This document provides an overview of basic human anatomy, including:
1) The organization of the body into anatomical positions, planes, and directions that are used as a reference.
2) Descriptions of the skeletal, muscular, nervous, and other body systems.
3) Explanations of basic joints, bones, muscles, and movements.
Anatomically the respiratory system is divided into
Upper respiratory tract
From the nostril to the vocal cord
Lower respiratory tract
The lower respiratory tract is from bellow the vocal cord upto the alveoli
Gluteus maximus muscle by Thirumurugan professorthiru murugan
Gluteus maximus
Introduction:
Gluteus Maximus the largest and heaviest muscle in the body.
It is the most superficial of all gluteal muscles that are located at the posterior aspect (buttocks) of the hip joint.
Along with the gluteus medius, gluteus minimus and tensor fasciae latae, it belongs to the gluteal group of the hip muscles.
Gluteus maximus extends from the pelvis to the of femur.
Gluteus Maximus's size allows it to generate a large amount of force
The development of the muscle's function is associated with the erect posture and changes to the pelvis, also functioning to maintain the erect posture, as a hip extensor
Diagram:
Anatomy
Origin:
Outer slope of the dorsal segment of the iliac crest
Gluteal surface of ilium
Dorsal surface of lower part of the sacrum
Side of coccyx
Sacrotuberous ligament
Insertion
Gluteal tuberosity
Iliotibial tract
Bursae:
Three bursae are usually found in relation with the deep surface of this muscle:
The trochanteric bursa separates the muscle from the greater trochanter.
The ischiofemoral bursa, when present, is situated on the tuberosity of the ischium.
The gluteofemoral bursa is found between the tendon of the gluteus maximus and that of the vastus lateralis.
Ligaments:
Sacrotuberous ligament: Gluteal maximus attaches to the posterior surface of the iliac and the Sacrotuberous ligament,
Sacrospinus ligament: it provides extensive insertion for the gluteus maximus muscle.
Ischiofemoral ligament: It is an attachment for part of the gluteus maximus muscle, an extensor, lateral rotator, and abductor of the femur at the hip.
Actions: It is the main extensor of the thigh, and assists with lateral rotation. However, it is only used when force is required, such as running or climbing.
• Extends thigh at the hip.
• Laterally Rotates thigh at the hip.
• Abducts thigh at the hip.
Blood supply:
• Branches of the inferior gluteal and superior gluteal arteries, the branches of the internal iliac artery.
Nerve Innervation: Inferior gluteal nerve.
Role in ADLs:
• As a powerful extensor of the hip joint, the gluteus maximus suited to powerful lower limb movements eg stepping onto a step, climbing or running but is not used greatly during normal walking.
• Gluteus maximus and the hamstrings work together to extend the trunk from a flexed position by pulling the pelvis backwards, eg standing up from a bent forward position.
• If the gluteus maximus is paralyzed climbing stairs and running will become very difficult however, other muscles can extend the hip. Gluteus maximus can be trained to produce functional knee extension
• Research has indicated that contraction of the deep abdominal muscles may assist with the contraction of gluteus maximus to assist with the control of anterior pelvic rotation.
• Gluteal muscle weakness has been proposed to be associated with a number of lower limb injuries.
Anatomically the respiratory system is divided into
Upper respiratory tract
From the nostril to the vocal cord
Lower respiratory tract
The lower respiratory tract is from bellow the vocal cord upto the alveoli
Gluteus maximus muscle by Thirumurugan professorthiru murugan
Gluteus maximus
Introduction:
Gluteus Maximus the largest and heaviest muscle in the body.
It is the most superficial of all gluteal muscles that are located at the posterior aspect (buttocks) of the hip joint.
Along with the gluteus medius, gluteus minimus and tensor fasciae latae, it belongs to the gluteal group of the hip muscles.
Gluteus maximus extends from the pelvis to the of femur.
Gluteus Maximus's size allows it to generate a large amount of force
The development of the muscle's function is associated with the erect posture and changes to the pelvis, also functioning to maintain the erect posture, as a hip extensor
Diagram:
Anatomy
Origin:
Outer slope of the dorsal segment of the iliac crest
Gluteal surface of ilium
Dorsal surface of lower part of the sacrum
Side of coccyx
Sacrotuberous ligament
Insertion
Gluteal tuberosity
Iliotibial tract
Bursae:
Three bursae are usually found in relation with the deep surface of this muscle:
The trochanteric bursa separates the muscle from the greater trochanter.
