Muscles Flashcards
Muscular Dystrophy
an inherited disorder characterized by progressive proximal muscle weakness with destruction of muscle fibers and replacement with connective tissue – death in 20’s, blood creatine kinase levels elevated, some mentally challenged
Muscular Dystrophy cause
genetic related absence of Dystrophin, a muscle membrane protein
Muscular Dystrophy initial symptoms
waddling gaits, falls, difficulty standing/climbing or descending stairs, muscle wasting, contractures, cardiac involvement, respiratory muscle weakness with complications
Muscular Dystrophy therapy
daily steroids produce long term symptom improvement, exercise as long as possible, surgery for contractures, pneumonia vaccine, physical therapy
Contractures
any condition that affects mobility or range of motion of a join
usually involves fiber deposition in the skin, fascia, muscle or joint capsule
Chart
SLIDE 65
Muscle Spindles
Detect change in muscle length and rate of change in muscle length
arranged in parallel with actual muscle fibers
fine motor: 120 spindles per g of muscle
Bulk Movement: 5 spindles per g of muscle
Myotatic Stretch Reflex
“smooths out” or “dampens” movements, stabilizes body during fine motor tasks
Overactive MSR
hyperactivity of cortex leads to upper motor neuron lesion (stroke, tumor, injury)
muscle spasticity, positive babinski sign, dec limb strength & dexterity
Under active MSR
Lower motor neuron lesion (MS, neuropathy)
loss of strength, less tone, muscle wasting and atrophy, muscle twitches
Golgi Tendon Organs
Detect both magnitude and rate of tension development in a muscle
arranged in series with muscle units
less active, less numerous, and slower to react than spindles
responsible for autogenic inhibition
Factors thought to contribute to fatigue and subsequent EIMC’s
exercising in hot, humid environments, dehydration, electrolyte deficiencies
hyponatremia, hypokalemia, hypocalaemia, hypomagnesaemia
Overexertion - muscle hypoxia
distrubacnes in carbs, fat, protein metabolism
nutritional deficiencies
EIMC
Exercise Induced Muscle Cramps
Overproduction of ____ _____ motor neuron activity in a shortened muscle causes:
reflex alpha, CRAMPS
Factors though to contribute to idiopathic leg cramps
metabolic disturbance, chronic or severe diarrhea, pregnancy, cirrhosis of liver, renal dialysis, thyroid disease, heavy alcohol ingestion, lead toxicity, disorders of lower motor neurons