009 Muscle function in health and disease Flashcards

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1
Q

describe the feedforward/feedback process of controlling movement

A

idea/need/motivation —> plan/intrinsic/extrinsic/posture —> execution/commant to muscles/force/length —> appraisal/sensory feedback/adjust if needed
-prevents movements from being jerky

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2
Q

what are the 3 different types of muscle contraction?

A
  • concentric
  • eccentric
  • isometric
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3
Q

what is concentric contraction?

A
  • when force > load
  • the muscle shortens during contraction
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4
Q

what is isometric contraction?

A
  • when force = load
  • muscle stays at the same length during the contraction
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5
Q

what is eccentric contraction?

A
  • when force < load
  • the muscle lengthens during contraction
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6
Q

what type of muscle contraction produces the most force?

A
  • eccentric
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7
Q

what are the neural factors that influence muscle contraction (2)?

A
  • descending drive = how drive arrives at the spinal cord and how motor neurone innervates muscle fibre
  • motor neurone/motor unit recruitment/coding
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8
Q

what are the biomechanical factors that influence muscle contraction (7)?

A
  • cross sectional area = direct relationship between CSA and tension produced
  • muscle fibre type
  • visco elastic properties
  • muscle architecture
  • length-tension
  • load velocity
  • contraction time
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9
Q

name 3 factors other than neural and biomechanical that influence muscle contraction

A
  • temperature
  • fatigue
  • pre stretching
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10
Q

what are the 2 main ways you can alter motor neurons to increase tension produced?

A
  • recruit more motor neurones/units to send a larger drive and give a strong stimulus to motor neurone pool
  • increase rate of firing of motor unit (summation) = rate coding
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11
Q

what is rate coding with motor neurones?

A
  • increasing the firing rate of the motor neurone to generate greater force
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12
Q

what is the definition of muscle strength?

A
  • maximum force or tension output generated by a single muscle or related muscle groups (isometric)
  • measured in different ways such as repetition maximum, hand held dyanometer, isokinetics (special training machine that creates different levels of resistance based on the force you give)
  • muscle torque = angular motion = the force applied by the muscle through a movement arm of a given length, at given angle to the joint
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13
Q

what is the definition of muscle power?

A
  • product of force and velocity of muscle action
  • power = work/time
  • work = force x distance
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14
Q

what are the 2 key relationships when talking about muscle functioning?

A
  • length-tension relationship
  • force-velocity relationship
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15
Q

what is the difference between ACSA and PCSA?

A
  • ACSA = anatomical cross-sectional area = straight coronal or saggital CSA, only looking at muscle in 1 directon
  • PCSA = physiological cross-sectional area = bigger, perpendicular to muscle fibre direction, takes into account all the different layers and directions and angles of muscle fibres
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16
Q

describe the length-tension relationship of muscles

A
  • tension is proportional to the extent of overlap of actin and myosin filaments, the greater the overlap, the more cross bridges that form
  • as the muscle contracts, there is greater tension, and greater overlap of actin and myosin
  • if overlapping exceeds a certain point, fewer cross bridges are formed, so tension decreases
  • (graph looks like a hill, up, peak then down)
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17
Q

describe the force-velocity relationship

A
  • graph is a backwards s
  • force on y axis, shortening velocity on x axis
  • eccentric lengthening = upper left on graph = increasing force, increasing lengthening velocity
    -maximum isometric force = where it crosses y axis, when velocity = 0 (as the muscle is neither shortening or lengthening)
  • concentric shortening = lower right on graph = increase shortening velocity, decreases force
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18
Q

describe the power-velocity relationship graph

A
  • hill/curve
  • as velocity increases, power increases until a maximum and then power decreases
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19
Q

what are the 4 types of muscle fibres in animals?

A
  • type 1 = slow twitch
  • type 2a = fast twitch
  • type 2x/d = fast twitch
  • type 2b = fast twitch = just animal models
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20
Q

what is the fatigue resistance in the different types of muscles fibres?

A
  • type 1 = resistant
  • type 2a = moderately resistant
  • type 2x/d = not resistant, very fatigable
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21
Q

what is the myoglobin content in the different types of muscle fibres?

A
  • type 1 = high = appears red
  • type 2a = moderate
  • type 2x/d = low = appears white
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22
Q

what is the metabolism of the different muscle fibre types?

A
  • type 1 = aerobic oxidative
  • type 2a = aerobic, oxidative
  • type 2x/d = anaerobic, glycolytic
23
Q

what is the mitochondrial density of the different muscle fibres types?

A
  • type 1 = high
  • type 2a = high/moderate
  • type 2x/d = low
24
Q

what is the glycogen of the different muscle fibre types?

A
  • type 1 = low
  • type 2a = abundant
  • type 2x/d = high
25
Q

what is the myosin ATPase activity in the different muscle fibre types?

A
  • type 1 = low
  • type 2a = intermediate
  • type 2x/d = high
26
Q

what is the speed of contraction for the different muscle fibre types?

A
  • type 1 = slow, 15mm/s
  • type 2a = fast, 40-50mm/s
  • type 2x/d = fastest 50-60mm/s
27
Q

what is the motor unit size of the different muscle types?

