Third-class lever: load-effort-fulcrum arrangement (e.g., tweezers or forceps).
Levers in the Body
First-class lever: raises your head off your chest (posterior neck muscles provide the effort, the atlanto-occipital joint is the fulcrum, and the weight to be lifted is the facial skeleton).
Second-class lever: standing on tip-toe (effort by the calf muscles pulling upward on the heel, joints of the ball of the foot are the fulcrum, and the weight of the body is the load).
Third-class lever: flexing the forearm by the biceps brachii muscle (effort exerted on the proximal radius of the forearm, the fulcrum is the elbow joint, and the load is the hand and distal end of the forearm).
Mnemonic: FLE-123 (Fulcrum, Load, Effort and their positions for lever classes 1, 2, 3, respectively).
Mechanical Advantage
Mechanical Advantage (MAd) = Effort Arm (EA) / Resistance Arm (RA) MAd = \frac{EA}{RA}
If MAd > 1.0, the internal (muscle) force has the advantage; a small muscle force can overcome a larger resistance.
If MAd < 1.0, a larger amount of internal force is needed to overcome a smaller resistance, or a small amount of external resistance can overcome a larger amount of internal force.
Mechanical Advantage by Lever Class
Determining which lever class has a mechanical advantage depends on the ratio of Effort Arm (EA) to Resistance Arm (RA).
Clinical Application
Considering mechanical advantage/disadvantage during manual muscle testing (e.g., Quadriceps and Deltoids during knee extension/shoulder abduction).
Force Couples
Forces acting together to move an object around a pivot point.