The ischiofemoral bursa, when present, is situated on the tuberosity of the ischium.
The gluteofemoral bursa is found between the tendon of the gluteus maximus and that of the vastus lateralis.
Ligaments:
Sacrotuberous ligament: Gluteal maximus attaches to the posterior surface of the iliac and the Sacrotuberous ligament,
Sacrospinus ligament: it provides extensive insertion for the gluteus maximus muscle.
Ischiofemoral ligament: It is an attachment for part of the gluteus maximus muscle, an extensor, lateral rotator, and abductor of the femur at the hip.
Actions: It is the main extensor of the thigh, and assists with lateral rotation. However, it is only used when force is required, such as running or climbing.
• Extends thigh at the hip.
• Laterally Rotates thigh at the hip.
• Abducts thigh at the hip.
Blood supply:
• Branches of the inferior gluteal and superior gluteal arteries, the branches of the internal iliac artery.
Nerve Innervation: Inferior gluteal nerve.
Role in ADLs:
• As a powerful extensor of the hip joint, the gluteus maximus suited to powerful lower limb movements eg stepping onto a step, climbing or running but is not used greatly during normal walking.
• Gluteus maximus and the hamstrings work together to extend the trunk from a flexed position by pulling the pelvis backwards, eg standing up from a bent forward position.
• If the gluteus maximus is paralyzed climbing stairs and running will become very difficult however, other muscles can extend the hip. Gluteus maximus can be trained to produce functional knee extension
• Research has indicated that contraction of the deep abdominal muscles may assist with the contraction of gluteus maximus to assist with the control of anterior pelvic rotation.
• Gluteal muscle weakness has been proposed to be associated with a number of lower limb injuries.
Kinesiotherapy is defined as the application of scientifically based exercise principles adapted to enhance the strength, endurance, and mobility of individuals with functional limitations, or those requiring extended physical conditioning.
It's fun to learn MUSCULAR SYSTEM...
This is primarily a synthesis of the topic including the different types of Muscular System, their movement, functions, sample practical exercises, categories on how muscles got its names, examples of diseases and its causes and effects, and a fun trivia to motivate the class...
Enjoy! God bless you all :)
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. BASIC ANATOMY
Organization of the Body – Direction & Planes
• Anatomical position - body stands erect with
the arms at the sides, palms facing forward
• All body movements and location of anatomical
structures are referenced from this position
Basic Anatomy 2
3. Basic Anatomical Positions and Directions
• Inferior – toward the bottom
• Superior – toward the top
• Anterior – toward the front
• Posterior – toward the back
• Medial – toward the midline
• Lateral – away from the midline
• Proximal – closest to the trunk
• Distal – positioned away from the trunk
• Prone – lying face downward
• Supine – lying face upward
Basic Anatomy 3
4. • The body is divided into 3 imaginary planes of reference
• Sagittal plane – divides the body into right
and left sides
• Coronal (frontal plane) – divides the body
into front and back sections
• Transverse (horizontal) plane – divides the
body into top and bottom sections
• To determine the plane in which a
movement occurs, follow the bisecting line.
