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MUSCULAR SYSTEM
Learning Objectives
1. To know basic anatomy of muscle
2. Knowledge regarding nomenclature/
classification of muscles
3. Knowledge regarding basic facts of
functioning of muscles
Muscles are responsible for all types
of body movement – they contract or
shorten and are the machine of the
body
Three basic muscle types are found in the
body
Skeletal muscle
Cardiac muscle
Smooth muscle
Head and Neck Muscles
Slide 6.38
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 6.14
Trunk Muscles
Slide 6.39
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 6.15
Deep Trunk and Arm Muscles
Slide 6.40
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 6.16
Muscles of the Pelvis, Hip, and Thigh
Slide 6.41
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 6.18c
Superficial Muscles: Anterior
Slide 6.43
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 6.20
Superficial Muscles: Posterior
Slide 6.44
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 6.21
Čihák R., Anatomie 1, Grada Publishing a.s. 2001
Power & Range- Muscle
Contraction
Maximal power generated by a muscle finally
depends on
effective mass of contractile tissue i.e
number and diamentions of contained
fibres
Maximal range of contraction depends on
length of its fibres
Force and range acts at full advantage in
parallel fibres
Classification Of Muscles
A. By Fascicular Orientation
1.Parallel
2.Pennate
3 Spiral
4 Cruciate
1. Parallel ( Relative to muscle direction
of pull)
(a) Quadrilateral- Quadratus
lumborum,Thyrohyoid
(b)Long and strap like- Sartorius
(c) Strap like with tendinous intersection
Rectus abdominis
(d ) Fusiform- Biceps brachii
2. Pennate muscles
(a) Unipennate – Flexor Pollicis longus
(b)Bipennate- Rectus femoris, Dorsal
interossei of hand
(c )Multipennate - Deltoid
(d)Circumpennate- Tibialis anterior
Classification Of Muscles
3. Spiral
Supinator
4. Cruciate
Sternocledomastoid, Masseter
Classification Of Muscles
B. By Type Of Skeletal Muscle Fibre
1. Slow or Red fibres or type I fibres
2. Fast or White fibres or type II fibres
Classification Of Muscles
C. By Insertion near or away from joint
1. Shunt Muscle( Away from Joint )
2. Spurt Muscle ( Near Joint )
Nomenclature of Muscles
On Basis of :
1.Shape of muscle
Deltoid, Quadratus, Rhomboid, Lumbricals
2.Size
Major , minor , longus , brevis
3. Number Of Head
Biceps , triceps, Quadriceps femoris,
Digastric
Nomenclature
4. Position
Supraspinatus, Infraspinatus, Abdominis,
Oculi, oris
5.Depth
External oblique, Internal oblique
Flexor D. Superficialis, Flexor D.
Profundus
Nomenclature
6. Attachment : Sternocledomastoid,
coracobrachialis
7. Action : Flexor, Extensor, Abductor
Connective Tissue Wrappings of
Skeletal Muscle
Slide 6.4a
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Endomysium –
around single
muscle fiber
 Perimysium –
around a
fascicle
(bundle) of
fibers Figure 6.1
Connective Tissue Wrappings of
Skeletal Muscle
Slide 6.4b
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Epimysium –
covers the
entire skeletal
muscle
 Fascia – on the
outside of the
epimysium
Figure 6.1
Skeletal Muscle Attachments
Slide 6.5
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Epimysium blends into a connective
tissue attachment
Tendon – cord-like structure
Aponeuroses – sheet-like structure
 Sites of muscle attachment
Bones
Cartilages
Connective tissue coverings
Function of Muscles
Slide 6.8
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Produce movement
 Maintain posture
 Stabilize joints
 Generate heat
Microscopic Anatomy of Skeletal
Muscle
Slide 6.9a
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Cells are multinucleate
 Nuclei are just beneath the sarcolemma
Figure 6.3a
Microscopic Anatomy of Skeletal
Muscle
Slide 6.9b
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Sarcolemma – specialized plasma
membrane
 Sarcoplasmic reticulum – specialized
smooth endoplasmic reticulum
Figure 6.3a
Microscopic Anatomy of Skeletal
Muscle
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Myofibril
Bundles of myofilaments
Myofibrils are aligned to give distrinct bands
I band =
light band
A band =
dark band
Figure 6.3b
Microscopic Anatomy of Skeletal
Muscle
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Sarcomere
Contractile unit of a muscle fiber
Figure 6.3b
Microscopic Anatomy of Skeletal
Muscle
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Organization of the sarcomere
Thick filaments = myosin filaments
Composed of the protein myosin
Has ATPase enzymes
Figure 6.3c
Microscopic Anatomy of Skeletal
Muscle
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Organization of the sarcomere
Thin filaments = actin filaments
Composed of the protein actin
Figure 6.3c
Microscopic Anatomy of Skeletal
Muscle
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Myosin filaments have heads
(extensions, or cross bridges)
 Myosin and
actin overlap
somewhat
Figure 6.3d
Nerve Stimulus to Muscles
Slide 6.14
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Skeletal
muscles must
be stimulated
by a nerve to
contract (motor
neruron)
 Motor unit
One neuron
