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Basic concepts of the

THEME
THEME II MusculosKeletal
System

CHAPTER OUTLINE

THE BONY SYSTEM

Division of Human skeleton


The types of bony tissue
Classes of bones

THE ARTICULAR SYSTEM

Joint stability
Classification of joints
Joints movements

THE MUSCULAR SYSTEM

Classification
General Functions and characteristics
Microstructure of skeletal muscle
Neuromuscular components
Key Terms
Metabolic characteristic of muscle fibers
Human skeleton Musculoskeletal adaptions to weight training
Bony Tissue
Musculoskeletal alterations thorough the years
Articular System
Joints
Articular Movements
Muscular System
Skeletal Muscle
Connective Tissues
Motor Unit
Bone Density
Theme I Objectives
After the study of this theme, the reader should be able:

To Describe
1- The two main divisions of the human skeleton.
2- The two types of bony tissue and their main differences.
3- All the main components of a typical synovial joint.
4- The classifications of joints with their characteristics.
5- All the moments that occur within each joint.
6- The classification and functions of the muscular system.
7- The main structure of a skeletal muscle fiber.
8- The musculoskeletal adaptions to Weight Training
Exercises.

To Define
1- Compact and Spongy
2- The factors that enhance joint stability
3- Monoaxial, biaxial and triaxial.
4- The types of moments admitted by each joint.
5- Voluntary and Involuntary muscles.
6- Parallel and Pennate muscles.
7- Slow Oxidative, Fastoxidative and Fast Glycolytic.

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tribute for the rigidity and to sustain the body and to

T
THE BONY SYSTEM provide insertion points to the muscles, so that move-
ments can take place. The bones, together with the
The human skeleton is an organized group muscles and the articulations are part of the locomo-
of bones and cartilages that form and stabilize the tive apparatus.
frame of the body. It is formed by 206 bones, rigid They protect the internal organs as the brain,
and resistant pieces. lungs, etc. forming rigid cavities where they lodge, for
example the skull or the thoracic cage.
Another fundamental function is the one of
generating the sanguine cells. The bones possess a
Division to the human skeleton: part called red bony marrow, where the red globules,
white globules and plaquets take place.
We can divide to the human skeleton in two
categories: There exist three main classes of bony cells:
* The axial skeleton: their bones form the * The osteoblasts are in charge of the forma-
main axis of the body (head and trunk); tion of the bone;
* The appendicular skeleton is compound * The osteoclasts are the cells responsible
for the bones of the superior and inferior extremities for the resorption and remodeling of the bone. This
and the bones of the scapula, waist and hip (pelvis) process liberates calcium to the means and can re-
that connect the members with the axial skeleton. spond to necessities of the organism.
The bones are chemically formed by 33% of
organic matter and of approximately 66% of inorganic
matter:
* The organic p art is formed mainly by a pro-
tein, the collagen that confers them elasticity, flexibil-
Classes of bones:
ity and resistance;
* The inorganic part is formed by salts miner-
The long bones have more longitude than
als, mainly calcium and phosphate that are the cause
width, as the humerus and the femur, for example.
of the hardness and rigidity to the bony pieces.
They act as levers to produce movement in the mus-
The proportions among organic and inorganic
cular contraction. The long bones of the inferior mem-
matter vary according to the requirements of each
bers support the corporal weight. We call diaphysis to
stage of the life. The calcium contributes rigidity to
the axis or body of the bones of hollow characteristic
the bones and it also intervenes in many other or-
and epiphysis to their ends. We can distinguish in
ganic processes, such as the muscular contraction,
the diaphysis an external layer of compact bone of
transmission of nervous impulses, clotting of the
around 3 mm. of thickness and in the internal part
blood, etc.
we find a small layer of spongy bone surrounding to
the medullary cavity, the ends are particularly spongy
and expanded, in which the compact bone is thin-
The two types of bony tissue are: ner. In the medullary cavity of the diaphysis of the
long bones of an adult we find the yellow bony mar-
* The compact bone (also called cortical), of row (mainly fatty). This can become red bony marrow
great hardness and density, is located in the external again. In the epiphysis or ends, the interstices of the
part, under the periostium (membrane that recovers spongy bones are full with red bony marrow or he-
the bones); its thickness depends on the mechanical matopoietic tissue.
demands.
* The spongy bone is lighter and is also
called trabecular; he/she has spaces in which he/she
lodges the bony marrow. It is generally located in the
internal part of the body of the bones (diaphysis) and
in the ends (epiphysis) of the long bones and in the
short, planes and irregular bones.
The main functions of the bones are to con-

