Chapter 6 Flashcards

1
Q

What are the two steps involved in histochemical analysis of tissue?

A

Tissue extraction and chemical treatment of the tissue.

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2
Q

What is the first step in tissue extraction?

A

Select suitable tissue.

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3
Q

Which muscles are usually selected for tissue extraction in exercise sciences?

A

Muscles that function as ‘prime movers’.

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4
Q

What type of muscles are preferred for tissue extraction?

A

Superficial muscles of sufficient size.

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5
Q

What is the purpose of using a topical anesthetic during tissue extraction?

A

To numb the area before making an incision.

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6
Q

What is the purpose of the outer tube of a biopsy needle?

A

It has a notch to help coax tissue into the space.

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7
Q

What does the middle portion of a biopsy needle consist of?

A

A circular blade.

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8
Q

What happens to muscle enzyme activity over time after tissue extraction?

A

It fades once the muscle is removed from the body.

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9
Q

At what pH do Type II fibers stain darker for Acto-Myosin ATP’ase?

A

pH 9.4 (basic).

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10
Q

What are the two forms of muscular soreness?

A

Immediate Onset and Delayed Onset.

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11
Q

What characterizes Immediate Onset soreness?

A

Localized discomfort felt immediately following exercise.

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12
Q

When does Delayed Onset soreness typically peak?

A

Between 24 and 48 hours post-exercise.

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13
Q

What is the definition of etiology?

A

The study of the causes or origins of diseases or abnormal physiological conditions.

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14
Q

What is the primary reason the Lactic Acid Model for DOMS is considered inaccurate?

A

Lactic Acid has a half-life of 15 to 25 minutes and is cleared from muscle within an hour.

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15
Q

What is the Mechanical Trauma Model in relation to DOMS?

A

It suggests that mechanical forces cause structural damage in muscle tissue.

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16
Q

What is Desmin’s role in muscle structure?

A

Links Z bands to the plasma membrane and maintains cytoskeletal integrity.

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17
Q

What are the primary structural proteins in the extrasarcomeric cytoskeleton?

A

Alpha-actinin, Titin, Nebulin, Talin, Integrin, and Veniculin.

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18
Q

What type of muscle contractions are primarily responsible for DOMS?

A

Eccentric muscle contractions.

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19
Q

What phenomenon describes the significant disruption in Z-line orientation during DOMS?

A

Z-line streaming.

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20
Q

What is the effect of damage to the sarcolemma in relation to DOMS?

A

It results in tissue permeability issues and disruption of calcium homeostasis.

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21
Q

What triggers the inflammatory reaction to DOMS?

A

Cytokines such as interleukin-1.

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22
Q

What are the symptoms associated with the inflammatory reaction to DOMS?

A

Increased blood flow, muscle temperature, and macrophage activity.

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23
Q

What chemical substance increases sensitivity of pain receptors during DOMS?

A

Prostaglandins (PGE2).

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24
Q

Which fiber types are more likely to be disrupted by high-intensity eccentric activity?

A

Type II fibers.

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25
Q

What is recommended for the treatment and relief of DOMS?

A

Static stretching and NSAIDs (Ibuprofen, aspirin).

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26
Q

What is the formation of protective proteins during the healing period intended to do?

A

Prevent further incidence of DOMS during subsequent exercise sessions.

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27
Q

What is the primary cause of muscle soreness identified in the document?

A

Fewer cross-bridges supporting the same tension during eccentric contractions.

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28
Q

What are the two steps involved in the analysis of tissue?

A
  1. Tissue extraction. 2. Chemical treatment of the tissue.
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29
Q

What technique is used for extracting muscle tissue samples?

A

Needle biopsy technique.

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30
Q

What is the main criterion for selecting suitable tissue in the exercise sciences?

A

Identifying the appropriate muscle(s) from which to remove tissue samples.

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31
Q

What factors help in selecting muscles for tissue extraction?

A

Selected muscles should function as ‘prime movers’, be ‘superficial’, and of sufficient size.

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32
Q

What is the first step in the biopsy preparation process?

A

Clean the area and inject a topical anesthetic – Xylocaine.

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33
Q

What must be ensured about the incision made during the biopsy?

A

The incision must be deep enough to penetrate the subcutaneous tissue and the fascia.

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34
Q

What are the components of a biopsy needle?

