frequency of stimulus is so rapid that no relaxation occurs. Caused by Ca2+Ca^{2+} build up in the myofibrils.
  • Recruitment: the number of muscle fibers contracting is increased by the increasing number of motor units stimulated + muscle contracts with more force.
  • Stimulus frequency: number of times a motor neuron is stimulated per second.

Energy Requirement for Muscle Contraction

  • Aerobic Respiration: requires O<em>2O<em>2; breaks down glucose to produce ATP, CO</em>2CO</em>2, H2OH_2O.
  • Anaerobic respiration: doesn’t require O2O_2; breaks down glucose to yield ATP and lactic acid.
  • Creatine phosphate: high-energy molecule that can be stored in muscle fibers.

Fatigue

  • A state of reduced work capacity.

Muscular Fatigue

  • When muscle fibers use ATP faster than they are produced; when the effectiveness of Ca2+Ca^{2+} to stimulate actin + myosin is reduced.
  • Physiological contracture: muscles may become incapable of either contracting or relaxing.
  • Psychological fatigue: involves the CNS; an individual perceives that continued muscle contraction is impossible.

Type of Muscle Contractions

  • Isometric contractions: equal distance; length of the muscle does not change; the amount of tension increases during the contraction process.
  • Isotonic contraction: equal tension; the amount of tension produced by the muscle is constant during contraction; length of the muscle decreases.
    • Concentric contractions: isotonic; muscle tension increases as the muscle shortens.
    • Eccentric contractions: isotonic; tension is maintained in a muscle; the opposing resistance causes the muscle to lengthen.

Muscle Tone

  • Constant tension produced by body muscles over long periods of time.
  • Responsible for keeping the back and legs straight, the head in an upright position, and the abdomen from bulging.

Slow-Twitch and Fast-Twitch Fibers

Classification of Muscle Fiber

  1. Slow Twitch: contains type I myosin; contracts slowly and resistant to fatigue respiration
  2. Fast Twitch
    • Type IIa – intermediate speed; more fatigue resistant than type IIb.
    • Type IIb – contract 10x faster than type I.
  • Myoglobin: stores oxygen temporarily.
  • Hypertrophy: enlarging of muscle fibers.
  • Satellite cells: undifferentiated cells just below the endomysium.
  • Autorhythmicity: resulting periodic spontaneous contraction of smooth muscle.
  • Intercalated disks: specialized structures that facilitate action potential conduction between cells.

Skeletal Muscle Anatomy

General Principles

  • Tendon: muscle connected to a bone.
  • Aponeuroses: broad, sheet like tendons.
  • Retinaculum: a band of connective tissue that holds down the tendons at each wrist and ankle.
  • Origin: head; most stationary end of the muscle.
  • Insertion: end of the muscle attached to the bone undergoing the greatest movement.
  • Belly: part of the muscle between the origin & the insertion.
  • Agonist: muscle that accomplishes a certain movement.
  • Antagonist: muscle acting in opposition to an agonist.
  • Synergists: a group of muscles working together to produce a movement.
  • Prime Mover: muscle that plays the major role in accomplishing desired movement.
  • Fixators: muscles that hold one bone in place relative to the body.

Nomenclature

  1. According to Location: temporalis, frontalis, pectoralis, brachialis.
  2. According to Origin and Insertion: sterno (sternum), cleido (clavicle), mastoid (mastoid process), brachio (arm), radialis (radius).
  3. According to Number of Origin: biceps (2), triceps, quadriceps.
  4. According to Function: flexor (flexion).
  5. According to Size: maximus (largest), minimus (smallest), vastus (large).
  6. According to Shape: deltoid (triangle), orbicularis (circular).
  7. Orientation of Fasciculi: rectus (straight).

Muscles of the Head and Neck

Facial Expression

  • Occipitofrontalis: raises the eyebrows.
  • Orbicularis oculi: encircle the eyes, tightly close the eyelids, and causes crow’s feet wrinkles.
  • Orbicularis oris: encircles the mouth.
  • Buccinator: kissing muscles; pucker the mouth; flattens the cheeks in whistling/blowing.
  • Zygomaticus: elevate the upper lip and corner of the mouth.
  • Levator labii superioris: sneering; elevates one side of the upper lip.
  • Depressor anguli oris: frowning & pouting; depresses the corner of the mouth.

Mastication (for chewing)

  • Temporalis: fan-shaped muscle
  • Masseter: seen & felt on the side of the head.
  • Pterygoid (paired): protraction, excursion, elevation of mandible.

Tongue and Swallowing Muscles

  • Intrinsic muscles: located within the tongue and change its shape.
  • Extrinsic muscles: attached to and move the tongue.
  • Hyoid muscles: hold the hyoid bone; elevate the larynx.
  • Pharyngeal elevators: elevate the pharynx.
  • Pharyngeal constrictors: constrict the pharynx from superior to inferior (forcing food into the esophagus); also open the auditory tube.

Neck Muscles

  • Sternocleidomastoid: prime mover of the lateral muscle group; rotates the head; flexes the neck or extends the head; prayer muscle.
  • Torticollis: wryneck; injury to the sternocleidomastoid.
  • Deep neck muscles : flexes/extends head and neck
  • Trapezius: extends and laterally flexes neck.

