Test Two Flashcards
what is a motor unit
neuron and all the muscle fibers it innervates
what are afferent neurons
enter spinal cord
carry info from PNS to CNS
treatment for PD
replenish dopamine
levodopa
maybe brain surgery if drug therapy does not work
what is concentric
shortening
muscle force greater than external load, against gravity
example of static/isometric muscular contractions
wall sits, planks
what muscle is under voluntary control
skeletal
in the middle stages, more plaques and tangles form and
memory becomes impaired
also form in area of speech and proprioception
most people diagnosed during this stage
what is a cross bridge
when actin and myosin come together to create a power stroke
what age do the number of muscle fibers begin to decrease
after mid 20’s
what are some mild symptoms of AD
confusion and memory loss
disorientation; getting lost in familiar settings
problems with routine tasks
changes in personality and judgement
what is the sympathetic nervous system
supply the heart, smooth muscle, sweat glands
fight or flight
accelerates breathing and heart rate; pupils dilate
AD is named after
alois alzheimer
autopsy on women, dramatic shrinkage of cerebral cortex and fatty deposits in small blood vessels, dead and dying neurons, and fatty deposits in and around neurons
what is the basic unit of the nervous system
a neuron
what is body composition
how much muscle mass in the body
what are some factors in sarcopenia
decreased levels of sex hormones decreased levels of anabolic hormones (insulin, growth hormone) increased cytokine production physical inactivity malnutrition smoking
what determines muscle action
origin and action
alpha two neuron characteristics
small, they dont require a lot of force
when using slow controlled velocities under MVC uses what fiber
both one and two
what is sarcopenic-obese
fat gain
how does motor unit remodeling occur
slower, less force production, less efficient, less precise control of movements
what are antagonist muscles
muscle groups that are opposite of each other
why would fast twitch be recruited last
low intensity exercise predominantly uses slow twitch but when there is an inccrease in intensity forces then fast twitch is needed
what is MVC
maximum voluntary contraction
how to diagnose PD
hard to do bc similar to other diseases
25% misdiagnosed
no adequate blood or lab test
in advanced stage of AD what is mostly damaged
cortex
what is a synapse
contact points between neurons (gap between)
what are some severe symptoms of AD
loss of speech
loss of appetite; weight loss
loss of bladder and bowel control
total dependence on caregiver
what acts against myelin attack causing demyelination
T cells
the interior of the muscle is divided into bundles of muscle fibers called
fascicles
is it possible for older people to build muscle
yes, but it is not as fast as younger adults with resistance training
increase activities of daily living
what accounts for the shape of the muscle
different arrangements of fascicles within a muscle
what are the types of muscular contractions
static/isometric
dynamic
isokinetic
what parts of the brain are affected by AD
cortex, hippocampus (help form memories)
where would you find cardiac muscle
in the heart
what are the most common symptoms of MS
numbness/tingling vision disturbances fatigue muscle weakness difficulty moving balance and coordination problems chronic pain cognitive function bladder and bowel dysfunction dizziness and vertigo depression abnormal temp regulations and sweating responses
can you grow more muscle fibers
no you are just born with it
what are thick filaments
myosin
a “nerve” refers to
a bundle of neurons
a group of many axons of neurons that travel in the same location
what do myofibrils contain
smaller myofilaments
can one neuron innervate both type one and two fibers
no its one or the other
what causes PD
unknown
chemicals or free radicals
toxins
genetic factors
what do myofilaments contain that help with contraction
thick and thin filaments
what is the force and endurance of long and parallel muscles
not a lot of force but a lot of endurance
when is juvenile onset of PD
occur before age 20
what are the two types of muscle fibers
slow twitch (type 1) fast twitch (type 2)
what is an axon
carries impulses away from the cell body and to muscle fibers it innervates
is muscle mass linked with mortality
yes
looks of type 1 fiber types
red, oxidated, small, produce less force
what are the primary symptoms of PD
TRAP tremor rigidity akinesia postural changes
diagnosing MS
difficult to diagnose in early stages
need evidence of two distinct exacerbations separated by 30 days (RRMS) or
slow progression of signs and symptoms over 6 months (PPMS)
how do neurons communicate
the axon of one neuron will communicate with the dendrite of an adjacent one
what is sarcopenia
intrinsic age related process
decrease in strength with age because of reduced-fat free mass
loss of function
decline in quantity and quality of muscle
what is the greek origin of sarcopenia
poverty of flesh
inactivity-induced loss of muscle mass predominantly affects the…
lower body and is most rapid in the initial days/weeks of inactivity
can an axon of neuron communicate with other parts of a neuron
yes
