1.
The Muscular System Specialized tissue that enable the body and its parts to move.

2.
Anterior View

3.
Posterior View

4.
TRIVIA! <ul><li>How many muscles are there in the human body? </li></ul><ul><ul><li>Answer: 640 Muscles </li></ul></ul><ul><ul><li>The muscles make up about 40 % of the body mass. </li></ul></ul><ul><li>What is the longest muscle in the body? </li></ul><ul><ul><li>Answer: The S artorius </li></ul></ul><ul><ul><li>The Sartorius runs from the outside of the hip, down and across to the inside of the knee. It twists and pulls the thigh outwards. </li></ul></ul><ul><li>What is the smallest muscle in the body? </li></ul><ul><ul><li>Answer: The S tapedius </li></ul></ul><ul><ul><li>The Stapedius is located deep in the ear. It is only 5mm long and thinner than cotton thread. It is involved in hearing. </li></ul></ul><ul><li>What is the biggest muscle in the body? </li></ul><ul><ul><li>Answer: The G luteus Maximus </li></ul></ul><ul><ul><li>The Gluteus Maximus is located in the buttock. It pulls the leg backwards powerfully for walking and running. </li></ul></ul>

5.
Functions of the Muscles <ul><li>Movement </li></ul><ul><li>Maintenance of posture and muscle tone </li></ul><ul><li>Heat production </li></ul><ul><li>Protects the bones and internal organs. </li></ul>

6.
Muscle Classification <ul><li>Functionally </li></ul><ul><ul><li>Voluntarily – can be moved at will </li></ul></ul><ul><ul><li>Involuntarily – can’t be moved intentionally </li></ul></ul><ul><li>Structurally </li></ul><ul><ul><li>Striated – have stripes across the fiber </li></ul></ul><ul><ul><li>Smooth – no striations </li></ul></ul>

7.
The 3 Types of Muscles

8.
Smooth Muscle <ul><li>Fibers are thin and spindle shaped. </li></ul><ul><li>No striations </li></ul><ul><li>Single nuclei </li></ul><ul><li>Involuntary </li></ul><ul><li>Contracts slowly </li></ul>

9.
Smooth Muscle <ul><li>They fatigue… but very slowly </li></ul><ul><li>Found in the circulatory system </li></ul><ul><ul><li>Lining of the blood vessels </li></ul></ul><ul><ul><li>Helps in the circulation of the blood </li></ul></ul><ul><li>Found in the digestive system </li></ul><ul><ul><li>Esophagus, stomach, intestine </li></ul></ul><ul><ul><li>Controls digestion </li></ul></ul><ul><li>Found in the respiratory system </li></ul><ul><ul><li>Controls breathing </li></ul></ul><ul><li>Found in the urinary system </li></ul><ul><ul><li>Urinary bladder </li></ul></ul><ul><ul><li>Controls urination </li></ul></ul>

10.
Cardiac Muscle <ul><li>Cells are branched and appear fused with one another </li></ul><ul><li>Has striations </li></ul><ul><li>Each cell has a central nuclei </li></ul><ul><li>Involuntary </li></ul>

11.
Cardiac Muscle <ul><li>Found ONLY in the heart </li></ul><ul><li>Contractions of the heart muscles pump blood throughout the body and account for the heartbeat. </li></ul><ul><li>Healthy cardiac muscle NEVER fatigues  or else… </li></ul>

12.
Skeletal Muscle <ul><li>Fibers are long and cylindrical </li></ul><ul><li>Has many nuclei </li></ul><ul><li>Has striations </li></ul><ul><ul><li>Have alternating dark and light bands </li></ul></ul><ul><li>Voluntary </li></ul>

13.
Skeletal Muscle <ul><li>Attached to skeleton by tendons </li></ul><ul><li>Causes movement of bones at the joints. </li></ul><ul><li>And yes… they do fatigue </li></ul><ul><li>Muscle fatigue activity  what substance forms causing muscle fatigue??? </li></ul>

