04sms_keperawatan2015-otot

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OTOT Dr. Charles A Simanjuntak, dr, SpOT(K), FICS, MPd FKIK Universitas Jambi

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anatomi sistem muskuloskeletal otot

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Page 1: 04SMS_Keperawatan2015-Otot

OTOT

Dr. Charles A Simanjuntak, dr, SpOT(K), FICS, MPd

FKIK Universitas Jambi

Page 2: 04SMS_Keperawatan2015-Otot

2Charles2ASjuntak, FKIK-Unja

Page 3: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 3Figure 7-11(b)

Page 4: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 4

Muscle Tissue Characteristics Excitability

Tissue can receive & respond to stimulatio

ContractilityTissue can shorten & thicken

ExtensibilityTissue can lengthen

ElasticityAfter contracting or lengthening, tissue

always wants to return to its resting state

Page 5: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 5

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Muscle Tissue Functions

Movement – both voluntary & involuntary

Maintaining posture

Supporting soft tissues within body cavities

Guarding entrances & exits of the body

Maintaining body temperature

Page 6: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 6

Types of muscle tissue:

• Skeletal

• Cardiac

• Smooth (Visceral)

Page 7: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 7

Anatomy of skeletal muscles

Skeletal muscle

fiber (cell)

Muscle Fascicle

Surrounded by perimysium

Surrounded by endomysium

endomysium

perimysium

Skeletal muscle

Surrounded by epimysium

epimysium

tendon

Page 8: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 8

Microanatomy of a Muscle Fiber (cell)

Page 9: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 9

Microanatomy of a Muscle Fiber (Cell)

sarcolemma

transverse (T) tubules sarcoplasmic

reticulumterminal cisternae

myofibril

thin myofilament

thick myofilament

triad

mitochondria

nuclei

myoglobin

Page 10: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 10

Muscle fiber

myofibril

Thin filaments Thick filaments

Thin myofilamentMyosin molecule ofthick myofilament

sarcomere

Z-line

Page 11: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 11

Thin Myofilament

(myosin binding site)

Z-line (Z-disc)

Page 12: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 12

Thick myofilament

(has ATP & actin binding

site)

M-line

Play IP sliding filament theory p.5-14 for overview of thin & thick filaments

Page 13: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 13

Sarcomere

Z line Z line

A band

H zone

I band Zone of overlap M line

Zone of overlap

Thin myofilaments Thick

myofilaments

Page 14: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 14

OTOT RANGKA

• >400 otot rangka sebagai motor hidup– Gerakan aktif– Bentuk tubuh

• Kepala, badan, ekor• Origo dan insersi

Page 15: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 15

Anatomy of the Muscular System

• OriginMuscle attachment that remains

fixed• Insertion

Muscle attachment that moves• Action

What joint movement a muscle produces

i.e. flexion, extension, abduction, etc.

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Charles2ASjuntak, FKIK-Unja 16

Skeletal muscle movements at joints

• Flexion/extension

• Abduction/adduction

• Rotation – left/right; internal(medial)/external(lateral)

• Pronation/supination

• Elevation/depression

• Protraction/retraction

• Dorsiflexion/plantarflexion

• Inversion/eversion

Page 17: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 17

Contraction

• Isotonic• Isometric

Page 18: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 18

TENDON

• Substansi interseluler: collagen & fibroblas• Nutrisi & pendarahan minimal• Bentuk tali jaringan fibrotik, ujung otot• Synovial/tendon sheath gerak tendon

bebas

Page 19: 04SMS_Keperawatan2015-Otot

Charles2ASjuntak, FKIK-Unja 19

LIGAMEN

• Substansi interseluler: collagen & fibroblas• Nutrisi & pendarahan minimal• Bentuk pita jaringan fibrotik• Penghubung tulang—tulang, t.rawan—

t.rawan• Penguat/penopang sendi

Page 20: 04SMS_Keperawatan2015-Otot

Question

?Charles2ASjuntak, FKIK-Unja 20