Muscle

A top-down view of skeletal muscle

Types of muscle

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Muscle (from Latin musculus, diminutive of mus "mouse") is contractile tissue of the body and is derived from the mesodermal layer of embryonic germ cells. Muscle cells contain contractile filaments that move past each other and change the size of the cell. It is classified as skeletal, cardiac, or smooth muscle, and its function is to produce force and cause motion, either locomotion or movement within internal organs. Much of muscle contraction occurs without conscious thought and is necessary for survival, like the contraction of the heart, or peristalsis (which pushes food through the digestive system). Voluntary muscle contraction is used to move the body, and can be finely controlled, like movements of the eye, or gross movements like the quadriceps muscle of the thigh. There are two broad types of voluntary muscle fibers, slow twitch and fast twitch. Slow twitch fibers contract for long periods of time but with little force while fast twitch fibers contract quickly and powerfully but fatigue very rapidly.

Types

There are three types of muscle:

• Skeletal muscle or "voluntary muscle" is anchored by tendons to bone and is used to affect skeletal movement such as locomotion and in maintaining posture. Though this postural control is generally maintained as a subconscious reflex, the muscles responsible react to conscious control like non-postural muscles. An average adult male is made up of 40–50% of skeletal muscle and an average adult female is made up of 30–40%.
• Smooth muscle or "involuntary muscle" is found within the walls of organs and structures such as the esophagus, stomach, intestines, bronchi, uterus, urethra, bladder, and blood vessels, and unlike skeletal muscle, smooth muscle is not under conscious control.
• Cardiac muscle is also an "involuntary muscle" but is more akin in structure to skeletal muscle, and is found only in the heart.

Cardiac and skeletal muscles are "striated" in that they contain sarcomeres and are packed into highly-regular arrangements of bundles; smooth muscle has neither. While skeletal muscles are arranged in regular, parallel bundles, cardiac muscle connects at branching, irregular angles (called intercalated discs). Striated muscle contracts and relaxes in short, intense bursts, whereas smooth muscle sustains longer or even near-permanent contractions.

Skeletal muscle is further divided into several subtypes:

• Type I, slow oxidative, slow twitch, or "red" muscle is dense with capillaries and is rich in mitochondria and myoglobin, giving the muscle tissue its characteristic red color. It can carry more oxygen and sustain aerobic activity.
• Type II, fast twitch muscle, has three major kinds that are, in order of increasing contractile speed:
  • Type IIa, which, like slow muscle, is aerobic, rich in mitochondria and capillaries and appears red.
  • Type IIx (also known as type IId), which is less dense in mitochondria and myoglobin. This is the fastest muscle type in humans. It can contract more quickly and with a greater amount of force than oxidative muscle, but can sustain only short, anaerobic bursts of activity before muscle contraction becomes painful (often incorrectly attributed to a build-up of lactic acid). N.B. in some books and articles this muscle in humans was, confusingly, called type IIB.
  • Type IIb, which is anaerobic, glycolytic, "white" muscle that is even less dense in mitochondria and myoglobin. In small animals like rodents this is the major fast muscle type, explaining the pale color of their flesh.

Anatomy

The anatomy of muscles includes both gross anatomy, comprising all the muscles of an organism, and, on the other hand, microanatomy, which comprises the structures of a single muscle.

Gross anatomy

The gross anatomy of a muscle is the single most important indicator of its role in the body. The action a muscle generates is determined by the origin and insertion locations. The cross-sectional area of a muscle (rather than volume or length) determines the amount of force it can generate by defining the number of sarcomeres which can operate in parallel. The amount of force applied to the external environment is determined by lever mechanics, specifically the ratio of in-lever to out-lever. For example, moving the insertion point of the biceps more distally on the radius (farther from the joint of rotation) would increase the force generated during flexion (and, as a result, the maximum weight lifted in this movement), but decrease the maximum speed of flexion. Moving the insertion point proximally (closer to the joint of rotation) would result in decreased force but increased velocity. This can be most easily seen by comparing the limb of a mole to a horse - in the former, the insertion point is positioned to maximize force (for digging), while in the latter, the insertion point is positioned to maximize speed (for running).