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above:
Structural or static factors: Bone to bone contact
can alter the range of motion of a joint. This refers
to the form or configuration of the articulating bony
parts or the contact degree among those articular
surfaces.
The interference of smooth structures can
also influence the joint range of motion because the
engrossment /compression and/or degree of rigidity/
flexibility of these tissues that surround or cross the
articulations can diminish or increase the degree of a
movement. These soft structures include the muscles
and their aponeurosis, the structures of the articula-
tion and articular capsule (ligaments and tendons),
the skin and the fatty tissue.
Physiologic or dynamic factors: Factors like
the stretch reflex (regulated by a mechanism of neu-
romuscular control) can influence directly the mobility
of a joint. The mobility also depends on the phase
The plane bones are, as their name indicates of the contraction that the muscles that surround the
it, smoothed and slightly curved as the scapula and articulation are.
the bones of the skull, for example. The physical inactivity or immobilization, as
Short bones are, for example, the carpal well as aging, all affect the mobility negatively. On
bones (wrist bones) and the tarsal bones (bones of the other hand, the stretching exercises help to re-
the ankle). They allow the movement forming con- tard the gradual loss of articular mobility and muscu-
nection bridges. They intervene more in questions of lar elasticity that are the base of the musculoskeletal
stability, as for example in the case of the ankle. flexibility.
Irregular bones are not included in none of The gender or the differences among sexes
the other classifications. The vertebras that form the influence the degree of the individuals flexibility. For
spine are a good example of that bone type. the same age, the girls and the women are more flex-
Sesamoid bones are small and rounded bones ible than the men. The compression of the outlying
that are next to the articulations, and they have the nerves can also induce a flexibility problem. The ar-
function of increasing the lever of the muscles. The ticular system counts with diverse classes of articula-
patela in the knee is an example of sesamoid bone. tions. Each one is characterized by a level of particu-
lar mobility. Consequently, the articulation type also
affects the flexibility of the different parts of the hu-
man body.
THE ARTICULAR SYSTEM The precarious flexibility has negative conse-
quences for the yield in a weight training program be-
The articulations represent connections that cause it limits the voluntary correction of the postural
exist among the diverse points and areas of surfaces defects and it deteriorates the technique of execu-
of the bones that compose the human skeleton. Al- tion of the exercises, affecting in the efficiency of the
though the movement of the bones depends on the same ones. The lack of chronic flexibility can result
activity of the inserted skeletal muscle, the move- (or increase) in certain musculoskeletal conditions.
ment type or degree of freedom (range of motion), is With the years, the lack of flexibility can become
determined by the articulation or nature of the union permanent or irreversible, especially as the develop-
or connection between the bones and the form of the ment of arthrosis causes the calcification of the joint
articular surfaces. This characteristic of the articula- surrounding tissues.
tion is called articular mobility and is indispensable so In a contrary way, the appropriate flexibility
that a person has the physical quality of flexibility. allows the articulation to move in a safe way in differ-
There are several factors that influence the ar- ent positions and an appropriate execution technique
ticular mobility and the most important are described and posture during the exercises. This prevents le-

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sions (muscular and ligaments) when the articulation and extension movements around a front axis in the
is taken forcibly until the end of its range of motion. sagital plane, and abduction and adduction around a
Also, a good level of flexibility helps to the efficiency sagital axis in the front plane.
in the execution of different skills. To be able to reach * Triaxial: In these types of articulations, the
this condition a good muscular and articular stability movements take place in three axes. The hip joint, for
of the involved joints is needed. example, allows flexion and extension around a fron-
tal axis in the sagital plane, abduction and adduction
The joint stability around a sagital axis in the frontal plane and rotation
around a longitudinal axis in the traverse plane.
The stability of the joints depends on the
strong arrangement of the bones in the articulation, Structural categorization (according to
by means of which a bone is adjusted inside or around the structure that they possess):
the other one. Another source of stability comes from
a strong ligamentar disposition, with the ligaments Diarthrodial (synovial joints):
surrounding the articulation in enough number and General morphologic characteristics:
quality to be able to resist dislocating forces. Of same * Articulations with wide movement freedom:
importance, the muscles that surround the articula- The synovial joints or diarthrodial allow one or more
tion represent a very important determinant for its of the following movement classes: flexion and ex-
stability. This is evident in those joints where weak tension, abduction and adduction, lateral / medial ro-
bony unions are presented, like in the shoulder, for tation and circunduction;
example. * They possess an articular cavity, that is a
The joint stability can be improved through space among the articular surfaces of the two bones
the exercise. At bony level thereis almost nothing to of the articulation, which allows the greater mobility of
do because in spite of the fact that exercises im- these articulations;
prove many aspects of the bone like the density, for * They are surrounded of an articular capsule
example, most of these factors dont influence in the of fibrous cartilage (ligaments that reinforce the cap-
stability of the articulations. But at the ligamentous sule and the cartilages that cover the articular ex-
level one can improve the stability when increasing tremities of the bones);
the force of the ligaments by means of exercises, to * The articular capsule is involved with the
help to resist any dislocating force. The development synovial membrane, which produces the synovial liq-
and maintenance of an appropriate stability comes uid that lubricates the internal articular surfaces and
mainly from the conditioning (mainly force and elas- contributes to the nutrition of the cartilage;
ticity) of the muscles that surround the joint. This * The articular surfaces are recovered with
can be reached through a program of exercises with articular cartilage, usually hyaline, but occasionally
weights. The objective is to develop the muscular fibrocartilageous.
strength, so that the muscles can effectively maintain
the integrity of the joint. Sub-classification:

Classification of Joints * Arthrodial (irregular / plane): The articu-


lar surfaces of the participant bones are, in general,
The joints can be categorized through their plane or lightly curved. It allows the movements of
functions or through their structures. sliding or torsion. It doesnt possess planes neither
Functional categorization (according to the move- axes. Example includes the intercarpal and intertar-
ments that they carry out or axes that possess) sal articulations, the acromioclavicular and esterno-
* Monoaxial: They are articulations where the clavicular articulations, the articulations of the verte-
movement is carried out in a single axis. An exam- bral arches.
ple is the articulation of the elbow (humeroulnar), the * Amphiarthroses (slightly movable articu-
one which only allows flexion and extension around a lations).
frontal axis in the sagital plane. In these articulations the contiguous bony sur-
* Biaxial: They allow movements in two dif- faces are either connected by broad flattened disks
ferent axes. For example, the wrist joint allows flexion of fibrocartilage, of a more or less complex structure,

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as in the articulations between the bodies of the ver- movement is biaxial, or around two horizontal axes at
tebr; or are united by an interosseous ligament, as right angles to each other, or at any intervening axis
in the inferior tibiofibular articulation. The first form is between the two. These are the condyloid and the
termed a symphysis, the second a syndesmosis. saddle-joint. There is one form where the movement
is polyaxial, the enarthrosis or ball-and-socket joint;
and finally there are the arthrodial or gliding joints.


