body muscels system 1 دکترامیر هوشنگ واحدی متخصص طب فیزیکی و...
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BODY MUSCELS SYSTEM 1 واحدی هوشنگ دکترامیر
توانبخشی و فیزیکی طب متخصص
2قسمت
Muscle Tissue Properties• Skeletal muscle tissue has 4 properties related to its
ability to produce force & movement about joints• Irritability• Contractility• Extensibility• Elasticity
Muscle Tissue Properties• Irritability - property of muscle being sensitive or
responsive to chemical, electrical, or mechanical stimuli• Contractility - ability of muscle to contract & develop
tension or internal force against resistance when stimulated
Muscle Tissue Properties• Extensibility - ability of muscle to be stretched back to its
original length following contraction• Elasticity - ability of muscle to return to its original length
following stretching
Muscle Terminology• Intrinsic - pertaining usually to muscles
within or belonging solely to body part upon which they act• Ex. small intrinsic muscles found entirely
within the hand
Muscle Terminology• Extrinsic - pertaining usually to muscles that arise
or originate outside of (proximal to) body part upon which they act• Ex. forearm muscles that attach proximally on distal
humerus and insert on fingers
Muscle Terminology• Action - specific movement of joint resulting from a
concentric contraction of a muscle which crosses joint• Ex. biceps brachii has the action of flexion at elbow
• Actions are usually caused by a group of muscles working together
Muscle Terminology• Innervation - segment of nervous system defined as being
responsible for providing a stimulus to muscle fibers within a specific muscle or portion of a muscle• A muscle may be innervated by more than one nerve & a particular
nerve may innervate more than one muscle or portion of a muscle
Muscle Terminology• Amplitude - range of muscle fiber length between maximal
& minimal lengthening• Gaster (belly or body)
• central, fleshy portion of the muscle that generally increases in diameter as the muscle contracts
• the contractile portion of muscle
Muscle Terminology• Origin - proximal attachment, generally considered the
least movable part or the part that attaches closest to the midline or center of the body
• Insertion - distal attachment, generally considered the most movable part or the part that attaches farthest from the midline or center of the body
Muscle Terminology• When a particular muscle contracts
• it tends to pull both ends toward the gaster• if neither of the bones to which a muscle is attached are stabilized
then both bones move toward each other upon contraction• more commonly one bone is more stabilized by a variety of factors
and the less stabilized bone usually moves toward the more stabilized bone upon contraction
Types of muscle contraction
Muscle Contraction(under tension)
Isometric Isotonic
EccentricConcentric
Types of muscle contraction• Isotonic contractions involve muscle developing tension to
either cause or control joint movement• dynamic contractions• the varying degrees of tension in muscles are causing joint angles
to change• Isotonic contractions are either concentric or eccentric on
basis of whether shortening or lengthening occurs
Types of muscle contraction• Movement may occur at any given joint without any
muscle contraction whatsoever• referred to as passive • solely due to external forces such as those applied by another
person, object, or resistance or the force of gravity in the presence of muscle relaxation
Types of muscle contraction• Concentric contractions involve muscle developing
tension as it shortens• Eccentric contractions involve the muscle lengthening
under tension• Contraction is contradictory regarding eccentric muscle activity,
since the muscle is really lengthening while maintaining considerable tension
• Eccentric muscle action is perhaps more correct
Types of muscle contraction• Concentric contraction
• muscle develops tension as it shortens• occurs when muscle develops enough force to
overcome applied resistance• causes movement against gravity or resistance• described as being a positive contraction
Types of muscle contraction• Concentric contraction
• force developed by the muscle is greater than that of the resistance• results in joint angle changing in the direction of the applied muscle
