Sistem Musculare Dr. Desy
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SISTEM MUSKU
LAR
DESY PU
RWIDYASTUTI
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JENIS OTOTOtot skeletal Otot polos Otot jantungUk serabut 100umx60cmMultiple nucleiKontrol mek. Neural (single NMJ)Ca release sarcoplasmic retic.Kontraksi rapid onset, tetanus +, rapid fatigue
5-10umx30-200umSingle nucleiAutomaticityCa from ES fluid & sarkoplasmic retic.Kontr.slow onset, tetanus +, resistent to fatigue
10-20umx50-100umSingle nucleiKontrol mek. AutomacityCa dari ekstraseluler fluid & sarkoplasmic retic.Kontraksi slower onset, tetanus -, resistent to fatigue
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KARAKTERISTIK OTOT SKELETALEksitabilitas: kemampuan u/ terima dan respon stimulusKontraktilitas: kemampuan u/ kontraksiEkstensibilitas: kemampuan u/ meregangElastisitas : kemampuan u/ kembali ke bentuk semula
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FUNGSI OTOT SKELETALMovement (gerakan)Posture and body position (postur)Support soft tissue Guard entrance and exit(gerbang Keluar masuk)Maintain body temperature
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TIPE- TIPE OTOT BERDASAR GERAK UTAMAAgonis : prime mover (penggerak utama)Antagonis : oppose the movement by another muscle
(berlawanan)Sinergis : help prime mover (bantu penggerak utama)
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PEMBERIAN NAMA OTOT SKELETALArah serabut otot ; rectusUkuran relatif otot ; longusLokasi otot;m. frontalisJumlah origo; bicepsOrigo & insertioBentuk ototGerakan utama:flexor
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PEMBAGIAN SISTEM MUSKULAR
~sistem skeletalSistem muskular aksialSistem muskular appendikular
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AXIALE MUSCULATUREOtot kepala leherOtot columna vertebralisOtot2 rectus dan obliqueOtot2 perineum & diafragma pelvis
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OTOT KEPALA LEHERFacial expression muscleExtraocular muscleMasticatory muscleTongue muscleAnterior neck muscle
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FACIAL EXPRESSION MUSCLE>>mulut m. Orbicularis orisM. Buccinator feeding, pada bayi untuk menghisap<< pergerakan alis, kelopak mata, scalp, hidung dan telinga
luarEpicranium : temporoparietalis & occipitofrontalisM. Platysma : berorigo dasar leher & menuju periosteum
mandibula dan berinsertio pada fasia sudut mulut
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MULUTOtot Fungsibuccinator Menekan pipiDepressor labii inf Depresi bibir bwhLevator labii sup Angkat bibir atasmentalis Angkat & protrusi bibir
bawahOrbicularis oris Menekan bibirrisorius Membentuk sudut mulutLev anguli oris Angkat sudut mulutDepressor anguli oris Menekan sudut mulutZygomaticus major Retraksi & angkat sudut
mulutZygomaticus minor Retraksi & angkat bibir
atas
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MATAOtot Fungsi
Corrugator supercili Tarik kulit ke inf & ant; mengerutkan alis
Lev palpebra sup Angkat kelopak mata atas
Orbicularis oculi Tutup mataprocerus Gerakkan hidung, ubah
posisi; bentuk nostrilnasalis Tekan ujung hidung,
angkat sudut nostrilOccipitofrontalis:Frontal bellyOccipital belly
Angkat alis, kerut dahiRetraksi scalp
temporoparietalis Gerakkan telinga
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EXTRAOCULAR MUSCLE=oculomotor muscle= extrinsic eye movementOrigo: permukaan orbita & b’fs kontrol posisi bola mataTdd : m. rectus sup et inf et med et lat
m. obliquus inf et supInnervasi : n. III, n. IV, n.VI
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TONGUE MUSCLE1. Extrinsic : fs bicara, manipulasi makanan2. Intrinsic : membantu fs diatas• Innervasi : n. XII
Otot FungsiGenioglossus Depresi & protraksi lidahHyoglosus Depresi & retraksi lidahPalatoglosus Angkat lidah, depresi