what system signals the muscle fiber to begin cross bridge cycling
nervous system
what is the all or none law for motor units
a motor unit is either activated completely or not at all
action potential must be large enough
all muscle fibers in unit must contract
treatments for MS
focus on speeding recovery from attacks, slowing progression of disease, and managing symptoms drug therapy exercise no cure meditation, diet, accupuncture
are males or females more likely to get parkinsons
males, but coffee helps decrease likelihood in men
what is the pathophysiology of ALS
motor neurons degenerate and die
cease communication with skeletal muscle, atrophy of skeletal muscle or voluntary muscle
what are the three types of muscles in humans
skeletal, cardiac, smooth
each fiber is innervated by how many neurons
1
what happens when muscles age
loss in fiber size and fiber number
more pronounced type 2 fiber atrophy
loss of motor units
collectively leads to a loss of strength and power
what is PPMS
primary progressive MS
slow but nearly continuous worsening of their disease from onset, with no remission
variations in rates of progression over time, occasional plateaus and temp minor improvements
how much of muscle mass is appendicular (arms and legs)
75%
what is eccentric
lengthening
muscle force less than external load, with gravity
do the myosin and actin attach if the muscle is over stretched and has little overlap
no
how does sarcopenia occur
in absence of disease
accelerated by inactivity and poor nutrition
why use CT or MRI to diagnose PD
rule out other disorders with similar symptoms
the generation of tension that happens in a muscle is due to
to binding of myosin to actin
what is familial ALS
occurs more than once in family, genetic dominant inheritance
faulty genes
50% chance offspring gets it
what is muscle atrophy
the wasting away or loss of muscle
wha fiber is used for anaerobic activities
type two
when is MS usually diagnosed
between ages of 15 to 59
what is the quickest way to lose muscle
bed rest
and poor nutritional habits as well
what happens if we lose ~ 40% of lean body mass?
death, including organs in lean body mass
what is flexion
bending movement that results in a decrease in the angle of a joint
as PD develops neurons…
degenerate and can no longer produce adequate amounts of dopamine which cant move from cortex to spinal cord
what is SPMS
secondary progressive MS
start out with RRMS followed by steadily worsening disease course with or without occasional flare ups, minor remissions, or plateaus
most people with RRMS develop this form 10 year after initial diagnosis
what are some risk factors to PD
advancing age sex family history declining estrogen levels agricultural work low levels of folate in diet head trauma
what does ALS stand for
amyotrophic lateral sclerosis
lou gehrigs disease
what fiber is the first to be recruited for any activity
type one
what parts of the brain are minimally affected by AD
medulla, pons, midbrain, and thalamus
function of pennate muscles
less ability to shorten but more sarcomeres
look like feathers and attach to multiple spots on the bone
where are skeletal muscles connected to
bone
when do you see tremors in PD
seen at rest
in 75% of patients
begins on one side of body
general function of nervous system
control of internal and external environments
body’s master control and communication
somatic and autonomic systems
what is parkinsons disease (PD)
a motor system disorder resulting from the loss of neurons which produce the neurotransmitter dopamine
what creates the striated appearance in muscle
myofilaments run in repeating patterns along the length of the myofibril
when does EARLY onset of dementia/ AD occur
before age 65
very rare
what is guamanian ALS
ALS in guam and trust territories
ingestion of particular plant that has neurotoxin
what do sarcomeres mean
force
when does the onset of AD occur
later stages of life
what do the neurons do that innervate skeletal muscle fibers
signal them to contract
atrophy
decrease in size
the loss of neurons is thought to be caused by what in AD
plaques and tangles
pennation results in a loss of force within each fiber because
decrease of fiber length
diagnosis of AD
medical history (family)
physical exam
neurological exam (reflexes, speech, coordination)
brain imaging
what separates adjacent sarcomeres
Z disc (line)
list the cross bridge cycle in order
cross bridge formation
power stroke
release
return to “loaded” position
is there a cure for AD
no
what else does DEXA show
bone density
what fibers make up all skeletal muscles
both type one and two
what surrounds the muscle fascicles
perimysium
what is the inflammatory cascade in MS
inflammation
demyelination
axonal loss
what are the two major components of the nervous system
central and peripheral nervous system
looks of type 2 fibers
white, anaerobic
is sarcopenia a slow or fast process
fast during a catabolic crisis
what fiber is slow to fatigue
type one
what is efferent
motor neuron, delivers impulse from CNS to effector
what is dementia
general term for memory loss and mental deterioration serious enough to interfere with daily life
what are neurotransmitters
chemical messengers released at terminal end of nerve to pass signal on to another cell
diffuse across synapse