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Anatomy & Physiology · Chapter 11

The Muscular System

Every move you choose to make is a muscle pulling on a bone or on your skin. A smile, a step, a breath and a signature all work this way. In the last chapters you looked inside a single muscle fiber. Now we zoom out to the whole body. You have more than 600 skeletal muscles, and each one can only pull. So how do they team up to make smooth, controlled moves? And why do their names sound like Latin riddles? You will learn to crack those riddles, so you can know a muscle you never memorized. This chapter tours the body's muscles, one region at a time. We go from the tiny muscles that shape your face to the big ones that launch you off the ground.

By the end of this chapter you can

  • Explain why skeletal muscles can only pull. Explain why this makes them work in opposing pairs across a joint.
  • Define a muscle's origin and insertion. Give the roles of agonist, antagonist, synergist, and fixator in a movement.
  • Describe how bones and joints act as levers. Explain how a third-class lever trades force for speed.
  • Use the six naming clues to guess a muscle's place, shape, size, fiber direction, number of heads, or action from its name.
  • Tell the muscles of facial expression from the muscles of mastication (chewing). Name the cranial nerve that runs each group.
  • Identify the main muscles of the trunk: the breathing muscles, the belly wall, and the deep back. Say what each one does.
  • Name the main muscles that move the shoulder, arm, and forearm. Include the rotator cuff and the classic flexor/extensor pairs.
  • Name the main muscles that move the hip, knee, and ankle. Include the quadriceps, hamstrings, and calf.

Section 1How muscles work together

Drawing of the agonist and antagonist muscles at the elbow
Reference. Agonist and antagonist muscles at the elbow — OpenStax, CC BY-SA 3.0 (via Wikimedia Commons)

A muscle can only pull

Everything in this section rests on one fact: a muscle can only pull, never push. When a muscle contracts, its fibers get shorter. This draws its two ends toward each other. That is the only trick it has. It cannot stretch itself out to shove a bone away.

So how does your forearm bend up and then straighten back down? Muscles almost never work alone. They are set up in opposing teams on each side of a joint. To reverse a move, the body relaxes one team and contracts the other.

To describe the pull clearly, we name a muscle's two ends. The origin is where the muscle attaches to the bone that stays fairly still. It is usually the heavier bone, closer to the body's center (proximal). The insertion is where it attaches to the bone that moves. That bone is usually farther out (distal).

Between the two ends is the thick middle part that contracts. This is the belly. When the muscle gets shorter, the insertion is pulled toward the origin. Muscles attach to bone by tough cords called tendons. Some attach by wide, flat sheets called aponeuroses.

Four roles in every movement

Muscles work in teams, so every move is like a small crew at work. Each crew member has a job. Learn these four roles, and you can study any movement in the body:

RoleWhat it doesExample (bending the elbow)
Agonist (prime mover)The main muscle that makes the moveBiceps brachii flexes (bends) the elbow
AntagonistWorks against the agonist. It relaxes and stretches while the agonist acts.Triceps brachii relaxes so the elbow can bend
SynergistHelps the agonist or holds the joint steadyBrachialis helps the biceps bend the elbow
FixatorHolds the origin still so the pull works wellShoulder muscles hold the scapula (shoulder blade) still

The same muscle can switch roles. It depends on the move. When you bend your elbow, the biceps is the agonist and the triceps is the antagonist. When you straighten it, they swap jobs. So no muscle is just a “flexor” in general. A muscle is a flexor or an extensor only for one joint in one move.

Bones are levers, joints are fulcrums

Muscles do not move bones by brute force alone. They work through levers. A lever is a stiff bar that turns on a fixed point. Your body is full of them. The bone is the bar. The joint is the turning point, called the fulcrum. The muscle's pull is the effort. The weight being moved is the load. How these three points are lined up decides what a joint is good at. It favors either power or speed and range.

Most joints in the body are third-class levers. In this setup, the effort is between the fulcrum and the load. Your elbow is a good example. The biceps attaches just past the joint, while the load sits far out at your hand. This setup is weak for lifting heavy things. But it gives you something more useful. A small, quick shortening of the muscle makes your hand sweep a long way, fast. Your body traded raw force for speed and reach. That is why you can throw a ball hard but strain to curl a heavy dumbbell.

Reciprocal inhibition keeps you smooth. Your nervous system does more than contract the agonist. At the same time, it tells the antagonist to relax. Without this automatic release, the biceps and triceps would fight each other. Your arm would move in jerky spasms. Smooth motion is a duet, not a solo.