• Movements of flexion and extension
generally occur in the sagittal plane
• Movements of abduction and adduction
generally occur in the coronal plane
• Movement of rotation generally occur in the transverse plane
Basic Anatomy 4
5. Skeletal System
• Composed of bones (206), ligaments, and joints
• Main supportive structure of the body
• Axial Skeleton - skull, vertebral column, ribs, sternum, and hyoid bone
• Appendicular Skeleton – upper extremity (scapula, shoulder, arm and hand);
lower extremity (hip, femur, tibia, fibula, foot)
Articular System
• Articulation – a place of union between two or more bones, regardless of the
degree of movement permitted
• Ligaments – attach one bone to another
• Hyaline Cartilage – flexible connective tissue made up of collagen fibers that
line the bones of most joints, aids in smooth articulation of the joint
• Joints – articulating structures within the skeletal system; most serve the
purpose of bearing weight and providing motion
Basic Anatomy 5
7. Basic Joint Movements
• Abduction – movement away from the body midline
• Adduction – movement toward the body midline
• Flexion – decreased angle between 2 structures
• Extension – increased angle between 2 structures
• Medial (internal) rotation – rotation of the vertical axis of a bone toward
the body midline
• Lateral (external) rotation – rotation of the vertical axis of a bone away
from the midline
• Circumduction - complete circular movement at the joint
• Pronation – medial rotation of the forearm (palms down position)
• Supination – lateral rotation of the forearm (palms up position)
• Plantar flexion – moving the foot downward , away from the shin
• Dorsiflexion – moving the foot upward, toward the shin
Basic Anatomy 7
8. Basic Joint Movements
• Shoulder horizontal abduction – moving the humerus across the body away
from the midline
• Shoulder horizontal adduction – moving the humerus across the body
toward the midline
• Scapular elevation – upward scapula movement (shrugging)
• Scapular depression – downward scapula movement
• Scapular abduction – scapular movement away from the spine
• Scapular adduction – scapular movement toward the spine
• Trunk flexion – anterior movement of the torso toward the pelvis
• Trunk extension – posterior movement of the torso toward the pelvis
• Foot eversion (pronation)– moving the sole of the foot outward at the ankle
• Foot inversion (supination)– moving the sole of the foot inward at the ankle
Basic Anatomy 8
9. Muscular System
• Muscles:
• compose 40-60% of body weight
• provide an important mechanism for maintaining joint stability
• Body movements occur as a result of muscle contractions pulling one bony
structure toward another
• Skeletal movement occurs at the joint structures within the body
• Three types of muscle tissue:
• Cardiac – involuntary (cannot be influenced at will)
• Smooth – involuntary
• Skeletal/Striated – voluntary
§ made up of long slender cells (fibers), with length greater than width
§ control body movements and maintain posture.
Basic Anatomy 9
10. Muscular System
• Musculoskeletal System – the skeletal and muscular systems working in
concert to provide body stabilization and movement
• Skeletal movement occurs at the joint structures within the body
• Tendon
• Indirect attachment of muscle to bone
• Distal structures of a muscle that transmits the force of the muscle contraction to bone
• Tendon attachments
• Origin – attachment closest to the body midline or axial skeleton
• Generally the fixed portion that provides a stable base during muscle contraction
• Insertion – attachment farthest from the body midline or axial skeleton
• Is drawn toward the origin during muscle contraction
Basic Anatomy 10
11. Muscular System
• Muscles that control joint movements are aligned as agonists and antagonists
• Agonist – the muscle that causes a movement to occur (ex. biceps brachii
muscle flexes the elbow joint)
• Antagonist – the muscle that directly opposes an agonist muscle action (ex.
triceps brachii extends the elbow joint; must relax for elbow flexion to
occur)
• Reciprocal Inhibition – when an agonist contracts, the antagonist muscle must
relax
• Reciprocal inhibition allows joint movement to occur
• If this does not occur, then tetanus (a state of sustained contraction during
which the muscle does not relax to its initial length or tension) results in no
movement
Basic Anatomy 11
12. Muscular System
• Stabilizers – muscles that contract statically in one joint, so that movement
in an adjacent joint can occur
• Example – During walking or running, the hip abductor muscles of the
weight bearing limb contract to stabilize the pelvis so that it does not
drop to the non-weight bearing side
• Synergists – muscles that contract to eliminate an undesired joint action
in another muscle; can also be called "neutralizers" because they help
cancel out, or neutralize, extra motion from the prime mover
• Example – when the gluteus maximus contracts during hip extension, it
also attempts to externally rotate the hip; gluteus minimus and the
tensor fasciae lata contract to neutralize this movement
Basic Anatomy 12
13. Muscular System
• Strain –an over stretch or tear of a muscle or tendon
• Acute (instant or recent) strain of the musculo-tendinous structure