A
  1. The outer tube with a notch. 2. The circular blade in the middle portion. 3. The inner portion to push out any lodged tissue.
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35
Q

What is the approximate outer diameter of a biopsy needle?

A

About the same as that of a pencil, 3 mm.

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36
Q

What happens to the muscle tissue after it has been extracted?

A

It must be treated for analysis.

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37
Q

What enzyme is associated with different fiber types in muscle?

A

Acto-Myosin ATP’ase.

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38
Q

How do Type II fibers react when treated at pH 9.4?

A

They stain darker for the enzyme.

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39
Q

What happens to enzyme activity once the muscle is removed from the body?

A

The activity fades over time.

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40
Q

What is a key feature of delayed onset muscle soreness (DOMS)?

A

A gradual increase in intensity following activity, peaking between 24 and 48 hours post-exercise.

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41
Q

What is the definition of etiology?

A

The study of the causes or origins of diseases or abnormal physiological conditions.

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42
Q

What models have been proposed for the etiology of DOMS?

A
  1. Lactic Acid Model. 2. Mechanical Trauma Model.
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43
Q

What is the primary reason the Lactic Acid Model is considered inaccurate?

A

Lactic Acid (Hla) has a half-life of 15 to 25 minutes and is fully cleared from the muscle within an hour.

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44
Q

What is a condition that lacks the key enzyme necessary for producing lactic acid, yet individuals can still experience DOMS?

A

McArdle’s syndrome.

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45
Q

What does the Mechanical Trauma Model propose?

A

Mechanical forces in contractile and elastic tissue result in structural damage.

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46
Q

What is the normal structure of muscle characterized by?

A

Multinucleated cylindrical fibers surrounded by the sarcolemma.

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47
Q

What helps maintain cytoskeletal integrity in muscle fibers?

A

Desmin links Z bands to the plasma membrane.

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48
Q

What happens when structural proteins like Alpha-actinin are destroyed?

A

Significant myofibrillar disruption takes place.

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49
Q

What type of muscle contractions is primarily associated with DOMS?

A

Eccentric muscle contractions.

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50
Q

How do eccentric muscle contractions relate to motor unit utilization?

A

Fewer motor units are used to produce the same tension.

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51
Q

What happens to Z lines during activities that result in DOMS?

A

There is significant disruption in Z-line orientation and appearance of ‘z-line streaming’.

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52
Q

What is the inflammatory reaction’s role in DOMS?

A

It is necessary to eliminate damaged tissue and prepare for repair.

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53
Q

What triggers the inflammatory response in DOMS?

A

Cytokines such as interleukin-1.

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54
Q

What are some main effects of the inflammatory reaction?

A

Increased blood flow, muscle temperature, and macrophage activity.

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55
Q

What causes increased pain in DOMS?

A

Edema and chemical substances, particularly Prostaglandins (PGE 2).

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56
Q

How long can the pain from DOMS last?

A

Pain can last as long as 4 or 5 days, with full effects manifested between 1 and 3 days.

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57
Q

Which type of muscle fiber is more likely to be disrupted by high intensity eccentric activity?

A

Type II fibers.

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58
Q

What is necessary for the healing period after DOMS?

A

Formation of protective proteins and increase in remodeling enzymes.

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59
Q

What treatment has been proposed for relief from DOMS?

A

Static stretching and NSAIDs (Ibuprofen, aspirin).

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60
Q

What should students keep track of to monitor their academic progress in the course?

A

Present score, points needed for anticipated grade, and bonus points.

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61
Q

What are the two steps involved in the histochemical analysis of tissue?

A
  1. Tissue extraction. 2. Chemical treatment of the tissue.
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62
Q

What does selecting suitable tissue in the exercise sciences imply?

A

Identifying the appropriate muscle(s) from which to remove tissue samples.

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63
Q

Which muscles are usually selected for tissue biopsy in exercise sciences?

A

Muscles that function as ‘prime movers’, preferably ‘superficial’ and of sufficient size.

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64
Q

What is the first step in the biopsy preparation?

A

The area is cleaned and injected with a topical anesthetic - Xylocaine.

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65
Q

What is the purpose of the incision during a biopsy?

A

To penetrate the subcutaneous tissue and the fascia.

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66
Q

What are the three parts of a biopsy needle?