14.
Functions of Skeletal Muscle <ul><li>Movement – muscle move bones by pulling not pushing. </li></ul><ul><ul><li>Synergists – any movement is generally accomplished by more than one muscle. All of the muscles responsible for the movement are synergists. </li></ul></ul><ul><ul><li>The one that is most responsible for the movement is the Prime Mover (agonist) . </li></ul></ul>

15.
Functions of Skeletal Muscle <ul><li>Movement </li></ul><ul><ul><li>Antagonists – muscles and muscle groups usually work in pairs </li></ul></ul><ul><ul><li>– example the biceps flex your arm and its partner the triceps extend your arm. The two muscles are antagonists , i.e. cause opposite actions. </li></ul></ul><ul><ul><li>– when one contracts the other relaxes. </li></ul></ul><ul><ul><li>Levators – muscle that raise a body part. </li></ul></ul>

17.
Fascicle Arrangement All skeletal muscles have fascicles Fascicle arrangement allows different functions of muscles <ul><li>parallel (fusiform)--strap </li></ul><ul><li>pennate (feather) </li></ul><ul><li>convergent—fan, triangle </li></ul><ul><li>circular (sphincter)—squeeze </li></ul>

19.
<ul><li>Determined by fascicular arrangement </li></ul>Skeletal muscle shortens to 70% of resting length <ul><li>parallel--shorter, not powerful </li></ul><ul><li>pennate--lots of fibers, powerful </li></ul>Power and Range of Motion

20.
Pennate Muscles <ul><li>Unipennate : </li></ul><ul><ul><li>fibers on 1 side of tendon e.g., extensor digitorum </li></ul></ul><ul><li>Bipennate: </li></ul><ul><ul><li>fibers on both sides of tendon e.g., rectus femoris </li></ul></ul>Figure 11–1c, d, e <ul><ul><li>tendon branches within muscle e.g., deltoid </li></ul></ul><ul><li>Multipennate : </li></ul><ul><li>Form angle with tendon </li></ul><ul><li>Don’t move as far as parallel muscles </li></ul><ul><li>Contain more myofibrils than parallel muscles </li></ul><ul><li>Develop more tension than parallel muscles </li></ul>

21.
Functions of Skeletal Muscle <ul><li>Maintenance of posture or muscle tone </li></ul><ul><ul><li>We are able to maintain our body position because of tonic contractions in our skeletal muscles. These contractions don’t produce movement yet hold our muscles in position. </li></ul></ul><ul><li>Heat production – contraction of muscles produces most of the heat required to maintain body temperature. </li></ul>

22.
Structure of Skeletal Muscle <ul><li>Composed of striated muscle cells (=muscle fibers) and connective tissue. </li></ul><ul><ul><li>Most muscles attach to 2 bones that have a moveable joint between them. </li></ul></ul><ul><ul><ul><li>The attachment to the bone that does not move is the origin . </li></ul></ul></ul><ul><ul><ul><li>The attachment to the bone that moves is the insertion . </li></ul></ul></ul><ul><ul><li>Tendons anchor muscle firmly to bones. Tendons are made of dense fibrous connective tissue. </li></ul></ul><ul><ul><li>Ligaments connect bone to bone at a joint. </li></ul></ul>

23.
Structure of Skeletal Muscle <ul><li>Bursae – small fluid filled sacs that lie between some tendons and the bones beneath them. They are made of connective tissue and are lined with synovial membrane that secretes synovial fluid. </li></ul>

24.
Structure of Skeletal Muscle <ul><li>Contribution of the nervous system </li></ul><ul><ul><li>Electrochemical impulses travel from the frontal lobes of the cerebrum via motor nerves to the muscle fibers and cause them to contract. </li></ul></ul><ul><ul><li>Sensation is a function of the brain – impulses are integrated in the parietal lobes of the cerebrum (conscious muscle sense) and in the cerebellum (unconscious). These activities promote coordination . </li></ul></ul>

25.
Anatomy of skeletal muscles Skeletal muscle fiber (cell) Muscle Fascicle Surrounded by perimysium Surrounded by endomysium endomysium perimysium Skeletal muscle Surrounded by epimysium epimysium tendon Play IP Anatomy of Skeletal muscles (IP p. 4-6)

