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REHAB 350
Muscular System
Muscle Tissue | |
---|---|
Skeletal muscle | -voluntary, striated (due to actin & myacin), cells are cylindrical and function is so move bones of skeleton. |
Smooth muscle | Involuntary, cell is fusiform in shape, located in walls of hollow internal structures, regulated by neurons and hormones |
Cardiac muscle | Involuntary, striated, cells joined via intercollated discs. Forms most of the heart's walls. Built-in rhythm called autorhythmicity. |
Excitability | Ability for muscle cell to respond to stimuli by producing action potentials. |
Contractility | Ability of a muscle to contract and create tension when stimulated by an action potential. |
Extensilibility | Ability of a muscle to stretch and contract forcefully without injury. |
Elasticity | Ability for a muscle to return to its original length and shape following a contraction or extension. |
Fascia | Fibrous connective tissue that supports and surrounds organs. |
Epimysium | Dense irregular connective tissue that covers the outer most layer of a muscle. |
Perimysium | Dense irregular connective tissue that surrounds groups of individual fibers (known as fascicles). |
Endomysium | Sheet of areolar connective tissue that surrounds one individual muscle fiber. |
Tendon | Dense irregular connective tissue that extends from the epimysium, perimysium and endomysium and attaches a muscle to the periosteum covering the bone. |
Aponeurosis | A broad flat sheet of connective tissue. |
Tendon (synovial) sheaths | Tubes of fibrous connective tissue that surround tendons of the wrist and ankles. |
How is a muscle named? | Size, shape, location, action, direction of fibers, combination. |
Agonist (prime mover) | Muscle or group of muscles causing the prime movement around a joint. |
Antagonist | Muscle of group of muscles whose action is opposite to that of the agonist muscle. |
Synergist | A muscle or group of muscles that assists in preventing unwanted movements or aids with the prime mover. |
Fixator | A group of muscles that stabilize the joint in order for the prime mover to be more efficient. |
Origin (proximal) | Is the stationary point to which the opposite end of the muscle moves towards by contracting. |
Insertion (distal) | Is the point furthest from its stationary attachment. |
What are the extrinsic muscles that suspend the scapula from the trunk? | Trapezius, levator scapulae, rhomboids, serratus anterior, pectoralis minor |
What are the muscles attaching the trunk to the humerus? | Latissimus dorsi and the pectoralis major |
Where does the trapezius originate? | It originates from: Superior - external occipital protuberance, superior nuchal line, and ligamentum nuchae Middle - spinous processes C7 - T5 Inferior - spinous processes T6 - T12 |
Where does the trapezius insert? | Insertion: clavicle, acronium, and spine of scapula. |
What actions does the trapezius perform? | Superior - elevate the scapula Middle - retract scapula Inferior - depress scapula Superior + inferior - laterally rotate scapula. |
Where does the levator scapulae originate? | It originates from: Transverse processes of C1-C4 vertebrae |
Where does the levator scapulae insert? | Superior border of scapula, above root of spine. |
What actions does the levator scapulae perform? | Elevates and medially rotates the scapula. |
Where does the rhomboids originate? | It originates from: Major - spinous processes T2 - T5 Minor - ligamentum nuchae and spinous processes C7 - T1 |
Where does the rhomboids insert? | Medial border of scapula from root of spine (minor) to inferior angle of scapula (major). |
What actions does the rhomboids perform? | Retracts and medially rotates the scapula. |
Where does the serratus anterior originate? | It originates from: ribs 1 - 8 (external surface) |
Where does the serratus anterior insert? | Medial border of scapula anterior border |
What actions does the serratus anterior perform? | Protracts, laterally rotates and holds scapula against thoracic wall. |
Where does the pectoralis minor originate? | It originates from: Ribs 2 - 5 |
Where does the pectoralis minor insert? | Coracoid process |
What actions does the pectoralis minor perform? | It draws scapula forward and downwards |