Muscle cells
stimulated by
that neuron Figure 6.4a
Muscle Response to Strong Stimuli
Slide 6.22
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Muscle force depends upon the number
of fibers stimulated
 More fibers contracting results in
greater muscle tension
 Muscles can continue to contract unless
they run out of energy
Muscles and Body Movements
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Movement is
attained due to
a muscle
moving an
attached bone
Figure 6.12
Muscles and Body Movements
Slide
 Muscles are
attached to at
least two points
Origin –
attachment to a
immoveable bone
Insertion –
attachment to an
movable bone
Types of Muscle Contractions
Slide 6.28
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Isotonic contractions
Myofilaments are able to slide past each
other during contractions
The muscle shortens
 Isometric contractions
Tension in the muscles increases
The muscle is unable to shorten
Muscle Tone
Slide 6.29
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Some fibers are contracted even in a
relaxed muscle
 Different fibers contract at different
times to provide muscle tone
 The process of stimulating various
fibers is under involuntary control
Effects of Exercise on Muscle
Slide 6.31
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Results of increased muscle use
Increase in muscle size
Increase in muscle strength
Increase in muscle efficiency
Muscle becomes more fatigue resistant
Types of Ordinary Body
Movements
Slide 6.32
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Flexion – decreases angle of joint and
brings two bones closer together
 Extension- opposite of flexion
 Rotation- movement of a bone in
longitudinal axis, shaking head “no”
 Abduction/Adduction (see slides)
 Circumduction (see slides)
Types of Muscles
Slide 6.35
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Prime mover – muscle with the major
responsibility for a certain movement
 Antagonist – muscle that opposes or
reverses a prime mover
 Synergist – muscle that aids a prime
mover in a movement and helps prevent
rotation
 Fixators
Naming of Skeletal Muscles
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Direction of muscle fibers
Example: rectus (straight)
 Relative size of the muscle
Example: maximus (largest)
Naming of Skeletal Muscles
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Location of the muscle
Example: many muscles are named
for bones (e.g., temporalis)
 Number of origins
Example: triceps (three heads)
Naming of Skeletal Muscles
Slide 6.37
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Location of the muscles origin and
insertion
Example: sterno (on the sternum)
 Shape of the muscle
Example: deltoid (triangular)
 Action of the muscle
Example: flexor and extensor (flexes or
extends a bone)
Smooth Muscle Characteristics
Slide 6.6
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Has no striations
 Spindle-shaped
cells
 Single nucleus
 Involuntary – no
conscious control
 Found mainly in
the walls of hollow
organs
 Slow, sustained
and tireless Figure 6.2a
Cardiac Muscle Characteristics
Slide 6.7
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Has striations
 Usually has a
single nucleus
 Joined to another
muscle cell at an
intercalated disc
 Involuntary
 Found only in the
heart
 Steady pace!
Figure 6.2b
Disorders relating to the
Muscular System
• Muscular Dystrophy: inherited, muscle
enlarge due to increased fat and connective
tissue, but fibers degenerate and atrophy
• Duchenne MD: lacking a protein to
maintain the sarcolemma
• Myasthemia Gravis: progressive weakness
due to a shortage of acetylcholine receptors
Eis, Jelínek, Špaček, Histopatologický atlas, Praha 2006
Cardiac muscle tissue
intercalated disc
• spasm – involuntary contraction of one muscle
• cramp – painful spasm
• tetanus – multiple spasms of skeletal muscles
• tic – involuntary twiches of muscles, usually under
voluntary control
• tremor – rhythmical, involuntary contractions of opposite
groups of muscles
• fasciculations – involuntary, short twiches on motor unit
visible under the skin
• fibrilace – spontaneous contractions of fibres of one
muscle that aren´t visible under the skin
Abnormal contraction
Special muscle structures I
• fascia (= perimysium externum)
– fibrous envelope of muscle or muscle group
– barrier for spreading of inflammation in that
specific area
• osteofascial septum (= septum
osteofasciale)
– fascial divider from the superficial fascia to
the periosteum
– separates the space for muscle groups –
compartment (compartimentum)
https://www2.aofoundation.org/wps/portal/!ut/p/c0/
• skeletal muscle tissue starts to be replaced
by fibrous and fatty tissue around the age of
30
• reflexes slowdown, loss of flexibility and
decrease of strength
• change of muscle fibres from quick to slow
Growing old and musle tissue
Enthesopathy
• illness of muscle and tendinous insertions
• usually caused by repeated overstraining
• e.g. tennis elbow
http://www.fyzioterapie-stepankavojtova.cz/bolestivyloket.html
http://compex.zdravi-cz.eu/tenisovy-loket.php
• Select the trait that does not characterize
muscle tissue in general.