26.
Structure of Skeletal Muscle <ul><li>Microscopic anatomy </li></ul><ul><ul><li>Muscle cells (fibers) are grouped in a highly organized way in the muscle. The membrane that surrounds the muscle cell is called the sarcolemma . </li></ul></ul><ul><ul><li>Muscle cells are filled with 2 types of fine threadlike proteins called myofilaments: myosin (thick) and actin (thin). These structures slide past each other causing the muscle cell to contract or shorten. </li></ul></ul><ul><ul><li>The myofilaments are arranged in the cells in small units called sarcomeres . </li></ul></ul>

27.
Structure of Skeletal Muscle <ul><li>Neuromuscular junction </li></ul><ul><ul><li>Spot where the axon of a motor nerve nears the muscle fiber. </li></ul></ul><ul><ul><li>The axon terminal does not touch the muscle but comes close. The space between the axon and the muscle cell is called the synapse . </li></ul></ul><ul><ul><li>Within the terminal end of the axon are small sacs filled with a neurotransmitter called acetylcholine . </li></ul></ul>

28.
Muscle Contraction <ul><li>Sequence </li></ul><ul><ul><li>Electrical impulse travels down a motor neuron. When it reaches the end, acetylcholine (chemical) is released into the synapse. </li></ul></ul><ul><ul><li>Acetylcholine bind to special receptors on the muscle cell and causes an electrical impulse to spread over the cell. </li></ul></ul><ul><ul><li>The sarcomeres shorten and the muscle cell contracts. </li></ul></ul>

29.
MUSCLE MUSCLE FIBER MYOFIBRIL SARCOMERE

31.
Sarcomere Z Z Z Z Z Z I A A

32.
Movement of Muscles <ul><li>Origin: the attachment of the muscle to the bone that remains stationary </li></ul><ul><li>Insertion: the attachment of the muscle to the bone that moves </li></ul><ul><li>Belly: the fleshy part of the muscle between the tendons of origin and/or insertion </li></ul>origin insertion belly

33.
Movement of skeletal muscle <ul><li>These muscles move when the brain sends messages to the muscle </li></ul><ul><li>Always work in pairs </li></ul><ul><li>2 movements of skeletal muscle </li></ul><ul><ul><li>Contraction (shorten) </li></ul></ul><ul><ul><li>Extension (lengthen) </li></ul></ul>

34.
Categories of skeletal muscle actions <ul><li>Categories Actions </li></ul><ul><li>Extensor Increases the angle at a joint </li></ul><ul><li>Flexor Decreases the angle at a joint </li></ul><ul><li>Abductor Moves limb away from midline of body </li></ul><ul><li>Adductor Moves limb toward midline of body </li></ul><ul><li>Levator Moves insertion upward </li></ul><ul><li>Depressor Moves insertion downward </li></ul><ul><li>Rotator Rotates a bone along its axis </li></ul><ul><li>Sphincter Constricts an opening </li></ul>

36.
Practice these Movements <ul><li>Bend arm </li></ul><ul><li>- biceps  contract </li></ul><ul><li>- triceps  extend </li></ul><ul><li>2. Straighten arm </li></ul><ul><li>- biceps  extend </li></ul><ul><li>- triceps  contract </li></ul><ul><li>3. Bend knee </li></ul><ul><ul><li>- quadriceps  extend </li></ul></ul><ul><ul><li>- hamstrings  contract </li></ul></ul>

37.
<ul><li>4. Straighten knee </li></ul><ul><li> - quadriceps  contract </li></ul><ul><li> - hamstrings  extend </li></ul><ul><li>5. Crunches </li></ul><ul><li>- abdomen  contract </li></ul><ul><li>- back muscles  extend </li></ul><ul><li>Point toes </li></ul><ul><li>- calf muscle  contract </li></ul><ul><li>- shin muscle  extend </li></ul>More Movements

39.
Naming Skeletal Muscles <ul><li>Location of the muscle </li></ul><ul><li>Shape of the muscle </li></ul><ul><li>Relative Size of the muscle </li></ul><ul><li>Direction/Orientation of the muscle fibers/cells </li></ul><ul><li>Number of Origins </li></ul><ul><li>Location of the Attachments </li></ul><ul><li>Action of the muscle </li></ul>

