第二講 肌肉骨骼系統(tǒng)受力分析課件

1.7 脊柱的靜力學(xué)問(wèn)題1、脊柱的特點(diǎn) 頸椎 1~7 cervicalvertebrae

胸椎 1~12 thoracicvertebrae

脊椎 腰椎 1~5 lumbarvertebrae

骶骨 sacral

尾骨 coccygeal

作用：保護(hù)脊髓，支撐頭、頸和上部軀干 由多個(gè)從合關(guān)節(jié)(amphiarthrodialjionts)構(gòu)成，整體來(lái)看具有杵臼關(guān)節(jié)的特點(diǎn)第二講肌肉骨骼系統(tǒng)受力分析2、寰枕關(guān)節(jié)與寰樞關(guān)節(jié)

寰枕關(guān)節(jié)atlantooccipitaljoint

寰椎

cervicalvertebraei.e.atlas

枕骨髁（兩個(gè)）condyloidoccipital

允許前、后與側(cè)向的擺動(dòng)

i.e.insagittalfrontalplanes

寰樞關(guān)節(jié)atlantoaxial

寰椎

樞椎齒突

odontoidprocess

柱狀關(guān)節(jié)，允許水平面上的轉(zhuǎn)動(dòng)transversalplane

第二講肌肉骨骼系統(tǒng)受力分析相關(guān)骨骼肌頭部肌群頭頸肌群豎脊肌群腰肌腹部肌群第二講肌肉骨骼系統(tǒng)受力分析3.相關(guān)的骨骼肌頭部肌肉起點(diǎn)止點(diǎn)功能頭夾肌Spleniuscapitus下部頸椎和上部胸椎Spinesofupperthoracicvertebrae乳突后側(cè)和上項(xiàng)線Backofmastoidprocessandsuperiornuchalline使頭部伸、旋轉(zhuǎn)和側(cè)彎胸鎖乳突肌Sternoclei-domastoid胸骨柄前，鎖骨上側(cè)端twoheadsfrommanubriumanduppersurfaceofclavicle乳突和上項(xiàng)線外側(cè)1/3outersurfaceofmastoidprocessandlateral1/3ofsuperiornuchalline旋轉(zhuǎn)、側(cè)彎頭頸，提胸骨及肋骨第二講肌肉骨骼系統(tǒng)受力分析支配頭部運(yùn)動(dòng)的其他肌群4.舌骨上肌群和舌骨下肌群功能：提升及沉降舌骨

suprahyoidmusclesandinfrahyoidmuscles5.肩胛提肌Levatorscapulae(aswehaveknown)第二講肌肉骨骼系統(tǒng)受力分析6.腹部肌群腹外斜肌ExternalobliqueOutersurfaceoflower8ribs髂脊和白線PassesdownandmediallytoiliaccrestandlineaalbaFlexandlaterallyflexlumbarvertebrae(彎腰和側(cè)彎腰)；compressabdomentoexpelcontents;(壓縮腹部協(xié)助排便)obliquesaremainrotatorsoflumbarspine（腰椎）腹內(nèi)斜肌Internaloblique胸腰筋膜、髂脊Thoracolumbarfascia,iliaccrestPassesupandmediallytolower3ribsandlineaalba腹橫肌Transversusabdominis下6條肋內(nèi)面、胸腰筋膜、髂脊、腹股溝韌帶外側(cè)Deeponcostal(肋)cartilages,illiaccrestandinguinal

（腹股溝）ligament腹直肌外側(cè)緣變?yōu)殡炷ぶ褂诎拙€Aponeurosis(腱膜)ofinternalintercostal第二講肌肉骨骼系統(tǒng)受力分析腹直肌Rectusabdominus恥骨結(jié)合線，恥骨脊Pubicsymphysisandpubiccrest劍突和第5～7肋軟骨SternumandlowercostalcartilagesFlexlumbarspine,compressabdomen第二講肌肉骨骼系統(tǒng)受力分析7.豎脊肌erectorspinaemuscles一組肌群包括： 棘肌 spinalis

胸最長(zhǎng)肌 longissimusthoracis

頭最長(zhǎng)肌 longissimuscapitus

髂肋肌 iliocostalis起點(diǎn)：骶骨背面，髂脊后部止點(diǎn)：椎骨，肋骨，枕骨伸展，旋轉(zhuǎn)以及側(cè)彎脊柱該肌群的具體起止點(diǎn)位置請(qǐng)參照手冊(cè)第二講肌肉骨骼系統(tǒng)受力分析頭半棘肌SemispinaliscapitusC3-7及T1-6橫突Transverseprocessesoflower4cervicalandupper6thoracicvertebrae枕骨上下項(xiàng)線間，斜方肌深面BetweensuperiorandinferiornuchallinesonskullExtend,rotate,andlaterallyflexvertebralcolumn頸半棘肌SemispinaliscervicisArticularprocesses(關(guān)節(jié)突)oflowercervicalvertebraeandtransverseprocessesofupperT.vertebraeSpans(橫跨)3to6vertebraeandinsertsofspinesofcervicalvertebrae8.頭頸肌第二講肌肉骨骼系統(tǒng)受力分析腰方肌Quadratuslumborum髂脊和底部腰椎的橫突Iliaccrestandtransverseprocessesoflowerlumbarvertebrae第12肋骨和上部腰椎的橫突TransverseprocessesofupperlumbarvertebraeandlastribsFlexeslumbarvertebraelaterally另有髂腰肌（由腰大肌和髂肌合成），若下肢固定有屈軀干的作用。下一節(jié)講第二講肌肉骨骼系統(tǒng)受力分析例題：一個(gè)正在看伏案疾書的人寰枕關(guān)節(jié)受力如何？

第二講肌肉骨骼系統(tǒng)受力分析例題：一個(gè)舉重運(yùn)動(dòng)員舉重時(shí)第五腰