Muscles Flashcards

1
Q

Why is gluteus maximus the strongest extensor of the hip joint?

A

The gluteus maximus is the strongest extensor of the hip due to its anatomical structure and muscle fibers:
1. Large Size and Powerful Muscle Fibers:
• The gluteus maximus is a large muscle with a significant number of type II (fast-twitch) muscle fibers, which are capable of generating strong, rapid contractions. This allows it to produce significant force during hip extension.
2. Optimal Position for Extension:
• It has a posterior attachment at the iliac crest, sacrum, and coccyx, and its fibers run diagonally to attach to the femur. This positioning allows it to efficiently extend the hip, especially when the thigh is in a flexed position (e.g., when rising from a seated position or climbing stairs).
3. Role in Power Movements:
• It is especially active in movements requiring forceful extension, such as standing up from sitting, running, and climbing, where it works to extend the thigh and stabilize the pelvis.

Summary:

The gluteus maximus is the strongest hip extensor due to its large size, powerful muscle fibers, and its optimal position for effective hip extension during functional movements.

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2
Q

Explain why Gluteus Medius and Minimus are crucial for maintaining pelvic stability during walking.

A

The gluteus medius and gluteus minimus are crucial for maintaining pelvic stability during walking due to their role in controlling the pelvis during the single-leg stance phase of gait. Here’s how they function:
1. Abduction of the Hip:
• Both muscles are primarily hip abductors. During walking, they contract to elevate the pelvis on the opposite side of the stance leg, preventing the pelvis from dropping.
2. Pelvic Stabilization:
• When one leg is lifted off the ground, the gluteus medius and minimus on the stance side contract to stabilize the pelvis and keep it level. Without this action, the pelvis would tilt downward on the opposite side, leading to an abnormal gait.
3. Prevention of Trendelenburg Gait:
• Weakness or dysfunction of these muscles causes Trendelenburg gait, where the pelvis drops on the opposite side during walking, making it difficult to maintain a smooth and stable walking pattern.

Summary:

The gluteus medius and minimus are vital for hip abduction and pelvic stability, preventing pelvic tilt during walking and ensuring efficient movement. Their contraction stabilizes the pelvis when one leg is off the ground, maintaining balance.

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3
Q

Why does injury to the quadriceps femoris impair knee extension?

A

Injury to the quadriceps femoris impairs knee extension because the quadriceps are the primary muscles responsible for extending the knee joint. Here’s why:
1. Muscle Function:
• The quadriceps femoris group consists of four muscles: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius.
• These muscles converge to form the quadriceps tendon, which inserts into the patella. The patella then connects to the tibial tuberosity via the patellar ligament.
2. Knee Extension:
• When the quadriceps contract, they pull on the patella and extend the knee by applying force through the patellar tendon to the tibia.
• This action is crucial for activities like standing up, walking, running, and knee stabilization.
3. Impairment Due to Injury:
• Injury to any part of the quadriceps (muscles, tendon, or nerve supply) weakens or completely disables the ability to extend the knee.
• This results in difficulty performing movements that require knee extension, such as straightening the leg or standing up from a seated position.

Summary:

Injury to the quadriceps femoris impairs knee extension because the quadriceps are the primary muscles responsible for extending the knee, and any damage to them affects this function.

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4
Q

How does the hamstring muscle group contribute to both hip extension and knee flexion?

A

The hamstring muscle group (consisting of the biceps femoris, semitendinosus, and semimembranosus) contributes to both hip extension and knee flexion due to its anatomical positioning and dual function:
1. Hip Extension:
• The hamstrings attach to the ischial tuberosity of the pelvis and the tibia and fibula of the lower leg. When the hip is in a flexed position (e.g., sitting or standing up from a chair), the hamstrings contract to extend the hip, moving the thigh backward.
• This is especially important during activities like running, jumping, and climbing, where the hamstrings help extend the hip for powerful leg movement.
2. Knee Flexion:
• The hamstrings cross the knee joint and, when contracted, bend (flex) the knee, bringing the lower leg toward the thigh.
• This action is essential for movements such as walking, running, and squatting, where the hamstrings help control the flexion of the knee during these dynamic activities.
3. Coordination in Movement:
• The hamstrings are synergistic muscles that allow coordinated movement between the hip and knee. For example, during running, as the hip extends (driven by the hamstrings), they also flex the knee to prepare for the next step.