• A) irritability
• B) contractility
• C) extensibility
• D) All of these are traits of muscle.
• Individual fibers of skeletal muscle have
fine sheath of connective tissue called a(n)
________________.
• A) epimysium
• B) perimysium
• C) endomysium
• D) fascia
• Sarcomeres run from _________________.
• A) A band to A band
• B) Z line to Z line
• C) H zone to H zone
• D) I band to I band
• What muscle has its origin on the sternum
and inserts on the mastoid process of the
temporal bone?
• A) sternocleiodomastoid
• B) splenius capitis
• C) semispinalis capitis
• D) trapezius
• What is the deepest of the four abdominal
muscles?
• A) rectus abdominis
• B) external abdominal oblique
• C) transversus abdominis
• D) internal abdominal oblique
• The ______________ muscle is a deep,
lateral muscle of the forearm that flexes the
thumb joints and assists in grasping.
• A) flexor pollicis longus
• B) flexor carpi ulnaris
• C) superficial digital flexor
• D) deep digital flexor
• Which of these muscles is an adductor?
• A) gluteus medius
• B) tensor fascia lata
• C) pectineus
• D) iliacus
• Choose the muscle that does not belong to
the quadriceps femoris group of the anterior
thigh.
• A) rectus femoris
• B) vastus lateralis
• C) vastus medialis
• D) biceps femoris
• The thenar and hypothenar muscles are
located where?
• A) in the foot
• B) within the hand
• C) in the forearm
• D) in the lower leg

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268_generral_anatomy_muscular_system.ppt

  • 2. Learning Objectives 1. To know basic anatomy of muscle 2. Knowledge regarding nomenclature/ classification of muscles 3. Knowledge regarding basic facts of functioning of muscles
  • 3. Muscles are responsible for all types of body movement – they contract or shorten and are the machine of the body
  • 4. Three basic muscle types are found in the body Skeletal muscle Cardiac muscle Smooth muscle
  • 5. Head and Neck Muscles Slide 6.38 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 6.14
  • 6. Trunk Muscles Slide 6.39 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 6.15
  • 7. Deep Trunk and Arm Muscles Slide 6.40 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 6.16
  • 8. Muscles of the Pelvis, Hip, and Thigh Slide 6.41 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 6.18c
  • 9. Superficial Muscles: Anterior Slide 6.43 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 6.20
  • 10. Superficial Muscles: Posterior Slide 6.44 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 6.21
  • 11.
  • 12. Čihák R., Anatomie 1, Grada Publishing a.s. 2001
  • 13.
  • 14.
  • 15. Power & Range- Muscle Contraction Maximal power generated by a muscle finally depends on effective mass of contractile tissue i.e number and diamentions of contained fibres Maximal range of contraction depends on length of its fibres Force and range acts at full advantage in parallel fibres
  • 16.