* Diarthroses (freely movable articulations).
This class includes the greater number of the joints
in the body. In a diarthrodial joint the contiguous bony Ginglymus or Hinge-joint.In this form the
surfaces are covered with articular cartilage, and articular surfaces are molded to each other in such
connected by ligaments lined by synovial membrane. a manner as to permit motion only in one plane, for-
The joint may be divided, completely or incompletely, ward and backward, the extent of motion at the same
by an articular disk or meniscus, the periphery of time being considerable. The direction which the dis-
which is continuous with the fibrous capsule while its tal bone takes in this motion is seldom in the same
free surfaces are covered by synovial membrane. plane as that of the axis of the proximal bone; there is
usually a certain amount of deviation from the straight
line during flexion. The articular surfaces are con-
nected together by strong collateral ligaments, which
form their chief bond of union. The best examples of
ginglymus are the interphalangeal joints and the joint
between the humerus and ulna; the knee- and ankle-
joints are less typical, as they allow a slight degree of
rotation or of side-to-side movement in certain posi-
tions of the limb.

Trochoid or Pivot-joint (articulation tro-


choidea; rotary joint).Where the movement is
limited to rotation, the joint is formed by a pivot-like
process turning within a ring, or a ring on a pivot, the
ring being formed partly of bone, partly of ligament. In
The varieties of joints in the proximal radioulnar articulation, the ring is formed
this class have been determined by the kind of by the radial notch of the ulna and the annular liga-
motion permitted in each. There are two varieties ment; here, the head of the radius rotates within the
in which the movement is uniaxial, that is to say, ring. In the articulation of the odontoid process of the
all movements take place around one axis. In one axis with the atlas the ring is formed in front by the
form, the ginglymus, this axis is, practically speaking, anterior arch, and behind by the transverse ligament
transverse; in the other, the trochoid or pivot-joint, of the atlas; here, the ring rotates around the odon-
it is longitudinal. There are two varieties where the toid process.

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constituting flexion and extension; or (2) toward and
Condyloid Articulation (ellipsoidal articu- from the median plane of the body, or, in the case of
lation).In this form of joint, an ovoid articular sur- the fingers or toes, from the middle line of the hand
face, or condyle, is received into an elliptical cavity or foot, constituting adduction and abduction. The
in such a manner as to permit of flexion, extension, strictly ginglymoid or hinge-joints admit of flexion and
adduction, abduction, and circunduction, but no axial extension only. Abduction and adduction, combined
rotation. The wrist-joint is an example of this form of with flexion and extension, are met with in the more
articulation. movable joints; as in the hip, the shoulder, the wrist,
and the carpometacarpal joint of the thumb.
Articulation by Reciprocal Reception (sell-
aris articulation; saddle-joint).In this variety the Circumduction.Circumduction is that form
opposing surfaces are reciprocally concavo-convex. of motion which takes place between the head of a
The movements are the same as in the preceding bone and its articular cavity, when the bone is made
form; that is to say, flexion, extension, adduction, ab- to circumscribe a conical space; the base of the cone
duction, and circumduction are allowed; but no axial is described by the distal end of the bone, the apex is
rotation. The best example of this form is the car- in the articular cavity; this kind of motion is best seen
pometacarpal joint of the thumb. in the shoulder and hip-joints.

Enarthrosis (ball-and-socket joints). Rotation.Rotation is a form of movement


Enarthrosis is a joint in which the distal bone is ca- in which a bone moves around a central axis without
pable of motion around an indefinite number of axes, undergoing any displacement from this axis; the axis
which have one common center. It is formed by the of rotation may lie in a separate bone, as in the case
reception of a globular head into a cup-like cavity, of the pivot formed by the odontoid process of the
hence the name ball-and-socket. Examples of this axis vertebr around which the atlas turns; or a bone
form of articulation are found in the hip and shoul- may rotate around its own longitudinal axis, as in the
der. rotation of the humerus at the shoulder-joint; or the
axis of rotation may not be quite parallel to the long
The Kind of Movement Admitted in Joints axis of the bone, as in the movement of the radius
on the ulna during pronation and supination of the
The movements admissible in joints may be hand, where it is represented by a line connecting the
divided into four kinds: gliding and angular move- center of the head of the radius above with the center
ments, circumduction, and rotation. These move- of the head of the ulna below.
ments are often, however, more or less combined in
the various joints, so as to produce an infinite variety, Ligamentous Action of Muscles.The
and it is seldom that only one kind of motion is found movements of the different joints of a limb are com-
in any particular joint. bined by means of the long muscles passing over
more than one joint. These, when relaxed and
Gliding Movement.Gliding movement is stretched to their greatest extent, act as elastic liga-
the simplest kind of motion that can take place in a ments in restraining certain movements of one joint,
joint, one surface gliding or moving over another with- except when combined with corresponding move-
out any angular or rotatory movement. It is common ments of the otherthe latter movements being usu-
to all movable joints; but in some, as in most of the ally in the opposite direction. Thus the shortness of
articulations of the carpus and tarsus, it is the only the hamstring muscles prevents complete flexion of
motion permitted. This movement is not confined to the hip, unless the knee-joint is also flexed so as to
plane surfaces, but may exist between any two con- bring their attachments nearer together. The uses
tiguous surfaces, of whatever form. of this arrangement are threefold: (1) It coordinates
the kinds of movements which are the most habitual
Angular Movement.Angular movement and necessary, and enables them to be performed
occurs only between the long bones, and by it the with the least expenditure of power. (2) It enables the
angle between the two bones is increased or dimin- short muscles which pass over only one joint to act
ished. It may take place: (1) forward and backward, upon more than one. (3) It provides the joints with