A
  • type 1 = small
  • type 2a = intermediate
  • type 2x/d = large
28
Q

what are the muscle fibre diameters of the different muscle fibre types?

A
  • type 1 = small
  • type 2a = intermediate
  • type 2x/d = large
29
Q

what muscle fibre types do we have most common and least common in the human body?

A

most common = type 2x/d
least common = type 1

30
Q

what type of muscle fibre is best for long distance running?

A
  • type 1 = slow twitch = less quickly fatigued
31
Q

what type of muscle fibre is best for sprinting?

A
  • type 2 = fast twitch = quickly fatigued but produce stronger contractions
32
Q

on a normal force/power and velocity graph, where is the Fmax, Pmax and Vmax?

A
  • Force curve = downwards slope from y axis, Fmax = y intercept at top
  • power curve = positive hill curve, Pmax is the top of the curve/peak
  • Vmax = x axis intercept, greatest velocity
33
Q

what happens to the power and the velocity if the sarcomeres are in parallel or series?

A
  • same power produced (Pmax), but different optimal velocities (Vmax)
  • parallel has a lower Vmax than series
34
Q

how does the cross-sectional areas of a muscle affect its strength?

A
  • increased CSA = increased muscle strength
  • due to:
    - improved activation via neural system
    - decreased drive to antagonist via the neural system
    - changes in pennation angle (angle between the longitudinal axis of the entire muscle and its fibres)
    - loss of intramuscular fat
  • hypertrophy of individual muscles
35
Q

what are the neural factors involved in muscle strength?

A
  • activation of motor units (frequency and number)
  • involvement of afferent and efferent pathways
  • synchronisation (muscles are activated more efficiently if at the same time)
36
Q

what are the 4 main principles of strength training?

A
  • overload = muscle worked at load > than normal, at least 65% of repetitive maximum load
  • specificity = adaptations occur based on training type
  • individuality = variability from person-person (genetics, metabolism…)
  • reversibility = training effects will reverse if stopped
37
Q

name 7 ways to increase muscle force and strength

A
  • progressive resistance weight training
  • isometric training (static)
  • isokinetic training (dynamic)
  • use of weight bearing exercise (body weight as resistance)
  • repetition
  • circuit training
  • strength training combined with task training
38
Q

what is the difference between the force and muscle CSA for men and women?

A
  • women have a lower MCSA and lower force than men, but the strength per MCSA is the same in women as men (proportional)
39
Q

what is muscle plasticity?

A
  • the potential to increase muscle size and contractile protein composition (fibre type)
40
Q

how can muscle fibres change type?

A
  • fibre type depends on neural innervation and fuel
    -the stimulus must be consistent, or the fibre type will return to original
  • type 1 —> type 2a —> type 2x/d
  • type 2x/d —> type 2a (increase fatigue resistance) but cannot change to type 1 (only by not training/reversing, you cannot create more type 1 than you already have)
41
Q

how does ageing affect our muscles(6)?

A
  • neural activation decreases (decreased motor recruitment and rate coding)
  • muscle CSA decreases (atrophy, turns into fat)
  • muscle architecture (decreased angle of pennation)
  • muscle fibre type (greater loss of type 2)
  • length-tension relationship ( loss of elasticity)
  • agonist/antagonist coactivation (ineffective)
42
Q

what are UMN/LMN lesions?

A
  • neurological disease of either upper motor neurone/lower motor neurone
43
Q

what part of the nervous system is UMN lesions?

A

CNS

44
Q

what part of the nervous system is LMN lesions?

A

PNS or CNS

45
Q

give some examples of UMN lesions diseases

A
  • stroke, cerebral palsy, trauma
46
Q

give some examples of LMN lesions diseases

A
  • polio, trauma
47
Q

what kind of paralysis is UMN lesions diseases?

A
  • spasticity (contracted/tight)
48
Q

what kind of paralysis is LMN lesion diseases?

A
  • flaccid paralysis
49
Q

what happens to the muscle tone in UMN lesions?

A
  • increased muscle tone
50
Q

what happens to muscle tone in LMN lesions?

A
  • decreased muscle tone
51
Q

what happens to muscle reflexes in UMN lesions?

A
  • hyper-reflexia
52
Q

what happens to muscle reflexes in LMN lesions?

A
  • absent or very reduced
53
Q

describe how cerebral palsy develops

A
  • UMN lesion
  • leads to loss of inhibition of lower motor neurons, which gives positive UMN features, e.g. spasticity. hyper-reflexia
    -loss of connection to lower motor neurons, which gives negative UMN features e.g. weakness, fatigability, poor balance
  • leads to musculoskeletal pathology = muscle shortening, bony torsion, joint instability, degenerative arthritis
54
Q

how does a health disorder affect muscle adaptability?

A
  • neural activation = decreased recruitment of motor units and rate coding
  • CSA = decreased
  • muscle architecture altered = sarcomeres stiffer and longer, angle of pennation reduced
  • muscle fibre type = mostly type 1
  • length-tension relationship altered
  • muscle tone change
  • inappropriate agonist and agonist coordination, e.g. both at same time = ineffective