Bend and straighten the elbow in the interactive. Watch the biceps and triceps trade the agonist and antagonist roles.

Interactive Watch the biceps and triceps take turns as you bend and straighten the elbow. Tap each role. Open full ↑
Key points
  • A muscle can only pull. Opposing muscles across a joint undo each other's actions.
  • The origin is the fixed end, usually proximal. The insertion is the moving end, usually distal. The insertion is pulled toward the origin.
  • Every move uses an agonist, antagonist, synergist, and fixator. Muscles swap these roles from one move to the next.
  • Bones act as levers. Most body joints are third-class levers. They favor speed and range over force.

Section 2How muscles are named

Chart of the clues used to name skeletal muscles
Reference. The clues hidden in muscle names — OpenStax, CC BY 4.0 (via Wikimedia Commons)

Names are descriptions in disguise

The first time you see a name like extensor carpi radialis longus, it can feel like a wall of Latin to memorize. It is not. Scientists named muscles the way sailors named knots. They described them. Almost every muscle name is a short description. It tells you where the muscle is, what it looks like, how big it is, which way its fibers run, how many heads it has, or what it does. Once you know the words, a new name becomes a set of directions. It tells you where to find the muscle and what it does.

The six clues

A name can carry six kinds of clues. Many muscles pack several clues into one name:

ClueTells youExample words & muscles
LocationThe body part or a nearby bonetemporalis (temporal bone), tibialis anterior (front of the tibia)
ShapeThe muscle's outlinedeltoid (triangle), trapezius (trapezoid), rhomboid
SizeHow big or long it is compared to othersmaximus/minimus, longus/brevis, major/minor
Fiber directionWhich way the fibers run compared to the body's midlinerectus (straight), transversus (across), oblique (at a slant)
Number of headsHow many origins the muscle hasbiceps (two), triceps (three), quadriceps (four)
ActionThe move it makesflexor, extensor, adductor, levator, masseter (chewer)

Watch the clues stack up. Extensor digitorum longus means “the long muscle that extends the digits.” It gives the action, then the body part, then the size. Rectus femoris is “the straight muscle of the femur.” Even a monster like flexor carpi radialis is simple. It is “the muscle that flexes the wrist (carpus) on the radius side.” You do not have to memorize it as one blob. You read it like a sentence.

Decode the sternocleidomastoid. The longest name in the neck is really the friendliest. Break it into parts: sterno- (sternum) + cleido- (clavicle) + mastoid (the mastoid process behind the ear). The name lists the three bones it connects. So you already know where it runs. You can also guess that pulling those points together turns and bends the head.

Tap each of the six clues in the interactive. See how a name reveals a muscle.

Interactive Learn the six clues. Then figure out where a muscle is and what it does from its name alone. Open full ↑
Key points
  • Muscle names are descriptions, not random labels. Decode them, and you can figure out muscles you never memorized.
  • The six clues are location, shape, size, fiber direction, number of heads, and action.
  • Many names mix several clues. Read them from left to right, like a sentence.

Section 3Muscles of the head and neck

Drawing of the muscles of the face and the chewing muscles
Reference. Muscles of facial expression and chewing — OpenStax, CC BY 4.0 (via Wikimedia Commons)

The muscles that make a face

The muscles of facial expression are the muscles that shape your face. They are unlike almost any others in the body. Most of them do not move a bone at all. Instead, they insert into the skin. When they contract, they tug the skin of your face into shapes. That is how you smile, frown, raise an eyebrow, or wink. One nerve runs this whole group. It is the facial nerve (cranial nerve VII).

Here are the key players. The orbicularis oris is a ring around the mouth. It purses your lips to whistle or kiss. The orbicularis oculi is a ring around the eye. It closes the eye to blink and squint.

The buccinator is in the cheek. It flattens the cheek to blow out a candle. It also holds food against your teeth while you chew. The zygomaticus pulls the corner of the mouth up to smile. The occipitofrontalis raises the eyebrows and wrinkles the forehead.

The muscles that chew

The second job up here is mastication, which means chewing. The muscles of mastication are not like the face muscles. They do move a bone. They close the mandible (lower jaw) and grind it at the jaw joint. That joint is called the temporomandibular joint. This group answers to a different nerve, the trigeminal nerve (cranial nerve V).

The masseter runs from the cheekbone to the angle of the jaw. For its size, it is one of the strongest muscles in the body. You can feel it bulge when you clench your teeth. The fan-shaped temporalis spreads over the side of the skull. It helps close the jaw and pull it back. The deep pterygoid muscles move the jaw from side to side to grind food.