40.
Muscles Named by Location <ul><li>Epicranius </li></ul><ul><li>(around cranium) </li></ul><ul><li>Tibialis anterior (front of tibia) </li></ul>tibialis anterior

41.
Naming Skeletal Muscles <ul><li>Shape: </li></ul><ul><ul><li>deltoid (triangle) </li></ul></ul><ul><ul><li>trapezius (trapezoid, 2 parallel sides) </li></ul></ul><ul><ul><li>serratus (saw-toothed) </li></ul></ul><ul><ul><li>rhomboideus (rhomboid, 4 parallel sides) </li></ul></ul><ul><ul><li>orbicularis and sphincters (circular) </li></ul></ul>Rhomboideus major Trapezius Deltoid Serratus anterior

42.
<ul><li>maximus (largest) </li></ul><ul><li>minimis (smallest) </li></ul><ul><li>longus (longest) </li></ul><ul><li>brevis (short) </li></ul><ul><li>major (large) </li></ul><ul><li>minor (small) </li></ul>Muscles Named by Size Psoas major Psoas minor

43.
Muscles Named by Direction of Fibers <ul><li>Rectus (straight) </li></ul><ul><li>– parallel to long axis </li></ul><ul><li>Transverse </li></ul><ul><li>Oblique </li></ul>Rectus abdominis External oblique

44.
<ul><li>Biceps (2) </li></ul><ul><li>Triceps (3) </li></ul><ul><li>Quadriceps (4) </li></ul>Muscles Named for Number of Origins Biceps brachii

45.
Muscles Named for Origin and Insertion <ul><li>Sternocleidomastoid originates from sternum and clavicle and inserts on mastoid process of temporal bone </li></ul>origins insertion

46.
Muscles Named for Action <ul><li>Flexor carpi radialis (extensor carpi radialis) </li></ul><ul><ul><li>– flexes wrist </li></ul></ul><ul><li>Abductor pollicis brevis (adductor pollicis) </li></ul><ul><ul><li>– flexes thumb </li></ul></ul><ul><li>Abductor magnus </li></ul><ul><ul><li>– abducts thigh </li></ul></ul><ul><li>Extensor digitorum </li></ul><ul><ul><li>– extends fingers </li></ul></ul>Adductor magnus

47.
Arrangement of Fascicles <ul><li>Parallel </li></ul><ul><ul><li>strap-like </li></ul></ul><ul><ul><li>ex: sartorius </li></ul></ul><ul><li>Fusiform </li></ul><ul><ul><li>spindle shaped </li></ul></ul><ul><ul><li>ex: biceps femoris </li></ul></ul>

48.
Arrangement of Fascicles <ul><li>Pennate </li></ul><ul><ul><li>&quot;feather shaped” </li></ul></ul><ul><li>Unipennate </li></ul><ul><ul><li>ex: extensor digitorum longus </li></ul></ul><ul><li>Bipennate </li></ul><ul><ul><li>ex: rectus femoris </li></ul></ul><ul><li>Multipennate </li></ul><ul><ul><li>ex: deltoid </li></ul></ul>

49.
Arrangement of Fascicles <ul><li>Convergent </li></ul><ul><ul><li>ex: pectoralis major </li></ul></ul><ul><li>Circular </li></ul><ul><ul><li>sphincters </li></ul></ul><ul><ul><li>ex: orbicularis oris </li></ul></ul>

50.
There are about 60 muscles in the face. <ul><li>Smiling is easier than frowning . </li></ul><ul><li>It takes 20 muscles to smile and over 40 to frown. </li></ul>Smile and make someone happy .