occurs at the junction where the muscle transitions into a tendon
• Occur when a muscle over-stretches or over-contracts, as with running or
jumping
• Symptoms may include pain, muscle spasm, loss of strength, and limited
range of motion
• Chronic (long-lasting) strains occur over time, from overuse or
repetitive stress, resulting in tendinitis (inflammation of a tendon)
• Example: tendinitis in the shoulder as the result of constant stress from
repeated tennis serves
Basic Anatomy 13
14. Muscular System
• Sprain –the over stretch or tear of a ligament or a joint capsule
• Sprains occur when a joint is forced beyond its normal range of motion,
such as turning or rolling the ankle
• Symptoms may include pain, inflammation, bruising and in some cases,
the inability to move a limb
• Sprains (ligament) and strains (muscle or tendon) are categorized according
to severity
• Grade I (mild) - involves a minor over stretch or minor tear
• Grade II (moderate) - partially torn but still intact
• Grade III (severe) – a complete tear; can result in joint instability
Basic Anatomy 14
15. Muscular System
• Hypertrophy – an increase in the cross-sectional size of a muscle fiber
(cell)
• Atrophy – the wasting or reduction of size of muscle, tissues, organs, etc
• Myalgia – muscle pain
• Myositis – inflammation of a muscle
• Fibrositis – inflammation of connective tissue within a muscle
• Tendonitis –inflammation of the tendon
• Fasciculation(muscle twitch) - small, local, involuntary muscle contraction
and relaxation visible under the skin
• Myoclonus - brief, involuntary twitching of a muscle or a group of muscles
• Spasm - a sudden involuntary contraction of a muscle, or a group of
muscles
Basic Anatomy 15
16. Muscle Contraction
• Muscle contraction – strength of contraction depends on the number of
motor units activated, stimulation frequency of the motor units, muscle
fiber length, and speed of contraction
• Types of Contraction
• Isometric (static)- muscle tension develops with no change in muscle length
and no joint movement; ex. carrying a heavy object
• Isotonic (dynamic) – muscle tension remains constant, muscle length changes
and movement occurs; contraction can be concentric or eccentric
• Concentric - force generated is sufficient to overcome the resistance, and the
muscle shortens as it contracts; this is what most people think of as a muscle
contraction
• Eccentric – the muscle lengthens as it develops tension, and contracts to control
motion against an external resistance; ex. lowering a load gently rather than
letting it drop
Basic Anatomy 16
17. Muscle Fibers
• Skeletal muscle contains a combination of fiber types that are classified as:
• Slow Twitch or Type 1
• Fast Twitch or Type IIa
• Fast Twitch or Type IIx
• Type I (slow twitch) fibers use oxidative metabolism
• Appear red due to the high concentration of myoglobin
• Generate a low level of muscle tension
• Have slow contraction times, are well suited for prolonged, low
intensity work
• Endurance athletes generally have a high quantity of slow-twitch fibers
Basic Anatomy 17
18. Muscle Fibers
• Type IIa (fast twitch) use oxidative and glycolytic metabolism
• Type IIa are also red
• An intermediate fast twitch fiber
• Tend to contract with a burst of force, then fatigue
• Can sustain activity for moderate lengths of time at higher intensities
• Examples - Type IIa fibers would be advantageous in gymnastics and
rowing
• Type IIx (fast twitch) use oxidative and glycolytic metabolism
• Type IIx appear white (absence of myoglobin)
• Provide rapid force production, but then fatigue quickly
• Provides greatest potential for power movements that rely on maximal
efforts
• Examples - sprinters, jumpers, shot putters, and Olympic weight
lifters benefit from Type IIx fibers
Basic Anatomy 18
19. Muscle Fibers
• Each muscle contains a combination of all three fiber types
• Percentage of fiber distribution varies considerably from muscle to muscle,
and person to person
• Distribution/proportion of fiber types in a given muscle determines that
muscle’s performance capabilities
• Fiber distribution influences how the muscle responds to training, and
ultimately how it develops
• The mode of training application will not alter a person’s fiber distribution;
however specific fibers within the distribution are enhanced by the type of
stimulus applied to the muscle
Basic Anatomy 19
20. Muscle Fibers
• When performing a series of repetitions during a resistance exercise
movement (such as a barbell curl) the slow twitch fibers are recruited first
• As the repetitions progress, and the effort becomes more intensive, more
fast twitch fibers are recruited
Basic Anatomy 20
21. Nervous System
• Group of tissue composed of highly specialized cells possessing the
characteristics of excitability and conductivity
• Regulates all functions related to human movement, as well as other bodily
functions
• Two types of cells
• Neuroglia – function in supportive, reparative, and metabolic
capacities
• Neurons – basic unit of the nervous system which conducts an
electrical impulse from one part of the body to another
• Two types of processes on each neuron:
• Axon - carries impulse away from the cell body
• Dendrites - carry impulse toward the cell body
Basic Anatomy 21
22. Nervous System
• Neurons (cont.)
