Title: THE MUSCULAR SYSTEM
1THE MUSCULAR SYSTEM
2INTERACTIONS OF SKELETAL MUSCLES IN THE BODY
- Muscles only pull they are not capable of
pushing - Generally as a muscle shortens, its insertion
(attachment on the movable bone) moves toward its
origin (its fixed or immovable point of
attachment) - Muscles can be classified into four functional
groups - 1.Prime Movers
- The muscle that provides the major force for the
specific movement is called the prime mover or
the agonist, of that movement - The biceps brachii muscle, which fleshes out the
anterior arm (and inserts on the radius), is a
prime mover of elbow flexion - 2.Antagonists
- Muscles that oppose or reverse a particular
movement - When a prime mover is active, the antagonist
muscles are often stretched and may be relaxed - Can also help to regulate the action of a prime
mover by contracting to provide some resistance,
thus helping to prevent overshoot or to slow or
stop the movement - Prime mover and its antagonist are located on
opposite sides of the joint across which they act - Antagonists can also be prime movers in their own
right - Example flexion of the forearm by the biceps
brachii muscle of the arm is antagonized by the
triceps brachii, the prime mover for extending
the forearm
3INTERACTIONS OF SKELETAL MUSCLES IN THE BODY
- 3.Synergists
- Help the prime movers by
- Adding a little extra force to the same movement
- Or reducing undesirable or unnecessary movements
that might occur as the prime mover contracts - When a muscle crosses two or more joints, its
contraction causes movement at all of the spanned
joints unless other muscles act as joint
stabilizers - Example the finger flexor muscles cross both the
wrist and the phalangeal joints, but you can make
a fist without bending your wrist because
synergistic muscles stabilize the wrist - As some flexors act, undesirable rotation
movements occur - Synergists can prevent this, allowing all of the
prime movers force to be exerted in the desired
direction
4INTERACTIONS OF SKELETAL MUSCLES IN THE BODY
- 4.Fixators when synergists immobilize a bone, or
a muscles origin, they are more specifically
called fixators - Examples
- Scapula is held to the axial skeleton only by
muscles and is quite freely movable - The fixator muscles that run from the axial
skeleton to the scapula can immobilize the
scapula so that only the desired movements occur
at the mobile shoulder joint - Muscles that help to maintain upright posture
5INTERACTIONS OF SKELETAL MUSCLES IN THE BODY
- Although prime movers seem to get all the credit
for causing certain movements, antagonistic and
synergistic muscles are also important in
producing smooth, coordinated, and precise
movements - A muscle may act as a prime mover in one
movement, an antagonist for another movement, a
synergist for a third movement, and so on
6NAMING SKELETAL MUSCLES
- 1. Location of the muscle Some muscle names
indicate the bone or body region with which the
muscle is associated - Example
- Temporalis muscle overlies the temporal bone
- Intercostal muscles run between the ribs
- 2. Shape of the muscle Some muscles are named
for their shape - Example
- Deltoid muscle is roughly triangular
- Together the right and left trapezius muscles
form a trapezoid - 3. Relative size of the muscle Terms such as
maximus (largest), minimus (smallest), longus
(long), and brevis (short) are often used in
muscle names to indicate relative size of the
muscle - Example
- Gluteus maximus
- Gluteus minimus
7NAMING SKELETAL MUSCLES
- 4. Direction of muscle fibers The names of some
muscles indicate the direction in which their
fibers (and fascicles) run in reference to some
imaginary line, usually the midline of the body
or the longitudinal axis of a limb bone - Examples
- Rectus (straight) fibers run parallel to that
imaginary line (axis) - Rectus femoris straight muscle of the thigh, or
femur) - Transversus (right angle) muscle fibers run at
right angles - Transversus abdominis transverse muscle of the
abdomen - Oblique (oblique angle) muscle fibers run at