51.
CLINICAL CORRELATION

52.
Exercise-Induced Muscle Damage <ul><li>Intense exercise can cause muscle damage </li></ul><ul><ul><li>electron micrographs reveal torn sarcolemmas, damaged myofibrils an disrupted Z discs </li></ul></ul><ul><ul><li>increased blood levels of myoglobin & creatine phosphate found only inside muscle cells </li></ul></ul><ul><li>Delayed onset muscle soreness </li></ul><ul><ul><li>12 to 48 Hours after strenuous exercise </li></ul></ul><ul><ul><li>stiffness, tenderness and swelling due to microscopic cell damage </li></ul></ul>

53.
<ul><li>Atrophy </li></ul><ul><ul><li>wasting away of muscles </li></ul></ul><ul><ul><li>caused by disuse (disuse atrophy) or severing of the nerve supply (denervation atrophy) </li></ul></ul><ul><ul><li>the transition to connective tissue can not be reversed </li></ul></ul><ul><li>Hypertrophy </li></ul><ul><ul><li>increase in the diameter of muscle fibers </li></ul></ul><ul><ul><li>resulting from very forceful, repetitive muscular activity and an increase in myofibrils, SR & mitochondria </li></ul></ul>

54.
Axial Musculature <ul><li>Arises from and inserts on the axial skeleton </li></ul><ul><li>Positions the head and spinal column </li></ul><ul><li>Moves the rib cage, assisting in breathing </li></ul><ul><li>Axial musculature </li></ul><ul><ul><li>Originates and inserts on axial skeleton </li></ul></ul><ul><li>Appendicular musculature </li></ul><ul><ul><li>Stabilizes or moves components of the appendicular skeleton </li></ul></ul>

57.
Axial muscles organized into four groups <ul><li>Muscles of the head and neck </li></ul><ul><li>Muscles of the vertebral column </li></ul><ul><li>Oblique and rectus muscles </li></ul><ul><li>Muscles of the pelvic floor </li></ul>

58.
Muscles of the Head and Neck <ul><li>Muscles of facial expression </li></ul><ul><li>Extrinsic eye muscles </li></ul><ul><li>Muscles of mastication </li></ul><ul><li>Muscles of the tongue </li></ul><ul><li>Muscles of the pharynx </li></ul><ul><li>Muscles of the anterior neck </li></ul>

59.
Muscles of Facial Expression <ul><li>Originate on surface of skull </li></ul><ul><li>Largest group associated with mouth </li></ul><ul><ul><li>Orbicularis oris </li></ul></ul><ul><ul><li>Buccinator </li></ul></ul><ul><li>Occipitofrontalis muscle </li></ul><ul><ul><li>Movement of eyebrows, forehead, scalp </li></ul></ul><ul><li>Platysma </li></ul><ul><ul><li>Skin of neck, depresses mandible </li></ul></ul>

62.
Six Extra-Ocular (Oculomotor) Muscles <ul><li>Inferior rectus </li></ul><ul><li>Superior rectus </li></ul><ul><li>Medial rectus </li></ul><ul><li>Lateral rectus </li></ul><ul><li>Superior oblique </li></ul><ul><li>Inferior oblique </li></ul>

63.
Muscles of Mastication <ul><li>Act on the mandible </li></ul><ul><ul><li>Masseter </li></ul></ul><ul><ul><li>Temporalis </li></ul></ul><ul><ul><li>Pterygoid muscles </li></ul></ul>

64.
Muscles of the Tongue <ul><li>Necessary for speech and swallowing </li></ul><ul><ul><li>Genioglossus </li></ul></ul><ul><ul><li>Hyoglossus </li></ul></ul><ul><ul><li>Palatoglossus </li></ul></ul><ul><ul><li>Styloglossus </li></ul></ul>

65.
Muscles of the Pharynx <ul><li>Initiate swallowing </li></ul><ul><ul><li>Pharyngeal constrictors </li></ul></ul><ul><ul><li>Laryngeal elevators </li></ul></ul><ul><ul><ul><li>Palatopharyngeus </li></ul></ul></ul><ul><ul><ul><li>Salpingopharyngeus </li></ul></ul></ul><ul><ul><ul><li>Stylopharyngeus </li></ul></ul></ul><ul><ul><li>Palatal muscles </li></ul></ul>

66.
Muscles of the Pharynx

67.
Anterior Muscles of the Neck <ul><li>Foundation for the muscles of the tongue and pharynx </li></ul><ul><ul><li>Digastric </li></ul></ul><ul><ul><li>Mylohyoid </li></ul></ul><ul><ul><li>Stylohyoid </li></ul></ul><ul><ul><li>Sternocleidomastoid </li></ul></ul>