force• causes body part to move against gravity or external forces
Types of muscle contraction• Eccentric contraction (muscle action)
• controls movement with gravity or resistance• described as a negative contraction• force developed by the muscle is less than that of the resistance• results in the joint angle changing in the direction of the resistance
or external force• causes body part to move with gravity or external forces
(resistance)
Types of muscle contraction• Eccentric contraction (muscle action)
• muscle lengthens under tension• occurs when muscle gradually lessens in
tension to control the descent of resistance• weight or resistance overcomes muscle
contraction but not to the point that muscle cannot control descending movement
Types of muscle contraction• Isokinetics - a type of dynamic exercise using concentric
and/or eccentric muscle contractions• the speed (or velocity) of movement is constant• muscular contraction (ideally maximum contraction) occurs
throughout movement• not another type of contraction, as some have described• Ex. Biodex, Cybex, Lido
Muscle fibers a long cylindrical cell with hundreds of nuclei
10-100 mm in diameter
1-30 cm in length contractile component: myofabril non-contractile component: endomyosium
types slow twitch fiber (type I)
red in color because of abundant blood supply
slower to the peak when contracted
fatigue resistant fast twitch fiber (type IIA)
pale in color because of less blood supply
rapidly to the peak when contracted
easy fatigue intermediate fiber (type IIB)
Skeletal muscle architecture
parallel fiber arrangement : parallel to the longitudinal axis of the muscle
longitudinal : sartorius quadrate or quadralateral : rhomboid triangular or fan-shaped : pectoralis major fusiform or spindle-shaped : biceps brachii
pennate fiber arrangement : at an angle to the longitudinal axis of the muscle
unipenniform : extnesor digitorum longous bipenniform : flexor hallucis longus multipenniform : middle fibers of the deltoid
Note : Lieber RL(1992) divided skeletal muscle architecture into 3 general types
longitudinal architecture : biceps brachii unipennate architecture : vastus lateralis multipennate architecture : gluteus medius
Angle of Pennation
Angle of Pennation – the angle of orientation between the muscle fibers and tendon
With an increase in the angle of pennation, less force from each individual fiber is transmitted along the long axis of the muscle’s tendon
Despite a less efficient transfer of force per muscle fiber, a greater degree of pennation allows for more muscle fibers to attach to the tendon as compared to a fusiform muscle
A multipennate muscle structure (gastrocnemius) has an even greater force generation potential due to more fibers fitting into a given length of muscle, attaching on its’ central tendon
effect of the angle of pennation
the greater the angle of pennation, the smaller the amount of effective force transmitted to the tendon
the angle of the pennation increases as tension progressively increases in the muscle fibers
The pennate arrangement will allow the packing of more fibers given the same space.
Types based on changes in length concentric contraction (shortening contraction) · isometric contraction (static contraction)
isos = equal ; metron = measure
definition : muscle contraction with muscle length kept no change
The joint angle remains the same when an isometric strength is developed.
There is no motion existed during isometric contraction
eccentric contraction (lengthening contraction)
definition : muscle contraction with the length of the entire muscle lengthened
In daily activities, if the gravity is the only external force acting on the body, the antagonist muscle contracts eccentrically during gravity-assisted motions
Types of muscle contraction, based on development of tension
isotonic
iso = equal ; tonus = tension
Muscle physiologists defined a kind of muscle contraction that develops constant tension throughout the whole muscle excursion as isotonic contraction; however, it is seldom seen in the living body
Clinicians use isotonic contraction commonly and refer to a muscle contraction that causes a joint to move through some range of motion.