GroupJobInserts onNerveMembers
Facial expressionMove the skin of the faceSkinFacial (CN VII)Orbicularis oris & oculi, buccinator, zygomaticus, occipitofrontalis
MasticationMove the mandible to chewMandible (bone)Trigeminal (CN V)Masseter, temporalis, pterygoids
NeckMove and hold up the headSkull & shoulder girdleAccessory / cervicalSternocleidomastoid, trapezius

Down in the neck, two large muscles move the head itself. There is a sternocleidomastoid muscle on each side of the neck. When both work together, they bend the neck forward (flex it). When one works alone, it turns the head to the opposite side. The wide trapezius tips the head back (extends it). It also steadies the shoulder girdle behind it.

Bell's palsy reads the face like a chart. Sometimes the facial nerve (CN VII) gets inflamed on one side. Then every face muscle that it feeds goes slack. That half of the face droops. The eyelid will not close. The smile pulls only to the healthy side. But CN VII runs the face, and CN V runs chewing. So a person with Bell's palsy can still bite hard. The trigeminal nerve is not affected.

Tap each muscle in the interactive to light it up. See whether it makes a face or chews.

Interactive Muscles of facial expression move skin. Muscles of mastication chew. Tap each one to light it up. Open full ↑
Key points
  • Muscles of facial expression insert into skin. They are run by the facial nerve (CN VII).
  • Muscles of mastication move the mandible to chew. They are run by the trigeminal nerve (CN V). The masseter is the strongest for its size.
  • The sternocleidomastoid bends the neck and turns the head to the opposite side.

Section 4Muscles of the trunk

Drawing of the muscles of the trunk and belly wall
Reference. Muscles of breathing, the abdominal wall, and the back — OpenStax, CC BY 4.0 (via Wikimedia Commons)

The muscles that breathe

The trunk muscles do the body's quiet but vital work. None of it is more vital than breathing. The diaphragm is the main muscle of breathing (respiration). It is a wide dome of muscle that seals off the bottom of the chest. When it contracts, it flattens. This makes the chest space (the thoracic cavity) bigger. The pressure inside drops, and air is pulled into the lungs. When the diaphragm relaxes, the dome springs back up and pushes air out.

Other muscles help. The external intercostals are muscles between the ribs. They lift the rib cage when you breathe in. The internal intercostals pull the ribs down when you breathe out hard. You use them when you cough or blow out a candle.

The abdominal wall and the back

Four flat muscles wrap the front and sides of your belly. They are layered like plywood. Their fibers run in different directions, which makes the wall strong. The rectus abdominis is the “six-pack.” It runs straight up the middle. It flexes (bends) the spine, the vertebral column. That is the move of a sit-up.

Three more muscles cover the sides. They are the external oblique, the internal oblique, and the deepest one, the transversus abdominis. The fibers of the transversus wrap sideways around you like a corset. Together, this wall squeezes the belly. It bends and twists the trunk. It protects the soft organs behind it. It also raises the pressure you need to cough, give birth, and have a bowel movement.

Along the back runs the erector spinae. It is a set of three columns of muscle that run the length of the spine. It does the opposite of the belly muscles. It extends the spine, which means it straightens you up after you bend over. It also holds you upright against gravity all day long.

RegionMusclesMain action
BreathingDiaphragm, external & internal intercostalsChange the size of the chest to move air in and out
Abdominal wallRectus abdominis, external & internal obliques, transversus abdominisBend and twist the trunk. Squeeze and protect the belly.
Deep backErector spinae groupExtend the spine and hold you upright
Pelvic floorLevator ani and its partnersHold up the pelvic organs. Control holding in urine and stool (continence).
“C3, 4, 5 keep the diaphragm alive.” The diaphragm is run by the phrenic nerve. This nerve comes from spinal cord segments C3–C5, up in the neck. So a spinal cord injury above this level can stop a person from breathing on their own. An injury below it usually spares breathing. The nerve to the diaphragm leaves the cord surprisingly high up.

Tap each trunk muscle in the interactive. See whether it breathes, bends, or protects.

Interactive The trunk muscles breathe, protect the organs, and bend and twist your body. Tap each one. Open full ↑
Key points
  • The diaphragm is the main breathing muscle. When it contracts, the dome flattens and pulls air in.
  • Four layers of belly muscle bend and twist the trunk and protect the organs (viscera). They are the rectus abdominis, the two obliques, and the transversus abdominis.
  • The erector spinae extends the spine and holds your posture. The diaphragm is run by the phrenic nerve (C3–C5).