oblique angles - External oblique oblique muscle of the abdomen
8NAMING SKELETAL MUSCLES
- 5. Number of origins The number of origins a
muscle has may be indicated by the word biceps,
triceps, or quadriceps - Example
- Biceps brachii muscle of the arm has two origins
(heads)
9NAMING SKELETAL MUSCLES
- 6. Location of the attachments Some muscles are
named according to the location of their origin
and insertion - Origin is always named first
- Example
- Sternocleidomastoid muscle of the neck
- Has a dual origin on the sternum (sterno) and
clavicle (cleido), and it inserts on the mastoid
process of the temporal bone
10NAMING SKELETAL MUSCLES
- 7. Action A muscle may be named for its action
by using such words as flexor (flex), extensor
(extend), adductor (brought toward), or supinate
(bend backward) in its name - Example
- Adductor longus located in the medial thigh
- Brings about thigh adduction (toward the main
axis of the body or a limb) - Supinator muscle
- Supinates the forearm
- Turn the forearm or hand so that the palm faces
upward - Supinates the leg and foot
- To rotate the foot and leg outward
11NAMING SKELETAL MUSCLES
- Several criteria are combined in the naming of
some muscles - Example extensor carpi radialis longus
- Action of the muscle the muscles action
(extensor) - Location of attachment joint it acts on (carpi
wrist) - Location of muscle lies close to the radius of
the forearm (radialis) - Relative size of muscle relative to other wrist
extensor muscles (longus) - Unfortunately, not all muscle names are this
descriptive
12MUSCLE MECHANICSIMPORTANCE OF FASCICLE
ARRANGEMENT AND LEVERAGE
- In skeletal muscles the common arrangement of the
fascicles varies, resulting in muscles with
different shapes and functional capabilities
13Arrangement of Fascicles
- Fascicle bundle of nerve or muscle fibers
(cells) bound together by connective tissue - All skeletal muscles consist of fascicles, but
fascicle arrangement vary, resulting in muscles
with different shapes and functional capabilities
14SKELETAL MUSCLE
15Arrangement of Fascicles
- (a) Circular pattern
- Fascicles arranged in concentric rings
- Muscles with this arrangement surround external
openings, which they close by contracting - General term for these muscles is sphincters
(squeezers) - Examples
- Orbicularis muscles surrounding the eyes
(Orbicularis oculi) and the mouth (Orbicularis
oris)
16Arrangement of Fascicles
- (b) Convergent pattern
- Muscle has a broad origin, and its fascicles
converge toward a single tendon of insertion - Such a muscle is triangular or fan shaped like
the pectoralis major muscle of the anterior
thorax
17Arrangement of Fascicles
- (c)(f) Parallel pattern
- The long axes of the fascicles run parallel to
the long axis of the muscle - Such muscles are either
- straplike (c parallel)
- spindle (f fusiform)
- shaped with an expanded belly (midsection)
- Examples
- Sartorius of thigh (c)
- Biceps brachii muscle of the arm (f)
18Arrangement of Fascicles
- (d)(e)(g) Pennate pattern
- In a pennate (feather) pattern of arrangement the
fascicles are short and attach obliquely to a
central tendon that runs the length of the muscle - Types
- Unipennate d
- Fascicles insert into only one side of the tendon
- Example extensor digitorum muscle of the leg
- Bipennate g
- Fascicles insert into the tendon from opposite
sides (muscle grains resemble a feather) - Example rectus femoris muscle of the thigh
- Multipennate e
- Arrangement looks like many feathers situated
side by side, with all their quills inserted into
one large tendon - Example deltoid muscle, which forms the
roundness of the shoulder
19FASCICLE ARRANGEMENT TO MUSCLE STRUCTURE
20MUSCLE MECHANICSIMPORTANCE OF FASCICLE
ARRANGEMENT AND LEVERAGE
- The operation of most skeletal muscles involves
the use of leverage and lever systems,
partnerships between the muscular and skeletal
systems - A lever is a rigid bar that moves on a fixed
point, or a fulcrum, when a force is applied to
it - The applied force, or effort is used to move a
