The muscular system I - medicinebau.com · Muscles of the Neck: Head Movements Major head flexor is...

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Dr. Nabil Khouri The muscular system I “Muscles of the head neck and trunk” Dr. Nabil Khouri MD MSc, PhD

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Page 1: The muscular system I - medicinebau.com · Muscles of the Neck: Head Movements Major head flexor is the sternocleidomastoid muscle Synergists to head flexion are the suprahyoid and

Dr. Nabil Khouri

The muscular system I

“Muscles of the head neck

and trunk”

Dr. Nabil Khouri MD MSc, PhD

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Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Interactions of Skeletal Muscles

Skeletal muscles work together or in

opposition

Muscles only pull (never push)

All muscles have an Origin and Insertion

Origin of a muscle is close to body center

Insertion is far from body center.

As muscles shorten, the insertion generally

moves toward the origin

Whatever a muscle (or group of muscles)

does, another muscle (or group) “undoes”

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Muscle Classification: Functional Groups

Prime movers – provide the major force for producing

a specific movement

Antagonists – oppose or reverse a particular

movement

Synergists

Add force to a movement

Reduce undesirable or unnecessary movement

Fixators – synergists that immobilize a bone or

muscle’s origin

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Naming Skeletal Muscles

Location of muscle – bone or body region associated with the muscle

Shape of muscle – e.g., the deltoid muscle (deltoid = triangle)

Relative size – e.g., maximus (largest), minimus (smallest), longus (long)

Direction of fibers – e.g., rectus (fibers run straight), transversus, and oblique (fibers run at angles to an imaginary defined axis)

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Naming Skeletal Muscles

Number of origins – e.g., biceps (two origins) and

triceps (three origins)

Location of attachments – named according to point

of origin or insertion

Action – e.g., flexor or extensor, as in the names of

muscles that flex or extend, respectively

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Arrangement of Fascicles

Parallel – fascicles run parallel to the long axis of the muscle (e.g., sartorius)

Fusiform – spindle-shaped muscles (e.g., biceps brachii)

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Arrangement of Fascicles

Pennate – short

fascicles that attach

obliquely to a central

tendon running the

length of the muscle

(e.g., rectus femoris)

Convergent – fascicles

converge from a

broad origin to a

single tendon

insertion (e.g.,

pectoralis major)

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Arrangement of Fascicles

Circular – fascicles

are arranged in

concentric rings

(e.g., orbicularis oris)

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Bone-Muscle Relationships:

The Lever Systems

Lever – a rigid bar that moves on a fulcrum, or fixed point

Effort – force applied to a lever

Load – resistance moved by the effort

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Lever Systems: Classes

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First class – the fulcrum is between the load and the effort

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Figure 10.3b

Lever Systems: Second class lever

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Third class lever

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Figure 10.3c

Third class lever:

the effort is applied between the fulcrum and the load

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Axial Muscles

Muscles of the head and Neck

Thoracic wall

Abdominal wall

Diaphragm

Muscles of the trunk:

Back

Appendicular muscles

Muscles of the upper limb

Muscles of the lower limb

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Muscles of the head and

neck

Dr. Nabil Khouri MD MSc, PhD

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Muscles of the Scalp

Occipito-frontalis

Epicranius (occipitofrontalis) – this muscle consists of two:

The Frontalis

The Occipitalis

Galea aponeurotica – cranial aponeurosis connecting the

two muscles

These two muscles have alternate actions of pulling the

scalp forward and backward

Dr. Nabil Khouri MD MsC, PhD

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Muscles of the Face

11 muscles are involved in lifting the eyebrows, flaring

the nostrils, opening and closing the eyes and mouth,

and smiling

All are innervated by cranial nerve VII (facial nerve)

Usually insert in skin (rather than bone), and adjacent

muscles often fuse

Dr. Nabil Khouri MD MsC, PhD

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Muscles of facial expression:

Change shape of eyes and mouth

Innervated by the 7th cranial nerve (facial nerve)

Bell,s palsy

Examples: Orbicularis oris muscle

Orbicularis oculi muscle

Frontalis muscle

Zygomatic muscle

Buccinator muscle

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Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Dr. Nabil Khouri MD MsC, PhD

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Muscles of mastication:

Move the mandible (insertion): open and close

(chewing)

Innervation by the 5th cranial nerve (trigeminal

nerve)

Masseter muscle: closes

Temporalis muscle: closes

Lateral Pterygoid muscle: opens

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Muscles of Mastication

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Muscles Of mastication

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Platysma muscle

Origin : from deep fascia

of pect. Major M

Insertion

lower mandible margin

Muscles of mouth angle

Anterior fibers cross to the

opposite side

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Muscles of the neck

Sternocleidomastoid muscle

Suprahyoid muscles

Infrahyoid muscles

Scalene muscles

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Muscles of the Neck

Dr. Nabil Khouri MD MSc, PhD

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Muscles of the Anterior Neck : Supra-hyoid

• These deep throat muscles form the floor of the oral cavity, anchor the tongue, elevate the hyoid, and move the larynx superiorly during swallowing

• For full discribtion regarding the origin and insetion and action of this groups of muscle:

• http://www.docstoc.com/docs/108855590/Muscles-of-Mastication-Muscles-of-the-Neck-Muscles-of-the-Thoracic

Dr. Nabil Khouri MD MsC, PhD

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Muscles of the Anterior Neck: Supra-hyoid

Supra-hyoid

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Muscles of the Anterior Neck : infra-hyoid

infra-hyoid

Dr. Nabil Khouri MD MSc, PhD

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Muscles of the Neck: Head Movements

Major head flexor is the sternocleidomastoid muscle

Synergists to head flexion are the suprahyoid and

infrahyoid

Lateral head movements are accomplished by the

sternocleidomastoid and the scalene muscles

Head extension is accomplished by the deep splenius

muscles and aided by the superficial trapezius

Dr. Nabil Khouri MD MsC, PhD

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Muscles of the Neck: Head Movements

Dr. Nabil Khouri MD MsC, PhD

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Muscles of the Trunk

Thoracic wall Muscles: Intercostal muscles

Diaphragm

Abdominal wall muscles

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Muscles of the Thorax: Respiratory muscles

The primary function of deep thoracic muscles is to promote movement for

breathing

External intercostals – more superficial layer that lifts the rib cage and

increases thoracic volume to allow inspiration

• Internal intercostals – deeper

layer that aids in forced expiration

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Muscles of the Thorax: Resp. Muscles

•Diaphragm – most important muscle in inspiration

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Muscles of the Abdominal Wall

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Muscles of the Abdominal Wall

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Muscles of the back

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Stabilization of the Scapulae

Elevators

Trapezius (upper)

Levator scapulae

Rotators

Rhomboid minor

Rhomboid major

Serratus anterior

Depressors

Trapezius (lower)

Pectoralis minor

(next slide)

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Latissimus dorsi

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Teres major

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Trunk Movements: Deep Back

Muscles

The prime mover of back extension is the erector

spinae

Erector spinae, or sacrospinalis, muscles consist of

three columns on each side of the vertebrae –

iliocostalis, longissimus, and spinalis

Lateral bending of the back is accomplished by

unilateral contraction of these muscles

Other deep back extensors include the semispinalis

muscles and the quadratus lumborum

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Trunk Movements: Deep Back Muscles