One particularly important aspect of gross anatomy of muscles is pennation or lack thereof. In most muscles, all the fibers are oriented in the same direction, running in a line from the origin to the insertion. In pennate muscles, the individual fibers are oriented at an angle relative to the line of action, attaching to the origin and insertion tendons at each end. Because the contracting fibers are pulling at an angle to the overall action of the muscle, the change in length is smaller, but this same orientation allows for more fibers (thus more force) in a muscle of a given size. Pennate muscles are usually found where their length change is less important than maximum force, such as the rectus femoris.

There are approximately 639 skeletal muscles in the human body. However, the exact number is difficult to define because different sources group muscles differently.

Following are some major muscles and their basic features:

Main article: Table of muscles of the human body

Muscle	Origin	Insertion	Artery	Nerve	Action	Antagonist
gastrocnemius	femur	calcaneus	sural arteries	tibial nerve	plantarflexion, flexion of knee (minor)	Tibialis anterior muscle
tibialis posterior	tibia, fibula	Foot	posterior tibial artery	tibial nerve	inversion of the foot, plantar flexion of the foot at the ankle	Tibialis anterior muscle
soleus	fibula, medial border of tibia	calcaneus	sural arteries	tibial nerve	plantarflexion	Tibialis anterior muscle
tibialis anterior	tibia	foot	anterior tibial artery	Fibular nerve	dorsiflex and invert the foot	Fibularis longus, Gastrocnemius, Soleus, Plantaris, Tibialis posterior
peroneus longus	fibula	Foot	fibular artery	Superficial fibular nerve	plantarflexion, eversion	Tibialis anterior muscle
peroneus brevis	fibula	Foot, eversion	peroneal artery	superficial peroneal nerve
gluteus maximus muscle	ilium, sacrum, sacrotuberous ligament	femur	gluteal arteries	inferior gluteal nerve	external rotation and extension of the hip joint	Iliacus, Psoas major, Psoas minor
biceps femoris	ischium, femur	fibula	inferior gluteal artery, popliteal artery	tibial nerve, common peroneal nerve	flexes and laterally rotates knee joint, extends hip joint	Quadriceps muscle
semitendinosus	ischium	tibia	inferior gluteal artery	sciatic	flex knee, extend hip joint	Quadriceps muscle
semimembranosus	ischium	tibia	profunda femoris, gluteal artery	sciatic nerve	Hip extension, Knee flexion	Quadriceps muscle
Iliopsoas	ilium	femur	medial femoral circumflex artery, iliolumbar artery	femoral nerve, lumbar nerves	flexion of hip	Gluteus maximus, posterior compartment of thigh
quadriceps femoris	combined rectus femoris and vastus muscles		femoral artery	Femoral nerve	Knee extension; Hip flexion	Hamstring
adductor muscles of the hip	pubis	femur, tibia		obturator nerve	adduction of hip
levator scapulae	vertebral column	scapula	dorsal scapular artery	cervical nerve, dorsal scapular nerve	Elevates scapula, tilts its glenoid cavity inferiorly
trapezius	the rear of the skull, vertebral column	clavicle, scapula		cranial nerve XI, cervical nerves	retraction of scapula	Serratus anterior muscle
rectus abdominis	pubis	Costal cartilage of ribs 5–7, sternum	inferior epigastric artery	segmentally by thoraco-abdominal nerves	flexion of trunk/lumbar vertebrae	Erector spinae
transversus abdominis	ribs, ilium	pubic tubercle		lower intercostal nerves, iliohypogastric nerve and the ilioinguinal nerve	compress the ribs and viscera, thoracic and pelvic stability
Abdominal external oblique muscle	Lower 8 costae	Crista iliaca, ligamentum inguinale		lower 6 intercostal nerve, subcostal nerve	Rotates torso
Abdominal internal oblique muscle	Inguinal ligament, Iliac crest and the Lumbodorsal fascia	Linea alba, sternum and the inferior ribs.			Compresses abdomen and rotates vertebral column.
erector spinae	last four thoracic vertebræ	most cranial thoracic vertebrae and the cervical vertebrae	lateral sacral artery	posterior branch of spinal nerve	extends the vertebral column	Rectus abdominis muscle
pectoralis major	clavicle, sternum, costal cartilages	humerus	thoracoacromial trunk	lateral pectoral nerve and medial pectoral nerve	Clavicular head: flexes the humerus Sternocostal head: extends the humerus As a whole, adducts and medially rotates the humerus. It also draws the scapula anteriorly and inferiorly.
biceps brachii	scapula	radius	brachial artery	Musculocutaneous nerve	flexes elbow and supinates forearm	Triceps brachii muscle
triceps brachii	scapula and humerus	ulna	deep brachial artery	radial nerve	extends forearm, caput longum adducts shoulder	Biceps brachii muscle
brachialis	humerus	ulna	radial recurrent artery	musculocutaneous nerve	flexion at elbow joint
pronator teres	humerus, ulna	radius	ulnar artery and radial artery	median nerve	pronation of forearm, flexes elbow	Supinator muscle
brachioradialis	humerus	radius	radial recurrent artery	radial nerve	Flexion of forearm
rhomboids	nuchal ligaments, spinous processes of the C7 to T5 vertebrae	scapula	dorsal scapular artery	dorsal scapular nerve	Retracts the scapula and rotates it to depress the glenoid cavity. fixes the scapula to the thoracic wall.	Serratus anterior muscle
deltoid	clavicle, acromion, scapula	humerus	primarily posterior circumflex humeral artery	Axillary nerve	shoulder abduction, flexion and extension	Latissimus dorsi
latissimus dorsi	vertebral column, ilium and inferior 3 or 4 ribs	humerus	subscapular artery, dorsal scapular artery	thoracodorsal nerve	pulls the forelimb dorsally and caudally	deltoid, trapezius
Rotator cuff	scapula	humerus			lateral rotation, medial rotation, abduction

