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The diaphragm

The change in volume of the thoracic cavity during breathing is due to the alternate contraction and relaxation of the diaphragm    ( [link] ). It separates the thoracic and abdominal cavities, and is dome-shaped at rest. The superior surface of the diaphragm is convex, creating the elevated floor of the thoracic cavity. The inferior surface is concave, creating the curved roof of the abdominal cavity.

Muscles of the diaphragm

This figure shows the inferior view of the diaphragm with the major parts labeled.
The diaphragm separates the thoracic and abdominal cavities.

Defecating, urination, and even childbirth involve cooperation between the diaphragm and abdominal muscles (this cooperation is referred to as the “Valsalva maneuver”). You hold your breath by a steady contraction of the diaphragm; this stabilizes the volume and pressure of the peritoneal cavity. When the abdominal muscles contract, the pressure cannot push the diaphragm up, so it increases pressure on the intestinal tract (defecation), urinary tract (urination), or reproductive tract (childbirth).

The inferior surface of the pericardial sac and the inferior surfaces of the pleural membranes (parietal pleura) fuse onto the central tendon of the diaphragm. To the sides of the tendon are the skeletal muscle portions of the diaphragm, which insert into the tendon while having a number of origins including the xiphoid process of the sternum anteriorly, the inferior six ribs and their cartilages laterally, and the lumbar vertebrae and 12th ribs posteriorly.

The diaphragm also includes three openings for the passage of structures between the thorax and the abdomen. The inferior vena cava passes through the caval opening    , and the esophagus and attached nerves pass through the esophageal hiatus. The aorta, thoracic duct, and azygous vein pass through the aortic hiatus of the posterior diaphragm.

The intercostal muscles

There are three sets of muscles, called intercostal muscles    , which span each of the intercostal spaces. The principal role of the intercostal muscles is to assist in breathing by changing the dimensions of the rib cage ( [link] ).

Intercostal muscles

This figure shows the muscles in the thorax. The left panel shows the ribs, the major bones, and the muscles connecting them. The right panel shows a magnified view of the sternum and labels the muscles.
The external intercostals are located laterally on the sides of the body. The internal intercostals are located medially near the sternum. The innermost intercostals are located deep to both the internal and external intercostals.

The 11 pairs of superficial external intercostal    muscles aid in inspiration of air during breathing because when they contract, they raise the rib cage, which expands it. The 11 pairs of internal intercostal    muscles, just under the externals, are used for expiration because they draw the ribs together to constrict the rib cage. The innermost intercostal    muscles are the deepest, and they act as synergists for the action of the internal intercostals.

Muscles of the pelvic floor and perineum

The pelvic floor is a muscular sheet that defines the inferior portion of the pelvic cavity. The pelvic diaphragm    , spanning anteriorly to posteriorly from the pubis to the coccyx, comprises the levator ani and the ischiococcygeus. Its openings include the anal canal and urethra, and the vagina in women.

The large levator ani    consists of two skeletal muscles, the pubococcygeus    and the iliococcygeus    ( [link] ). The levator ani is considered the most important muscle of the pelvic floor because it supports the pelvic viscera. It resists the pressure produced by contraction of the abdominal muscles so that the pressure is applied to the colon to aid in defecation and to the uterus to aid in childbirth (assisted by the ischiococcygeus    , which pulls the coccyx anteriorly). This muscle also creates skeletal muscle sphincters at the urethra and anus.

Muscles of the pelvic floor

This image shows the superior view of the pelvic diaphragm.
The pelvic floor muscles support the pelvic organs, resist intra-abdominal pressure, and work as sphincters for the urethra, rectum, and vagina.

The perineum    is the diamond-shaped space between the pubic symphysis (anteriorly), the coccyx (posteriorly), and the ischial tuberosities (laterally), lying just inferior to the pelvic diaphragm (levator ani and coccygeus). Divided transversely into triangles, the anterior is the urogenital triangle    , which includes the external genitals. The posterior is the anal triangle    , which contains the anus ( [link] ). The perineum is also divided into superficial and deep layers with some of the muscles common to men and women ( [link] ). Women also have the compressor urethrae    and the sphincter urethrovaginalis    , which function to close the vagina. In men, there is the deep transverse perineal    muscle that plays a role in ejaculation.

Muscles of the perineum

The left panel shows the muscles of the perineum in the male, and the right panel shows the muscles of the perineum in the female.
The perineum muscles play roles in urination in both sexes, ejaculation in men, and vaginal contraction in women.