Even though the resistance remains the same, the tension generated by the muscle is not equal tension because
1. the moment arm to the joint axis is changing throughout the motion
2. the resistance with respect to the gravity is changing throughout the motion
isometric
equal muscle length and same joint angle
zero motion speed with varying resistance
isokinetic
iso = equal ; kinetos = move
definition : one kind of muscle contraction that occurs when the rate of movement is constant
not occur in the living body without using special machine (isokinetic dynamometer)
first introduced by Hislop and Perrine in 1967
equal motion speed with accommodating resistance
·comparison of different types of muscle contraction
Tension Length Speed
isotonic varying varying varying
isometric varying equal zero
isokinetic
accomodating
resistance
(varying)
varying constant
mechanical model of muscle fiber
contractile component : actin and myosin crossbridges structures
parallel elastic component : muscle connective tissue e.g. epimyosium, perimyosium, or endomyosium
series elastic component : connective tissues within the tendon
tension generated by active contraction
resting length of a sacromere : the length that allows the greatest number of cross-bridge attachments and the greatest potential active force
active length-tension curve : an inverted U-shape with its peak at the resting length
tension generated by passive stretch
developed when series and parallel elastic components are stretched
passive length-tension curve : the tissue is slack before stretched and then the tension builds as an exponential function
total length tension curve of muscle
at shortened lengths : active contraction dominates force generation
just beyond its resting length : passive tension begins to contribute and active tension is compromised
at more elongated lengths : passive tension accounts for most of the total force
Passive Length-Tension
• Connective tissues (CT) located within the muscle (epi, peri & endomysium) have some elastic properties and therefore can generate resistive force when elongated or stretched
• Passive Tension – The resistive force (stiffness) generated within a muscle’s CT and its tendon in response to an applied stretch to the muscle
• Passive tension of a muscle stabilizes skeletal structures against gravity and responds to loads imposed upon the body
• Stretched muscle tissue exhibits both elastic (allows a stretched muscle to return to its original length) and viscoelastic (increasing resistance to elongation as rate of stretch increases) properties.
Passive Length Tension Curve
Stress-Strain Curve
Active Length-Tension Myofibrils – contractile structures within the individual muscle fiber; hundreds to thousands of myofibrils are housed within each fiber
Myofibrils contain the contractile components (myofilaments) of the muscle fiber Actin & Myosin
The active force or “tension” generated within a myofibril is directly dependent on the number of simultaneous cross-bridges formed
The ideal resting length of a muscle fiber or sarcomere is the length that allows the greatest number of cross-bridge attachments, and therefore, the greatest potential active force
As the sarcomere is lengthened or shortened from its resting length, the number of potential cross-bridge attachments decreases, lessening the active force potential even at full muscle fiber activation
Actin
Myosin
Actin & Myosin cross-bridging
Myosin cross bridge attaches to the actin myofilament
1
2
3
4 Working stroke—the myosin head pivots and bends as it pulls on the actin filament, sliding it toward the M line
As new ATP attaches to the myosin head, the cross bridge detaches
As ATP is split into ADP and Pi, cocking of the myosin head occurs
Myosin head (high-energy configuration)
Thick filament
Myosin head (low-energy configuration)
ADP and Pi (inorganic phosphate) released
Sequential Events of Contraction
Thin filament
Total Length Tension
Total Length Tension Curve Total Length Tension – the combination of passive and active tension of a muscle
The combination of the two tensions allows for a large range of muscle force over a wide range of muscle length
As the active force (tension) begins to decline with increasing muscle fiber length, the passive tension rises
Passive tension declines as a muscle fibers approaches its resting length; this is accompanied by an optimal cross-bridge arrangement, which increases active force potential within the fiber
Force-Velocity Relationship
force decreased as velocity increased during concentric contraction
· force increased as velocity decreased during eccentric contraction
· force = 0 during isometric contraction
Force-Velocity Relationship
•During concentric & eccentric activation, the rate of change of a muscle’s length is
significantly related to the muscle’s maximal force potential
•As the velocity of a contraction increases, the F generating capabilities of the
muscle decreases. This is demonstrated by the Force Velocity Curve.
