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Muscular System
for students of occupational therapy


      Anatomy & physiology 2

        Lecturer: Mohammed Subhi El-Lulu
Muscle Types



       Skeletal           Cardiac


               Smooth


2                 Mohammed Subhi El-Lulu
                   mohdlulu@hotmail.com
Skeletal muscle characteristics

                   Attach bone by tendon

                          Many nuclei

                             Striated

                           Voluntary

                    Surrounded By C.T



3                  Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
Function of Skeletal Muscle
    Produce Movement


    Maintain Posture


    Stabilize Joint


    Generate Heat

4                      Mohammed Subhi El-Lulu
                        mohdlulu@hotmail.com
Naming of skeletal muscle

                                            Size
                Location
    Direction
                                            Origin &
                                            Insertion
                Shape
    No. of
    Origins
5                  Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
1- Direction of muscle

   Relative to the Midline
   RECTUS means parallel
    to midline
       •   Rectus Abdominus
   TRANSVERSE means
    perpendicular to midline
       •   Transverse Abdominus
   OBLIQUE means
    diagonal to midline
       •   External Oblique


6                                 Mohammed Subhi El-Lulu
                                   mohdlulu@hotmail.com
2- Location of muscle


   Structure near which a
    muscle is found
   Muscle near frontal
    bone = Frontalis
   Muscle near the Tibia =
    Tibialis anterior




7                             Mohammed Subhi El-Lulu
                               mohdlulu@hotmail.com
3- Size of muscle

   MAXIMUS means largest
       •   Gluteus Maximus

   MINIMUS means smallest
       •   Gluteus Minimus

   LONGUS means longest
       •   Fibularis Longus

   BREVIS means short
       •   Fibularis Brevis

   TERTIUS means shortest
    Fibularis Tertius


8                             Mohammed Subhi El-Lulu
                               mohdlulu@hotmail.com
4- Number of origins of muscle

Number of tendons of origin
   BICEPS means two
         •    Biceps Brachii

   TRICEPS means three
         •    Triceps Brachii

   QUADRICEPS means
    four
            Quadriceps Femoris


9                                 Mohammed Subhi El-Lulu
                                   mohdlulu@hotmail.com
5- Shape of muscle
            DELTOID means having
             a triangular shape
            TRAPEZIUS means
             having a trapezoid shape
            SERRATUS means
             having a saw-toothed
             shape (Serratus Ant.)
 RHOMBOIDEUS means
having a diamond shape
(Rhomboid Major

    10                                  Mohammed Subhi El-Lulu
                                         mohdlulu@hotmail.com
6- Origin & Insertion
    (Origin): attached to less or
     immovable bone.
    (Insertion): attached to the
     movable bone.
        STERNOCLEIDOMASTOID:
         attaches to the Sternum,
         Clavicle, and Mastoid Process
        ILIO COSTALIS: attaches to
         the ilium & ribs


    11                               Mohammed Subhi El-Lulu
                                      mohdlulu@hotmail.com
Function of muscle
NAME        ACTION                                  EXAMPLE


FLEXOR      Decrease ang’hile at a joint            Flexor Carpi Radialis


EXTENSOR    Increase angle at a joint               Extensor Carpi Ulnaris

ABDUCTOR    Move bone away from midline             Abductor Pollicis Longus

ADDUCTOR    Move bone toward midline                Adductor Longus

LEVATOR     Produces upward movement                Levator Scapulae

DEPRESSOR   Produces downward movement              Depressor Labii Inferioris

SUPINATOR   Turn palm upward/anteriorly             Supinator

PRONATOR    Turn palm downward/posteriorly          Pronator Teres

12                                      Mohammed Subhi El-Lulu
                                         mohdlulu@hotmail.com
Body Muscles

Extremity Movement
6 muscle groups of head and neck


                 Eye
     Facial                                Mastication


     Tongue                                  Neck
               Pharynx

14                Mohammed Subhi El-Lulu
                   mohdlulu@hotmail.com
15   Mohammed Subhi El-Lulu
      mohdlulu@hotmail.com
Muscles of vertebral column
Spinal Flexor                   Transversospinalis

Superficial Spinal Extensor     Spinalis group
                                Longissimus group
                                Iliocostalis group
Deep Spinal Extensor            Semispinalis group