palatum molleStyloglosus Retraksi lidah, angkat ke
samping
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MASTICATORY MUSCLEOtot FungsiMasseter Angkat mandibula & tutup jaw
temporalis IdemPterygoidMedial
lateral
Angkat mandibula, gerakkan mandib dari sisi ke sisiBuka rahang, protrusi mandibula, idem
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ANTERIOR NECK MUSCLEKontrol posisi laring, depresi mandibula, membentuk
dasarmulut, dasar yg kuatbagi otot lidah dan faringExtrinsic laryngIntrinsic vocal cordSuprahyoid & infrahyoid
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ANTERIOR NECK MUSCLEOtot FungsiDigastricusVenter antVenter post
Depresi mandibula, buka mulut, angkat laryng
geniohyoid Idem, retraksi os hyoidmylohyoid Angkat dasr mulut, angkat
os hyoid, depresi mandibula
omohyoid Depresi os hyoid & laryngsternohyoid Idemsternothyroid Idemstylohyoid Angkat laryngthyrohyoid Angkat laring, depresi os
hyoidsternocleidomastoid Flexi leher
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MUSCLES OF VERTEBRAL COLUMN• 3 lapisan : supf, intermediate, profundus• Supf & intermediate extrinsic back muscle• Lap profundus : 3 lapisan1. Supf: splenius muscles2. Intermed : spinal extensors3. Deep : interconnect & stabilize vertebra semispinalis,
multifidus, rotatores, interspinalis, intertransversarii
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OBLIQUE & RECTUS MUSCLESBerada antar columna vertebralis dan ventral midlineOblique muscles: menekan struktur di bwhnya at rotasi col vert
tgt sisi yang mana yg kontraksi. Rectus muscle : flexor yg ptg utk col vert sebagai oposisi dr
erector spinaeTdd : cervical, thoracal & abdominal
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OBLIQUS MUSCLEOtot Fungsi
mm.Scaleni Angkat igaThoracic regionIntercostalis extIntercostalis intTransversus thoracis
Angkat igaDepresi igaIdem
Serratus postSupInf
Angkat igaTarik iga
Abdominal regionObliqus externus
Obliqus internusTransversus abdominis
Tekan abdomen, rotasi col vert ke sisi berlawananIdem but same sideTekan abd
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RECTUS MUSCLEOtot Fungsi
Thoracic regionDiaphragma Memperbesar rongga dada,
menekan rongga perutAbdominis regionRectus abdominis Depresi iga, kompresi
abdomen
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PERINEUM & PELVIC DIAPHRAGMA MUSCLE• FUNGSI:1. Melindungi organ dlam cavum pelvos2. Flexi sendi sacrum & cocygeus3. Kontrol material melalui uretra & anus• Perineum ( dasar pelvis & strukturnya) dibatasi oleh batas
inf pelvis. tdd: urogenital triangle & anal triangle
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UROGENITAL TRIANGLEUrogenital triangleOtot FungsiSupf muscleBulbospongiosus
IschiocavernosusTransv perinei supf
Kompresi & kaku penis/ klitoris, ejeksi semen/urinIdem, pertahankan ereksiStabilisasi tendon sentral perineum
Profundus muscleTransv perinei profSphincter uretra axt
Tutup uretra
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ANAL TRIANGLEOtot FungsiCocygeus Flexi sendi coccygeusLevator aniPubococygeusIliococcygeus
Dasar pelvis, lindungi organ pelvis, angkat & retraksi anusIdem
Sphincter ani externa Tutup anus
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APPENDICULARE MUSCLEOtot ekstremitas atas
Pectoral girdle muscle Muscle of the arm Muscle of the forearm & hand Muscle of hand & fingers
Otot ekstremitas bawah Thigh muscles Leg muscles Foot & toes muscles
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PECTORAL GIRDLE MUSCLEBekerja bersama dengan otot di regio brachiiPergerakan sendi bahu relatif lebih bebas daripada sendi
penggul
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PECTORAL GIRDLE MUSCLEOtot FungsiLevator scapulae Angkat scapulaePectoralis minor Depresi & protraksi bahuRhomboid major Adduksi, rotasi inf scapulaRhomboid minor IdemSerratus ant Protraksi bahu, rotasi sup