A
  1. Outer tube with a notch. 2. Middle portion with a circular blade. 3. Inner portion to push out any lodged tissue.
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67
Q

What is the approximate outer diameter of a biopsy needle?

A

About 3 mm, similar to that of a pencil.

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68
Q

What happens once the muscle tissue has been extracted?

A

It has to be treated for histochemical analysis.

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69
Q

How do muscles of different fiber-types vary in histochemical analysis?

A

They show varying levels of the primary enzyme, Acto-Myosin ATP’ase.

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70
Q

What staining result is observed for Type II fibers at pH 9.4?

A

They stain darker for Acto-Myosin ATP’ase.

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71
Q

What happens to enzyme activity after the muscle is removed from the body?

A

The activity fades over time.

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72
Q

What is the video demonstration for in the context of muscle biopsy?

A

To show the Needle Biopsy technique.

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73
Q

What are the two forms of muscular soreness discussed?

A

Immediate Onset and Delayed Onset (DOMS).

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74
Q

What characterizes Immediate Onset muscular soreness?

A

Localized discomfort felt immediately following exercise, persisting for several hours.

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75
Q

What is the primary cause attributed to Immediate Onset soreness?

A

Metabolic changes such as increases in H+ associated with lactate in the blood.

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76
Q

What defines Delayed Onset Muscular Soreness (DOMS)?

A

A gradual increase in intensity following activity, peaking between 24 and 48 hours post-exercise.

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77
Q

What is the typical duration for DOMS symptoms to decline?

A

Over the next 5 to 7 days.

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78
Q

What is the definition of etiology in the context of DOMS?

A

The study of the causes or origins of diseases or abnormal physiological conditions.

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79
Q

What are the two models proposed for the causes of DOMS?

A
  1. Lactic Acid Model 2. Mechanical Trauma Model.
80
Q

Why has the Lactic Acid Model for DOMS been shown to be inaccurate?

A

Because lactic acid has a short half-life and is fully cleared from the muscle within an hour.

81
Q

What condition further confirms the inadequacy of the Lactic Acid Model?

A

McArdle’s syndrome, where patients lack a key enzyme for producing lactic acid but still experience DOMS.

82
Q

What causes structural damage in the Mechanical Trauma Model?

A

Mechanical forces in the contractile and elastic tissue.

83
Q

What characterizes normal muscle structure?

A

Multinucleated cylindrical fibers surrounded by the sarcolemma.

84
Q

What is the importance of Desmin in muscles?

A

Desmin links Z bands to the plasma membrane, maintaining cytoskeletal integrity.

85
Q

What primary structural proteins stabilize the myosin lattice?

A

Alpha-actinin and others such as Titin, Nebulin, Talin, Integrin, and Veniculin.

86
Q

What is the primary cause of DOMS?

A

Eccentric muscle contractions.

87
Q

How can DOMS be monitored through experimental design?

A

By observing how eccentric contractions are generated, using fewer motor units to produce the same tension.

88
Q

What structures are notably affected during DOMS?

A

Z lines and sarcolemma.

89
Q

What implications does damage to the sarcolemma have?

A

Results in disruption of tissue permeability, blood flow, and calcium homeostasis, leading to cell necrosis.

90
Q

What role does inflammation play in DOMS?

A

Necessary for eliminating damaged tissue and preparing for repair.

91
Q

What triggers the inflammatory reaction in response to DOMS?

A

Cytokines such as interleukin-1.

92
Q

What are common symptoms associated with increased pain in DOMS?

A

Caused by edema and inflammatory substances, particularly Prostaglandins (PGE 2).

93
Q

How long can pain from DOMS last?

A

It can last as long as 4 to 5 days, peaking between 1 to 3 days.

94
Q

Which fiber types are more likely to be disrupted by DOMS?

A

Type II fibers may be selectively affected by high intensity eccentric activity.

95
Q

What occurs during the healing period after exercise-induced muscle soreness?

A

Formation of protective proteins and increased remodeling of collagen, growth factors, and enzyme inhibitors.

96
Q

What treatments have been proposed for relief from DOMS?

A

Static stretching and the use of NSAIDs (e.g., Ibuprofen, aspirin).

97
Q

What should students do to monitor their progress in the course?

A

Note their present score and add it to the points needed for their anticipated grade.

98
Q

What are bonus points in the context of this class?

A

Extra credit that can improve the overall score for passing the class.