68.
Anterior Muscles of the Neck

69.
Muscles of the Vertebral Column <ul><li>Covered by a superficial layer of back muscles </li></ul><ul><ul><li>Trapezius </li></ul></ul><ul><ul><li>Latissimus dorsi </li></ul></ul><ul><li>Superficial and deep layers </li></ul><ul><li>Superficial muscles: </li></ul><ul><li>Splenius muscles </li></ul><ul><li>Spinal extensors </li></ul><ul><ul><li>Spinalis </li></ul></ul><ul><ul><li>Longissimus </li></ul></ul><ul><ul><li>Iliocostalis </li></ul></ul><ul><li>Longissimus and iliocostalis merge in lumbar region </li></ul><ul><li>Deep muscles: Interconnect and stabilize the vertebrae </li></ul><ul><ul><li>Transversospinal group </li></ul></ul><ul><ul><ul><li>Semispinalis </li></ul></ul></ul><ul><ul><ul><li>Multifidus </li></ul></ul></ul><ul><ul><ul><li>Rotatores </li></ul></ul></ul><ul><ul><ul><li>Interspinales </li></ul></ul></ul><ul><ul><li>Intertransversarii </li></ul></ul>

70.
Muscles of the Vertebral Column <ul><li>Longus capitus </li></ul><ul><li>Longus colli </li></ul><ul><ul><li>Rotate and flex the neck </li></ul></ul><ul><li>Quadratus lumborum muscles </li></ul><ul><ul><li>Flex the spine </li></ul></ul><ul><ul><li>Depress the ribs </li></ul></ul>

71.
Muscles of the Vertebral Column

72.
<ul><li>Oblique muscles of neck and thorax </li></ul><ul><ul><li>Scalenes </li></ul></ul><ul><ul><li>Intercostals </li></ul></ul><ul><ul><li>Transverses muscles </li></ul></ul><ul><ul><ul><li>Important in respiration </li></ul></ul></ul><ul><li>Diaphragm </li></ul><ul><ul><li>Separates abdominopelvic and thoracic cavities </li></ul></ul><ul><ul><li>Most important muscle in respiration </li></ul></ul>The Oblique and Rectus Muscles <ul><li>Oblique and Rectus Muscles </li></ul><ul><li>Rectus abdominus </li></ul><ul><li>Abdominal oblique muscles </li></ul><ul><ul><li>Compress underlying organs </li></ul></ul><ul><ul><li>Rotate the vertebral column </li></ul></ul><ul><ul><ul><li>External oblique muscle </li></ul></ul></ul><ul><ul><ul><li>Internal oblique muscle </li></ul></ul></ul><ul><ul><ul><li>Rectus abdominis muscle </li></ul></ul></ul>

73.
The Oblique and Rectus Muscles

74.
The Diaphragm

75.
Muscles of the Pelvic Floor <ul><li>Extend from the sacrum and coccyx to the ischium and pubis </li></ul><ul><li>Support the organs of the pelvic cavity </li></ul><ul><li>Flex the joints of the sacrum and coccyx </li></ul><ul><li>Control movement of materials through anus and urethra </li></ul><ul><li>Perineum </li></ul><ul><ul><li>Anterior urogenital triangle </li></ul></ul><ul><ul><ul><li>Urogenital diaphragm </li></ul></ul></ul><ul><ul><li>Posterior anal triangle </li></ul></ul><ul><ul><ul><li>Pelvic diaphragm </li></ul></ul></ul>

76.
Muscles of the Pelvic Floor

77.
Figure 10.15c Muscles of the Pelvic Floor

78.
Appendicular musculature is responsible for <ul><li>Stabilizing pectoral girdle </li></ul><ul><li>Stabilizing pelvic girdle </li></ul><ul><li>Moving upper and lower limbs </li></ul>Four groups of muscles <ul><li>Muscles that position the pectoral girdle </li></ul><ul><li>Muscles that move the arm </li></ul><ul><li>Muscles that move the forearm and hand </li></ul><ul><li>Muscles that move the hand and fingers </li></ul>