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ligaments which, while they are of very great power in mechanism to conserve the homeostasis of the tem-
resisting movements to an extent incompatible with perature.
the mechanism of the joint, at the same time sponta- * Posture. The continuous contraction of di-
neously yield when necessary. verse skeletal muscles makes possible to maintain
the posture of the musculoskeletal system.
THE MUSCULAR SYSTEM
Characteristic of the Muscular Tissue
The muscular system comprehends around
600 muscles. The muscular cells are prepared in The muscular tissue possesses 4 fundamen-
elastic threads contained in packages, several of tal properties, excitability, contractility, extensibility
those which together constitute a muscle. The skel- and elasticity. The excitability refers to the capacity of
etal muscles, together with the bones and the con- a muscular tissue to receive stimuli and to respond to
nective tissue, give form to the body and, united by them. The contractility property refers to the capacity
the tendons, give movement to the bones. All the of the muscle to shorten when it receives a stimulus
muscles are covered by a layer of connective tissue of appropriate intensity. This is the unique property
called aponeurosis. The terminals portions of these that only the muscular tissue possesses. The aver-
tissues form a tendon. The muscles are elastic and age muscular fiber can shorten until approximately
they work in pairs (agonistas and antagonistic). half of its rest longitude. The extensibility is the ca-
The muscles move at the level of the articula- pacity of the skeletal muscle to be loosened. The
tions via the contraction and relaxation of the muscles muscle can be stretched until it acquires a longitude
that are inserted on them. The long bones, in particu- that represents half of its normal length at rest. The
lar, form a net frame of levers. The skeletal muscles elasticity represents the ability of the muscle to return
inserted on these levers contract to work them. The to its length or original form of rest after experiencing
nerves located in the muscles direct the movements contraction or elongation.
and the blood vessels provide the local feeding. The skeletal muscles are stuck to the bones
by means of their connective tissues. The connec-
Classification tive tissues extend beyond the muscular belly in
the form of a tendon or an aponeurosis. Most of
The muscles of the human body are clas- the skeletal muscles cross an articulation, and they
sified in: link to the two bones that participate. When a muscle
* Voluntary (skeletal or striated): Formed contracts it exercises the same force on the two un-
for large striated cells stuck to the bony skeleton that ions trying to move one toward the other one.
moves their parts. These muscles are controlled by There is considerable variation in the arrange-
our will. ment of the fibers of certain muscles with reference
* Involuntary (smooth): they are in the inter- to the tendons to which they are attached. In some
nal organs (viscera) and walls of the blood vessels. muscles the fibers are parallel and run directly from
These muscles work automatically and they are not their origin to their insertion. A modification of these
controlled by autonomous nervous system. is found in the fusiform muscles, in which the fibers
* Heart. Their special striated structure is only are not quite parallel, but slightly curved, so that the
in the heart. It is also controlled by the autonomous muscle tapers at either end; in their actions, however,
nervous system. they resemble the quadrilateral muscles. Secondly,
in other muscles the fibers are convergent; arising by
General Functions: a broad origin, they converge to a narrow or pointed
insertion. This arrangement of fibers is found in the
The basic functions of the skeletal muscles triangular musclese. g., the Temporalis. In some
are: muscles, which otherwise would belong to the quad-
* Movements. The contractions of the skel- rilateral or triangular type, the origin and insertion are
etal muscles produce movements of the body like a not in the same plane, but the plane of the line of ori-
global unit (locomotion), as well as on their parts. gin intersects that of the line of insertion; such is the
* Production of heat. The muscular activ- case in the Pectineus. Thirdly, in some muscles (e.
ity constitutes one of the most important parts in the g., the Peronei) the fibers are oblique and converge,

