Week 1 Gross Structure and Function of Skeletal Muscle Part 1&2 Flashcards

1
Q

Discuss the meaning of the phrase “muscles spared when ligaments suffice” relative to muscle tone and posture using examples form the upper limb.

A
  • non contractile elements of a muscle (CT and tendons) may act as a postural ligament when that muscle is arranged in a way that resists the force of gravity acting across a joint-trapezius and triceps sure may display low level muscle activity to maintain position of body in normal resting posture
  • shoulder position: maintained by low grade postural isometric contractions of upper fibers of trapezius
  • Glenohumeral joint: downward displacement prevented by locking joint mechanism of humeral head in glenoid cavity
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2
Q

Describe the types of muscle contraction.

A
  • shortening (concentric): muscle becomes shorter, doing active work by generating more force than any external forces there may be
  • isometric: whole muscle remains at sam length during contraction, muscular force and external f orcs balanced
  • lengthening (eccentric): when whole muscle becomes longer while contracting, muscular force less than external force. two attachments of muscle spread further apart
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3
Q

Force versus movement of muscle.

A
  1. force is proportional to cross sectional area of a muscle’s fibers
  2. movement is proportional to length of a muscle’s fibers
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4
Q

Describe the different types of muscle fiber architecture and effects of adding tendon to the muscles.

A
  1. Parallel fibered muscles: adapted for movement as opposed to force. As more tendon is added, movement but not force decreases (reduces fiber length)
  2. Pennate fibered muscles: adapted for force, not movement. short but numerous muscle fibers. As more tendon is added, force but not movement decreases (reduces number of fibers).
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5
Q

Define prime mover (agonist).

A

Muscle that is regularly active in initiating and maintaining a particular movement. Gravity can be considered a prime mover.

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6
Q

Define muscle antagonist.

A

A muscle that is capable of opposing or resisting the action of a mover. E.g. triceps brachii as antagonist to brachialis muscle

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7
Q

Define a muscle fixator or stabilizer.

A
  • acts to stabilize joint position and integrity

e. g. four rotator cuff muscles that stabilize the glenohumeral joint

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8
Q

Define syndergist muscle.

A

A muscle that acts to eliminate unwanted movements caused by prime movers
e.g. wrist extensors are synergists that act antagonistically while making a fist to prevent wrist flexion caused by finger flexors

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9
Q

Describe the anatomical actions of the deltoid muscle relative to each axis for movements that occur at the shoulder joint.

A
  1. Anterior part: passes in front of shoulder joint
    - flexion around transverse axis through humeral head
    - medial rotation around longitudinal axis
    - adduction around AP axis
  2. Lateral part: passes lateral to shoulder joint
    - abduction, pennate arrangement
  3. posterior part: passes in back of shoulder joint
    - extension around transverse axis
    - lateral rotation around longitudinal axis
    - adduction around AP axis
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10
Q

Describe the attachments of the biceps brachii muscle.

A

-long head attaches to scapula at supraglenoid tubercle
-short head attaches to coracoid process
The two head converge and attach to the radial tuberosity

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11
Q

Describe the anatomical actions of the biceps brachii muscle.

A
  1. weakly flexes arm at shoulder joint
  2. powerfully flexes arm at elbow joint
  3. supination of the pronated forearm-during pronation, radius is rotated so that tendon of biceps wrapped around the radius and attached to radial tuberiosity that is not pointed posteriorly
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12
Q

Describe the muscle function of the biceps brachii.

A
  • primary mover that contracts concentrically when flexing at elbow
  • when extending at elbow: acts as antagonist to gravity (primary mover), contracts eccentrically to control extension, triceps not active unless there is resistance.
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13
Q

What are the muscles involved in pronation?

A
  1. pronator teres: passes distally from medial epicondyle of the humorous to wrap around lateral side of radial shaft
  2. pronator quadratus: quandrangular deeps muscle with transversely oriented muscle fibers (by wrist)
    They pull radius anteriorly and medially
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14
Q

Describe the muscles involved in supination.

A
  1. biceps brachii in anterior compartment
  2. supinator muscle: arises from lateral epicondyle of the humerus and nearby ulna and inserts on proximal end of radial shaft. Becomes wrapped around radius during pronation
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15
Q

List which muscles are active during different supination activity: supinator (prime mover), biceps (prime mover), triceps (synergist), shoulder (stabilizers)

A
  1. slow unresisted supination: supinator only
  2. fast aspiration with elbow flexed: all four
  3. fast suppuration with elbow extended: supinator only
  4. supination against resistance: all four
    - biceps brachii recruited as prime mover in supination when speed or power are required
    - triceps brachii recruited as synergist to stop the unintended action of elbow flexion caused by biceps
    - shoulder muscles activated as stabilizers when biceps involved to counter flexion and extension at shoulder joint caused by biceps and triceps
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16
Q

Describe the joints involved in abduction of the arm above the head.

A
  1. Sternoclavicular joint: only direct articulation between upper limb and axial skeleton
    - strength in articular disk
    - absorbs forces directed along clavicle, clavicle usually breaks before joint disarticulates
  2. Acromioclavicular joint
    - strength from coracoclavicular ligament, causes scapula to be pulled along with any mvt of clavicle and vice versa
  3. Glenohumeral joint: ball and socket joint
  4. scapulothoracic joint
    - considerable movement of scapula on the body wall: elevation, depression, protraction, retraction, rotation
17
Q

What happens in a shoulder separation?

A
  • stretching or tearing of coracoclavicular ligament when sudden, extreme forces applied to the acromion of scapula
  • scapula sags inferiorly relative to lateral end of clavicle bc coracoclavicular ligament can’t support weight of upper limb
18
Q

What are the muscles and their anatomical movements involved in abduction of arm above the head?

A
  1. deltoid: abductor of humerus
  2. trapezius:
    - uppermost fibers (back of skull to lateral clavicle): elevate clavicle and attached scapula, retraction
    - middle, horizontal fibers: retractors
    - lowermost fibers (thoracic sine to scapular spine): depress scapula, retract, scapular rotation
  3. supraspinatus muscle: abductor of humerus
  4. serratus anterior muscle: strong protractor of scapula, lower fibers involved in scapular rotation
19
Q

Describe the movements involved in abducting the arm above the head the muscles involved in those movements.

A
  1. abduction of humerus: deltoid and supraspinatus muscles. These 2 muscles cannot by themselves abduct more than 90 degrees
  2. rotation of scapula: lower fibers of trapezius and serratus anterior muscles
    - trapezius pulls posteriorly and serratus anterior pulls anteriorly (both pull downward)
    - results in elevation of acromion, rotation of scapula ~90 degrees
  3. lowering arm from abducted position
    - gravity: prime mover
    - 4 arm raising muscles act antagonistically to gravity by contracting eccentrically