V. _Motions imparted by the Muscle._

Every muscular motion is either simple or compound. Let us now speak of

the first; by it we shall understand the second.

_Simple Motion._

It must be considered, 1st, in the muscles with a straight direction;

2d, in those in a reflected one; 3d, in those in a circular one.

In the first, as in those of the extremities, the trunk, &c. if they

are of an elongated form, and as they terminate by a tendon, each

fibre contracting draws this tendon from its place; whence it follows

that all act together to bring it towards the centre of the muscle, but

at the same time each of them tends to give it another direction, and

in this respect they are antagonists. The common motion remains; the

opposite is destroyed.

Every effort of contraction in the long muscles is concentrated upon

a single point, the tendon. In most of the broad muscles, on the

contrary, the attachments being made at two sides by different points,

all the fibres do not contribute to the same end. Thus the different

parts of the same muscle can have very different and even opposite

uses; thus the inferior portion of the great serratus does not act like

the superior; often even the different portions of the same muscle do

not contract at the same time. In a long muscle, on the contrary, as

all the fibres contribute to produce the same effect, they always act

simultaneously.

To estimate the effect which a muscle in the straight direction

produces upon the bones in which it is inserted, different means

are employed. A very simple one appears to be that, which I believe

has never been mentioned. It consists in examining the direction

of the muscle from its fixed to its moveable point, and in taking

the inverse of this direction; this last is always the direction of

the motion. Do you wish to know how the anterior radial acts upon

the wrist; take it at its insertion at the condyle, then follow its

direction downwards and outwards; you will see that it carries the

hand upwards and inwards, that it bends it and places it a little in

adduction. The tibialis anticus directed downwards and inwards raises

the foot and carries it outwards. The anterior rectus of the thigh

going straight from the pelvis to the patella, raises the leg directly

up. All the other muscles will exhibit this arrangement. Whatever

may be the attachment of their fixed or moveable point, they always

act inversely to the supposed line of direction going from the first

point; and as each attachment can be alternately moveable or fixed, the

two bones which serve them are carried in an opposite direction; the

coraco-brachialis directed downwards and outwards from the shoulder

towards the arm, carries this last upwards and inwards; directed

from below upwards and from without inwards from the arm towards the

shoulder, it moves this downwards and outwards. By this general rule,

it is sufficient to see a muscle in a dead body, to pronounce upon its

uses.

When the whole of a broad muscle is united at a common point, as the

deltoid which having many points of attachment above, is fixed below in

a single tendon, the middle line of direction of all its fibres should

be taken to estimate its uses.

When a muscle is attached by its two extremities at many points, and

consequently the fibres that compose it, form many fasciculi with

different directions and insulated motions, the line of direction of

each fasciculus must be examined in order to estimate the action of

the muscle. It is thus that we should study that of the trapezius, the

great serratus, the rhomboid, &c.

In the muscles with reflected direction, as the great oblique of the

eye, the lateral peronei, the circumflexus, &c. the action of the

muscle should only be estimated by the point of reflection; thus the

great oblique carries the eye inwards, though its fleshy portion

contracts so as to carry the moveable point backwards.

The orbicular muscles, those placed around the lips, the eyes, the

anus, &c. have in general no fixed or moveable points; they are not

designed to approximate two parts to each other, but only to contract

the opening around which they are situated. The anus is shut by its

sphincter, when the excrements do not dilate it. The mouth remains

closed, when the depressors, the elevators or the abductors of the

lips are inactive. The eye is shut, when the elevator of the superior

eye-lid is relaxed. I would remark upon this subject that the inferior

eye-lid having no depressor, it is principally the other which

contributes to shut or open the eye; and as its muscle cannot be in

permanent contraction, the alterations of its relaxations produce those

continual winkings which take place when the eye is open; they are to

the eye what the alternate change of the weight of the body from one

leg to the other is in long standing without motion. At every instant

the muscle relaxes; the sphincter acts immediately; then it contracts

and distends the sphincter; winking then is a continual struggle

between the elevator of the eye-lid and the orbicularis. In sleep, it

is not by the contraction of this that the eye is shut; it is relaxed

like all the muscles; it is because the elevator is inactive, that the

eye-lid falls by its own weight upon the eye; it communicates as it

were the motion to the orbicularis that it shuts up, whilst, during

the day, it is the orbicularis on the contrary that communicates this

motion to it.