Summary:

The hamstring group contributes to hip extension by pulling the thigh backward and knee flexion by bending the knee, playing a crucial role in various movements, especially those requiring coordinated control of both joints.

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5
Q

Why is the gastrocnemius muscle more active during fast movements while soleus is more active during standing?

A

The gastrocnemius and soleus muscles have different roles based on their muscle fiber types and functions:
1. Gastrocnemius:
• The gastrocnemius is more active during fast movements because it contains a higher proportion of fast-twitch (Type II) fibers. These fibers are capable of generating rapid, powerful contractions for activities like sprinting, jumping, or quick push-offs.
• It crosses both the knee and ankle joints, so it is involved in plantarflexion (pointing the toes) and also helps flex the knee during fast or explosive movements.
2. Soleus:
• The soleus is more active during standing and activities requiring endurance because it contains a higher proportion of slow-twitch (Type I) fibers. These fibers are more suited for sustained, low-intensity contractions.
• The soleus is primarily responsible for maintaining posture by stabilizing the ankle joint during standing and walking. It contributes to plantarflexion but does not cross the knee joint, allowing it to maintain a steady contraction for long periods without fatigue.

Summary:
• The gastrocnemius is more active during fast movements due to its fast-twitch fibers, which allow for powerful, rapid contractions.
• The soleus is more active during standing because of its slow-twitch fibers, enabling endurance and sustained postural support.

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6
Q

What is the role of iliopsoas in maintaining postal and initiate working?

A

The iliopsoas muscle group, consisting of the psoas major and iliacus, plays a key role in both posture and movement initiation, particularly in activities involving the lower limbs.

Role in Posture:
1. Hip Flexion:
• The iliopsoas is the primary muscle responsible for flexing the hip, which helps in maintaining an upright posture, particularly when standing. It stabilizes the pelvis and the spine by controlling the lumbar spine’s position in relation to the hips.
• It prevents excessive lumbar lordosis (excessive inward curvature of the lower spine) by assisting in pelvic stabilization.
2. Spinal Stability:
• The psoas major also has a role in stabilizing the lumbar spine. It connects the lumbar vertebrae to the femur, and when contracted, it helps support and stabilize the spine, especially when standing.

Role in Initiating Movement:
1. Walking and Running:
• The iliopsoas is crucial for initiating movement by flexing the hip during the swing phase of walking and running. This action allows the leg to clear the ground and move forward.
• It assists in raising the thigh, especially when starting a step or sprinting, by helping lift the lower limb during the initial push-off.
2. Hip Flexion during Activity:
• When the hip is flexed beyond a certain point (e.g., in climbing stairs or kicking), the iliopsoas is the key muscle initiating the flexion movement at the hip joint.

Summary:

The iliopsoas is important for maintaining posture by stabilizing the lumbar spine and pelvis, as well as for initiating movement, particularly hip flexion in activities like walking, running, and climbing.

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7
Q

Why does paralysis of tibialis anterior muscle result in foot drop?

A

Paralysis of the tibialis anterior muscle results in foot drop because this muscle plays a crucial role in dorsiflexing the foot (lifting the foot upwards). The tibialis anterior is responsible for raising the foot and preventing the toes from dragging on the ground during walking.

Reasons:
1. Loss of Dorsiflexion:
• The tibialis anterior helps pull the foot upwards (dorsiflexion) when walking. Without its function, the foot cannot be lifted, causing the foot to hang downward, resulting in foot drop.
2. Inability to Clear the Ground:
• During walking, the foot cannot be properly lifted to clear the ground, leading to difficulty in walking, and the patient may have to compensate by lifting the leg higher or using a “steppage gait.”

Causes:
• Common peroneal nerve injury or any damage affecting the tibialis anterior (such as nerve damage or muscle damage) can cause foot drop.

Summary:

Foot drop occurs due to paralysis of the tibialis anterior, impairing the ability to dorsiflex the foot and clear the ground while walking.

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8
Q

How do fibularis muscles contribute to the eversion of the foot?

A

The fibularis muscles (also known as peroneal muscles) play a key role in the eversion of the foot, which involves turning the sole of the foot outward, away from the midline of the body.