Muscles of the perineum common to men and women

This table describes the muscles of the perineum that are common to men and women. The levator ani pubococcygeus and levator ani iliococcygeus control movements during defaction, urination, coughing, and giving birth. They originate in the pubis and ischium. The superficial transverse perineal supports the perineal body maintaining the anus at the center of the perineum. It originates in the ischium. The bulbospongiosus is a superficial muscle that causes an involuntary response that compresses the urethra when excreting urine in both sexes or while ejaculating in males; it also aids in erection of the penis in males. It originates in the perineal body. The ischiocavernosus is a superficial muscle that compresses veins to maintain erection of the penis in males and erection of the clitoris in females. It originates in the ischium, ischial rami, and pubic rami. The external uretral sphincter is a deep muscle that voluntarily compresses the urethra during urination. It originates in the ischial rami and pubic rami. The external anal sphincter is a deep muscle that closes the anus. It originates in the anoccoccygeal ligament.

Chapter review

Made of skin, fascia, and four pairs of muscle, the anterior abdominal wall protects the organs located in the abdomen and moves the vertebral column. These muscles include the rectus abdominis, which extends through the entire length of the trunk, the external oblique, the internal oblique, and the transversus abdominus. The quadratus lumborum forms the posterior abdominal wall.

The muscles of the thorax play a large role in breathing, especially the dome-shaped diaphragm. When it contracts and flattens, the volume inside the pleural cavities increases, which decreases the pressure within them. As a result, air will flow into the lungs. The external and internal intercostal muscles span the space between the ribs and help change the shape of the rib cage and the volume-pressure ratio inside the pleural cavities during inspiration and expiration.

The perineum muscles play roles in urination in both sexes, ejaculation in men, and vaginal contraction in women. The pelvic floor muscles support the pelvic organs, resist intra-abdominal pressure, and work as sphincters for the urethra, rectum, and vagina.

Questions & Answers

Between the heart and the Brain which one is more important to human being... discuss
Faith Reply
well the brain is important for motor skills, the heart is important for involuntary muscle movement supporting body functions. the body can survive without brain involvement, but the body cannot last without the heart
john
granted the heart is important, but the brain gives the body purpose
john
what is homeostasis
Rebecca Reply
what is the composition of saliva
Vijay Reply
ഫസ്റ്റ് ചാപ്റ്റർ ഇംപോർട്ടൻസ് പോസ്റ്റ്
Reshma Reply
Yes....
Loving
nhi samjh aya
Anshika
Nhi wt is this
Loving
I don't know
Anshika
Okk wre frm u r
Loving
what is mean of? reshma
Asad
I don't know but would like to
Rebecca
D bone in d ankle joint re what ?
Ifunanya Reply
can one define a cell as a basic unit of a living organism
Michael Reply
Which of the following hormones are responsible for the adolescent growth spurt? estrogen and testosterone, even in women?
Kepa Reply
estrogen
Farhana
Estrogen!
Jazil
estrogen hormone
Michael
yes estrogen hormone
Anshika
yes
Sale
What is sling give d characteristics of sling uses of sling
adamu Reply
a sling a rope used in hunting ie throwing of rocks
Michael
I went to learn anatomy of joints
Arman Reply
me 2
adamu
joint have 3 cartilaginous joint fibrous joint synovial joint U can reserch in Google can explain U well
sopheaktra
define sling
adamu
To throw with a circular or arcing motion
real
what is respiration
Osele Reply
what is respiration
Paul
Respiration is the process by which oxygen is taken in and carbon dioxide is given out.
Md
Respiration is the combination of inhalation and exhalation.
Khim
inhalation is the taking in air from environment to lung and exhalation is taking out sir from the lung to environment ..
Khim
is the process by wich gases(oxygen and carbon(IV)oxide go through the nose, trachea and the lungs to the blood stream
Michael
what is holistic
Kibrom Reply
Holistic means encompassing the whole of a thing, and not just the part. Holistic medicine looks at the whole person for answers, not just at physical symptoms. You might have heard of holistic medicine, which tries to treat someone as mind and body, instead of treating only the part of the patient
I want to learn one by one system like skeleton system... muscular system
Mary Reply
i want to learn this
Kibrom
what is the difference between regional anatomy and system anatomy
David
system anatomy is when we study the system like digestive, circulatory, reproductive, but regional anatomy is studying the anatomy by regions of body like anatomy of neck, thorax, head etc. Regional anatomy may include system anatomy...
Biplav
yes
Anshika
explain in details factors that affects bone development
Precious Reply
describe the process of bone healing
Precious
out line factors that delays bone healing
Precious
actually,for the bone formation they must be sufficient level of calcium,phosphorus and vitamin D in the body for it to happen smoothly.
lucky
the above mentioned substances are the ones able for the formation and repairing of bones.
lucky
explain in details factors that affects bone development
Precious
what are tissue
muki Reply
a lots of cells make tissue and a cell body is tissue
Rabab
cells come together to form a tissue and tissues come together to form an organ
Adoma
what is appendicular skeleton
OSE Reply
appendicular skeleton is upper limbs and lower limbs
sopheaktra

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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