_Compound Motions._

There are but few motions in the economy that are simple, but few

muscles that can contract separately. Almost every sort of contraction

supposes another, and for this reason; the two points to which a muscle

is ordinarily attached are both capable of being moved; if one of

them was not fixed, both would then be put in motion when the muscle

contracted; thus in the contraction of its extensors, the leg if it

was not fixed would approach the foot as much as the foot approached

the leg; now it could not be fixed but by the muscles which act in an

opposite direction to the effect which the extensors tend to produce

upon it; then whenever the two attachments of a muscle are moveable,

the insulated motion of one of them supposes the contraction of

different muscles to fix the other.

It is only those muscles that are attached on one side to a fixed point

and on the other to a moveable one, like those of the eye, and most of

those of the face, that can move in an insulated manner, and without

requiring a motion in the other muscles. It should be remarked however

that in general the contractions destined to fix the point which should

be immoveable in the ordinary motions, are less than they at first

seem to be. In fact, in these ordinary motions, the point which moves

is always the most moveable, that which remains without motion is the

least so; for example, it requires a much greater effort in flexors

to bend the arm upon the fore-arm, than to bend the phalanges upon

the fore-arm, or the fore-arm upon the arm. By supposing their two

attachments moveable, the gemelli would act much more powerfully on

the foot than on the femur, &c. In the extremities, the superior point

is always more moveable than the inferior, now it is this which almost

always moves, the other being fixed; then as it offers more resistance

by its position, it requires less effort of the muscular powers to

retain it. It is only in violent motions, that the previous contraction

of the muscles destined to fix one of the points of insertion Is very

painful. This takes place on the chest when the trapezius, the great

serratus and the great pectoral contract powerfully; then all the other

muscles of this cavity contract strongly to dilate it, and thus offer

a broader and more fixed attachment to those muscles, which move the

shoulder in the support of burdens, or in any other analogous effort.

The diaphragm contracts also; hence hernias, the descents which take

place from a concussion in those motions which, at first view, have no

analogy with the abdominal cavity. When in a horizontal position of the

body we raise the head, the rectimuscles of the abdomen contract to

fix the chest, and present a solid point to the sterno-mastoideus, &c.

We call especially a compound motion that which two or more muscles,

acting upon the same point, contribute simultaneously to produce. In

this case, the moveable point follows the direction of neither muscle,

if there are two of them, but takes the diagonal of their direction.

It is thus that the eye is moved outwards and upwards, outwards and

downwards, &c.; that the head is depressed, that it is carried to

one side, and that the arm is applied to the trunk, &c. In general

nature has distributed muscles only in some principal directions

around a moveable point, for example around the eye, in those of

elevation, depression, adduction and abduction; the combination of

these simple motions produces the compound ones. If the adductor and

depressor contract equally, the eye will be carried exactly in a middle

direction; if one acts with more force than the other, it will be

carried a little nearer the other; so that the four muscles, by moving

separately, or two by two in an equal manner, carry the eye in eight

different directions. In all the intermediate directions, there is also

a simultaneous action of two muscles, but always a superiority in the

action of one of them. Thus almost all the motions of circumduction

operate.

When two opposite muscles contract, the moveable part is not moved;

they are perfect antagonists. When two muscles which contract at

the same time are placed in the same direction, there is no loss

of power; this is what takes place when the genio-hyoideus and the

mylo-hyoideus depress the jaw or elevate the os hyoides; these muscles

act completely together. But when two muscles are in part opposed and

in part in the same direction, as the sterno-mastoidei, one portion

of the forces is destroyed and the other remains. The action by which

the sterno-mastoidei tend to carry the head to the right or the left,

is nothing; that alone by which they direct it downwards produces its

effect which is double, considering the action of the two muscles,

which are thus at the same time acting together and antagonists.

Hence we see that this applies not only to the motion produced by the

contractility of texture, but also very often to those which the animal

contractility occasions.

General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3) · 第 191 / 201 题