  • 17. Classification Of Muscles A. By Fascicular Orientation 1.Parallel 2.Pennate 3 Spiral 4 Cruciate
  • 18. 1. Parallel ( Relative to muscle direction of pull) (a) Quadrilateral- Quadratus lumborum,Thyrohyoid (b)Long and strap like- Sartorius (c) Strap like with tendinous intersection Rectus abdominis (d ) Fusiform- Biceps brachii
  • 19. 2. Pennate muscles (a) Unipennate – Flexor Pollicis longus (b)Bipennate- Rectus femoris, Dorsal interossei of hand (c )Multipennate - Deltoid (d)Circumpennate- Tibialis anterior
  • 20. Classification Of Muscles 3. Spiral Supinator 4. Cruciate Sternocledomastoid, Masseter
  • 21. Classification Of Muscles B. By Type Of Skeletal Muscle Fibre 1. Slow or Red fibres or type I fibres 2. Fast or White fibres or type II fibres
  • 22. Classification Of Muscles C. By Insertion near or away from joint 1. Shunt Muscle( Away from Joint ) 2. Spurt Muscle ( Near Joint )
  • 23. Nomenclature of Muscles On Basis of : 1.Shape of muscle Deltoid, Quadratus, Rhomboid, Lumbricals 2.Size Major , minor , longus , brevis 3. Number Of Head Biceps , triceps, Quadriceps femoris, Digastric
  • 24. Nomenclature 4. Position Supraspinatus, Infraspinatus, Abdominis, Oculi, oris 5.Depth External oblique, Internal oblique Flexor D. Superficialis, Flexor D. Profundus
  • 25. Nomenclature 6. Attachment : Sternocledomastoid, coracobrachialis 7. Action : Flexor, Extensor, Abductor
  • 26. Connective Tissue Wrappings of Skeletal Muscle Slide 6.4a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Endomysium – around single muscle fiber  Perimysium – around a fascicle (bundle) of fibers Figure 6.1
  • 27. Connective Tissue Wrappings of Skeletal Muscle Slide 6.4b Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Epimysium – covers the entire skeletal muscle  Fascia – on the outside of the epimysium Figure 6.1
  • 28. Skeletal Muscle Attachments Slide 6.5 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Epimysium blends into a connective tissue attachment Tendon – cord-like structure Aponeuroses – sheet-like structure  Sites of muscle attachment Bones Cartilages Connective tissue coverings
  • 29. Function of Muscles Slide 6.8 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Produce movement  Maintain posture  Stabilize joints  Generate heat
  • 30. Microscopic Anatomy of Skeletal Muscle Slide 6.9a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Cells are multinucleate  Nuclei are just beneath the sarcolemma Figure 6.3a
  • 31. Microscopic Anatomy of Skeletal Muscle Slide 6.9b Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Sarcolemma – specialized plasma membrane  Sarcoplasmic reticulum – specialized smooth endoplasmic reticulum Figure 6.3a
  • 32. Microscopic Anatomy of Skeletal Muscle Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Myofibril Bundles of myofilaments Myofibrils are aligned to give distrinct bands I band = light band A band = dark band Figure 6.3b
  • 33. Microscopic Anatomy of Skeletal Muscle Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Sarcomere Contractile unit of a muscle fiber Figure 6.3b
  • 34. Microscopic Anatomy of Skeletal Muscle Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Organization of the sarcomere Thick filaments = myosin filaments Composed of the protein myosin Has ATPase enzymes Figure 6.3c
  • 35. Microscopic Anatomy of Skeletal Muscle Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Organization of the sarcomere Thin filaments = actin filaments Composed of the protein actin Figure 6.3c
  • 36. Microscopic Anatomy of Skeletal Muscle Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Myosin filaments have heads (extensions, or cross bridges)  Myosin and actin overlap somewhat Figure 6.3d
  • 37. Nerve Stimulus to Muscles Slide 6.14 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Skeletal muscles must be stimulated by a nerve to contract (motor neruron)  Motor unit One neuron Muscle cells stimulated by that neuron Figure 6.4a
  • 38. Muscle Response to Strong Stimuli Slide 6.22 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Muscle force depends upon the number of fibers stimulated  More fibers contracting results in greater muscle tension  Muscles can continue to contract unless they run out of energy
  • 39. Muscles and Body Movements Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Movement is attained due to a muscle moving an attached bone Figure 6.12
  • 40. Muscles and Body Movements Slide  Muscles are attached to at least two points Origin – attachment to a immoveable bone Insertion – attachment to an movable bone
  • 41.
  • 42.
  • 43. Types of Muscle Contractions Slide 6.28 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Isotonic contractions Myofilaments are able to slide past each other during contractions The muscle shortens  Isometric contractions Tension in the muscles increases The muscle is unable to shorten
  • 44.