Conversely, as the velocity of a contraction slows, F generating
capabilities increase•From this F-V curve, it is evident that the
greatest force production capability is with slow eccentric activities (i.e. eccentric component of a squat)
•Activities requiring high velocity concentric actions produce the lowest
force (i.e. throwing a wiffle ball)
Muscle activities during motion focal muscle agonist or prime mover
agon = contest
the principal muscle that produces a joint motion or maintains a static posture
can be concentric, isometric, or eccentric antagonist
anti = against; agon = contest
the muscle that contracts in the opposite direction of the agonist
passively elongates or shortens to allow motion acted by agonist
synergist
syn = together; ergon = work
the muscle that contracts together with the agonist stabilizer : to stabilize the proximal component of the joint
involved neutralizer : to rule out unwanted motions
Actions of multi-joint muscles
single-joint muscle : a muscle that cross one joint only, e.g. the brachialis, the short head of the biceps brachii
two-joint muscle : a muscle that cross two joints, e.g. the long-head of the biceps brachii, the grastrocnemius, etc.
multi-joint muscle : a muscle that cross more than one joint e.g. the long finger flexors, the long finger extensors, etc.
active insufficiency • unable to reach the contraction force because of the limit of
muscle length
passive insufficiency • unable to reach full range of motion because of the limit of
muscle length • NOTE : The totally insufficient grip strength produced with the
wrist fully flexed is due to the combination of active insufficiency of the long finger flexors and passive insufficiency of the long finger extensors
FASCICLE ARRANGEMENT TO
MUSCLE STRUCTURE
Arrangement of Fascicles
• (a): Circular pattern:• Fascicles arranged in
concentric rings• Muscles with this
arrangement surround external openings, which they close by contracting
• General term for these muscles is sphincters (squeezers)
• Examples:• Orbicularis muscles
surrounding the eyes (Orbicularis oculi) and the mouth (Orbicularis oris)
Arrangement of Fascicles
• (b): Convergent pattern: • Muscle has a broad origin,
and its fascicles converge toward a single tendon of insertion
• Such a muscle is triangular or fan shaped like the pectoralis major muscle of the anterior thorax
Arrangement of Fascicles
•(c()f :) Parallelpattern:
•The long axes of the fascicles run parallel to the
long axis of the muscle•Such muscles are either :
•straplike (c: parallel)•spindle (f: fusiform)
•shaped with an expanded belly (midsection)
•Examples:•Sartorius of thigh (c)•Biceps brachii muscle of the
arm (f)
Arrangement of Fascicles• (d)(e)(g): Pennate pattern:
• In a pennate (feather) pattern of arrangement the fascicles are short and attach obliquely to a central tendon that runs the length of the muscle
• Types:• Unipennate: d
• Fascicles insert into only one side of the tendon
• Example: extensor digitorum muscle of the leg
• Bipennate: g• Fascicles insert into the tendon from
opposite sides (muscle grains resemble a feather)
• Example: rectus femoris muscle of the thigh
• Multipennate: e• Arrangement looks like many
feathers situated side by side, with all their quills inserted into one large tendon
• Example: deltoid muscle, which forms the roundness of the shoulder
Organization of Skeletal Muscle Fibers• 4 patterns of fascicle organization:
• parallel• convergent• pennate• circular
Contraction – muscle gets shorter but body increases in diameter
• Fascicles are parallel to the long axis of the muscle (most muscles)• Firm attachment by a tendon extends from the free tip to a movable bone of the skeleton – flat bands with aponeuroses; spindle shaped with cordline tendons; have a central body, belly or gaster (‘stomach)
Fig 9.14
• Muscle fibers cover a broad area, but all fibers come together at a common attachment site and pull on a tendon, a tendinous sheet, or a raphe (band of collagen fibers)• Fibers on opposite sides of the tendon pull in different directions
Fig 9.14
Unipennate – all muscle cells are on the same side of the tendon
• Pennate muscles have 1 or more tendons that run through the body, fascicles form an oblique angle to the tendon• Have more fibers than a parallel - generates more tension than a parallel muscle of the same size
Fig 9.14
Bipennate Muscle – muscle fibers on both sides of the tendon
Fig 9.14
Multipennate – triangular deltoid muscle covers the superior surface of the shoulder joint
Fig 9.14
• Sphincter, fibers are concentric around an opening or recess• Contraction – opening diameter decreases; guard entrances and exits of internal passageways (digestive and urinary tracts)
Fig 9.14