Trunk Muscles

Muscles Moving the Vertebral Column

  • Erector spinae: responsible for keeping the back straight and the body erect.
  • Deep back muscles: responsible for several movements of the vertebral column.
  • External intercostal: elevate the ribs during inspiration.
  • Internal intercostal: contract during forced expiration, depressing the ribs.
  • Diaphragm: major movement produced in the thorax during quiet breathing.
  • Scalenes: inspiration and rib elevation.

Abdominal Wall Muscles

  • Linea alba: tendinous area of the abdominal wall that consists of white connective tissue.
  • Rectus abdominis: located on each side of the linea alba.
  • Tendinous intersections: causes the abdominal wall of a lean, well-muscled person to appear segmented.
  • External/Internal abdominal oblique & Transversus abdominis: flex and rotate the vertebral column or compress the abdominal contents.

Pelvic Floor and Perineal Muscles

  • Pelvic Floor: pelvic diaphragm.
  • Levator ani: muscle that forms the pelvic floor.
  • Perineum: associated with the male/female reproductive structures.
  • Perineum bulbospongiosus: constricts the urethra; erects the penis, clitoris.
  • Perineum ischiocavernosus: compresses the base of penis/clitoris.
  • Perineum external anal sphincter: keeps the orifice of the anal canal closed.

Upper Limb Muscles

Scapular Movements

  • Attach the scapula to the thorax and move the scapula.
  • Acts as fixators to hold the scapula firmly in position when the muscle of the arm contract.
  • Move the scapula into different positions.
    • Trapezius.
    • Levator scapulae.
    • Rhomboids.
    • Serratus anterior.
    • Pectoralis minor.

Arm Movements

  • Pectoralis major: adducts the arm and flexes the shoulder; extend the shoulder from a flexed position.
  • Latissimus dorsi: swimmer’s muscle; medially rotates and adducts the arm and powerfully extends the shoulder.
  • Rotator cuff muscles: attached the humerus to the scapula and forms a cuff/cap over the proximal humerus.
  • Deltoid: attaches the humerus to the scapula and clavicle; major abductor of the upper limb.

Forearm Movements

  • Triceps brachii: primary extensor of the elbow.
  • Biceps brachii & brachialis: primary flexors of the elbow.
  • Brachioradialis: posterior forearm muscle; helps flex the elbow.

Supination and Pronation

  • Supinator: supination of the forearm or turning the flexed forearm so that the palm is up.
  • Pronator: pronation, turning other forearm so that the palm is down.

Wrist and Finger Movements

  • Retinaculum: fibrous connective tissue that covers the flexor & extensor tendons and holds them in place around the wrist.
  • Flexor carpi: flexes the wrist.
  • Extensor carpi: extends the wrist.
  • Flexor digitorum: flexor of the digits/fingers.
  • Extensor digitorum: extension of the fingers.
  • Intrinsic hand muscles: 19 muscles located within the hand.
  • Interossei: responsible for abduction and adduction of the fingers.
  • Tennis elbow: inflammation and pain due to forceful, repeated contraction of the wrist extensor muscles.
  • Palmus longus: tightens palm skin.

Lower Limb Muscles

Thigh Movements

  • Iliopsoas: flexes the hip
  • Tensor fasciae latae: helps steady the femur on the tibia when a person is standing.
  • Gluteus maximus: extends the hip; adducts and laterally rottes the thigh; contributes most of the mass.
  • Gluteus medius: extends the hip when the thigh is flexed at a 45o45^o angle; common site for injections in the buttocks (sciatic nerve lies deep to the g. maximus).

Leg Movements

  • Quadriceps femoris: primary extensors of the knee.
  • Sartorius: tailor’s muscle; longest muscle in the body; flexes the hip and knee; rotates the thigh laterally for sitting cross legged.
  • Hamstring muscles: flexing the knee.
  • Adductor muscles: adducting the thigh.

Ankle and Toe Movements

  • Gastrocnemius & Soleus: form the bulge of the calf.
  • Calcaneal tendon: Achilles tendon; flexors and are involved in plantar flexion of the foot.
  • Fibularis muscles: primary everters of the foot; aid in plantar flexion.
  • Intrinsic foot muscles: flex, extend, abduct, and adduct the toes
  • Extensor digitorum longus: extends 4 lateral toes, everts foot.
  • Extensor halluces longus: extends great toe; inverts foot.
  • Tibialis anterior: inverts foot.
  • Fibularis tertius: everts foot.
  • Flexor digitorum longus: flexes 4 lateral toes, inverts foot.
  • Flexor halluces longus: flexes great toe, inverts foot.
  • Tibialis posterior: inverts foot.
  • Fibularis brevis: everts foot.
  • Fibularis longus: everts foot.

Effects of Aging on Skeletal Muscle

  • Decreased muscle mass.
  • Slower reaction time.
  • Reduced stamina.
  • Increased recovery time.

Types of Muscular Tissue

  1. Skeletal (striated voluntary)
    • Large, long, cylindrical cells.
    • Multinucleated.
    • Attached to bones.
    • Responsible for body movement.
  2. Cardiac (striated involuntary)
    • Cylindrical cells.
    • Branched and connected to one another by intercalated disks.
    • Single nucleated.
    • Found in the heart.
    • Pumps the blood.
  3. Smooth (nonstriated involuntary)
    • End tapered cells.
    • Single nucleated.
    • Found in hollow organs: stomach, intestine; skin, eyes.
    • Regulates size of organs, forces fluid through tubes, controls the amount of light entering the eye, produces ‘goose bumps’.