Where does the Latissimus dorsi originate? | It originates from: Spinous process T6 - T12 Thoracolumbar fascia Iliac crest Lower 3 - 4 ribs Inferior angle of scapula |
Where does the latissimus dorsi insert? | Floor of bicipital (intertuberclular) groove. |
What actions does the latissimus dorsi perform? | Adducts and medially rotates arm |
Where does the pectoralis major originate? | It originates from: Clavicular head - medial 1/2 of clavicle Sternal head - sternum, first 6 costal cartilages |
Where does the pectoralis major insert? | Lateral lip bicipital groove. |
What actions does the pectoralis major perform? | Adduction, medial rotation, flexion and extension. |
What are the muscles that attach the humerus to the scapula? | Scapular Muscles (2) and the Rotator Cuff Muscles (4) |
What are the scapular muscles? | (1) Deltoid and (2) Teres Major |
What are the Rotator Cuff muscles? | (1) Supraspinatus (2) Infraspinatus (3) Teres Minor (4) Subscapularis |
Where does the deltoid originate? | It originates from: Anterior - lateral 1/3 clavicle Middle - Acronium Posterior - spine of scapula |
Where does the deltoid insert? | Deltoid tuberosity |
What actions does the deltoid perform? | Anterior - flex and medially rotate shoulder Middle - Abduct Posterior - Extend and laterally rotate shoulder |
Where does the teres major originate? | It originates from: Inferior angle and adjacent lateral border of the scapula |
Where does the teres major insert? | Medial lip bicipital (intertubercular) groove |
What actions does the teres major perform? | Adducts, medially rotates and extends the arm |
Where does the supraspinatus originate? | It originates from: Supraspinous fossa |
Where does the supraspinatus insert? | Greater tubercle (superior facet) |
What actions does the supraspinatus perform? | Abducts humerus first 15 - 20 degrees, after abduction is initiated then the deltoid can also abduct the arm. |
Where does the infraspinatus originate? | It originates from: Infraspinus fossa |
Where does the infraspinatus insert? | Greater tubercle (middle facet) |
What actions does the infraspinatus perform? | Lateral rotation of humerus |
Where does the teres minor originate? | It originates from: Lateral border of scapula |
Where does the teres minor insert? | Greater tubercle (inferior facet) |
What actions does the teres minor perform? | It laterally rotates the humerus |
Where does the subscapularis originate? | It originates from: Subscapular fossa |
Where does the subscapularis insert? | Lesser tubercle |
What actions does the subscapularis perform? | Medial rotation of humerus |
What are the abdominal muscles? | (1) Rectus Abdominus (2) External Abdominal Oblique (3) Internal Abdominal Oblique (4) Transversus Abdominus |
Where does the rectus abdominus originate? | It originates from: Pubic symphysis and the pubic crest |
Where does the rectus abdominus insert? | Xiphoid process and 5th -7th costal cartilage |
What actions does the rectus abdominus perform? | Flexes the trunk and helps compress the internal viscera |
Can the rectus abdominus be palpated? | Yes, it can be palpated inferior to the xiphoid process. |
Where does the external abdominal oblique originate? | It originates from: External surface inferior border of the 5th - 12th ribs |
Where does the external abdominal oblique insert? | It inserts into the anterior 1/2 iliac crest, linea aspera and the pubic tubercle. |
What actions does the external abdominal oblique muscles perform? | Flex and rotate the trunk, as well as help to compress the internal viscera. |
Where does the internal abdominal oblique originate? | It originates from: Iliac crest, thoracolumbar fascia, and the inguinal ligament. |
Where does the internal abdominal oblique insert? | It inserts in the ribs 10 - 12, linea aspera and the pubic bone |
What actions does the internal abdominal oblique muscles perform? | Flex and rotate the trunk, as well as help to compress the internal viscera. |
Where does the transversus abdominus originate? | It originates from: Internal surfaces of 7th - 12th costal cartilage, iliac crest, thoracolumbar fascia and the inguinal ligament |
Where does the transversus abdominus insert? | Linea aspera and pubic crest |