Section 5Muscles of the upper limb

Drawing of the muscles of the shoulder, arm, and forearm
Reference. Muscles that move the shoulder, arm, and hand — OpenStax, CC BY 4.0 (via Wikimedia Commons)

Anchoring and moving the shoulder

Your upper limb is built for reaching and for skilled hand work. It starts at the shoulder. The shoulder moves more than any other joint, so it is also the least stable. Several large muscles anchor the shoulder blade and swing the arm. The trapezius and serratus anterior hold and turn the scapula (shoulder blade). This makes it a moving base for the arm.

The fan-shaped pectoralis major on the chest pulls the arm forward and across the body. The wide latissimus dorsi on the back pulls the arm down and back. It is the muscle of a swimmer's stroke. On top of the shoulder sits the deltoid. This triangle-shaped muscle abducts the arm, which means it lifts the arm out to the side.

Deep around the joint itself is the rotator cuff. It is a set of four small muscles: supraspinatus, infraspinatus, teres minor, and subscapularis. Together they are called the “SITS” group. They do not make big moves. Their job is to hold the ball at the top of the humerus snugly in its shallow socket. They do this while the bigger muscles move the arm.

The arm and forearm

The arm runs from the shoulder to the elbow. It holds the classic agonist and antagonist pair. On the front, the biceps brachii flexes (bends) the elbow. It also turns the palm up, which is called supination. The brachialis, under the biceps, helps it. On the back, the triceps brachii extends the elbow to straighten the arm. It is the only major muscle there.

Past the elbow, the forearm has two opposing groups. On the palm side, flexors curl the wrist and fingers. On the back side, extensors straighten them. Their long tendons run down into the hand. That is why much of the power for your grip comes from muscle bellies up in the forearm.

MuscleLocationMain action
DeltoidTop of the shoulderAbducts the arm (lifts it out to the side)
Pectoralis majorFront of the chestFlexes the arm and adducts it (pulls it in)
Latissimus dorsiWide part of the backExtends the arm and adducts it
Rotator cuff (SITS)Deep around the shoulderHolds the head of the humerus steady
Biceps brachiiFront of the armFlexes the elbow, supinates the forearm (palm up)
Triceps brachiiBack of the armExtends the elbow
The deltoid is the shot muscle, and “SITS” is worth memorizing. The deltoid is thick and has a rich blood supply. So it is the usual place for many shots in adults. The rotator cuff spells itself: Supraspinatus, Infraspinatus, Teres minor, Subscapularis. The supraspinatus is the one torn most often. It gets pinched under the bony arch of the shoulder every time you raise your arm.

Tap each muscle in the interactive. Find the movers of the shoulder, arm, and forearm, and their pairs.

Interactive The muscles that move the shoulder, arm, and hand, plus the classic agonist/antagonist pairs. Open full ↑
Key points
  • The deltoid abducts the arm. The pectoralis major pulls the arm forward, and the latissimus dorsi pulls it back.
  • The rotator cuff (SITS) steadies the loose shoulder joint. The supraspinatus tears most often.
  • At the elbow, the biceps brachii flexes and supinates. The triceps brachii extends. Forearm flexors and extensors move the wrist and fingers through long tendons.

Section 6Muscles of the lower limb

Drawing of the muscles of the hip, thigh, and leg
Reference. The muscles that move the hip, knee, and ankle — OpenStax, CC BY 4.0 (via Wikimedia Commons)

The hip and the buttock

Your lower limb carries the whole weight of your body. It drives every step. So it holds the biggest, strongest muscles you have. At the hip is the gluteus maximus. It makes up most of the buttock. It is the largest single muscle in the body. It extends the hip with great power. It drives you up from a squat, up the stairs, and into a run.

Under it and to the side sit the gluteus medius and gluteus minimus. They abduct the thigh, moving it out to the side. Even more important, they steady the pelvis each time you stand on one leg to take a step. On the front of the hip, the deep iliopsoas is the main hip flexor. It lifts the thigh toward the chest.

The thigh and the leg

The thigh has opposing groups. On the front is the quadriceps femoris. It is four muscles: the rectus femoris and the three vastus muscles. They share one tendon over the kneecap. They extend the knee to straighten the leg for a kick or a step. On the back are the three hamstrings: the biceps femoris, semitendinosus, and semimembranosus. They do the reverse. They flex the knee and help extend the hip. On the inner thigh, the adductors squeeze the legs together.