resistance or load - In your body, your joints act as the fulcrums,
the bones as the levers, and the muscle
contraction as the effort (force) - Load (resistance) is the bone itself, along with
overlying tissues and anything else you are
trying to move with that lever
21Lever Systems
- A lever allows a given effort (force) to lift a
heavier load (resistance), or to move a load
(resistance) farther or faster, than it otherwise
could - (a)First-Class the load is close to the fulcrum
and the effort is applied far from the fulcrum - A small effort exerted over a relatively large
distance can be used to move a large load over a
small distance - Such a lever is said to operate at a mechanical
advantage and is commonly called a power lever
22Lever Systems
- (b) Third-Class
- Load is far from the fulcrum and the effort is
applied near the fulcrum, the force exerted by
the muscle must be greater than the load moved or
supported - This lever system operates at a mechanical
disadvantage and is a speed lever - These levers are useful because they provide
rapid contractions with a wide range of motion
23MUSCLE LEVERAGE
24Lever Systems
- All levers follow the same basic principle
- Effort farther than load from fulcrum
mechanical advantage - Effort nearer than load to fulcrum mechanical
disadvantage - Lever systems that operate at a mechanical
disadvantage (speed levers), force is lost but
speed and range of movement are gained, and this
can be a distinct benefit - Lever systems that operate at a mechanical
advantage (power levers) are slower, more stable,
and used where strength is a priority
25Lever Systems
- There are three types of levers
- First-class
- Second-class
- Third-class
26Lever SystemsFirst-Class Levers
- (a) Effort is applied at one end of the lever
and the load is at the other, with the fulcrum
somewhere between - Examples
- Seesaws
- Scissors
- Lift your head off your chest
- Some operate at a mechanical advantage
- Others operate at a mechanical disadvantage
- Action of the triceps muscle in extending the
forearm against resistance (pushing)
27Lever SystemsSecond-Class Levers
- (b) Effort is applied at one end of the lever
and the fulcrum is located at the other, with the
load between them - All second-class levers in the body work at a
mechanical advantage because the muscle insertion
(effort) is always farther from the fulcrum than
is the load to be moved - Levers of strength, but speed and range are
sacrificed for that strength - Examples
- Wheelbarrow
- Uncommon in the human body
- Best example is the act of standing on your toes
28Lever SystemsThird-Class Levers
- (c) Effort is applied between the load and the
fulcrum - Operate with great speed and always at a
mechanical disadvantage - Most skeletal muscles of the body
- Tend to be thicker and more powerful
- Permits a muscle to be inserted very close to the
joint across which movement occurs - Allows rapid, extensive movements with relatively
little shortening of the muscle - Examples
- Tweezers (forceps)
- biceps
29MUSCLE LEVERAGE
30Skeletal Muscles
- Over 600
- Book only list approximately 125 pairs of them
31ANTERIOR SUPERFICIAL MUSCLES
32DIAGRAMMATIC VIEW OF ANTERIOR MUSCLES
33POSTERIOR VIEWOF SUPERFICIAL MUSCLES
34DIAGRAMMATIC VIEW OF POSTERIOR MUSCLES
35Facial Muscles
- Muscles of the Head Facial Expression
- Muscles of the scalp include the epicranius
consisting of the frontalis and the occipitalis - Muscles of the face include corrugator
supercilii, orbicularis oculi, zygomaticus,
risorius, levator labii superioris, depressor
labii inferioris, depressor anguli oris,
orbicularis oris, mentalis, buccinator, and
platysma
36MAJOR SKELETAL MUSCLES OF THE FACE
- Frontaliscranial (facial nerve) VII
- Raises the eyebrows (as in surprise)
- Wrinkles forehead skin horixzontally
- Cranial nerve VII
- Orbicularis oculicranial (facial nerve) VII
- Protects eyes from intense light and injury
- Produces blinking, squinting
- Draws the eyebrows inferiorly
- Orbicularis oriscranial (facial nerve) VII
- Closes lips
- Purses (pucker) and protrudes (stick out) lips