99
Q

What’s the significance of understanding DOMS in sports-related muscle research?

A

It influences treatment and preventative techniques for athletes experiencing muscle soreness.

100
Q

What are some consequences of eccentrically induced muscle damage?

A

Damage to muscle fibers, leading to soreness and impaired performance.

101
Q

Why is it notable that Type I fibers are unaffected during DOMS?

A

Indicates a selectivity in muscle damage, where Type II fibers are more vulnerable during eccentric activities.

102
Q

What is the importance of monitoring scores during the semester?

A

To ensure students remain aware of their performance and standing in passing the course.

103
Q

What can be concluded about DOMS based on the presented evidence?

A

Its complexity involves various factors including muscle type, contraction modes, and inflammatory responses.

104
Q

What factors contribute to the structural integrity of muscle fibers?

A

The interactions of structural proteins and cytoskeletal components.

105
Q

What potential effect does increased macrophage activity have during recovery from DOMS?

A

It helps in clearing cellular debris and initiating repair processes.

106
Q

How do eccentric contractions affect cross-bridge formation in muscles?

A

They result in fewer cross-bridges being formed to support the same tension, leading to soreness.

107
Q

What is the result of significant myofibrillar disruption?

A

It contributes to the symptoms associated with delayed onset muscle soreness.

108
Q

What types of muscle contractions lead to increased occurrence of DOMS?

A

Eccentric muscle contractions.

109
Q

What is a common misconception about muscle soreness post-exercise?

A

That it is solely caused by lactic acid accumulation.

110
Q

What variation in muscle fiber types might affect the degree of soreness experienced?

A

Type II fibers may be more susceptible to soreness from high-intensity eccentric activities.

111
Q

Why is it essential to understand the processes involved in DOMS for athletes?

A

To effectively manage training regimens and promote quicker recovery.

113
Q

What are the two steps involved in the analysis of tissue?

A
  1. Tissue extraction. 2. Chemical treatment of the tissue.
114
Q

What technique is used for extracting muscle tissue samples?

A

Needle biopsy technique.

115
Q

What is the main criterion for selecting suitable tissue in the exercise sciences?

A

Identifying the appropriate muscle(s) from which to remove tissue samples.

116
Q

What factors help in selecting muscles for tissue extraction?

A

Selected muscles should function as ‘prime movers’, be ‘superficial’, and of sufficient size.

117
Q

What is the first step in the biopsy preparation process?

A

Clean the area and inject a topical anesthetic – Xylocaine.

118
Q

What must be ensured about the incision made during the biopsy?

A

The incision must be deep enough to penetrate the subcutaneous tissue and the fascia.

119
Q

What are the components of a biopsy needle?

A
  1. The outer tube with a notch. 2. The circular blade in the middle portion. 3. The inner portion to push out any lodged tissue.
120
Q

What is the approximate outer diameter of a biopsy needle?

A

About the same as that of a pencil, 3 mm.

121
Q

What happens to the muscle tissue after it has been extracted?

A

It must be treated for analysis.

122
Q

What enzyme is associated with different fiber types in muscle?

A

Acto-Myosin ATP’ase.

123
Q

How do Type II fibers react when treated at pH 9.4?

A

They stain darker for the enzyme.

124
Q

What happens to enzyme activity once the muscle is removed from the body?

A

The activity fades over time.

125
Q

What is a key feature of delayed onset muscle soreness (DOMS)?

A

A gradual increase in intensity following activity, peaking between 24 and 48 hours post-exercise.

126
Q

What is the definition of etiology?

A

The study of the causes or origins of diseases or abnormal physiological conditions.

127
Q

What models have been proposed for the etiology of DOMS?

A
  1. Lactic Acid Model. 2. Mechanical Trauma Model.
128
Q

What is the primary reason the Lactic Acid Model is considered inaccurate?

A

Lactic Acid (Hla) has a half-life of 15 to 25 minutes and is fully cleared from the muscle within an hour.

129
Q

What is a condition that lacks the key enzyme necessary for producing lactic acid, yet individuals can still experience DOMS?

A

McArdle’s syndrome.

130
Q

What does the Mechanical Trauma Model propose?

A

Mechanical forces in contractile and elastic tissue result in structural damage.

131
Q

What is the normal structure of muscle characterized by?

A

Multinucleated cylindrical fibers surrounded by the sarcolemma.

