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The Muscular System Alireza Ashraf, M.D. Professor of Physical Medicine & Rehabilitation Shiraz Medical school.

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Presentation on theme: "The Muscular System Alireza Ashraf, M.D. Professor of Physical Medicine & Rehabilitation Shiraz Medical school."— Presentation transcript:

1 The Muscular System Alireza Ashraf, M.D. Professor of Physical Medicine & Rehabilitation Shiraz Medical school

2 The Muscular System Muscles are responsible for all types of body movement Three basic muscle types are found in the body Skeletal muscle Cardiac muscle Smooth muscle

3 Characteristics of Muscles
Muscle cells are elongated (muscle cell = muscle fiber) Contraction of muscles is due to the movement of microfilaments All muscles share some terminology Prefix myo refers to muscle Prefix mys refers to muscle Prefix sarco refers to flesh

4 Skeletal Muscle Characteristics
Most are attached by tendons to bones

5 Skeletal Muscle Characteristics
Cells are multinucleate Striated – have visible banding Voluntary – subject to conscious control Cells are surrounded and bundled by connective tissue

6 Connective Tissue Wrappings of Skeletal Muscle
Endomysium – around single muscle fiber Perimysium – around a fascicle (bundle) of fibers

7 Connective Tissue Wrappings of Skeletal Muscle
Epimysium – covers the entire skeletal muscle Fascia – on the outside of the epimysium

8 Skeletal Muscle Attachments
Epimysium blends into a connective tissue attachment Tendon – cord-like structure Aponeuroses – sheet-like structure Sites of muscle attachment Bones Cartilages Connective tissue coverings

9 Smooth Muscle Characteristics
Has no striations Spindle-shaped cells Single nucleus Involuntary – no conscious control Found mainly in the walls of hollow organs

10 Cardiac Muscle Characteristics
Has striations Usually has a single nucleus Joined to another muscle cell at an intercalated disc Involuntary Found only in the heart

11 Function of Muscles Produce movement Maintain posture Stabilize joints
Generate heat

12 Microscopic Anatomy of Skeletal Muscle
Cells are multinucleate Nuclei are just beneath the sarcolemma

13 Microscopic Anatomy of Skeletal Muscle
Sarcolemma – specialized plasma membrane Sarcoplasmic reticulum – specialized smooth endoplasmic reticulum

14 Microscopic Anatomy of Skeletal Muscle
Myofibril Bundles of myofilaments Myofibrils are aligned to give distinct bands I band = light band A band = dark band

15 Microscopic Anatomy of Skeletal Muscle
Sarcomere Contractile unit of a muscle fiber

16 Microscopic Anatomy of Skeletal Muscle
Organization of the sarcomere Thick filaments = myosin filaments Composed of the protein myosin Has ATPase enzymes

17 Microscopic Anatomy of Skeletal Muscle
Organization of the sarcomere Thin filaments = actin filaments Composed of the protein actin

18 Microscopic Anatomy of Skeletal Muscle
Myosin filaments have heads (extensions, or cross bridges) Myosin and actin overlap somewhat

19 Microscopic Anatomy of Skeletal Muscle
At rest, there is a bare zone that lacks actin filaments Sarcoplasmic reticulum (SR) – for storage of calcium

20 Properties of Skeletal Muscle Activity
Irritability – ability to receive and respond to a stimulus Contractility – ability to shorten when an adequate stimulus is received

21 Nerve Stimulus to Muscles
Skeletal muscles must be stimulated by a nerve to contract Motor unit One neuron Muscle cells stimulated by that neuron

22 Nerve Stimulus to Muscles
Neuromuscular junctions – association site of nerve and muscle

23 Nerve Stimulus to Muscles
Synaptic cleft – gap between nerve and muscle Nerve and muscle do not make contact Area between nerve and muscle is filled with interstitial fluid

24 Transmission of Nerve Impulse to Muscle
Neurotransmitter – chemical released by nerve upon arrival of nerve impulse The neurotransmitter for skeletal muscle is acetylcholine Neurotransmitter attaches to receptors on the sarcolemma Sarcolemma becomes permeable to sodium (Na+)

25 Transmission of Nerve Impulse to Muscle
Sodium rushing into the cell generates an action potential Once started, muscle contraction cannot be stopped

26 The Sliding Filament Theory of Muscle Contraction
Activation by nerve causes myosin heads (crossbridges) to attach to binding sites on the thin filament Myosin heads then bind to the next site of the thin filament

27 The Sliding Filament Theory of Muscle Contraction
This continued action causes a sliding of the myosin along the actin The result is that the muscle is shortened (contracted)

28 The Sliding Filament Theory

29 Contraction of a Skeletal Muscle
Muscle fiber contraction is “all or none” Within a skeletal muscle, not all fibers may be stimulated during the same interval Different combinations of muscle fiber contractions may give differing responses Graded responses – different degrees of skeletal muscle shortening

30 Types of Graded Responses
Twitch Single, brief contraction Not a normal muscle function

31 Types of Graded Responses
Tetanus (summing of contractions) One contraction is immediately followed by another The muscle does not completely return to a resting state The effects are added

32 Types of Graded Responses
Unfused (incomplete) tetanus Some relaxation occurs between contractions The results are summed