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like the plumes of a quill pen, to one side of a ten- not muscles, are represented in the central nervous
don which runs the entire length of the muscle; such system. To carry out a movement a definite combina-
muscles are termed unipennate. A modification of tion of muscles is called into play, and the individual
this condition is found where oblique fibers converge has no power either to leave out a muscle from this
to both sides of a central tendon; these are called combination or to add one to it. One (or more) muscle
bipennate, and an example is afforded in the Rectus of the combination is the chief moving force; when
femoris. Finally, there are muscles in which the fib- this muscle passes over more than one joint other
ers are arranged in curved bundles in one or more muscles (synergic muscles) come into play to inhibit
planes, as in the Sphincters. The arrangement of the the movements not required; a third set of muscles
fibers is of considerable importance in respect to the (fixation muscles) fix the limbi. e., in the case of the
relative strength and range of movement of the mus- limb-movementsand also prevent disturbances of
cle. Those muscles where the fibers are long and few the equilibrium of the body generally. As an exam-
in number have great range, but diminished strength; ple, the movement of the closing of the fist may be
where, on the other hand, the fibers are short and considered: (1) the prime movers are the Flexor digi-
more numerous, there is great power, but lessened torium, Flexor pollicis longus, and the small muscles
range. of the thumb; (2) the synergic muscles are the Exten-
The names applied to the various muscles sors carpi, which prevent flexion of the wrist; while
have been derived: (1) from their situation, as the (3) the fixation muscles are the Biceps and Triceps
Tibialis, Radialis, Ulnaris, Peroneus; (2) from their brachii, which steady the elbow and shoulder. A fur-
direction, as the Rectus abdominis, Obliqui capitis, ther point which must be borne in mind in considering
Transversus abdominis; (3) from their uses, as Flex- the actions of muscles is that in certain positions a
ors, Extensors, Abductors, etc.; (4) from their shape, movement can be effected by gravity, and in such a
as the Deltoids, Rhomboids; (5) from the number of case the muscles acting are the antagonists of those
their divisions, as the Biceps and Triceps; (6) from which might be supposed to be in action. Thus in flex-
their points of attachment, as the Esternocleidomas- ing the trunk when no resistance is interposed the
toideo. Sacrospinales contract to regulate the action of grav-
In the description of a muscle, the term origin is meant ity, and the Rectus abdominis are relaxed.
to imply its more fixed or central attachment; and the
term insertion the movable point on which the force Microstructure of the Skeletal Muscle
of the muscle is applied; but the origin is absolute-
ly fixed in only a small number of muscles, such as The skeletal muscle is composed of fibers
those of the face which are attached by one extremity (cells) long and cylindrical of 10 to 100 microns of
to immovable bones, and by the other to the movable diameter and up to 6 cm of long. These fibers are
integument; in the greater number, the muscle can be surrounded by a membrane that receives the name
made to act from either extremity. of sarcolemma. Inside the sarcolemma is the cyto-
In the dissection of the muscles, attention plasm of the fiber, well-known as sarcoplasma. The
should be directed to the exact origin, insertion, and sarcoplasma contains multiple nuclei placed in the
actions of each, and to its more important relations periphery and myofibrils (long filaments that contains
with surrounding parts. While accurate knowledge of each musculoskeletal fiber, which represent the con-
the points of attachment of the muscles is of great im- tractile elements of the skeletal muscles) parallel and
portance in the determination of their actions, it is not fixed in longitudinal direction. When the myofibrils are
to be regarded as conclusive. The action of the mus- tinted, bands or traverse grooves are observed that
cle deduced from its attachments, or even by pulling give to the whole fiber a striated aspect. With the
on it in the dead subject, is not necessarily its action electronic microscope it can demonstrate himself that
in the living. By pulling, for example, on the Brachio- the myofibrils is composed of miofilaments prepared
radialis in the cadaver the hand may be slightly supi- in longitudinal sense. There are two types of these
nated when in the prone position and slightly pronated filaments, that is: thick and thin. The thin filaments
when in the supine position, but there is no evidence are composed of a protein called actin. For the other
that these actions are performed by the muscle dur- side, the thick filaments consist of another protein,
ing life. It is impossible for an individual to throw into the myosin. The segments created by each two disks
action any one muscle; in other words, movements, Z are given the name of sarcomere. The skeletal

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muscle also possesses other substances, such as pears to be prolonged more or less into the tendon,
creatine phosphate, ATP, glucose and diverse inor- so as to form a kind of sheath around the tendon bun-
ganic ions, including calcium (Ca+ +), phosphate, so- dles for a longer or shorter distance. When muscular
dium (Na+), and potassium (K+). The fibers or cells fibers are attached to skin or mucous membranes,
of the skeletal muscles also possess a system of in- their fibers become continuous with those of the are-
tracellular tubules, well-known as the sarcoplasmatic olar tissue.
reticulum and the system of the traverse tubules (T The sarcolemma, or tubular sheath of the
tubules). The sarcoplasmatic reticulum usually lacks fiber, is a transparent, elastic, and apparently homo-
ribosome and it is intimately associated with the my- geneous membrane of considerable toughness, so
ofibrils. The T tubules communicate with the extrace- that it sometimes remains entire when the included
lular liquid of the fiber and with the sarcoplasmatic substance is ruptured.
reticulum by means of lateral sacks. This way a road Upon examination of a voluntary muscular
exists for the free movement of organic and inorganic fiber by transmitted light, it is found to be marked
substances, an important fact for the muscular con- by alternate light and dark bands or striation, which
traction. passes transversely across the fiber. When examined
by polarized light the dark bands are found to be dou-
Connective tissues bly refracting (anisotropic), while the clear stripes are
singly refracting (isotropic). The dark and light bands
Striated or voluntary muscle is composed of are of nearly equal breadth, and alternate with great
bundles of fibers each enclosed in a delicate web regularity; they vary in breadth from about 1 to 2. If
called the perimysium in contradistinction to the the surface be carefully focussed, rows of granules
sheath of areolar tissue which invests the entire mus- will be detected at the points of junction of the dark
cle, the epimysium. The bundles are termed fascicule; and light bands, and very fine longitudinal lines may
they are prismatic in shape, of different sizes in differ- be seen running through the dark bands and joining
ent muscles, and are for the most part placed paral- these granules together. By treating the specimen
lel to one another, though they have a tendency to with certain reagents (e. g., chloride of gold) fine
converge toward their tendinous attachments. Each lines may be seen running transversely between the
fasciculus is made up of a strand of fibers, which also granules and uniting them together. This appearance
run parallel with each other, and are separated from is believed to be due to a reticulum or network of in-
one another by a delicate connective tissue derived terstitial substance lying between the contractile por-
from the perimysium and termed endomysium. This tions of the muscle. The longitudinal striation gives
does not form the sheath of the fibers, but serves to the fiber the appearance of being made up of a bun-
support the blood vessels and nerves ramifying be- dle of fibrils which have been termed sarcostyles or
tween them. muscle columns, and if the fiber be hardened in al-
A muscular fiber may be said to consist of cohol, it can be broken up longitudinally and the sar-
a soft contractile substance, enclosed in a tubular costyles separated from each other. The reticulum,
sheath named by Bowman the sarcolemma. The fib- with its longitudinal and transverse meshes, is called
ers are cylindrical or prismatic in shape, and are of no sarcoplasm.
great length, not exceeding, as a rule, 40 mm. Their A sarcostyle may be said to be made up of
breadth varies in man from 0.01 to 0.1 mm. As a rule, successive portions, each of which is termed a sar-
the fibers do not divide or anastomose; but occasion- comere. The sarcomere is situated between two
ally, especially in the tongue and facial muscles, they membranes of Krause and consists of (1) a central
may be seen to divide into several branches. In the dark part, which forms a portion of the dark band of
substance of the muscle, the fibers end by tapering the whole fiber, and is named a sarcous element.
extremities which are joined to the ends of other fib- This sarcous element really consists of two parts, su-
ers by the sarcolemma. At the tendinous end of the perimposed one on the top of the other, and when the
muscle the sarcolemma appears to blend with a small fiber is stretched these two parts become separated
bundle of fibers, into which the tendon becomes sub- from each other at the line of Hensen. A). (2) On ei-
divided, while the muscular substance ends abruptly ther side of this central dark portion is a clear layer,
and can be readily made to retract from the point of most visible when the fiber is extended; this is situ-
junction. The areolar tissue between the fibers ap- ated between the dark center and the membrane of

