Breathing/Respiratory Muscles - Exam 2 Flashcards
external intercostals
extend between adjacent ribs, hands in pockets orientation
external intercostals origin
superior rib
external intercostals insertion
inferior rib
external intercostals actions
aids in inhalation, lifts ribs up and out
internal intercostals
extend between adjacent ribs, hands in gloves orientation
internal intercostals origin
inferior rib
internal intercostals insertion
superior rib
internal intercostals action
aids in forced expiration, pulls ribs in and down
innermost intercostals
extend between adjacent ribs, hands in gloves orientation
innermost intercostals origin
inferior rib
innermost intercostals insertion
superior rib
innermost intercostals action
aids in forced expiration, pulls ribs in and down
subcostal
extends across 2-3 ribs on interior thoracic wall, hands in gloves orientation
subcostals action
aids in expiration, pulls ribs back down
transversus thoracis
extends from sternum to costal cartilages
transversus thoracis action
retracts sternum to aid in expiration
intercostal grooves
contains veins arteries and nerves (VAN)
between internal and innermost intercostals
posterior intercostal veins
drain into azygous system (including hemi and accessory)
anterior intercostal veins
drain into the internal thoracic vein
posterior intercostal arteries
branch directly from aorta
anterior intercostal arteries
branch from internal thoracic artery
nerves (intercostal groove)
arise from anterior rami of thoracic spinal nerves and sympathetic chain
diaphragm
made up of 2 parts with distinct embryonic origin -> central tendon and costal (muscle) part
3 openings - caval, esophageal hiatus, aortic hiatus
changes volume of the thoracic cavity to allow respiration
contraction = inspiration
relax = expiration
diaphragm innervation
phrenic nerve (bilaterally)
what happens when the central tendon and costal (muscle) part of diaphragm don’t fuse?
congenital diaphragmatic hernia
mechanism of inhalation
increased thoracic cavity volume/lung volume -> decreases pressure -> draws air in
mechanism of exhalation
decreased thoracic cavity volume/lung volume -> increases pressure -> air flows out
normal respiration (muscles involved)
inhale - diaphragm and external intercostals
exhale - passive/relax muscles
forced expiration (muscles)
internal and innermost intercostals, abdominal muscles, subcostals, transversus thoracis, serratus posterior inferior
forced inspiration (muscles)
sternocleidomastoid, scalenes, serratus posterior, pec major/minor