- Kissing and whistling muscle
37HEAD MUSCLES
38Muscles of the Head
- Mastication and Tongue Movement
- Muscles of mastication include the masseter,
temporalis, medial pterygoid, lateral pterygoid,
and the buccinator - Muscles promoting tongue movement are the
genioglossus, hypoglossus, and the styloglossus
39Mastication Muscles
- MasseterTemporaliscranial (trigeminal) nerve V
- Prime mover of jaw closure
- Elevates mandible
- Temporaliscranial (trigeminal) nerve V
- Closes jaw
- Elevates and retracts mandible
- Buccinatorcranial (facial) nerve VII
- Trampoline-like action
- Keeps food between grinding surfaces of teeth
during chewing
40Mastication Muscles
41HEAD MUSCLES
42Mastication Muscles
43Tongue Muscles
- Genioglossuscranial (hypoglossal) nerve XII
- Primarily protrudes tongue, but in concert with
other extrinsic muscles to retract tongue
44TONGUE MUSCLES
45MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles of the Anterior Neck and Throat
Swallowing - Suprahyoid muscles include digastric, stylohyoid,
mylohyoid, and geniohyoid - Infrahyoid muscles include sternohyoid,
sternothyroid, omohyoid, thyrohyoid, and the
pharyngeal constrictor muscles (superior, middle,
and inferior)
46Neck and Throat Muscles
- Mylohyoidcranial (trigeminal) nerve V
- Elevates hyoid bone and floor of mouth
- Enables the tongue to exert backward and upward
pressure that forces food bolus into pharynx
47Neck and Throat Muscles
- Pharyngeal constrictor muscles (superior, middle,
and inferior)cranial (vagus) nerve X - Working as a group and in sequence, all constrict
pharynx during swallowing - Propels food bolus to esophagus
- peristalsis
48NECK MUSCLES
49NECK MUSCLES
50MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles of the Neck and Vertebral Column Head
and Trunk Movement - Anterolateral neck muscles include the
sternocleidomastoid, and scalenes (anterior,
middle, and posterior) - Intrinsic muscles of the back include splenius
capitis, erector spinae or sacrospinalis,
iliocostals, longissimus, spinalis, semispinalis,
and the quadratus lumborum
51Neck Muscles
- Sternocleidomastoid cranial (accessory) nerve XI
and branches of cervical nerves 2-4 - Prime mover of head flexion
- Neck flexion
- Head movement side-to-side
52NECK AND VERTEBRAL COLUMN MUSCLES
53NECK AND VERTEBRAL COLUMN MUSCLES
54NECK AND VERTEBRAL COLUMN MUSCLES
55Neck and Vertebral Column Muscles
- Longissimus thoracis, cervicis, and capitis
spinal nerves - Capitis extends head and turns face side to side
- Thoracis and cervicis extend vertabral column
side to side
56NECK AND VERTEBRAL COLUMN MUSCLES
57Thorax and Abdominal Muscles
- Muscles of the Thorax Breathing
- Muscles of the thorax include the external
intercostals, internal intercostals, and the
diaphragm - Muscles of the Abdominal Wall Trunk Movement and
Compression of Abdominal Viscera - Muscles of the anterolateral abdominal wall
include the rectus abdominis, external oblique,
and the transversus abdominis
58Thorax Muscles
- External intercostals intercostal nerves
- Elevate rib cage
- Aids in inspiration
- Internal intercostals intercostal nerves
- Depress rib cage
- Aids in expiration
- Diaphragmcervical (phrenic) nerve (C3-C5)
- Breathing
59RESPIRATORY MUSCLES
60RESPIRATORY MUSCLES
61Abdominal Muscles
- Rectus abdominis Intercostal (thoracic) nerves
- Flex and rotate lumbar region
- External oblique Intercostal (thoracic) nerves
- Compression of abdominal wall
- Transversus abdominis Intercostal (thoracic)
nerves - Compression of abdominal wall
62ABDOMINAL MUSCLES
63ABDOMINAL MUSCLES
64MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles of the Pelvic Floor and Perineum Support
of Abdominopelvic Organs - Muscles of the pelvic diaphragm include the
levator ani and the coccygeus - Muscles of the urogenital diaphragm include the
deep transverse perineus and the sphincter
urethrae - Muscles of the superficial space include the
ischiocavernosus, bulbospongiosus, and the
superficial transverse perineus
65PELVIC FLOOR AND PERINEUM MUSCLES
66Pelvic Floor Muscles