Below the knee, the calf gives you your push-off. The gastrocnemius has two heads. It and the deeper soleus join into the Achilles (calcaneal) tendon. Together they plantarflex the ankle. That means they point the toes and lift the heel. This launches you into every step and jump. On the shin, the tibialis anterior works against them. It dorsiflexes the ankle, pulling the toes up. This keeps your toes off the ground as your foot swings forward.

Muscle / groupLocationMain action
Gluteus maximusButtockExtends the hip (running, stairs)
Gluteus medius & minimusSide of the hipAbduct the thigh. Steady the pelvis when you walk.
IliopsoasDeep in the front of the hipFlexes the hip
Quadriceps femorisFront of the thighExtends the knee
HamstringsBack of the thighFlex the knee, extend the hip
Gastrocnemius & soleusCalfPlantarflex the ankle (push off)
Tibialis anteriorFront of the leg (shin)Dorsiflexes the ankle (toes up)
The gluteus medius keeps you level. When you lift one foot to step, look at the standing leg. Its gluteus medius contracts. This keeps the pelvis from dropping on the swinging side. If that muscle is weak, the hip sags with each step. This is the telltale “Trendelenburg” waddle. The muscle you never think about keeps your walk from tipping over.

Tap each muscle in the interactive. Trace the movers of the hip, knee, and ankle.

Interactive The biggest, strongest muscles in the body move your hips, knees, and ankles. Tap each one. Open full ↑
Key points
  • The gluteus maximus extends the hip. The gluteus medius/minimus abduct the thigh and steady the pelvis when you walk.
  • The quadriceps extend the knee and the hamstrings flex it. They are a front/back antagonist pair. The iliopsoas flexes the hip.
  • The gastrocnemius and soleus plantarflex the ankle through the Achilles tendon. The tibialis anterior dorsiflexes it.

The chapter in one breath

  • A skeletal muscle can only pull. So muscles work in opposing pairs across joints. Each one pulls its insertion toward its fixed origin.
  • Every move has an agonist, antagonist, synergist, and fixator. Bones act as levers. Most are third-class levers, built for speed and range.
  • Muscle names are descriptions built from six clues: location, shape, size, fiber direction, number of heads, and action.
  • The head has muscles of facial expression, which insert into skin (CN VII). It also has muscles of mastication, which move the mandible (CN V).
  • The trunk holds the diaphragm and intercostals for breathing. It also has the four-layer abdominal wall and the erector spinae for posture.
  • The upper limb is moved by the deltoid, pectoralis major, and latissimus dorsi. The rotator cuff (SITS) steadies the shoulder. The biceps/triceps pair works the elbow.
  • The lower limb's powerhouses are the glutes, the quadriceps and hamstrings, and the calf muscles. The calf muscles plantarflex the ankle through the Achilles tendon.

ReferenceWords worth knowing

Here is a quick guide to the terms in this chapter. Skim it now, or come back whenever a word trips you up.

Abduction
Moving a limb away from the midline of the body. The deltoid abducts the arm.
Adduction
Moving a limb toward the midline of the body. The thigh adductors squeeze the legs together.
Agonist (prime mover)
The main muscle that makes a certain move.
Antagonist
The muscle that works against an agonist. It relaxes and gets longer while the agonist contracts.
Aponeurosis
A wide, flat sheet of connective tissue. It attaches a muscle to bone or to another muscle.
Belly
The thick middle part of a muscle that contracts. It lies between the origin and insertion.
Diaphragm
The dome-shaped main muscle of breathing. It separates the chest (thoracic) and belly (abdominal) cavities. The phrenic nerve runs it.
Erector spinae
A group of deep back muscles. They extend the spine and hold you upright.
Fixator
A muscle that holds the origin, or a nearby joint, steady. This lets the prime mover work well.
Insertion
Where a muscle attaches to the bone that moves. It is usually the bone farther out (distal).
Intercostal muscles
The muscles between the ribs. The externals lift the rib cage to breathe in. The internals pull it down to breathe out hard.
Lever
A stiff bar (a bone) that turns on a fulcrum (a joint) to move a load. Most levers in the body are third-class.
Masseter
A strong chewing muscle that runs from the cheekbone to the angle of the jaw. It closes the mandible.
Mastication
Chewing. Muscles that move the mandible grind the food. The trigeminal nerve (CN V) runs them.
Muscles of facial expression
Muscles that insert into the skin of the face to make expressions. The facial nerve (CN VII) runs them.
Origin
Where a muscle attaches to the bone that stays fairly still. It is usually the bone closer in (proximal).
Quadriceps femoris
The four-headed muscle group on the front of the thigh. It extends the knee.
Rotator cuff
Four muscles that hold the shoulder joint steady. They are the supraspinatus, infraspinatus, teres minor, and subscapularis (“SITS”).
Sternocleidomastoid
A neck muscle that links the sternum, clavicle, and mastoid process. It bends the neck and turns the head.
Synergist
A muscle that helps an agonist or holds a joint steady during a move.
Tendon
A tough, cord-like band of dense connective tissue. It attaches a muscle to a bone.