  • 45. Muscle Tone Slide 6.29 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Some fibers are contracted even in a relaxed muscle  Different fibers contract at different times to provide muscle tone  The process of stimulating various fibers is under involuntary control
  • 46. Effects of Exercise on Muscle Slide 6.31 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Results of increased muscle use Increase in muscle size Increase in muscle strength Increase in muscle efficiency Muscle becomes more fatigue resistant
  • 47. Types of Ordinary Body Movements Slide 6.32 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Flexion – decreases angle of joint and brings two bones closer together  Extension- opposite of flexion  Rotation- movement of a bone in longitudinal axis, shaking head “no”  Abduction/Adduction (see slides)  Circumduction (see slides)
  • 48. Types of Muscles Slide 6.35 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Prime mover – muscle with the major responsibility for a certain movement  Antagonist – muscle that opposes or reverses a prime mover  Synergist – muscle that aids a prime mover in a movement and helps prevent rotation  Fixators
  • 49. Naming of Skeletal Muscles Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Direction of muscle fibers Example: rectus (straight)  Relative size of the muscle Example: maximus (largest)
  • 50. Naming of Skeletal Muscles Slide Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Location of the muscle Example: many muscles are named for bones (e.g., temporalis)  Number of origins Example: triceps (three heads)
  • 51. Naming of Skeletal Muscles Slide 6.37 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Location of the muscles origin and insertion Example: sterno (on the sternum)  Shape of the muscle Example: deltoid (triangular)  Action of the muscle Example: flexor and extensor (flexes or extends a bone)
  • 52. Smooth Muscle Characteristics Slide 6.6 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Has no striations  Spindle-shaped cells  Single nucleus  Involuntary – no conscious control  Found mainly in the walls of hollow organs  Slow, sustained and tireless Figure 6.2a
  • 53. Cardiac Muscle Characteristics Slide 6.7 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Has striations  Usually has a single nucleus  Joined to another muscle cell at an intercalated disc  Involuntary  Found only in the heart  Steady pace! Figure 6.2b
  • 54. Disorders relating to the Muscular System • Muscular Dystrophy: inherited, muscle enlarge due to increased fat and connective tissue, but fibers degenerate and atrophy • Duchenne MD: lacking a protein to maintain the sarcolemma • Myasthemia Gravis: progressive weakness due to a shortage of acetylcholine receptors
  • 55. Eis, Jelínek, Špaček, Histopatologický atlas, Praha 2006 Cardiac muscle tissue intercalated disc
  • 56. • spasm – involuntary contraction of one muscle • cramp – painful spasm • tetanus – multiple spasms of skeletal muscles • tic – involuntary twiches of muscles, usually under voluntary control • tremor – rhythmical, involuntary contractions of opposite groups of muscles • fasciculations – involuntary, short twiches on motor unit visible under the skin • fibrilace – spontaneous contractions of fibres of one muscle that aren´t visible under the skin Abnormal contraction
  • 57. Special muscle structures I • fascia (= perimysium externum) – fibrous envelope of muscle or muscle group – barrier for spreading of inflammation in that specific area • osteofascial septum (= septum osteofasciale) – fascial divider from the superficial fascia to the periosteum – separates the space for muscle groups – compartment (compartimentum) https://www2.aofoundation.org/wps/portal/!ut/p/c0/
  • 58. • skeletal muscle tissue starts to be replaced by fibrous and fatty tissue around the age of 30 • reflexes slowdown, loss of flexibility and decrease of strength • change of muscle fibres from quick to slow Growing old and musle tissue
  • 59. Enthesopathy • illness of muscle and tendinous insertions • usually caused by repeated overstraining • e.g. tennis elbow http://www.fyzioterapie-stepankavojtova.cz/bolestivyloket.html http://compex.zdravi-cz.eu/tenisovy-loket.php
  • 60. • Select the trait that does not characterize muscle tissue in general. • A) irritability • B) contractility • C) extensibility • D) All of these are traits of muscle.
  • 61. • Individual fibers of skeletal muscle have fine sheath of connective tissue called a(n) ________________. • A) epimysium • B) perimysium • C) endomysium • D) fascia
  • 62. • Sarcomeres run from _________________. • A) A band to A band • B) Z line to Z line • C) H zone to H zone • D) I band to I band
  • 63. • What muscle has its origin on the sternum and inserts on the mastoid process of the temporal bone? • A) sternocleiodomastoid • B) splenius capitis • C) semispinalis capitis • D) trapezius
  • 64. • What is the deepest of the four abdominal muscles? • A) rectus abdominis • B) external abdominal oblique • C) transversus abdominis • D) internal abdominal oblique
  • 65. • The ______________ muscle is a deep, lateral muscle of the forearm that flexes the thumb joints and assists in grasping. • A) flexor pollicis longus • B) flexor carpi ulnaris • C) superficial digital flexor • D) deep digital flexor
  • 66. • Which of these muscles is an adductor? • A) gluteus medius • B) tensor fascia lata • C) pectineus • D) iliacus
  • 67. • Choose the muscle that does not belong to the quadriceps femoris group of the anterior thigh. • A) rectus femoris • B) vastus lateralis • C) vastus medialis • D) biceps femoris
  • 68. • The thenar and hypothenar muscles are located where? • A) in the foot • B) within the hand • C) in the forearm • D) in the lower leg