Muscles, anterior view (See Gray's muscle pictures for detailed pictures)

Muscles, posterior view (See Gray's muscle pictures for detailed pictures)

Microanatomy

Muscle is mainly composed of muscle cells. Within the cells are myofibrils; myofibrils contain sarcomeres, which are composed of actin and myosin. Individual muscle fibres are surrounded by endomysium. Muscle fibers are bound together by perimysium into bundles called fascicles; the bundles are then grouped together to form muscle, which is enclosed in a sheath of epimysium. Muscle spindles are distributed throughout the muscles and provide sensory feedback information to the central nervous system.

Skeletal muscle is muscle attached to skeletal tissue, distinct from heart or smooth muscle. It is arranged in discrete muscles, an example of which is the biceps brachii. It is connected by tendons to processes of the skeleton. In contrast, smooth muscle occurs at various scales in almost every organ, from the skin (in which it controls erection of body hair) to the blood vessels and digestive tract (in which it controls the caliber of the lumen and peristalsis). Cardiac muscle is the muscle tissue of the heart, and is similar to skeletal muscle in both composition and action, being comprised of myofibrils of sarcomeres. Cardiac muscle is anatomically different in that the muscle fibers are typically branched like a tree branch, and connect to other cardiac muscle fibers through intercalcated discs, and form the appearance of a syncytium.

Physiology

Main article: muscle contraction

The three (skeletal, cardiac and smooth) types of muscle have significant differences. However, all three use the movement of actin against myosin to create contraction. In skeletal muscle, contraction is stimulated by electrical impulses transmitted by the nerves, the motor nerves and motoneurons in particular. Cardiac and smooth muscle contractions are stimulated by internal pacemaker cells which regularly contract, and propagate contractions to other muscle cells they are in contact with. All skeletal muscle and many smooth muscle contractions are facilitated by the neurotransmitter acetylcholine.