Check yourself

1. A student says the biceps “pushes” the forearm back down when you lower a weight. Fix the statement. What really straightens the elbow?
Muscles can only pull, never push. The biceps cannot push anything. It relaxes and gets longer. Meanwhile the triceps on the back of the arm contracts and pulls the elbow straight (extension). To reverse a move, one team always relaxes and the opposing team contracts.
2. Define origin and insertion. Which one moves toward the other when a muscle contracts?
The origin is the fixed end, usually proximal. The insertion is the moving end, usually distal. The insertion moves toward the origin. When the muscle shortens, it pulls the bone that moves (insertion) toward the anchored bone (origin).
3. When you flex your elbow, name the agonist, the antagonist, and one synergist.
Agonist = biceps brachii; antagonist = triceps brachii; synergist = brachialis. The biceps makes the bend. The triceps relaxes to allow it. The brachialis helps. The same muscles swap roles when you straighten the elbow.
4. Most body joints are third-class levers. What does the body gain with this setup? What does it give up?
It gains speed and range of motion. It gives up force. In a third-class lever, the effort is between the fulcrum and the load. So a small, quick shortening of the muscle swings the far end of the bone a long way, fast. This is great for reaching and throwing. It is poor for lifting heavy loads.
5. Decode the muscle name “extensor digitorum longus” into plain English. Which naming clues does it use?
“The long muscle that extends the digits (fingers or toes).” It uses action (extensor), location/body part (digitorum = digits), and size (longus = long). Read a name like a sentence. It tells you what the muscle does and about where it is.
6. What three bony landmarks are hidden in the name “sternocleidomastoid”? What does this tell you about the muscle?
The sternum, the clavicle (cleido-), and the mastoid process. The name lists where the muscle attaches. So you know it runs from the front of the chest up to behind the ear. This path lets it bend the neck and turn the head to the opposite side.
7. Muscles of facial expression and muscles of mastication attach to different things. Different nerves run them. Compare the two.
Face muscles insert into skin and are run by the facial nerve (CN VII). Chewing muscles move the mandible and are run by the trigeminal nerve (CN V). That is why a facial nerve palsy makes the face droop but leaves chewing strength normal.
8. Describe exactly how the diaphragm draws air into the lungs. Name the nerve and spinal levels that run it.
When the diaphragm contracts, it flattens. This makes the chest space bigger and lowers the pressure, so air flows in. The phrenic nerve, from C3–C5, runs it. When it relaxes, the dome rises and pushes air out. The phrenic nerve starts high in the neck. So a cord injury above C3 can stop breathing.
9. Name the four muscles of the abdominal wall and two jobs they share.
Rectus abdominis, external oblique, internal oblique, and transversus abdominis. Together they bend and twist the trunk. They squeeze and protect the belly organs. They raise belly pressure for coughing, giving birth, and bowel movements (defecation).
10. What is the rotator cuff? Which muscles form it, and what is its main job?
It is four deep shoulder muscles: supraspinatus, infraspinatus, teres minor, and subscapularis (“SITS”). They hold the head of the humerus steady in its shallow socket. They hold the joint together more than they make big moves. The supraspinatus is the one torn most often.
11. The quadriceps and hamstrings are an antagonist pair at the knee. What does each group do?
The quadriceps (front of the thigh) extend the knee. The hamstrings (back of the thigh) flex the knee and also extend the hip. To straighten the leg, the quads contract while the hamstrings relax. To bend the knee, the reverse happens.
12. Which calf muscles plantarflex the ankle? What tendon do they share? Which muscle works against them by dorsiflexing?
The gastrocnemius and soleus plantarflex the ankle through the Achilles (calcaneal) tendon. The tibialis anterior dorsiflexes it. Plantarflexion points the toes and lifts the heel to push off. Dorsiflexion pulls the toes up so they clear the ground as the foot swings forward.