3. Muscle Fnx and Analysis Flashcards

1
Q

“Primary mover”
– Often considered as functional muscle group
• “elbow flexors”
– responsible for the initiation and execution of a
specific action at a joint

A

Agonists –

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2
Q

oppose or reverse the action of

the prime mover

A

• Antagonists –

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3
Q

assist the prime mover in its

actions

A

• Synergists –

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4
Q

Describe the concept of Recipricol Inhibition

A

Skeletal muscle functions usually includes pairs of muscles
• Depending on the muscle function one of the
pair muscles work as the agonist muscle and
the other the antagonistic muscle

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5
Q

For maximal muscle efficiency, speed and control

muscle pairs will:

A

– Increased tone in preparation for full activation
(getting the slack out)
– antagonist muscle prepares to slow down/ stop the
intended function
– The muscle pair need to coordinate their contractions to
avoid muscle injury

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6
Q

In neurologically intact patients, ________
reciprocal inhibition contributes to antagonist
suppression during movement

A

group Ia-mediated

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7
Q

When an individual axon is depolarized, an

_______l propagates down the nerve.

A

action potential

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8
Q

• Depolarization of all the fibers in a motor unit

creates an electrical potential called.

A

motor unit action potential (MUAP)

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9
Q

serves as the foundation for electromyography.

A

Analysis of the MUAPs (size, complexity, firing frequency) and assessment of baseline electrical signal at rest

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10
Q

How do we assess muscle function

clinically?

A

Manual muscle testing
• Motion analysis
• Electromyography

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11
Q

nerve compression, hereditary or acquired diseases, or

myopathy can be diagnosed via:

A

Electromyography and Nerve Conduction Studies

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12
Q

________ studies test motor, sensory, mixed

nerves

A

Nerve conduction

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13
Q

__________ tests skeletal muscle fibers
• Standard needle electromyography mostly tests type I
muscle fibers

A

Electromyography

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14
Q

MUAPs generated by contraction of an individual

muscle can be recorded by using

A

a surface or needle electrode

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15
Q

This information can be used to monitor that muscle’s activity during a certain action and to assess the integrity of the muscle and the nerves supplying it.

A

MUAPs from individual muscle contraction

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16
Q

Nerve conduction studies are a component of

electromyography. These studies assess

A

the integrity of the peripheral nervous system.

17
Q

Number of muscles fibers innervated by a

single axon/motor neuron = innervation ratio

A

Description of motor unit

18
Q
– Varies widely between muscles
– Low for fine motor 
• Extraocular muscles
– High for gross motor
• Soleus
A

Motor unit

19
Q

Size principle

A

During motor unit recruitement, larger MUs are recruited later

20
Q

Lesion of the upper motor neuron in the central

nervous system occur in the Brain or Spinal cord. Cause what type of signs

A
Overactivity or “Positive Signs”
– Hyperreflexia
– Spasticity 
• Underactivity or “Negative Signs”
– Weakness 
• No inherent muscle atrophy
21
Q
Overactivity or “Positive Signs”
– Hyperreflexia
– Spasticity 
• Underactivity or “Negative Signs”
– Weakness 
• No inherent muscle atrophy
A

UMN lesion

22
Q

Velocity-dependent increase in tonic stretch reflex
(muscle tone)
• Hyperexcitability of the stretch reflex
• One component of the upper motor neuron
syndrome
• Decreased reciprocal inhibition

A

Spasticity

23
Q

Intra-muscular injections can be used to reduce
focal muscle overactivity
• Affects both intrafusal and extrafusal muscle
• May affect nociceptor pathways via C and A
delta fibers and substance P as well

A

Botulininum Toxin

24
Q

• Can be used to block salivary and sweat gland
• Used to treat numerous disorders: dystonia,
spasticity, ophthalmologic, GI/GU, dermatologic
and pain.

A

Botulininum Toxin

25
Q

Mech of Botulininum Toxin

A

Gets internalized and cleaves SNAP 25

26
Q

Needle EMG test

A

Type I fibers