Fibularis Muscles Involved:
1. Fibularis Longus (Peroneus longus)
2. Fibularis Brevis (Peroneus brevis)

Mechanism of Eversion:
1. Fibularis Longus: This muscle originates from the upper part of the fibula and inserts onto the medial cuneiform and first metatarsal bones. When it contracts, it pulls the foot outward and downwards, contributing to eversion.
2. Fibularis Brevis: Originating from the lower part of the fibula, it inserts onto the fifth metatarsal. When it contracts, it also helps turn the sole of the foot outward.

Additional Roles:
• The fibularis muscles also help stabilize the foot during activities such as walking and running by preventing excessive inversion (turning inward of the foot).
• Plantarflexion: Both muscles assist in plantarflexion (pointing the foot downward) in addition to eversion.

Summary:

The fibularis longus and fibularis brevis muscles contribute to eversion of the foot by contracting and pulling the foot outward, helping in movements such as walking, running, and balancing.

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9
Q

Why is the adductor magnus considered both a hip adductor and an extensor?

A

The adductor magnus is considered both a hip adductor and an extensor due to its unique structure and the different parts of the muscle that perform distinct functions.

Two Components of Adductor Magnus:
1. Adductor Part (anterior portion):
• Originates from the inferior ramus of the pubis and the ramus of the ischium.
• Inserts onto the linea aspera of the femur.
• Its primary function is hip adduction, bringing the leg inward toward the body’s midline.
2. Hamstring Part (posterior portion):
• Originates from the ischial tuberosity.
• Inserts onto the adductor tubercle of the femur.
• This part acts as a hip extensor, helping to extend the thigh, especially when the hip is flexed (such as during activities like running or climbing).

Summary:

The adductor magnus functions as both an adductor and an extensor because of its two distinct parts: the adductor part (responsible for adduction) and the hamstring part (responsible for extension of the hip).

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10
Q

Anatomical basis of Trendelenburg gait

A

The Trendelenburg gait occurs due to weakness of the hip abductors (mainly gluteus medius and gluteus minimus) which stabilize the pelvis. When these muscles are weak, the pelvis tilts downward on the opposite side during walking. To compensate, the person leans toward the affected side. This gait is commonly seen in conditions like superior gluteal nerve injury, muscle weakness, or neurological disorders.

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11
Q

Why is the sartorius called as a tailor’s muscle and how does its action relate to its name?

A

The sartorius is called the “tailor’s muscle” because its action is similar to the posture that tailors adopt when sitting cross-legged to sew. The muscle allows for the combination of actions that result in the cross-legged sitting position.

Actions of the Sartorius:
• Flexion of the hip.
• Abduction of the hip.
• External rotation of the hip.
• Flexion of the knee.

How it Relates to the Name:

When a person sits cross-legged, as tailors often do, the sartorius muscle contracts to flex the hip and knee, abduct the thigh, and externally rotate the hip. These combined movements allow the leg to be positioned across the other leg, similar to how tailors traditionally sit while working.

Thus, the name “tailor’s muscle” reflects the muscle’s role in enabling the typical sitting posture associated with tailoring.

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12
Q

What is the role of the plantar muscles in supporting the arches of the foot?

A

The plantar muscles of the foot play a crucial role in supporting the arches of the foot, particularly the longitudinal arches (medial and lateral) and the transverse arch.

Key Roles:
1. Intrinsic Support: The plantar intrinsic muscles (such as the flexor digitorum brevis, abductor hallucis, adductor hallucis, flexor hallucis brevis, quadratus plantae, lumbricals, and interossei) help in maintaining the structural integrity of the arches during walking and standing by stabilizing the toes and foot.
2. Arch Support:
• The abductor hallucis and flexor digitorum brevis support the medial longitudinal arch, while the adductor hallucis helps support the transverse arch.
• The flexor hallucis brevis helps maintain the medial arch during toe-off (push-off phase of walking).
3. Preventing Collapse: These muscles counteract excessive flattening of the arches (such as in flatfoot), maintaining the foot’s stability and its ability to absorb shock and distribute weight efficiently.

Thus, the plantar muscles are integral to the foot’s biomechanical function and its ability to maintain proper posture and movement.

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