79.
Muscles that move the pectoral girdle <ul><li>Trapezius muscle </li></ul><ul><ul><li>Affects position of pectoral girdle, </li></ul></ul><ul><ul><li>neck, head </li></ul></ul><ul><li>Rhomboid muscles </li></ul><ul><ul><li>Adducts scapula </li></ul></ul><ul><ul><li>Deep to trapezius </li></ul></ul><ul><ul><li>Inserts on scapula </li></ul></ul><ul><li>Levator scapulae muscle </li></ul><ul><ul><li>Elevates scapula </li></ul></ul><ul><li>Serratus anterior muscle </li></ul><ul><ul><li>Abducts scapula </li></ul></ul><ul><ul><li>Swings shoulder anteriorly </li></ul></ul><ul><ul><li>Originates on ribs </li></ul></ul><ul><li>Subclavius and pectoralis minor muscles </li></ul><ul><ul><li>Arise along ventral surface of ribs </li></ul></ul><ul><ul><li>Depress and protract shoulder </li></ul></ul>

80.
Muscles that Move the Arm <ul><li>Deltoid and supraspinatus </li></ul><ul><ul><li>Abduction at the shoulder </li></ul></ul><ul><li>Supscapularis and teres major </li></ul><ul><ul><li>Rotate arm medially </li></ul></ul><ul><li>Infraspinatus and teres minor </li></ul><ul><ul><li>Rotate arm laterally </li></ul></ul><ul><li>Rotator cuff </li></ul><ul><ul><li>Supraspinatus </li></ul></ul><ul><ul><li>Infraspinatus </li></ul></ul><ul><ul><li>Teres minor </li></ul></ul><ul><ul><li>Subscapularis </li></ul></ul><ul><li>Coracobrachialis </li></ul><ul><ul><li>Flexion and adduction at shoulder </li></ul></ul><ul><li>Pectoralis major muscle </li></ul><ul><ul><li>Flexes shoulder </li></ul></ul><ul><ul><li>Adducts and medially rotates arm </li></ul></ul><ul><li>Latissumus dorsi muscle </li></ul><ul><ul><li>Extends shoulder </li></ul></ul><ul><ul><li>Adducts and medially rotates arm </li></ul></ul>

82.
Muscles that Move the Arm

83.
Muscles of the pelvic girdle and lower limbs <ul><li>Three groups </li></ul><ul><ul><li>Muscles that move the thighs </li></ul></ul><ul><ul><li>Muscles that move the leg </li></ul></ul><ul><ul><li>Muscles that move the foot and toes </li></ul></ul>

84.
Muscles that Move the Thigh <ul><li>Gluteal muscles cover lateral surface of ilium </li></ul><ul><ul><li>Gluteus maximus </li></ul></ul><ul><ul><ul><li>Extension and lateral rotation of hip </li></ul></ul></ul><ul><ul><ul><li>Pulls on iliotibial tract </li></ul></ul></ul><ul><li>Tensor fasciae latae muscle </li></ul><ul><ul><li>Produces flexion, abduction and medial rotation </li></ul></ul><ul><ul><li>Pulls on iliotibial tract </li></ul></ul><ul><li>Piriformis and obturator muscles </li></ul><ul><ul><li>Lateral rotators </li></ul></ul><ul><li>Psoas major and iliacus </li></ul><ul><ul><li>Merge to form iliopsoas </li></ul></ul><ul><ul><li>Power flexor of hip </li></ul></ul><ul><li>Adductor group adducts hip </li></ul><ul><ul><li>Adductor magnus muscle </li></ul></ul><ul><ul><li>Adductor brevis muscle </li></ul></ul><ul><ul><li>Adductor longus muscle </li></ul></ul><ul><ul><li>Pectineus muscle </li></ul></ul><ul><ul><li>Gracilis muscle </li></ul></ul>