scapulaSubclavius Depresi & protraksi bahuTrapezius Extensi leher, angkat, rotasi
depresi, retraksi scapula sup/inf
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MUSCLE OF THE ARM• Abduktor utama m. Deltoideus dibantu oleh
m.supraspinatus• M.subscaplaris & m.teres major rot med Lengan• M. Infraspinatus & m.teres minor rotasi lat• M.coracobrachialis flexi & adduksi sendi bahu• M. Pect major flexi sendi bahu ><m. Lat dorsi• Sendi bahu relatif sangat mobil tp lemah• Tendon m.supraspinatus, infraspinatus, subscapularis
& ters minor + connective tissue caps sendi bahu ROTATOR CUFFtrauma/injury
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MUSCLE OF THE ARMOtot FungsiCoracobrachialis Abd & flex bahuDeltoideus Abduksi bahuSupraspinatus Abduksi bahuInfraspinatus Rot lat bahuSubscapularis Rot med bahuTeres major extensi & rot med bahuTeres minor Rot lat & add bahuTriceps brachii Ext sikuBiceps brachii Flex sikuLatissimus dorsi Ext, add, rot med bahuPectoralis major Flex, add, rot med bahu
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MUSCLE OF THE FOREARM & HAND>> origo humerus, insertio lengan bawah & wristKec: m.triceps brachii cap longum (O scapula I olecranon) &
m.biceps brachii (O scapula I tuberositas radialis os radius)
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MUSCLE OF THE FOREARM & HANDOtot FungsiElbow flexorsBiceps brachiiBrachialisBrachioradialis
Flex siku & bahu, supinasiFlex sikuIdem
Elbow extensorsAnconeusTriceps brachii (cap long, brevis, lat)
Ext sikuIdem, add & ext bahu
Pronators/ supinatorsPronator quadratusPronator teresSupinator
Pronasi lengan bawahIdem, flex sikusupinasi
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MUSCLE OF THE FOREARM & HANDOtot FungsiWrist flexorsFlexor carpi radialisFlexor carpi ulnarisPalmaris longus
Flex & abd wristFlex & add wistFlex wrist
Wrist extensorsExtensor carpi rad longusExtensor carpi rad brevisExtensor carpi ulnaris
Ext & abd wristIdemExt & add wrist
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MUSCLES OF HAND & FINGERS• Intrinsic muscle of hand kontrol mot halus1. Flex & ext jari pad sendi metacarpophalang2. Abd & add jari3. Opposisi & reposisi ibu jari
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THIGH MUSCLESO : pelvisTdd : gluteal, lateral rotator, adductor, iliopsoas groupOtot2 besar
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THIGH MUSCLESOtot Fungsi
Gluteal grupGlut maximusGlut mediusGluteus minimusTensor fascia lata
Ext & rot lat panggulAbd & rot med panggulIdemidem
Lateral rot groupObturator et & intPiriformisGemelliQudratus femoris
Rot lat & abd panggulIdemIdemRot lat panggul
Adductor groupAdd brevisAdd longusAdd magnusPectineusGracilis
Add & flex panggulAdd, flex, rot medAdd, flex, rot med & ext (post)Flex & add panggulFelx & med rot lutut, add & med rot hip
Iliopsoas groupIliacusPsoas major
Flex panggulidem
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MUSCLE OF THE LEGExtensor lutut m. Quadriceps femorisFlexor lutut biceps femoris, semitendinosus,
semimembranosus (hamstring muscle) & sartorius
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MUSCLE OF THE LEGOtot FungsiFlexor lututBiceps femorisSemimembranosusSemitendinosusSartoriuspopliteus
Flexi lutut, ext & rot lat hipFlexi lutut, rot med hipIdemFlexi lutut, abd, flex, rot lat hipRot med tibia pd lutut, flexi lutut
Extensor lututRectus femorisVastus intermediusVastus lateralisVastus medialis
Ext lutut, flexi hipExt lututIdemidem
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MUSCLE OF FOOT & TOESExtrinsic musc gerakkan ankle u/ plantar flexi jalan & lariIntrinsic muscle gerakkan jari kakiM. Gasctrocnemius (2 caput) + m. Soleus tendon calcaneus =
tendon Achilles
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EXTRINSIC MUSC OF THE FOOT & TOES
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