                                Multifidus muscle

                                Interspinalis muscles

                                Intertransversarii muscles
                                Rotatores muscles
Oblique Muscles                 compress underlying structures

                                rotate vertebral column

Rectus Muscles                  flex vertebral column
                                oppose erector spinae

 16                           Mohammed Subhi El-Lulu
                               mohdlulu@hotmail.com
17   Mohammed Subhi El-Lulu
      mohdlulu@hotmail.com
18   Mohammed Subhi El-Lulu
      mohdlulu@hotmail.com
19   Mohammed Subhi El-Lulu
      mohdlulu@hotmail.com
6 muscles that position the Pectoral Girdle




Trapezius         Rhomboid                      Subclavius

     • Serratus     • Levator                      • Pectoralis
                      Scapulae                       Minor




20                     Mohammed Subhi El-Lulu
                        mohdlulu@hotmail.com
Trapezius, Rhomboid, Levator Scapulae




21                Mohammed Subhi El-Lulu
                   mohdlulu@hotmail.com
Serratus, Pectoralis minor




22               Mohammed Subhi El-Lulu
                  mohdlulu@hotmail.com
Subclavius




23       Mohammed Subhi El-Lulu
          mohdlulu@hotmail.com
Muscles that move the Arm

                         Deltoid


         Subscapularis                       Supra
         Teres major                        spinatus

                         Rotator
                          Cuff
         Infraspinatus                     Latissimus
         Teres minor                         dorsi



                          Coraco
                         brachialis



24                          Mohammed Subhi El-Lulu
                             mohdlulu@hotmail.com
Deltoid “major abductor”




25                 Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
Supraspinatus “assists deltoid”




26                 Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
Subscapularis & teres major
“medial rotation at shoulder




27                   Mohammed Subhi El-Lulu
                      mohdlulu@hotmail.com
Infraspinatus & teres minor
“lateral rotation at shoulder”




28                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Coracobrachialis
“flexion & adduction at shoulder”




29                   Mohammed Subhi El-Lulu
                      mohdlulu@hotmail.com
Pectoralis major “flexion of shoulder”




30                  Mohammed Subhi El-Lulu
                     mohdlulu@hotmail.com
Latissmus dorsi
“Extension of shoulder joint”




31                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Rotator Cuff




32             Mohammed Subhi El-Lulu
                mohdlulu@hotmail.com
13 muscles that move Forearm & Hand
     • Biceps brachii “flex elbow, stabilize joint”
A    • Triceps brachii “extend elbow”

     • Brachialis and brachioradialis “flex elbow”
B    • Anconeus “opposes brachialis”
     • Palmaris longus ”flex wrist”
     • Flexor carpi ulnaris ”flex/ adduct wrist”
C    • Flexor carpi redialis “flex/ abduct wrist”

     • Extensor carpi radialis “extend/ abduct wrist”
D    • Extensor carpi ulnaris “extend/ adduct wrist”

     • Pronator teres and supinator “rotate radialis”
E    • Pronator quadratus “assist pronator teres”


33                                       Mohammed Subhi El-Lulu
                                          mohdlulu@hotmail.com
34   Mohammed Subhi El-Lulu
      mohdlulu@hotmail.com
Biceps brachii “flex elbow, stabilize joint”




35                      Mohammed Subhi El-Lulu
                         mohdlulu@hotmail.com
Triceps brachii “extend elbow”




36                 Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
Brachialis and brachioradialis “flex elbow”




37                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Anconeus “opposes brachialis”




38                Mohammed Subhi El-Lulu
                   mohdlulu@hotmail.com
Palmaris longus ”flex wrist”
Flexor carpi ulnaris ”flex/ adduct wrist”
Flexor carpi redialis “flex/ abduct wrist




39                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Extensor carpi radialis “extend/ abduct wrist”
Extensor carpi ulnaris “extend/ adduct wrist”




40                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Pronator teres and supinator “rotate radialis”
Pronator quadratus “assist pronator teres”




41                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Muscles that move the hand and figures




42                  Mohammed Subhi El-Lulu
                     mohdlulu@hotmail.com
Posterior Extensor Retinaculum




43               Mohammed Subhi El-Lulu
                  mohdlulu@hotmail.com
Anterior Flexor Reticulum




44                 Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
Muscles that move Lower Limb