132
Q

What helps maintain cytoskeletal integrity in muscle fibers?

A

Desmin links Z bands to the plasma membrane.

133
Q

What happens when structural proteins like Alpha-actinin are destroyed?

A

Significant myofibrillar disruption takes place.

134
Q

What type of muscle contractions is primarily associated with DOMS?

A

Eccentric muscle contractions.

135
Q

How do eccentric muscle contractions relate to motor unit utilization?

A

Fewer motor units are used to produce the same tension.

136
Q

What happens to Z lines during activities that result in DOMS?

A

There is significant disruption in Z-line orientation and appearance of ‘z-line streaming’.

137
Q

What is the inflammatory reaction’s role in DOMS?

A

It is necessary to eliminate damaged tissue and prepare for repair.

138
Q

What triggers the inflammatory response in DOMS?

A

Cytokines such as interleukin-1.

139
Q

What are some main effects of the inflammatory reaction?

A

Increased blood flow, muscle temperature, and macrophage activity.

140
Q

What causes increased pain in DOMS?

A

Edema and chemical substances, particularly Prostaglandins (PGE 2).

141
Q

How long can the pain from DOMS last?

A

Pain can last as long as 4 or 5 days, with full effects manifested between 1 and 3 days.

142
Q

Which type of muscle fiber is more likely to be disrupted by high intensity eccentric activity?

A

Type II fibers.

143
Q

What is necessary for the healing period after DOMS?

A

Formation of protective proteins and increase in remodeling enzymes.

144
Q

What treatment has been proposed for relief from DOMS?

A

Static stretching and NSAIDs (Ibuprofen, aspirin).

145
Q

What should students keep track of to monitor their academic progress in the course?

A

Present score, points needed for anticipated grade, and bonus points.

146
Q

What are the two steps involved in the histochemical analysis of tissue?

A
  1. Tissue extraction. 2. Chemical treatment of the tissue.
147
Q

What does selecting suitable tissue in the exercise sciences imply?

A

Identifying the appropriate muscle(s) from which to remove tissue samples.

148
Q

Which muscles are usually selected for tissue biopsy in exercise sciences?

A

Muscles that function as ‘prime movers’, preferably ‘superficial’ and of sufficient size.

149
Q

What is the first step in the biopsy preparation?

A

The area is cleaned and injected with a topical anesthetic - Xylocaine.

150
Q

What is the purpose of the incision during a biopsy?

A

To penetrate the subcutaneous tissue and the fascia.

151
Q

What are the three parts of a biopsy needle?

A
  1. Outer tube with a notch. 2. Middle portion with a circular blade. 3. Inner portion to push out any lodged tissue.
152
Q

What is the approximate outer diameter of a biopsy needle?

A

About 3 mm, similar to that of a pencil.

153
Q

What happens once the muscle tissue has been extracted?

A

It has to be treated for histochemical analysis.

154
Q

How do muscles of different fiber-types vary in histochemical analysis?

A

They show varying levels of the primary enzyme, Acto-Myosin ATP’ase.

155
Q

What staining result is observed for Type II fibers at pH 9.4?

A

They stain darker for Acto-Myosin ATP’ase.

156
Q

What happens to enzyme activity after the muscle is removed from the body?

A

The activity fades over time.

157
Q

What is the video demonstration for in the context of muscle biopsy?

A

To show the Needle Biopsy technique.

158
Q

What are the two forms of muscular soreness discussed?

A

Immediate Onset and Delayed Onset (DOMS).

159
Q

What characterizes Immediate Onset muscular soreness?

A

Localized discomfort felt immediately following exercise, persisting for several hours.

160
Q

What is the primary cause attributed to Immediate Onset soreness?

A

Metabolic changes such as increases in H+ associated with lactate in the blood.

161
Q

What defines Delayed Onset Muscular Soreness (DOMS)?

A

A gradual increase in intensity following activity, peaking between 24 and 48 hours post-exercise.

162
Q

What is the typical duration for DOMS symptoms to decline?

A

Over the next 5 to 7 days.

163
Q

What is the definition of etiology in the context of DOMS?

A

The study of the causes or origins of diseases or abnormal physiological conditions.

164
Q

What are the two models proposed for the causes of DOMS?

A
  1. Lactic Acid Model 2. Mechanical Trauma Model.
165
Q

Why has the Lactic Acid Model for DOMS been shown to be inaccurate?