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Krause, and when the sarcomeres are joined togeth- quickly. Several familiar muscles are pinnate includ-
er to form the sarcostyle, constitutes the light band of ing the obliques, the rectus femoris, subscapularis,
the striated muscular fiber. the gastrocnemius, and the soleus. The example
shown is of a bipennate muscle, but muscles may
The capillaries of striped muscle are very also be unipennate (half of what is shown) or multi-
abundant, and form a sort of rectangular network, the pennate (having multiple sections).
branches of which run longitudinally in the endomy-
sium between the muscular fibers, and are joined at Muscle Length vs. Width
short intervals by transverse anastomosing branch-
es. In the red muscles of the rabbit dilatations occur
on the transverse branches of the capillary network.
The larger vascular channels, arteries and veins, are
found only in the perimysium, between the muscular
fascicule. Nerves are profusely distributed to striped
muscle.

Parallel vs. Pennate Muscles


It is obvious that the muscle fibers do not all run in
the direction of the muscle. For instance, the exter- One of the considerations in muscle action is
nal obliques cause longitudinal movement, yet the how long and how thick the muscle is. Well, though it
muscle fibers are angled. There are two basic types seems absolutely wrong, the length of the muscle is
of muscles that exert their forces in different ways. not very important to the strength that it can produce.
There are parallel muscles whose fibers are paral- Muscles work on the basis of their cross-sectional
lel with the force applies and there are pinnate mus- area, not on their length. Length may be important for
cles that are angled with respect to the movement things like fatigue, but it is not important for strength.
desired. Parallel muscles are easy to understand be- Muscles of equal cross sectional area, but of differ-
cause they move in the same direction as you want ent lengths produce the same force. You can think
a structure to move. Pinnate muscles, on the other of it this way, you will still have the same number of
hand move at an angle to movement Again, you can muscle fibers, just if the muscle is longer, there will
break a force into vectors that sit at 90, so part of be more cells making up each fiber. They can only
the force that you are providing moves to the side contract so far, no strength is added by making the
and is cancelled out by movement on the other side. fibers longer. If, however, you add more muscle fib-
By angling the muscle fibers, you can fit more muscle ers and make the muscle wider, there will be more
fibers into a given space, effectively increasing your fibers to exert a force and the force will be strong-
cross-sectional area without increasing mass. Pin- er. When people lift weights, their muscles dont get
nate muscles are stronger than parallel muscles, but longer, they get thicker. Of course there are skeletal
they do less work (work = force times distance). So, constraints in this, but even if the muscles got longer,
pinnate muscles are better for moving heavy loads they would provide no more force.
over a short distance slowly and parallel muscles are Clearly we do have some long muscles.
better for moving lighter loads over long distances When long muscles contract, they contract further

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than short muscles. This causes a larger and faster activated by the motor unit. When more muscular
movement. So, force may be the same, but speed of fibers are activated a bigger muscular force can take
contraction and distance of contraction are greater. place. Nevertheless, when few muscular fibers are
This is why you dont see runners with short legs. activated a smaller muscular force is generated. Giv-
I may be able to develop muscles as large and as en any intensity, the nervous system doesnt activate
strong as a runner, but I could never win because my 100% of the available fibers. This physiologic pro-
muscles cannot move as quickly and cannot move as tector mechanism helps to prevent musculoskeletal
far, so I would always be slower. lesions.