33 Types of Graded Responses
Fused (complete) tetanus No evidence of relaxation before the following contractions The result is a sustained muscle contraction

34 Muscle Response to Strong Stimuli
Muscle force depends upon the number of fibers stimulated More fibers contracting results in greater muscle tension Muscles can continue to contract unless they run out of energy

35 Energy for Muscle Contraction
Initially, muscles used stored ATP for energy Bonds of ATP are broken to release energy Only 4-6 seconds worth of ATP is stored by muscles After this initial time, other pathways must be utilized to produce ATP

36 Energy for Muscle Contraction
Direct phosphorylation Muscle cells contain creatine phosphate (CP) CP is a high-energy molecule After ATP is depleted, ADP is left CP transfers energy to ADP, to regenerate ATP CP supplies are exhausted in about 20 seconds

37 Energy for Muscle Contraction
Aerobic Respiration Series of metabolic pathways that occur in the mitochondria Glucose is broken down to carbon dioxide and water, releasing energy This is a slower reaction that requires continuous oxygen

38 Energy for Muscle Contraction
Anaerobic glycolysis Reaction that breaks down glucose without oxygen Glucose is broken down to pyruvic acid to produce some ATP Pyruvic acid is converted to lactic acid

39 Energy for Muscle Contraction
Anaerobic glycolysis (continued) This reaction is not as efficient, but is fast Huge amounts of glucose are needed Lactic acid produces muscle fatigue

40 Muscle Fatigue and Oxygen Debt
When a muscle is fatigued, it is unable to contract The common reason for muscle fatigue is oxygen debt Oxygen must be “repaid” to tissue to remove oxygen debt Oxygen is required to get rid of accumulated lactic acid Increasing acidity (from lactic acid) and lack of ATP causes the muscle to contract less

41 Types of Muscle Contractions
Isotonic contractions Myofilaments are able to slide past each other during contractions The muscle shortens Isometric contractions Tension in the muscles increases The muscle is unable to shorten

42 Muscle Tone Some fibers are contracted even in a relaxed muscle
Different fibers contract at different times to provide muscle tone The process of stimulating various fibers is under involuntary control

43 Muscles and Body Movements
Movement is attained due to a muscle moving an attached bone

44 Muscles and Body Movements
Muscles are attached to at least two points Origin – attachment to a moveable bone Insertion – attachment to an immovable bone

45 Five Golden Rules of Gross Muscle Activity
all muscles cross at least one joint bulk of muscles lies proximal to the joint crossed all muscles have at least 2 attachments: origin & insertion muscles only pull/never push during contraction the muscle insertion moves toward the origin

46 Effects of Exercise on Muscle
Aerobics result in stronger muscles due to increase blood supply Muscle fibers increase mitochondria and oxygen storage Muscle becomes more fatigue resistant Heart enlarges to pump more blood to body Does not increase skeletal muscle size

47 Effects of Exercise on Muscle
Results of increased muscle use from resistance training Individual muscle cells make more contractile filaments & connective tissue increases Increase in muscle size Increase in muscle strength

48 Types of Ordinary Body Movements
Flexion Extension Rotation Abduction Circumduction

49 Body Movements

50 Body Movements

51 Special Movements Dorsifelxion Plantar flexion Inversion Eversion
Supination Pronation Opposition

52 Types of Muscles Prime mover – muscle with the major responsibility for a certain movement Antagonist – muscle that opposes or reverses a prime mover Synergist – muscle that aids a prime mover in a movement and helps prevent rotation Fixator – stabilizes the origin of a prime mover

53 Naming of Skeletal Muscles
Direction of muscle fibers Example: rectus (straight) Relative size of the muscle Example: maximus (largest)

54 Naming of Skeletal Muscles
Location of the muscle Example: many muscles are named for bones (e.g., temporalis) Number of origins Example: triceps (three heads)

55 Naming of Skeletal Muscles
Location of the muscle’s origin and insertion Example: sterno (on the sternum) Shape of the muscle Example: deltoid (triangular) Action of the muscle Example: flexor and extensor (flexes or extends a bone)

56 Head and Neck Muscles

57 Trunk Muscles

58 Deep Trunk and Arm Muscles

59 Muscles of the Pelvis, Hip, and Thigh

60 Muscles of the Lower Leg

61 Superficial Muscles: Anterior

62 Superficial Muscles: Posterior

63 Muscular Dystrophy Congenital muscle-destroying disease affect specific muscle groups Muscle fibers degenerate & atrophy due to an absence of dystrophin, a protein that helps keep muscle cells intact Most common & serious—Duchenne’s M.D. Mostly in males (diagnosed between2-6 yrs) Survival is rare beyond early 30’s X-linked recessive

64 Myasthenia gravis Rare adult disease caused by antibodies to acetylcholine receptors at the neuromuscular junction which prevents the muscle contraction from occurring Drooping upper eyelids, difficulty swallowing & talking, muscle weakness & fatigue Death occurs when respiratory muscles cease to function

65 Aging Connective Tissue increases Amount of Muscle tissue decreases
Muscles become stringier(sinewy) Body weight declines due to loss of muscle mass By age 80, muscle strength usually decrease by 50% without weight training exercises


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