45
Thigh and Gluteal Muscles
oCover lateral surface of ilia.
 Gluteus maximus:

            largest, most posterior gluteal muscle
            produces extension and lateral rotation at hip

        Tensor fasciae latae:
            works with gluteus maximus
            stabilizes iliotibial tract
        Gluteus medius and gluteus minimus:
            originate anterior to gluteus maximus insert on trochanter

    46                                      Mohammed Subhi El-Lulu
                                             mohdlulu@hotmail.com
Muscles of Thigh




47                 Mohammed Subhi El-Lulu
                    mohdlulu@hotmail.com
Trochanter




48           Mohammed Subhi El-Lulu
              mohdlulu@hotmail.com
(6) Lateral Rotators (Piriformis, Obturator)




49                    Mohammed Subhi El-Lulu
                       mohdlulu@hotmail.com
Adductors of Thigh




50                   Mohammed Subhi El-Lulu
                      mohdlulu@hotmail.com
Adductors of Thigh

     Pectineus                          Gracilis




51                   Mohammed Subhi El-Lulu
                      mohdlulu@hotmail.com
Muscles that
move the Leg
     Flexors of Knee

 Biceps femoris
 Semimembranosus-
 Semitendinosus
 Sartorius:
 Popliteus:




52                     Mohammed Subhi El-Lulu
                        mohdlulu@hotmail.com
Muscles that
move the Leg

     Extensors of Knee

Quadriceps Femoris

 3 vastus
 Rectus femoris




53                       Mohammed Subhi El-Lulu
                          mohdlulu@hotmail.com

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Muscular System

  • 1. Muscular System for students of occupational therapy Anatomy & physiology 2 Lecturer: Mohammed Subhi El-Lulu
  • 2. Muscle Types Skeletal Cardiac Smooth 2 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 3. Skeletal muscle characteristics Attach bone by tendon Many nuclei Striated Voluntary Surrounded By C.T 3 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 4. Function of Skeletal Muscle Produce Movement Maintain Posture Stabilize Joint Generate Heat 4 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 5. Naming of skeletal muscle Size Location Direction Origin & Insertion Shape No. of Origins 5 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 6. 1- Direction of muscle  Relative to the Midline  RECTUS means parallel to midline • Rectus Abdominus  TRANSVERSE means perpendicular to midline • Transverse Abdominus  OBLIQUE means diagonal to midline • External Oblique 6 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 7. 2- Location of muscle  Structure near which a muscle is found  Muscle near frontal bone = Frontalis  Muscle near the Tibia = Tibialis anterior 7 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 8. 3- Size of muscle  MAXIMUS means largest • Gluteus Maximus  MINIMUS means smallest • Gluteus Minimus  LONGUS means longest • Fibularis Longus  BREVIS means short • Fibularis Brevis  TERTIUS means shortest Fibularis Tertius 8 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 9. 4- Number of origins of muscle Number of tendons of origin  BICEPS means two • Biceps Brachii  TRICEPS means three • Triceps Brachii  QUADRICEPS means four  Quadriceps Femoris 9 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 10. 5- Shape of muscle  DELTOID means having a triangular shape  TRAPEZIUS means having a trapezoid shape  SERRATUS means having a saw-toothed shape (Serratus Ant.)  RHOMBOIDEUS means having a diamond shape (Rhomboid Major 10 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 11. 6- Origin & Insertion  (Origin): attached to less or immovable bone.  (Insertion): attached to the movable bone.  STERNOCLEIDOMASTOID: attaches to the Sternum, Clavicle, and Mastoid Process  ILIO COSTALIS: attaches to the ilium & ribs 11 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 12. Function of muscle NAME ACTION EXAMPLE FLEXOR Decrease ang’hile at a joint Flexor Carpi Radialis EXTENSOR Increase angle at a joint Extensor Carpi Ulnaris ABDUCTOR Move bone away from midline Abductor Pollicis Longus ADDUCTOR Move bone toward midline Adductor Longus LEVATOR Produces upward movement Levator Scapulae DEPRESSOR Produces downward movement Depressor Labii Inferioris SUPINATOR Turn palm upward/anteriorly Supinator PRONATOR Turn palm downward/posteriorly Pronator Teres 12 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 14. 6 muscle groups of head and neck Eye Facial Mastication Tongue Neck Pharynx 14 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 15. 15 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 16. Muscles of vertebral column Spinal Flexor Transversospinalis Superficial Spinal Extensor Spinalis group Longissimus group Iliocostalis group Deep Spinal Extensor Semispinalis group Multifidus muscle Interspinalis muscles Intertransversarii muscles Rotatores muscles Oblique Muscles compress underlying structures rotate vertebral column Rectus Muscles flex vertebral column oppose erector spinae 16 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 17. 