Term 4 Muscles of the Pelvic Floor Flashcards

1
Q

Pelvic diaphragm is formed by the ______\_and _______\_ muscles and the fascia that covers them

  • Pelvic diaphragm separates the _______\_(superior) from the ______\_ (inferior)
A

Pelvic diaphragm is formed by the levator ani and ischiococcygenous muscles and the fascia that covers them

  • Pelvic diaphragm separates the pelvic cavity (superior) from the perineum (inferior)
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2
Q

______\_ is the largest, most important muscle of the pelvic floor

  • Composed of 3 components – ______\_, ______\_ and ______\_
  • Supports ______\_and resist ______\_
  • Functions as a ______\_
A

Levator ani is the largest, most important muscle of the pelvic floor

  • Composed of 3 components – Pubococcygeus, puborectalis and iliococcygeus
  • Supports pelvic viscera and resist inferior trusts
  • Functions as a sphincter
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3
Q

_______\_ pulls the coccyx anteriorly after defecation or childbirth

A

Ischiococcygeus pulls the coccyx anteriorly after defecation or childbirth

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4
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the levator ani muscle

A

*this muscle is divisible into three parts: pubococcygeus, puborectalis, and iliococcygeus muscles

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5
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Pubococcygeus muscle

A

What is the

  • Origin: Pubis and ischial spine
  • Insertion: coccyx, urethra, anal canal, perineal body of the perineum and anococcygeal ligament
  • Action: Supports and maintains position of pelvic viscera; resists increase in intra-abdominal pressure during forced exhalation, coughing, vomiting, urination and defecation; constricts anus, urethra and vagina
  • Innervation: anterior rami of sacral spinal nerves S2-S4
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6
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Puborectalis muscle

A

What is the

  • Origin: Posterior surface of the pubic body
  • Insertion: Decussates behind the anorectal junction as a thick muscular sling
  • Action: Helps maintain fecal continence and assists in defecation
  • Innervation: Anterior rami of sacral spinal nerves S2-S4

of the Puborectalis muscle

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7
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Iliococcygeus muscle

A

What is the

  • Origin: Ischial spine
  • Insertion: Coccyx
  • Action: Supports and maintains position of pelvic viscera; resists increase in intraabdominal pressure during forced exhalation, coughing, vomiting, urination and defecation; constricts anus, urethra and vagina
  • Innervation: anterior rami of sacral spinal nerves S2-S4

of the Iliococcygeus muscle

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8
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the ischiococcygeus muscle

A

What is the

  • Origin: Ischial spine
  • Insertion: Lower sacrum and upper coccyx
  • Action: Supports and maintains position of pelvic viscera; resists increase in intra-abdominal pressure during forced exhalation, coghing, vomiting, urinaton and defecation; pulls coccyx anteriorly following defecation or childbirth
  • Innervation: anterior rami of sacral spinal nerves S4-S5

of the ischiococcygeus muscle

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9
Q

perineal muscles are arranged in two layers: _____ and _____

_____ - assist in urination and ejaculation in males and urination and vaginal compression in females

A

perineal muscles are arranged in two layers: Superficial and Deep

deep perineal muscles - assist in urination and ejaculation in males and urination and vaginal compression in females

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10
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Superficial Transverse Perineal muscle

A

What is the

  • Origin: Ischial tuberosity
  • Insertion: perineal body of perineum
  • Action: Stabilizes perineal body of perineum and supports pelvic floor
  • Innervation: Perineal branch of the pudendal nerve of the sacral plexus

of the Superficial Transverse Perineal muscle

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11
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Bulbospongiosus muscle

A

What is the

  • Origin: Perineal body of perineum
  • Insertion: Perineal membrane of deep muscles of perineum, corpus spongiosum of penis and deep fascia on dorsum of penis in male; pubic arch and root of dorsum of clitoris of female
  • Action: Helps expel urine during urination, helps propel semen along urethra, assists in erection; constricts vaginal orifice and assists in erection of clitoris
  • Innervation: Perineal branch of the pudendal nerve of the sacral plexus

of the Bulbospongiosus muscle

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12
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Ischiocavernosus muscle

A

What is the

  • Origin: Ischial tuberosity and ischial and pubic rami
  • Insertion: Corpora cavernosa of penis and clitoris and pubic symphysis
  • Action: Maintains erection of both the penis and clitoris by decreasing urine drainage
  • Innervation: Perineal branch of the pudendal nerve of the sacral plexus

of the Ischiocavernosus muscle

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13
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Deep Transverse Perineal muscle

A

What is the

  • Origin: ischial ramus
  • Insertion: Perineal body of perineum
  • Action: Helps expel last drops of urine and semen in male
  • Innervation: Perineal branch of the pudendal nerve of the sacral plexus

of the Deep Transverse Perineal muscle

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14
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the external urethral sphincter muscle

A

What is the

  • Origin: Ischial and pubic rami
  • Insertion: Median raphe in male and vaginal wall in female
  • Action: Helps expel last drops of urine and semen
  • Innervation: Sacral spinal nerve S4 and the inferior rectal branch of the pudendal nerve

of the external urethral sphincter muscle

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15
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Compressor urethrae muscle

A

What is the

  • Origin: Ischiopubic ramus
  • Insertion: blends with same muscle of the opposite side anterior to urethra
  • Action: Serves as an accessory sphincter of the urethra
  • Innervation: Perineal branch of the pudendal nerve of the sacral plexus

of the Compressor urethrae muscle

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16
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the Sphincter urethrovaginalis muscle

A

What is the

  • Origin: Perineal body
  • Insertion: Blends with the same muscle of the opposite side anterior to urethra
  • Action: Serves as an accessory sphincter of the urethra and facilitates closing of the vagina
  • Innervation: Perineal branch of the pudendal nerve of the sacral plexus

of the Sphincter urethrovaginalis muscle

17
Q

What is the

  • Origin
  • Insertion
  • Action
  • Innervation

of the external anal sphincter muscle

A

What is the

  • Origin: Anococcygeal ligament
  • Insertion: Perineal body of the perineum
  • Action: Keeps anal canal and anus closed
  • Innervation: Sacral spinal nerve S3 and inferior rectal branch of the pudendal nerve

of the external anal sphincter muscle