- Ischiocavernosus pudendal (sacral) nerve
- Retards venous drainage and maintains erection of
penis or clitoris - Bulbospongiosus pudendal (sacral) nerve
- Empties male urethra
- Assist in erection of penis in males and of
clitoris in females
67PELVIC FLOOR AND PERINEUM MUSCLES
68MAJOR SKELETAL MUSCLES OF THE BODY
- Superficial Muscles of the Anterior and Posterior
Thorax Movements of the Scapula - Muscles of the anterior thorax include the
pectoralis minor, serratus anterior, and the
subclavius - Muscles of the posterior thorax include the
trapezius, levator scapulae, and the rhomboids
(major and minor)
69MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles Crossing the Shoulder Joint Movement of
the Arm - Muscles moving the arm include the pectoralis
major, latissimus dorsi, deltoid, subscapularis,
supraspinatous, infraspinatous, teres minor,
teres major, and the coracobrachialis
70Thorax Muscles
- Deltoid cervical nerves
- Prime mover of arm abduction
- Antagonists of pectoralis major and latissimus
dorsi - Pectoralis major cervical and thoracic nerves
- Prime mover of arm flexion
- Adduction
- Trapezius cervical nerves
- Stabilizes, raises, retracts, and rotates scapula
- Latissimus dorsi cervical nerves
- Prime mover of arm extension
- Powerful arm adductor
- Striking a blow
- Swimming
- Rowing
71THORAX MUSCLES
72SHOULDER MUSCLES
73MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles crossing the Elbow Joint Flexion and
Extension of the Forearm - Posterior muscles include the triceps brachii,
and the anconeus - Anterior muscles include the biceps brachii,
brachialis, and the brachioradialis
74SHOULDER MUSCLES
- Triceps brachii cervical nerves
- Powerful forearm extensor
- Biceps brachii cervical nerves
- Flexes elbow joint and supinates forearm
- Brachialis musculocutaneous nerve
- Major forearm flexor
- Lifts ulna as biceps lifts the radius
- Brachioradialis radial nerve
- Synergist in forearm flexion
75SHOULDER MUSCLES
76SHOULDER MUSCLES
77Forearm Muscles
- Flexor carpi radialis median nerve
- Powerful flexor of wrist
- Abducts hand
- Flexor carpi ulnaris ulnar nerve
- Powerful flexor of wrist
- Adducts hand
78ANTERIOR ARM MUSCLES
79Forearm Muscles
- Extensor carpi radialis brevis radial nerve
- Extends and abducts wrist
- Extensor digitorum branch of radial nerve
- Prime mover of finger extension
- Extends wrist
80POSTERIOR ARM MUSCLES
81ARM MUSCLES
82ARM MUSCLE ACTIONS
83ARM MUSCLE ACTIONS
84MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles of the Forearm Movements of the Wrist,
Hand, and Fingers - Anterior superficial muscles include the pronator
teres, flexor carpi radialis, palmaris longus,
flexor carpi ulnaris, and the flexor digitorum
superficialis - Anterior deep muscles include the flexor pollicis
longus, flexor digitorum profundus, and the
pronator quadratus - Posterior superficial muscles include the
brachioradialis, extensor carpi radialis longus,
extensor carpi radialis brevis, extensor
digitorum, and the extensor carpi ulnaris - Posterior deep muscles include the supinator,
abductor pollicis longus, extensor pollicis
longus, and the extensor pollicis brevis
85MAJOR SKELETAL MUSCLES OF THE BODY
- Intrinsic muscles of the Hand Fine Movements of
the Fingers - Thenar muscles in ball of thumb include the
abductor pollicis brevis, flexor pollicis brevis,
opponnens pollicis, and the adductor pollicis - Hypothenar muscles in ball of little finger
include the abductor digiti minimi, flexor digiti
minimi brevis, and the opponens digiti minimi - Midpalmar muscles include the lumbricals, palmar
interossei, and the dorsal interossei
86Hand Muscles
- Abductor pollicis brevis median nerve
(cervical.thoracic) - Abducts thumb
- Flexor digiti minimi brevis ulnar nerve
- Flexes little finger
87HAND MUSCLES
88HAND MUSCLES
89MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles Crossing the Hip and Knee Joints
Movements of the Thigh and Leg - Anteromedial muscles include the iliopsoas, which
is composed of the iliacus, the psoas major, and