Muscular activity accounts for much of the body's energy consumption. All muscle cells produce adenosine triphosphate (ATP) molecules which are used to power the movement of the myosin heads. Muscles conserve energy in the form of creatine phosphate which is generated from ATP and can regenerate ATP when needed with creatine kinase. Muscles also keep a storage form of glucose in the form of glycogen. Glycogen can be rapidly converted to glucose when energy is required for sustained, powerful contractions. Within the voluntary skeletal muscles, the glucose molecule can be metabolized anaerobically in a process called glycolysis which produces two ATP and two lactic acid molecules in the process (note that in aerobic conditions, lactate is not formed; instead pyruvate is formed and transmitted through the citric acid cycle). Muscle cells also contain globules of fat, which are used for energy during aerobic exercise. The aerobic energy systems take longer to produce the ATP and reach peak efficiency, and requires many more biochemical steps, but produces significantly more ATP than anaerobic glycolysis. Cardiac muscle on the other hand, can readily consume any of the three macronutrients (protein, glucose and fat) aerobically without a 'warm up' period and always extracts the maximum ATP yield from any molecule involved. The heart, liver and red blood cells will also consume lactic acid produced and excreted by skeletal muscles during exercise.

Nervous control

Efferent leg

The efferent leg of the peripheral nervous system is responsible for conveying commands to the muscles and glands, and is ultimately responsible for voluntary movement. Nerves move muscles in response to voluntary and autonomic (involuntary) signals from the brain. Deep muscles, superficial muscles, muscles of the face and internal muscles all correspond with dedicated regions in the primary motor cortex of the brain, directly anterior to the central sulcus that divides the frontal and parietal lobes.

In addition, muscles react to reflexive nerve stimuli that do not always send signals all the way to the brain. In this case, the signal from the afferent fiber does not reach the brain, but produces the reflexive movement by direct connections with the efferent nerves in the spine. However, the majority of muscle activity is volitional, and the result of complex interactions between various areas of the brain.

Nerves that control skeletal muscles in mammals correspond with neuron groups along the primary motor cortex of the brain's cerebral cortex. Commands are routed though the basal ganglia and are modified by input from the cerebellum before being relayed through the pyramidal tract to the spinal cord and from there to the motor end plate at the muscles. Along the way, feedback, such as that of the extrapyramidal system contribute signals to influence muscle tone and response.

Deeper muscles such as those involved in posture often are controlled from nuclei in the brain stem and basal ganglia.

Afferent leg

The afferent leg of the peripheral nervous system is responsible for conveying sensory information to the brain, primarily from the sense organs like the skin. In the muscles, the muscle spindles convey information about the degree of muscle length and stretch to the central nervous system to assist in maintaining posture and joint position. The sense of where our bodies are in space is called proprioception, the perception of body awareness. More easily demonstrated than explained, proprioception is the "unconscious" awareness of where the various regions of the body are located at any one time. This can be demonstrated by anyone closing their eyes and waving their hand around. Assuming proper proprioceptive function, at no time will the person lose awareness of where the hand actually is, even though it is not being detected by any of the other senses.

Several areas in the brain coordinate movement and position with the feedback information gained from proprioception. The cerebellum and red nucleus in particular continuously sample position against movement and make minor corrections to assure smooth motion.

Exercise

Exercise is often recommended as a means of improving motor skills, fitness, muscle and bone strength, and joint function. Exercise has several effects upon muscles, connective tissue, bone, and the nerves that stimulate the muscles.

Various exercises require a predominance of certain muscle fiber utilization over another. Aerobic exercise involves long, low levels of exertion in which the muscles are used at well below their maximal contraction strength for long periods of time (the most classic example being the marathon). Aerobic events, which rely primarily on the aerobic (with oxygen) system, use a higher percentage of Type I (or slow-twitch) muscle fibers, consume a mixture of fat, protein and carbohydrates for energy, consume large amounts of oxygen and produce little lactic acid. Anaerobic exercise involves short bursts of higher intensity contractions at a much greater percentage of their maximum contraction strength. Examples of anaerobic exercise include sprinting and weight lifting. The anaerobic energy delivery system uses predominantly Type II or fast-twitch muscle fibers, relies mainly on ATP or glucose for fuel, consumes relatively little oxygen, protein and fat, produces large amounts of lactic acid and can not be sustained for as long a period as aerobic exercise. The presence of lactic acid has an inhibitory effect on ATP generation within the muscle; though not producing fatigue, it can inhibit or even stop performance if the intracellular concentration becomes too high. However, long-term training causes neovascularization within the muscle, increasing the ability to move waste products out of the muscles and maintain contraction. Once moved out of muscles with high concentrations within the sarcomere, lactic acid can be used by other muscles or body tissues as a source of energy, or transported to the liver where it is converted back to pyruvate. The ability of the body to export lactic acid and use it as a source of energy depends on training level.

