Muscle Physiology Flashcards
Tissue covering of EACH muscle tissue
Epimysium
Cover many fascicle of muscle tissue
Perimysium
Surround each muscle fiber
Endomysium
Smallest anatomic unit capable of contraction
Muscle fiber
Thin threadlike substances with light and dark bands of striation
Myofibrils
2 types of myofibrils
Actin and myosin
Structural functional subunit between 2 adjacent Z lines
Sarcomere
Boudaries of sarcomere where actin is inserted
Z disk
Proteins bounde to actin and myosin
Troponin/tropomyosin
Interconnect sarcolemmal membrane and sarcoplasmic reticulum
Transverse tubules
What give the skeletal muscle its striated appearance
Overlapping of actin and myosin
Center of sarcomere which contain MYOSIN
A band
Contains ACTIN only. Transected by Z disk
I band
I- thin “acthin”
Center of sarcomere which contain myosin and DOES NOT OVERLAP
H zone
Center of H zone
M line
Muscle fiber with Deep red, higher myoglobin content
Slow muscle fibers
Muscle fiber with whitish hue
Fast muscle fibers
Consist of small specialized muscle fibers encapsulated by connective tissue
Muscle spindles
2 types of muscle spindle
Nuclear bag
Nuclear chain
2 types of innervation of muscle spindle
Primary sensory- annulospiral
Secondary sensory- flower spray
Absence of ATP in muscles will result in
Rigor mortis
What is important in the detachment phase of skeletal muscle RELAXATION
ATP
What accumulates during rigor mortis?
Phosphoric acid
Lactic acid
MC form of progressive motor neuron disease
ALS
aka Lou Gehrig disease
Rapidly progressive fatal neurologic disease that attack the nerve cells responsible for controlling voluntary muscle
ALS
Gene mutation in ALS
Superoxide dismutase gene
Result to ROS damage
What neurotransmitter in increased in ALS?
Glutamate— lead to increased excitation— death of neuron
Gene that regulates glutamate release
SOD-1
Part of spinal cord affected in ALS
Anterior horn cells– both UMN and LMN symptoms
Telltale sign of ALS
Atrophy of tongue
Small intracytoplasmic eosinophilic inclusions seen in LMN of pt with ALS
Bunina bodies
Drug that increase survival of pt with ALS
Riluzole
Median survival of ALS
3-5 years
Type of contraction where there is change in muscle length
Isotonic muscle contraction
Ex: biceps curls
Type of contraction where there is NO change in muscle length,and only EXERT TENSION
Isometric muscle contraction
Electrical stimulation of myocytes above the threshold potential results in a limited efflux of calcium from SER stimulating a SINGLE CONTRACTION
Twitch
Occurs if muscle is stimulated high enough, and individual muscles twitches combine to produce SUSTAINED contraction
Summation and tetany
Type of muscle contraction/training where there js an increase in NUMBER OF MYOFILAMENT leading to INCREASED MUSCLE MASS
Strength training
Type of muscle contraction/training where there js an increase in NUMBER OF BLOOD VESSELS and MITOCHONDRIA, NO increase in muscle mass
Endurance training
A single alpha neuron plus all the corresponding muscle fibers it innervates
Motor unit
Most common disease that affect the motor unit
ALS
Characteristics of smooth muscle
Non striated
No t tubule
Spindle shaped
(+) dense bodies— analogous to z disk
Predominant type of smooth muscle
Single unit/ unitary/visceral smooth muscle
Type of smooth muscle in which each fiber function separately
Multiunit
Single unit or multiunit
Found in GIT,bladder,ureter
Single unit
Single unit or multiunit:
Function as syncytium
Single unit
Single unit or multiunit:
(+) gap junctions
Single unit
Single unit or multiunit:
(+) pacemaker activity
Single unit
Single unit or multiunit:
Primary regulator is slow waves
Single unit
Single unit or multiunit:
Found in iris,ciliary muscle, arrector pili, vas deferens
Multiunit
Single unit or multiunit:
Each fiber function separately
Multiunit
Single unit or multiunit:
No gap junction
No pacemaker
Multiunit
Single unit or multiunit:
Regulated by ANS
Multiunit
Slow twitch/fast twich:
Red muscle due to high myoglobin content
Slow
Slow red ox
Slow twitch/fast twich:
Primarily aerobic
Slow
Slow twitch/fast twich:
More mitochondria
Slow
Slow twitch/fast twich:
Function is to provide endurance
Slow
Slow twitch/fast twich:
More capillary supply
Highly sensitive to hypoxia
High resistance to fatigue
Slow twitch
Slow twitch/fast twich:
Soleus muscle
Slow
Slow twitch/fast twich:
Source of energy is oxidative system
Slow
Slow red ox
Slow twitch/fast twich:
White muscle
Fast
Slow twitch/fast twich:
Example is stapedius m
Fast
Slow twitch/fast twich:
Primarily anaerobic
Fast
Slow twitch/fast twich:
Deliver power surge for few seconds or minutes
Fast
Slow twitch/fast twich:
Source of energy is phosphagen/glycolytic system
Fast twitch
Skeletal/cardiac/smooth muscle:
Striated
cardiac and skeletal muscle
Skeletal/cardiac/smooth muscle:
Gap junctions
Cardiac and skeletal m
Skeletal/cardiac/smooth muscle:
Presence of sarcomere
Cardiac and skeletal muscle
Normal EMG in normal muscle
SNAP-sensory nerve action potential
Abnormal EMG seen in myopathy
Abnormal spontaneous activity- Fibrillation
Dive bomber sound in EMG
Myotonic dystrophy
Characterized by calf pseudohypertrophy and progressive weakness of girdle muscles
DMD
Due to gene deletion of dystrophin
DMD
Pathognomonic of DMD
(+)gower sign
Aka steinert’s disease
Myotonic dystrophy
CTG trinucleotide repeat in DMPK gene
Myotonic dystrophy
Characterized by weakness, myotonia(sustained contraction) christmas tree cataract,
frontal balding/bossing
Carp mouth
Myotonic dystrophy
Aka thomsen disease
Myotonia congenita
Gene mutation in chloride channel
Myotonia congenita
Characterized by myotonia, muscle hypertrophy and HERCULEAN appearance
Myotonia congenita
Maskulado
Glucose 6 phosphatase def
Von gierke’s disease
Type 1: 1st bf is always a jerk
Severe hypoglycemia
Lactic acidosis
Hepatomegaly
Hyperlipidemia,xanthoma
Von gierke
Acid maltase/alpha glucosidase deficiency
Type 2Pompe disease
Death due to cardiomyopathy and heart failure
Pompe disease
Debranching enzyme deficiency
Type 3 Cori disease
Accumulation in cori disease
Limit dextrin
Branching enzyme deficiency
Type 4 andersen disease
Accumulation of amylopectin
Andersen disease
Muscle phosphorylase def
Type 5 mc ardle disease
Poor exercise intolerance
Mc ardle
Liver phosphorylase def
Type 6: her’s disease
Hep hep herry
Phosphofructokinase def
Type 7: Tarui disease
Only GSD with hemolytic anemia
Tarui