85.
Muscles that Move the Thigh

86.
Muscles that Move the Thigh

87.
Muscles that Move the Leg <ul><li>Extensor muscles of the knee </li></ul><ul><ul><li>Anterior and lateral surfaces of the thigh </li></ul></ul><ul><li>Flexor muscles of the knee </li></ul><ul><ul><li>Posterior and medial surfaces of the thigh </li></ul></ul><ul><li>Flexors and adductors </li></ul><ul><ul><li>Originate on pelvic girdle </li></ul></ul><ul><li>Extensors </li></ul><ul><ul><li>Originate at femoral surface </li></ul></ul><ul><li>Flexors of the knee and extensors of hip </li></ul><ul><ul><li>Biceps femoris </li></ul></ul><ul><ul><li>Semimembranosus muscle </li></ul></ul><ul><ul><li>Semitendinosus muscle </li></ul></ul><ul><li>Sartorius muscle </li></ul><ul><ul><li>Flexor of knee </li></ul></ul><ul><li>Popliteal muscle </li></ul><ul><ul><li>Medial rotation of tibia </li></ul></ul><ul><ul><li>Unlocks knee joint </li></ul></ul><ul><li>Quadriceps femoris knee extensors </li></ul><ul><ul><li>Vastus intermedius muscle </li></ul></ul><ul><ul><li>Vastus lateralis muscle </li></ul></ul><ul><ul><li>Vastus medialis muscle </li></ul></ul><ul><ul><li>Rectus femoris muscle </li></ul></ul>

91.
Muscles that Move the Foot and Toes <ul><li>Gastrocnemius and soleus muscles </li></ul><ul><ul><li>Plantar flexion </li></ul></ul><ul><li>Tibialis anterior </li></ul><ul><ul><li>Dorsiflexion </li></ul></ul><ul><li>Fibularis muscles </li></ul><ul><ul><li>Eversion and plantar flexion </li></ul></ul><ul><li>Smaller muscles of calf and shin </li></ul><ul><ul><li>Position foot </li></ul></ul><ul><ul><li>Move toes </li></ul></ul><ul><li>Precise control of phalanges </li></ul><ul><ul><li>Muscles on tarsal and metatarsal bones </li></ul></ul>

92.
Muscles that Move the Forearm and Hand <ul><li>Biceps brachii </li></ul><ul><ul><li>Flexes elbow </li></ul></ul><ul><ul><li>Supinates forearm </li></ul></ul><ul><li>Triceps brachii </li></ul><ul><ul><li>Extends elbow </li></ul></ul>

93.
Muscles that Move the Forearm and Hand <ul><li>Brachialis and brachioradialis </li></ul><ul><ul><li>Flex the elbow </li></ul></ul><ul><li>Anconeus muscle and triceps brachii </li></ul><ul><ul><li>Extend the elbow (oppose brachialis) </li></ul></ul><ul><li>Flexor carpi ulnaris, flexor carpi radialis, palmaris longus </li></ul><ul><ul><li>Flex the wrist </li></ul></ul><ul><ul><li>Flexor carpi ulnaris adducts wrist </li></ul></ul><ul><ul><li>Flexor carpi radialis abducts wrist </li></ul></ul><ul><li>Extensor carpi radialis muscle </li></ul><ul><ul><li>Abducts and extends wrist </li></ul></ul><ul><li>Extensor carpi ulnaris muscle </li></ul><ul><ul><li>Adducts and extends wrist </li></ul></ul><ul><li>Pronator teres, pronator quadratus muscles </li></ul><ul><ul><li>Pronate forearm without flexion or extension </li></ul></ul><ul><li>Suppinator muscle </li></ul><ul><ul><li>Opposes pronator muscles </li></ul></ul>

94.
Muscles that Move the Hand and Fingers <ul><li>Superficial and deep muscles of the forearm </li></ul><ul><li>Large muscles </li></ul><ul><li>Tendons cross wrist </li></ul><ul><ul><li>Synovial tendon sheaths </li></ul></ul><ul><ul><li>Thickened fascia </li></ul></ul><ul><ul><ul><li>Extensor retinaculum and flexor retinaculum </li></ul></ul></ul><ul><ul><ul><li>Carpal tunnel syndrome </li></ul></ul></ul>

95.
Extrinsic Muscles that Move the Hand and Fingers

97.
Intrinsic Muscles, Tendons and Ligaments of the Hand