the sartorius - Muscles of the medial compartment of the thigh
include the adductor group, which is made up of
the adductor magnus, adductor longus and the
adductor brevis, the pectineus, and the gracilis - Muscles of the anterior compartment of the thigh
include the quadriceps femoris group, which is
made up of the rectus femoris, vastus lateralis,
vastus medialis and vastus intermedius, and the
tensor fasciae latae - Posterior Muscles gluteal muscles (origin on
pelvis) include the gluteus maximus, gluteus
medius, and the gluteus minimus - Lateral rotators include the piriformis,
obturator externus, obturator internus, gemellus,
and the quadratus femoris - Muscles of the posterior compartment of the thigh
include the hamstring group, which consist of the
biceps femoris, semitendinosus, and the
semimembranosus
90Thigh Muscles
- Adductor longus obturator nerve
- Adducts, flexes, and medially rotates thigh
- Gracilis obturator nerve
- Adducts thigh, flexes, and medially rotates
thigh, especially during walking - Quadriceps femoris
- Rectus femoris femoral nerve
- Extends knee and flexes thigh at hip
91ANTERIOR THIGH MUSCLES
92ANTERIOR THIGH MUSCLES
93Hip Muscles
- Gluteus maximus inferior gluteal nerve
- Major extensor of thigh
- Complex, powerful, and most effective when thigh
is flexed and force is necessary, as in rising
from a forward flexed position and in thrusting
the thigh posteriorly in climbing stairs and
running - Inactive during standing
94POSTERIOR THIGH MUSCLES
- Hamstrings sciatic nerve
- Biceps femoris
- Semitendinosus
- Semimembranosus
- Extends thigh and flexes knee
95POSTERIOR THIGH MUSCLES
96POSTERIOR THIGH MUSCLES
97MAJOR SKELETAL MUSCLES OF THE BODY
- Muscles of the Leg Movements of the Ankle and
Toes - Muscles of the anterior compartment include the
tibialis anterior, extensor digitorum longus,
fibularis (peroneus) tertius, and the extensor
hallucis longus - Muscles of the lateral compartment include the
fibularis (peroneus) longus and the fibularis
(peroneus) brevis - Superficial muscles of the posterior compartment
include the triceps surae, which is composed of
the gastrocnemius and the soleus, and the
plantaris - Deep muscles of the posterior compartment include
the popliteus, flexor digitorum longus, flexor
hallucis longus, and the tibialis posterior
98ANTERIOR LEG MUSCLES
- Tibialis anterior fibular nerve (lumbar)
- Prime mover of dorsiflexion
- Inverts foot
- Assists in supporting medial longitudinal arch of
foot - Fibularis longus fibular nerve (lumbar)
- Plantar flexes and everts foot
- May help keep foot flat on ground
99ANTERIOR LEG MUSCLES
100ANTERIOR LEG MUSCLES
101LATERAL LEG MUSCLES
102LATERAL LEG MUSCLES
103POSTERIOR LEG MUSCLES
- Gastrocnemius tibial nerve (sacral)
- Plantar flexes foot when knee is extended
- Since it also crosses knee joint, it can flex
knee when foot is dorsiflexed - Soleus tibial nerve (sacral)
- Plantar flexes foot
- Important locomotor and postural muscle during
walking, running, and dancing
104POSTERIOR LEG MUSCLES
105POSTERIOR LEG MUSCLES
106POSTERIOR LEG MUSCLES
107POSTERIOR LEG MUSCLES
108LEG MUSCLE ACTIONS
109LEG MUSCLE ACTIONS
110MAJOR SKELETAL MUSCLES OF THE BODY
- Intrinsic Muscles of the Foot Toe Movement and
Arch Support - The muscle found on the dorsum of the foot is the
extensor digitorum brevis - Muscles on the sole of the foot found in the
first layer are the flexor digitorum brevis,
abductor hallucis, and the abductor digiti minimi - Muscles on the sole of the foot found in the
second layer are the flexor accessorius
(quadratus plantae) and the lumbricals - Muscles of the sole of the foot found in the
third layer include the flexor hallicis brevis,
adductor hallucis, and the flexor digiti minimi
brevis - Muscles of the sole of the foot found in the
fourth layer include the plantar and the dorsal
interossei
111Foot MusclesDorsum
- Extensor digitorum brevis fibular nerve
(sacral) - Helps extend toes
112Foot MusclesSole
- Flexor digitorum brevis medial plantar nerve
(sacral) - Helps flex toes
113FOOT MUSCLES
114FOOT MUSCLES
115FOOT MUSCLES