Exam 2 Flashcards
motor units
- single motor neuron, junctions, and fibers it controls
- can contain several axons
how many fibers can each axon innervate?
5-2000 fibers
parallel muscle fibers have___
greater range of motion
most common type of muscle
bipennate
-fibers on both sides of tendon
characteristics of oblique muscle fiber orientation:
- shorter
- more numerous
- greater strength
- shorter ROM
isotonic:
- constant load
- fibers change length
isokinetic:
- fixed speed
- variable accommodating resistance
isokinetic accommodates to:
ROM
pain
fatigue
factors influencing motion
- PROM
- Fiber length
- Relationship of length and moment arm
effect of moment arm length and ROM
the shorter the moment arm the great the distal part moves through an arc
effect of moment arm on strength of muscle
longer moment arm as greater torque which equals more strength
greatest tension in the muscle can develop when:
there is the most cross bridges which is at resting length
faster contraction (concentric) =
lower force
faster contraction (eccentric)=
higher force
Henneman Size Principle
smaller motor units are recruited first
decreased activity produces most atrophy in:
antigravity muscles
shortened muscle position from inactivity increases rate of____
protein loss
lost muscle mass in replaced by:
- adipose tissue
- fibrous connective tissue
- called senile sarcopenia
cross-sections of which type of muscle decrease faster from aging?
type II
tendon and ligament structure
- dense regular connective tissue
- mostly type I collagen and water
- some type III collagen
- very little elastin in tendons
proteoglycans in tendon/ligament
tendon has less proteoglycans than ligament
elastic region of tendon/ligament
-crip straightening by collagen sliding past each other
substance tear
middle of the tendon/ligament
avulsion
tendon/liagment pulls piece of bone out
ligament failure more affected by:
age than rate of action
increased rate of force in ligament/tendon
-increased brittle behavior (failure liekely to occur by rupture)
lower rate of force on ligament/tendon
less brittle nature so avulsion more likely
start to get tissue changes at temperature
37-40 degrees celcius
-above 60 celcius results in collagen shrinkage
effect of maturation/aging on tendon/ligament
- decrease collagen and GAG
- increased elastin
- decreased crimp angle (reduced stiffness)
changes in tendon from aging can be minimized by:
low to moderate intensity resistance exercise
hormones that reduce strength of connective tissue
- adrenocorticotropic hormone
- cortisone
- relaxin
- lower GAG content
- Reduce collagen synthesis type I
better to be in ___ position when immobilized
lengthened
best for tendon stimulation:
low to moderate tension
thickest articular cartilage in the body:
lunate surface
purpouse of neck of femur
- greater lever arm and angle for the least amount of energy expended
- gets the shaft farther from the body to avoid impingement
bowing of femur
- compresses posterior
- tension anterior
what reduces the angle of inclination after birth?
walking
angle of inclination at birth
140-150 degrees
normal is 125 degrees
coxa valga
angle of inclination of 140 degrees
- associated with genu varum
- often leads to dislocation
- decreases bending moment arm
- less shear force aross femoral head
- increased function length of hip abductors
- decreased moment arm for abductor force
coxa vara
angle of inclination of 105 degrees
- associated with genu valgum
- increase moment arm for abductors
- may increase stability
- increased bending moment arm which increases shearing across femoral neck
- shortens functional length of abductors
which is more stable, coxa valga or vara?
coxa vara is more stable than valga
excessive femoral anteversion
- greater than 20 degrees
- usually causes toeing in for better advantage of hip abductors
acetabular anteversion
- 20 degrees
- less stable
- dislocate anterior
posterior hip capsule resists
hip flexion
hip IR
what resists hip IR
- external rotators
- ischiofemoral ligament
- posterior capsule
what would decreased center edge angle do?
superior dislocation
taut tissue in hip flexion (knee ext)
hamstrings
taut tissues in hip flexion knee flex.
inferior and posterior capsule
-gluteus maximus
taut tissues in hip extension (knee ext.)
iliofemoral ligament -some pubofemoral -some ischiofemorl al -some psoas major
taut tissues in hip extension (knee flex.)
rectus femoris
taut tissues in hip abduction
- pubofemoral ligament
- adductor muscles
taut tissues in hip adduction
- superior fibers of ischiofemoral ligament
- iliotibial band
- tensor fasciae latae
- gluteus medius
taut tissue in hip IR
- ischiofemoral ligament
- external rotator muscles : piriformis gluteus maximus
taut tissue in hip ER
- iliofemoral and pubofemoral ligaments
- internal rotator muscles: tensor fasciae latae, gluteus minimus
closed packed position for the hip
- full ext
- slight IR
- slight abd
loose-packed position for the hip
30 degrees flexion and abduction, slight ER
hip capsular pattern
medial rotation limited more than flexion and abduction
-no limitation in lateral rotation or adduction
rotation of hip during gait
- forward leg has hip ER
- following leg has hip IR
normal hip flexion
120
normal hip extension
20
normal hip abduction
40
normal hip adduction
25
normal hip internal rotation
35
normal hip external rotation
45
normal hip inclination
125
normal hip anteversion
15
normal knee flexion
145
normal knee extension
0
normal knee IR/ER
45 together
-more ER than IR
normal knee Q-angle
170-175
wolf’s law
increased bone loading = increased bone strengthening
factors that influence muscle strength
- pCSA (size)
- stretch
- moment arm
- contraction velocity
- motor unit recruitment
effect of aging on muscle
- loss of skeletal muscle mass from inactivity
- replaced as adipose tissue
- reduction in myofibers
- slower circulatory supply
- decreased capacity to recover from exercise
- decrease of elasticity
strap muscles
rectus abdominis
sternocleidomastoid
fusiform muscles
biceps brachii
brachialis
rhomboidal muscles
- rhomboids
- pronator quadratus
triangular muscles
pectoralis major
unipennate muscle
-all of the muscle fibers are on the same side of the tendon
bipennate muscle
the most common type, has muscle fibers on both sides of the tendon
multipennate muscle
has branches of the tendon within the muscle
oblique muscle fibers
- shorter but more numerous
- greater strength potential
- shorter ROM
prolonged muscle shortening
- loss of sarcomeres
- may depend on immobilization and specific muscles
a faster concentric contraction has a
lower force
a faster eccentric contraction has a
higher force
effect of age on ligament/tendon
- decrease collagen and GAG
- increased elastin
- decreased crimp angle
- reduced stiffness
effect of inactivity on muscle
- atrophy
- decreased strength (especially in shortened position)
- transition type I to type II
lose packed position of knee
25 degrees flexed
close-packed position of knee
full extension and ER
MCL (posterior-medial capsule
- resists valgus
- resists knee extension
- resists extemes of axial rotation (especially ER)
LCL
- resists varus
- resists knee extension
- resists extremes of axial rotation
posterior capsule
- resists knee extension
- oblique popliteal ligament resists knee ER
- posterio-lateral capsule resists varus
ACL
- most fibers resist extension (anterior translation of tibia)
- resists extremes of varus, valgus, and axial rotation
PCL
- most fibers resist knee flexion (post. translation of tibia)
- resists extremes of varus, valgus, and axial rotation
what extensor has greatest pCSA
Gluteus maximus
adductor magnus
abductor with the longest moment arm
gluteus medius
hip abductor is the strongest with
extension; stabilizing during gait while you swing other leg through
external rotator that has a small moment arm
obturator externus
Factors guiding screw-home mechanism
- shape of medial femoral condyle
- tension in ACL
- Lateral pull of quadriceps
menisci move __ with extension
anterior
menisci move ___ with flexion
posterior