Humans are genetically predisposed with a larger percentage of one type of muscle group over another. An individual born with a greater percentage of Type I muscle fibers would theoretically be more suited to endurance events, such as triathlons, distance running, and long cycling events, whereas a human born with a greater percentage of Type II muscle fibers would be more likely to excel at anaerobic events such as a 200 meter dash, or weightlifting. People with high overall musculation and balanced muscle type percentage engage in sports such as rugby or boxing and often engage in other sports to increase their performance in the former.

Delayed onset muscle soreness is pain or discomfort that may be felt one to three days after exercising and subsides generally within two to three days later. Once thought to be caused by lactic acid buildup, a more recent theory is that it is caused by tiny tears in the muscle fibres caused by eccentric contraction, or unaccustomed training levels. Since lactic acid disperses fairly rapidly, it could not explain pain experienced days after exercise.

Disease

Main article: Neuromuscular disease

Symptoms of muscle diseases may include weakness, spasticity, myoclonus and myalgia. Diagnostic procedures that may reveal muscular disorders include testing creatine kinase levels in the blood and electromyography (measuring electrical activity in muscles). In some cases, muscle biopsy may be done to identify a myopathy, as well as genetic testing to identify DNA abnormalities associated with specific myopathies and dystrophies.

Neuromuscular diseases are those that affect the muscles and/or their nervous control. In general, problems with nervous control can cause spasticity or paralysis, depending on the location and nature of the problem. A large proportion of neurological disorders leads to problems with movement, ranging from cerebrovascular accident (stroke) and Parkinson's disease to Creutzfeldt-Jakob disease.

A non-invasive elastography technique that measures muscle noise is undergoing experimentation to provide a way of monitoring neuromuscular disease. The sound produced by a muscle comes from the shortening of actomyosin filaments along the axis of the muscle. During contraction, the muscle shortens along its longitudinal axis and expands across the transverse axis, producing vibrations at the surface.

Atrophy

There are many diseases and conditions which cause a decrease in muscle mass, known as muscle atrophy. Example include cancer and AIDS, which induce a body wasting syndrome called cachexia. Other syndromes or conditions which can induce skeletal muscle atrophy are congestive heart disease and some diseases of the liver.

During aging, there is a gradual decrease in the ability to maintain skeletal muscle function and mass, known as sarcopenia. The exact cause of sarcopenia is unknown, but it may be due to a combination of the gradual failure in the "satellite cells" which help to regenerate skeletal muscle fibers, and a decrease in sensitivity to or the availability of critical secreted growth factors which are necessary to maintain muscle mass and satellite cell survival. Sarcopenia is a normal aspect of aging, and is not actually a disease state.

Strength

A display of "strength" (e.g lifting a weight) is a result of three factors that overlap; Physiological strength (muscle size, cross sectional area, available crossbridging, responses to training), neurological strength (how strong or weak is the signal that tells the muscle to contract), and mechanical strength (muscle's force angle on the lever, moment arm length, joint capabilities). Contrary to popular belief, the number of muscle fibres cannot be increased through exercise; instead the muscle cells simply get bigger. Muscle fibres have a limited capacity for growth through hypertrophy and some believe they split through hyperplasia if subject to increased demand.

The "strongest" human muscle

Since three factors affect muscular strength simultaneously and muscles never work individually, it is unrealistic to compare strength in individual muscles, and state that one is the "strongest". But below are several muscles whose strength is noteworthy for different reasons.

• In ordinary parlance, muscular "strength" usually refers to the ability to exert a force on an external object—for example, lifting a weight. By this definition, the masseter or jaw muscle is the strongest. The 1992 Guinness Book of Records records the achievement of a bite strength of 4337 N (975 bf) for 2 seconds. What distinguishes the masseter is not anything special about the muscle itself, but its advantage in working against a much shorter lever arm than other muscles.