Neuromuscular Components Mobilization order and selective recruitment of


the muscular fibers
Innervations of each Muscular Fiber In general terms the Slow twitch fibers are the
The muscular fibers are stimulated by motor first ones recruited; they are followed by the recruit-
neurons that are in contact with the medial portion of ment of Fast twitch fibers. However, the selective
the fiber. recruitment of the fibers of ST and FT will depend on
the level of force demanded by the muscle and the
Motor Unit degree of exhaustion of the metabolic fuels, such as
It represents a single nerve or motor neuron the muscular glycogen, the free fatty acids and the
that innervates a group of muscular fibers. The con- amino acids.
trol of production of muscular force is made through All the fibers of a motor unit are activated si-
the recruitment of the motor units within the muscle. multaneously. The different types of muscular fibers
are recruited by phases.
Sequence of Events: Stimulated Motor Neuron.
The following steps happen when the muscular The all of none
fiber is stimulated to produce the muscular contrac- This law postulates that a motor neuron or
tion: muscular fiber responds completely with its force or
* Nervous impulse arrives to the terminal ax- doesnt respond to a stimulus. This implies that a
ons; minimum intensity exists (threshold) of stimulation for
* Motor neuron secret acetylcholine ((ACh) the innervated muscle fiber. If the stimulation is infe-
that is a neurotransmitter that is stored in some vesi- rior to the threshold, the contraction of the innervated
cles inside the synaptic button of the motor neuron) fibers doesnt happen. On the other side, if the stimu-
that passes for the synaptic channel toward the sar- lus of the motor neuron is same or on the threshold,
colemma of the muscular fiber; then it happens the contraction of the innervated fib-
* ACh notices fixes on receptors within the ers.
sarcolemma.
* It generates action potential in muscular fib- Nomenclature for the Classification of the Mus-
er. cular Fibers
* It liberates calcium ions (Ca++) via Tubules To the present three types of systems exist to
from the sarcoplasmatic reticulum toward the sarco- classify the fibers of the musculoskeletal system. The
lemma; system 1 classifies the fibers according to its contrac-
* Ca++ unites with troponin on the actin fila- tile capacity: of slow contraction or ST (slow-twitch)
ment; and of fast contraction or FT (fast-twitch). The fibers
* Myosin heads (crossed bridge) adhere to FT are sub classified in type a (or FTa), type b (or
active points in the actin filament; FTb) and Type c (or FTc). The system 2, classifies
* Both filaments slip one along the other one, the fibers (ST) as Type I and the fibers (FT) as Type
repeating this action until it happens the reduction of IIa, IIb and IIc. The system 3 classifies the types of
the sarcomere and of the muscle in general. fibers being based on the speed of contraction of the
fibers and in the main way of energy production. The
Recruitment of the muscular fibers ST fibers are called SO (Slow Oxidatives), the FTa
The force or tension generated by the mus- fibers or FOG (Fast Oxidative Glycolytic) and the FTb
cle depends on the number of fibers innervated or fibers are called FG (Fast Glycolytic).

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Metabolic Characteristics new, progressively bigger stimulus. Much of the suc-
cess of the program is attributable to the effective-
ST Fibers. They are characterized by a high ness of the prescription of the exercise, the manipu-
aerobic tolerance. This is due to the fact that they lation of the progression of the stimulus, the variation
possess a high oxidative capacity and muscular tol- in the design of the program and the individualization
erance. The biggest efficiency in the production of of the same one. The most relevant adaptations of
ATP grants to the fibers of ST a better oxidative ca- the musculoskeletal system are described bellow:
pacity that those of FT. On the other hand, the high
oxidative capacity induces a bigger aerobic produc-
tion of ATP in these fibers, so that they can continue Adaptations of the muscular fibers
active for a prolonged period of time.
FT Fibers. They are characterized by a high The increase of size of the muscle refers as
anaerobic or glycolytic capacity possessing a smaller hypertrophy. The swelling that one feels after a
efficiency in the production of the ATP. Their high single sequence of the exercise refers as transitory
glycolytic capacity allows to develop a high produc- hypertrophy. This short term effect is attributable to
tion of force. Contrary to the ST fibers, the FT fibers the accumulation of fluids, on the sanguine plasma,
are characterized by a bigger fatigability. This is due in the intracellular and interstitial spaces of the mus-
to their reduced production of ATP and the conse- cle. In contrast, the chronic hypertrophy refers to
quent accumulation of intramuscular lactate. the increase of size of the muscle associated to the
Distribution of the two main types of fibers in long term training with weights. The increases in the
the human body area of traverse section of the fibers of the muscle
The distribution of the CL and ST fibers in the extend from 20% until 45% in most of the studies.
skeletal muscle depend on the muscle type. In the The hypertrophy of the muscular fiber has been dem-
superior and inferior extremities, for example, there onstrated to need more than 16 trainings to produce
are similar compositions of CL and ST fibers. Also, effects and significant adaptations. Also, the muscu-
the distribution of the fiber types can vary with the lar fibers of fast contraction (FT glycolytic) have the
gender, the function of the muscle and genetic fac- potential of demonstrating bigger increases of size in
tors, among other factors. comparison with that of slow contraction (Oxidatives
or ST).
It is generally believed that the number of the
fibers of the muscle that we have is established at
birth and it remains fixed through the rest of the life.
Therefore, the adaptations of the hypertrophy con-
sidered with the training with weights are a net profit
of the sub-cellular changes inside the muscle that in-
clude: more quantity and thicker protein filaments of
actin and myosin, more myofibrils (that incorporate
the filaments of actin and myosin), more sarcoplasm
(the liquid of the muscular cell), and commendable
increases in the connective tissue that surrounds the
muscular fibers. Any evidence of divisions of the mus-
cular fiber (designated hyperplasia), like it has been
described in the animal studies is, at the moment,
Musculoskeletal Adaptation to Weight Train- not very conclusive in investigations with humans,
ing but conceivable being possible.