• Two types of functions:
• Afferent (sensory) – convey impulses from receptor cells in the
skin , tissues, or other organs to the spinal cord and brain
• Efferent (motor) - carry impulses from the spinal cord and
brain to effector cells (muscle fibers)
• Major Branches of the Nervous System
• Central Nervous System (CNS) – brain and spinal cord
• Peripheral Nervous System (PNS) – cranial and spinal nerves
• Autonomic Nervous System (ANS) – portions of the CNS and
peripheral nervous system, regulates organ function, blood flow, and
other involuntary functions
Basic Anatomy 22
24. Central Nervous System
• Brain – largest mass of nervous tissue in the body, located in skull
• Cerebrum - largest portion of the brain which contains nerve centers
governing all sensory and motor activities
• Partially divided by median longitudinal fissure into two
hemispheres
• Each hemisphere divided by fissures into four major lobes: frontal,
parietal, occipital, temporal
• Cerebellum – occupies the posterior cranial fossa and consists of three
lobes
• Anterior: controls posture
• Posterior: controls coordination and movement
• Flocculonodular: controls equilibrium
Basic Anatomy 24
25. Central Nervous System
• Spinal Cord – contains all ascending (afferent) and descending (efferent)
fiber tracts connecting PNS and ANS, and brain
• Anterior gray matter contains cell bodies from which efferent (motor)
fibers of the spinal nerves arise
• Posterior gray contains cell bodies from which afferent (sensory) fibers
pass toward brain
Basic Anatomy 25
26. Peripheral Nervous System
• Cranial Nerves – 12 pairs of symmetrically arranged nerves attached to the
brain
Basic Anatomy 26
28. Dermatomes
• An area of skin
supplied by one pair
of spinal nerves
Basic Anatomy 28
29. Reflexes
• Reflex – an involuntary and nearly instantaneous movement in response to
a sensory stimulus
• Can be superficial (cutaneous stimulation), deep (tendon or
vascular tissue stimulation), visceral (organs), or pathologic
(abnormal)
• Generally serve to protect the body
• Indirect reflex arc – sensory impulse that is processed by a mediating or
internuncial neuron before being passed on to an anterior motor neuron
• Most reflexes are this type
• Example: receptors detect tension applied to a tendon by muscle
contraction; reflex arc results in inhibition of further contraction
Basic Anatomy 29
30. Reflexes
• Direct Reflex Arc – sensory impulse that passes directly to the anterior
motor neuron
• Monosynaptic (i.e. only one sensory and one motor neuron is
involved)
• Example: stretch or myotatic reflex
• Most important and prominent
• Leads to contraction of the muscle
• Prevents overstretching of the muscle
• Ex. knee jerk (stimulation of patellar tendon)
Basic Anatomy 30
31. Autonomic Nervous System
• Controls the visceral functions of the body
• Generally considered to be involuntary
• Links the control centers of the brain with the effector organs
• Overall function is to maintain homeostasis of the internal environment and
provide the “fight or flight” response
• Divided into the sympathetic and parasympathetic nervous divisions
• Sympathetic – more primitive, constricts blood vessels, involved in
“fight or flight”, stimulates activity
• Parasympathetic – more advanced, acts principally on smooth muscles
and glands in the gut, concerned with restorative processes, inhibits
activity
Basic Anatomy 31
32. BASIC ANATOMY
• Suggested Readings :
• 1. Jacob, SW and Francone, CA, Structure and Function in Man. W.B
Saunders, 5th Ed. 1982
Basic Anatomy 32