• If "strength" refers to the force exerted by the muscle itself, e.g., on the place where it inserts into a bone, then the strongest muscles are those with the largest cross-sectional area. This is because the tension exerted by an individual skeletal muscle fiber does not vary much. Each fiber can exert a force on the order of 0.3 micronewton. By this definition, the strongest muscle of the body is usually said to be the quadriceps femoris or the gluteus maximus.

• A shorter muscle will be stronger "pound for pound" (i.e., by weight) than a longer muscle. The myometrial layer of the uterus may be the strongest muscle by weight in the human body. At the time when an infant is delivered, the entire human uterus weighs about 1.1 kg (40 oz). During childbirth, the uterus exerts 100 to 400 N (25 to 100 lbf) of downward force with each contraction.

• The external muscles of the eye are conspicuously large and strong in relation to the small size and weight of the eyeball. It is frequently said that they are "the strongest muscles for the job they have to do" and are sometimes claimed to be "100 times stronger than they need to be." However, eye movements (particularly saccades used on facial scanning and reading) do require high speed movements, and eye muscles are exercised nightly during Rapid eye movement.

• The statement that "the tongue is the strongest muscle in the body" appears frequently in lists of surprising facts, but it is difficult to find any definition of "strength" that would make this statement true. Note that the tongue consists of sixteen muscles, not one.

• The heart has a claim to being the muscle that performs the largest quantity of physical work in the course of a lifetime. Estimates of the power output of the human heart range from 1 to 5 watts. This is much less than the maximum power output of other muscles; for example, the quadriceps can produce over 100 watts, but only for a few minutes. The heart does its work continuously over an entire lifetime without pause, and thus does "outwork" other muscles. An output of one watt continuously for seventy years yields a total work output of two to three gigajoules.

Efficiency

The efficiency of human muscle has been measured (in the context of rowing and cycling) at 14% to 27%. The efficiency is defined as the ratio of mechanical work output to the total metabolic cost.

Body building

Main article: Bodybuilding

Bodybuilding is the process of maximizing muscle hypertrophy through the combination of weight training, sufficient caloric intake, and rest - often utilising extraneous hormones. Someone who engages in this activity is referred to as a bodybuilder. The muscles are revealed through a combination of fat loss, oils, and tanning (or tanning lotions) which combined with lighting make the definition of the muscle group more distinct.

Muscle evolution

Evolutionarily, specialized forms of skeletal and cardiac muscles predated the divergence of the vertebrate/arthropod evolutionary line. This indicates that these types of muscle developed in a common ancestor sometime before 700 million years ago (mya). Vertebrate smooth muscle (smooth muscle found in humans) was found to have evolved independently from the skeletal and cardiac muscles.

References

• Costill, David L and Wilmore, Jack H. (2004). Physiology of Sport and Exercise. Champaign, Illinois: Human Kinetics. ISBN 0-7360-4489-2.
• Phylogenetic Relationship of Muscle Tissues Deduced from Superimposition of Gene Trees, Satoshi OOta and Naruya Saitou, Mol. Biol. Evol. 16(6) 856–7, 1999
• Johnson George B. (2005) "Biology, Visualizing Life." Holt, Rinehart, and Winston. ISBN 0-03-016723-X

See also

• Fascia
• Bodybuilding
• List of muscles of the human body
• Myopathy (Pathology of muscle cells)
• Myotomy
• Rapid plant movement
• Atrophy
• Muscle atrophy
• Muscle tone (residual muscle tension)
• Electroactive polymers (materials that behave like muscles, used in robotics research)
• Muscle memory
• Musculoskeletal system
• Hand strength

External links

• Muslumova, Irada (2003). "Power of a Human Heart". The Physics Factbook. (Heart output 1.3 to 5 watts, lifetime output 2 to 3 ×10⁹ joules)
• University of Dundee article on performing neurological examinations (Quadriceps "strongest")
• Muscle efficiency in rowing
• Human Muscle Tutorial (clear pictures of main human muscles and their Latin names, good for orientation)
• Microscopic stains of skeletal and cardiac muscular fibers to show striations. Note the differences in myofibrilar arrangements.

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