The adaptations and implications of the Adaptations of the force to the training with
weight training for the health are very dynamic and weights
variable for each individual. So that the adaptations
are durable, it is necessary to have a systematic ad- The increases in muscular force during the in-
ministration of an enough stimulus, continued by the itial periods of a weight training program dont associ-
individuals adaptation, and then the introduction of a

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ate to the changes in the area of traverse section The
changes in the force evidenced in the first weeks of
the training with weights are more associated to the
adaptations of the nerves that develop more efficient
nervous roads along the route toward the muscle and
to the better recruitment in the motor units within the
muscles.
The long term changes in force are attributable more
probably to the hypertrophy of the fibers or of the
muscular group. The range of the increase of the
force is absolutely variable among individuals and it
can extend starting from 7% until 45%. It should be
observed that the results of the force appear to be
specific of the speed. The specificity of the speed
characterizes the probability that the biggest increas-
es in the force happen near the speed trained in the
exercise. With osteoporosis, the places of the fractures
that are more desolated are in the axial skeleton (the
Adaptations of the bony tissue to the training spine and the hip).
with weights The progressive overload is necessary so the
bone and the connective tissue associate dont ex-
In answer to the overloading of the bone, created by ceed the critical level that would place them in risk.
muscular contractions or other methods of mechani- The programs to increase the growth of the bone
cal forces, the bone begins a process that implies the should be structural in nature, including exercises
production of protein molecules that are deposited in like the squats, for example that directs the forces
the spaces among the bony cells. This leads to the through the axial skeleton and allow the use of bigger
creation of a womb of the bone that ultimately is min- loads. The magnitude required to produce an effec-
eralized as calcium phosphates, being that the bone tive stimulus for the bone to be remodeled appears to
acquires its rigid structure. This new formation of the be between 1 and 10 RM.
bone happens mainly in the external surface of the
bone, the periostium. Adaptations of the body composition for the
Activities that stimulate growth of the bone training with weights
need to include progressive overload, variation of the
load, and the specificity of the overload. The specifi- The weight training program can increase
city of the load refers to the exercises that put a load the muscle mass and diminish the percentage of the
directly in certain region of the skeleton. body fat. One of the exceptional advantages of the
exercise with weights, related with the weight loss, is
the positive impact of increasing the energy expendi-
ture during the session of the exercise and during
the recovery, and in maintaining or increasing the
muscle mass while it encourages the loss of corporal
fat. It is more probable that the composition of the
body is affected and controlled by programs of weight
training that use bigger muscular groups and a bigger
total volume. An impressive fact to highlight with the
training with weights is that the energy expenditure
that follow the trainings with higher total volumes ap-
pear to be high, compared to other exercise forms,
and this way, it contributes more to the objectives of
the fat loss.

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Adaptations of the heart frequency to the training Increased body fatness along with increased ab-
with weights dominal obesity is thought to be directly linked to
the greatly increased incidence of type 2 diabe-
The heart frequency rises immediately after tes among the elderly.
an exercise and it is affected by the quantity of resist-
Sarcopenia is a direct cause of the age-
ance, number of repetitions and the muscular mass
related decrease in muscle strength. Reduced
implied in the contraction. In terms of chronic adap-
tations, it appears to have a reduction in the heart muscle strength in the elderly is a major cause
frequency related to the training with weights that it of their increased prevalence of disability. With
is considered beneficial. The long term adaptations advancing age and the very low activity levels
observed in scientific investigations vary from any seen in the very old, muscle strength and power
change until a decrease of 11% in the heart rhythm. are critical components of walking ability. The
That can explain be explained by the differences in high prevalence of falls among the institutional-
intensity, volume, rest among series, the use of small ized elderly may be a consequence of their lower
against bigger muscular mass, duration of the study muscle strength.
and the level of the aptitude of the individuals. The following figures describe some other
Adaptations of the size of the heart to weight train-
age related changes in musculoskeletal system
ing
throughout the years.
The studies in athletes adapted by the strength
training demonstrated that there is an increase in the
thickness of the left ventricular wall and in the ab-
solute mass of the left ventricular wall (denominated
concentric hypertrophy), in contrast with the increase
of the volume of the left ventricular compartment (de-
nominated eccentric hypertrophy) seen in the indi-
viduals trained with aerobic exercises. The degree
to which the changes in the size of the heart, through
the training with weights, can affect heart volume,
ejection volume and the effectiveness of the heart is
ignored at the moment.

Musculoskeletal alterations through the


years

Advancing age is associated with a remark-


able number of changes in body composition. Reduc-
tions in lean body mass result primarily from losses
in skeletal muscle mass. This age-related loss in
muscle mass has been termed sarcopenia. Loss in
muscle mass accounts for the age-associated de-
creases in basal metabolic rate, muscle strength, and
activity levels, which in turn are the causes of the
decreased energy requirements of the elderly,
In sedentary individuals the main determinant of
energy expenditure is fat-free mass, which de-
clines by about 15% between the third and eighth
decade of life. It also appears that declining ca-
loric needs are not matched by an appropriate
decline in caloric intake, ultimately resulting in an
increased body-fat content with advancing age.

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STUDY QUESTIONS

1- What are the bones that are part of the axial skeleton?

2- What are the bones that are part of the appendicular skeleton?

3- List and define the components of muscle fiber.

4- What are the basic characteristics of slow- and fast-twitch muscle fibers?

5- Describe the components of a typical synovial joint.

6- List the main alterations of the musculoskeletal system throughout the years.

7- Define the sequence of events that happens to produce a muscle contraction.

8- What are the variables that may affect joint stability?

9 Differentiate Osteoblasts from Osteoclasts regarding their functions.

10- Describe the two types of bony tissue.

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