A

Because lactic acid has a short half-life and is fully cleared from the muscle within an hour.

166
Q

What condition further confirms the inadequacy of the Lactic Acid Model?

A

McArdle’s syndrome, where patients lack a key enzyme for producing lactic acid but still experience DOMS.

167
Q

What causes structural damage in the Mechanical Trauma Model?

A

Mechanical forces in the contractile and elastic tissue.

168
Q

What characterizes normal muscle structure?

A

Multinucleated cylindrical fibers surrounded by the sarcolemma.

169
Q

What is the importance of Desmin in muscles?

A

Desmin links Z bands to the plasma membrane, maintaining cytoskeletal integrity.

170
Q

What primary structural proteins stabilize the myosin lattice?

A

Alpha-actinin and others such as Titin, Nebulin, Talin, Integrin, and Veniculin.

171
Q

What is the primary cause of DOMS?

A

Eccentric muscle contractions.

172
Q

How can DOMS be monitored through experimental design?

A

By observing how eccentric contractions are generated, using fewer motor units to produce the same tension.

173
Q

What structures are notably affected during DOMS?

A

Z lines and sarcolemma.

174
Q

What implications does damage to the sarcolemma have?

A

Results in disruption of tissue permeability, blood flow, and calcium homeostasis, leading to cell necrosis.

175
Q

What role does inflammation play in DOMS?

A

Necessary for eliminating damaged tissue and preparing for repair.

176
Q

What triggers the inflammatory reaction in response to DOMS?

A

Cytokines such as interleukin-1.

177
Q

What are common symptoms associated with increased pain in DOMS?

A

Caused by edema and inflammatory substances, particularly Prostaglandins (PGE 2).

178
Q

How long can pain from DOMS last?

A

It can last as long as 4 to 5 days, peaking between 1 to 3 days.

179
Q

Which fiber types are more likely to be disrupted by DOMS?

A

Type II fibers may be selectively affected by high intensity eccentric activity.

180
Q

What occurs during the healing period after exercise-induced muscle soreness?

A

Formation of protective proteins and increased remodeling of collagen, growth factors, and enzyme inhibitors.

181
Q

What treatments have been proposed for relief from DOMS?

A

Static stretching and the use of NSAIDs (e.g., Ibuprofen, aspirin).

182
Q

What should students do to monitor their progress in the course?

A

Note their present score and add it to the points needed for their anticipated grade.

183
Q

What are bonus points in the context of this class?

A

Extra credit that can improve the overall score for passing the class.

184
Q

What’s the significance of understanding DOMS in sports-related muscle research?

A

It influences treatment and preventative techniques for athletes experiencing muscle soreness.

185
Q

What are some consequences of eccentrically induced muscle damage?

A

Damage to muscle fibers, leading to soreness and impaired performance.

186
Q

Why is it notable that Type I fibers are unaffected during DOMS?

A

Indicates a selectivity in muscle damage, where Type II fibers are more vulnerable during eccentric activities.

187
Q

What is the importance of monitoring scores during the semester?

A

To ensure students remain aware of their performance and standing in passing the course.

188
Q

What can be concluded about DOMS based on the presented evidence?

A

Its complexity involves various factors including muscle type, contraction modes, and inflammatory responses.

189
Q

What factors contribute to the structural integrity of muscle fibers?

A

The interactions of structural proteins and cytoskeletal components.

190
Q

What potential effect does increased macrophage activity have during recovery from DOMS?

A

It helps in clearing cellular debris and initiating repair processes.

191
Q

How do eccentric contractions affect cross-bridge formation in muscles?

A

They result in fewer cross-bridges being formed to support the same tension, leading to soreness.

192
Q

What is the result of significant myofibrillar disruption?

A

It contributes to the symptoms associated with delayed onset muscle soreness.

193
Q

What types of muscle contractions lead to increased occurrence of DOMS?

A

Eccentric muscle contractions.

194
Q

What is a common misconception about muscle soreness post-exercise?

A

That it is solely caused by lactic acid accumulation.

195
Q

What variation in muscle fiber types might affect the degree of soreness experienced?

A

Type II fibers may be more susceptible to soreness from high-intensity eccentric activities.

196
Q

Why is it essential to understand the processes involved in DOMS for athletes?

A

To effectively manage training regimens and promote quicker recovery.