17 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 18. 18 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 19. 19 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 20. 6 muscles that position the Pectoral Girdle Trapezius Rhomboid Subclavius • Serratus • Levator • Pectoralis Scapulae Minor 20 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 21. Trapezius, Rhomboid, Levator Scapulae 21 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 22. Serratus, Pectoralis minor 22 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 23. Subclavius 23 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 24. Muscles that move the Arm Deltoid Subscapularis Supra Teres major spinatus Rotator Cuff Infraspinatus Latissimus Teres minor dorsi Coraco brachialis 24 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 25. Deltoid “major abductor” 25 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 26. Supraspinatus “assists deltoid” 26 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 27. Subscapularis & teres major “medial rotation at shoulder 27 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 28. Infraspinatus & teres minor “lateral rotation at shoulder” 28 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 29. Coracobrachialis “flexion & adduction at shoulder” 29 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 30. Pectoralis major “flexion of shoulder” 30 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 31. Latissmus dorsi “Extension of shoulder joint” 31 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 32. Rotator Cuff 32 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 33. 13 muscles that move Forearm & Hand • Biceps brachii “flex elbow, stabilize joint” A • Triceps brachii “extend elbow” • Brachialis and brachioradialis “flex elbow” B • Anconeus “opposes brachialis” • Palmaris longus ”flex wrist” • Flexor carpi ulnaris ”flex/ adduct wrist” C • Flexor carpi redialis “flex/ abduct wrist” • Extensor carpi radialis “extend/ abduct wrist” D • Extensor carpi ulnaris “extend/ adduct wrist” • Pronator teres and supinator “rotate radialis” E • Pronator quadratus “assist pronator teres” 33 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 34. 34 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 35. Biceps brachii “flex elbow, stabilize joint” 35 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 36. Triceps brachii “extend elbow” 36 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 37. Brachialis and brachioradialis “flex elbow” 37 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 38. Anconeus “opposes brachialis” 38 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 39. Palmaris longus ”flex wrist” Flexor carpi ulnaris ”flex/ adduct wrist” Flexor carpi redialis “flex/ abduct wrist 39 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 40. Extensor carpi radialis “extend/ abduct wrist” Extensor carpi ulnaris “extend/ adduct wrist” 40 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 41. Pronator teres and supinator “rotate radialis” Pronator quadratus “assist pronator teres” 41 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 42. Muscles that move the hand and figures 42 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 43. Posterior Extensor Retinaculum 43 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 44. Anterior Flexor Reticulum 44 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 45. Muscles that move Lower Limb 45
  • 46. Thigh and Gluteal Muscles oCover lateral surface of ilia.  Gluteus maximus:  largest, most posterior gluteal muscle  produces extension and lateral rotation at hip  Tensor fasciae latae:  works with gluteus maximus  stabilizes iliotibial tract  Gluteus medius and gluteus minimus:  originate anterior to gluteus maximus insert on trochanter 46 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 47. Muscles of Thigh 47 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 48. Trochanter 48 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 49. (6) Lateral Rotators (Piriformis, Obturator) 49 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 50. Adductors of Thigh 50 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 51. Adductors of Thigh Pectineus Gracilis 51 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 52. Muscles that move the Leg Flexors of Knee  Biceps femoris  Semimembranosus-  Semitendinosus  Sartorius:  Popliteus: 52 Mohammed Subhi El-Lulu mohdlulu@hotmail.com
  • 53. Muscles that move the Leg Extensors of Knee Quadriceps Femoris  3 vastus  Rectus femoris 53 Mohammed Subhi El-Lulu mohdlulu@hotmail.com