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There are four pairs of abdominal muscles that cover the anterior and lateral abdominal region and meet at the anterior midline. Muscles of the Abdomen (a) The anterior abdominal muscles include the medially located rectus femoris, which is covered by a sheet of connective tissue called the linea alba.
The linea alba is a white, fibrous band that is made of the bilateral rectus sheaths that join at the anterior midline of the body. The posterior abdominal wall is formed by the lumbar vertebrae, parts of the ilia of the hip bones, psoas major and iliacus muscles, and quadratus lumborum muscle. Those who have a muscle or joint injury will most likely be sent to a physical therapist (PT) after seeing their regular doctor.
If you injured your shoulder while you were kayaking, the first thing a physical therapist would do during your first visit is to assess the functionality of the joint. The first step in physical therapy will probably be applying a heat pack to the injured site, which acts much like a warm-up to draw blood to the area, to enhance healing. The muscles of the chest serve to facilitate breathing by changing the size of the thoracic cavity ([link]). The change in volume of the thoracic cavity during breathing is due to the alternate contraction and relaxation of the diaphragm ([link]). 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. The diaphragm also includes three openings for the passage of structures between the thorax and the abdomen. There are three sets of muscles, called intercostal muscles, which span each of the intercostal spaces. Intercostal Muscles The external intercostals are located laterally on the sides of the body. The pelvic floor is a muscular sheet that defines the inferior portion of the pelvic cavity.
The large levator ani consists of two skeletal muscles, the pubococcygeus and the iliococcygeus ([link]). Muscles of the Pelvic Floor 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). Muscles of the Perineum The perineum muscles play roles in urination in both sexes, ejaculation in men, and vaginal contraction in women. 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. The muscles of the thorax play a large role in breathing, especially the dome-shaped diaphragm.
Arranged into layers, the muscles of the abdominal wall are the internal and external obliques, which run on diagonals, the rectus abdominis, which runs straight down the midline of the body, and the transversus abdominis, which wraps across the trunk of the body.
Both diaphragms are thin sheets of skeletal muscle that horizontally span areas of the trunk. Thu vi?n H?c li?u M? Vi?t Nam (VOER) du?c tai tr? b?i Vietnam Foundation va v?n hanh tren n?n t?ng Hanoi Spring.

The muscles of the vertebral column, thorax, and abdominal wall extend, flex, and stabilize different parts of the body’s trunk.
These muscles of the anterolateral abdominal wall can be divided into four groups: the external obliques, the internal obliques, the transversus abdominis, and the rectus abdominis ([link] and [link]). On the flanks of the body, medial to the rectus femoris, the abdominal wall is composed of three layers. The external oblique, closest to the surface, extend inferiorly and medially, in the direction of sliding one’s four fingers into pants pockets.
This part of the core plays a key role in stabilizing the rest of the body and maintaining posture. PTs have a master’s degree or doctorate, and are highly trained experts in the mechanics of body movements. The range of motion of a particular joint refers to the normal movements the joint performs.
You will be instructed to do a series of exercises to continue the therapy at home, followed by icing, to decrease inflammation and swelling, which will continue for several weeks. You hold your breath by a steady contraction of the diaphragm; this stabilizes the volume and pressure of the peritoneal cavity.
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 inferior vena cava passes through the caval opening, and the esophagus and attached nerves pass through the esophageal hiatus.
The principal role of the intercostal muscles is to assist in breathing by changing the dimensions of the rib cage ([link]).
The pelvic diaphragm, spanning anteriorly to posteriorly from the pubis to the coccyx, comprises the levator ani and the ischiococcygeus. The levator ani is considered the most important muscle of the pelvic floor because it supports the pelvic viscera. Divided transversely into triangles, the anterior is the urogenital triangle, which includes the external genitals.
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.
When it contracts and flattens, the volume inside the pleural cavities increases, which decreases the pressure within them. The diaphragm separating the thoracic and abdominal cavities is the primary muscle of breathing. Cac tai li?u d?u tuan th? gi?y phep Creative Commons Attribution 3.0 tr? khi ghi chu ro ngo?i l?.
The deep muscles of the core of the body help maintain posture as well as carry out other functions. The external oblique muscles form the outermost layer, while the internal oblique muscles form the middle layer, and the transverses abdominus forms the innermost layer. Perpendicular to it is the intermediate internal oblique, extending superiorly and medially, the direction the thumbs usually go when the other fingers are in the pants pocket.

Each muscle is segmented by three transverse bands of collagen fibers called the tendinous intersections. When physical therapy is complete, the PT will do an exit exam and send a detailed report on the improved range of motion and return of normal limb function to your doctor. Alternately, when you exhale, your chest falls because the thoracic cavity decreases in size.
The superior surface of the diaphragm is convex, creating the elevated floor of the thoracic 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 aorta, thoracic duct, and azygous vein pass through the aortic hiatus of the posterior diaphragm. 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.
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). The pelvic diaphragm, consisting of two paired muscles, the coccygeus and the levator ani, forms the pelvic floor at the inferior end of the trunk. The brain sends out electrical impulses to these various muscle groups to control posture by alternate contraction and relaxation. The deep muscle, the transversus abdominis, is arranged transversely around the abdomen, similar to the front of a belt on a pair of pants. The PT will note the shoulder’s degree of function, and based on the assessment of the injury, will create an appropriate physical therapy plan. 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 perineum is also divided into superficial and deep layers with some of the muscles common to men and women ([link]). 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.
This arrangement of three bands of muscles in different orientations allows various movements and rotations of the trunk. A PT works closely with patients to help them get back to their normal level of physical activity.
The innermost intercostal muscles are the deepest, and they act as synergists for the action of the internal intercostals.
Women also have the compressor urethrae and the sphincter urethrovaginalis, which function to close the vagina.
The three layers of muscle also help to protect the internal abdominal organs in an area where there is no bone.

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