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First, the metacarpal and phalangeal joints are used to pick up the phone. This brings the extensors and flexors of the forearm into play. When the phone is brought to the ear, the biceps and triceps as well as the elbow, wrist and shoulder joints are used. The deltoids are used as well as the pectorals and the trapezius and the subscapularis muscles. When speaking, the mandibular joint is used as well as facial muscles, the diaphragm, the tongue and neck muscles. Of course, the cardiac muscle is used this entire time as well.

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