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60 Cards in this Set

  • Front
  • Back

initiation and propagation of contraction in skeletal muscle

-neurogenic


-neuromuscular junction present


-no gap junctions



initiation and propagation of contraction of cardiac muscle

-myogenic


-no neuromuscular junction


-gap junctions present



Ca+ comes from where in contraction of skeletal muscle?

sarcoplasmic reticulum

Ca+ comes from where in contraction of cardiac muscle?

ECF and sarcoplasmic reticulum

gradation of contraction of skeletal muscle is due to what?

-motor unit recruitment


-summation of contractions



gradation of contraction of cardiac muscle is due to what?

depends on the extent of heart filling with blood (frank-starling mechanism)

define a motor unit

a single alpha motor neuron and all the skeletal muscle fibres it innervates

describe the appearance of myocin and actin respectively

myocin- darker, thick filaments


actin- lighter, thin filaments

describe skeletal muscle fibres

muscle fibres contain lots of myofibrils. these are specialised contractile intracellular structures. These have alternating segments of actin and myocin arranged into sarcomeres: these are the functional units of muscle.

between which lines is a sarcomere found?

between two Z lines

how is muscle tension produced

sliding of actin filaments on myocin filaments

what is muscle tension dependent on?

ATP-dependant interactions between actin and myocin

what is ATP required for?

both contraction and relaxation

What is Ca+ required for?

to switch on cross bridge formation

what is excitation contraction coupling?

process where surface action potential results in activation of the contractile structures of the muscle fibre

in skeletal muscle, when is Ca+ released from the sarcoplasmic reticulum

when the surface action potential spreads down the transverse tubules

what does Ca+ bind to on the muscle fibre?

troponin

Explain how frequency of stimulation & summation of contractions brings about increased tension in skeletal muscle



the duration of action potential is much shorter than the duration of twitching


if you re-stimulate an action potential before the twich is over these will summate to bring about a stronger contraction

Describe the two primary types of skeletal muscle contraction

*depends on whether or not the muscle changes length




isotonic contraction- muscle tension remains constant as the muscle length changes. Used for body movements and for moving objects




isometric contraction- muscle tension develops at constant muscle length. Used for supporting objects in a fixed position

Define the term “reflexaction”

a stereotypical response to a specific stimulus. they are the simplest form of coordinated movement.

what is the stretch arch reflex

serves as a negative feedback that resits passive change in muscle length to maintain optimal resting length in muscle




the sensory receptor is the muscle spindle and is activated by muscle stretch, this increases firing in the afferent neurons

cause and symptoms of intrinsic muscle disease

-genetic- congenital myopathies, chronic degeneration, abnormalities in muscle membrane ion channels


-acquired- inflammatory myopathies, non-inflammatory myopathies, endocrine myopathies, toxic myopathies

highlight some investigations into diagnosis of neuromuscular disease

-EMG (electromyography detects electrical activity of skeletal muscle)


-nerve conduction studies


-muscle enzymes in blood- CK


-inflam markers- CRP, PV

tension developed by skeletal muscle is influenced by what 2 factors?

1.the number of muscle fibres contracting


2. tension developed by each individual contracting muscle fibre

why cant cardiac muscle be tetanised

because of the long refractory period

what are the main differences between different types of skeletal muscle fibre?

(one motor unit usually only contains one type of muscle fibre)

-enzymatic pathways for ATP synthesis


-resistance to fatigue


-activity of myosin ATPase (determines speed at which energy is made available for cross bridge cycling)

In what ways can muscle gain ATP?

-transfer of high energy phosphate (immediate)


-oxidative phosphorylation (aerobic main source)


-glycolysis

describe slow oxidative (type 1) skeletal muscle

-high resistance to fatigue


-red in colour


-used in maintenance of posture (ie walking)

describe fast oxidative (type 2a) skeletal muscle?

-uses both aerobic and anaerobic metabolism


-useful in prolonged relatively moderate work (jogging)


-red in colour

describe fast glycolytic (type 2b) skeletal muscle?

-low resistance to fatigue


-white in colour


-use anaerobic metabolism


-useful for short bursts of energy (ie jumping)

give an example of a fibrous joint

skull sutures

give an example of a cartilaginous joint

intervertebral joints

which joint type allows no movement?

fibrous

which joint type allows limited movement?

cartilaginous

describe the general structure of a synovial joint

-synovial joints unite 2 or more bones by a fibrous capsule containing synovial fluid.


-the inner aspect of fibrous capsule is lined with synovial membrane: this is a vascular connective tissue with capillary networks and lymphatics


-synovial cells(fibroblasts) in the membrane produce synovial fluid


-articular surfaces of bones are covered with cartilage

what is the function of synovial fluid

-lubricate joint


-facilitate movement/reduce friction


--aids in nutrition of articular cartilage


-supplies chondrocytes with oxygen and nutrients + removes waste products

describe the general characteristics of the synovial fluid?

-high viscocity but variable with movement


-continuously replenished and absorbed by the synovial membrane


-other components are derived by dialysis of blood plasma


-contains few cells (mainly mononuclear leucocytes)

rapid movement is associated with what changes to synovial fluid

-decreased viscocity


-increased elasticity




(these properties become defective in a diseased joint and viscocity is permanently low)

describe the main functions of articular cartilage

-provide a low friction lubricated surface



-distributes contact pressure to subchondral bone



describe the general characteristics of articular cartilage

-usually hyaline


-it has a specialised ECM made up of water (70%), collagen (20%) and proteoglycans (10%)

what is the function of water within the articular cartilage

maintains resillience of the tissue and contributes to the nutrition and lubrication system

what is the role of collagen within the articular cartilage

maintains cartilage architecture (mainly type 2 collagen)- provides tensile stiffness and strength

what is the role of proteoglycans within the articular cartilage

responsible for load bearing

what cells synthesize, organize and degrade the ECM

chondrocytes

when would joint disease occur?

-changes in the relative amounts of the three components of cartilage


-if rate of degeneration>synthesis

name some catabolic factors affecting collagen matrix turnover

-stimulate enzymes and inhbit synthesis:


-TNF alpha


-IL 1

Name some anabolic factors affecting cartilage matrix turnover

-stimulate synthesis and counteract effects of IL-1:


-TGF- beta


-IGF-1

name some markers of cartilage degeneration

-serum and synovial keratin sulphate

-type 2 collagen in synovial fluid

what is the definition of transduction in the physiology of pain?

translation of noxious stimulus into electrical activity at the peripheral receptor

what is the definition of transmission in the physiology of pain?

propagation of pain signal as nerve impulses through the nervous system

what is the definition of modulation in terms of the physiology of pain?

modification of pain transmission in the nervous system (eg by inhibitory neurotransmitters like endogenous opioids)

what does perception mean in terms of the physiology of pain?

conscious experience of pain, causes physiological and behavioural responses

define nociceptor

specific primary sensory afferent neurons normally activated by intense noxious stimuli (thermal, chemical or mechanical)

they relay info to second order neurons in the CNS by chemical synaptic transmission

describe A nociceptors

mechanical/thermal nociceptors that are thinly myelinated. mediate fast pain.

describe C fibres

unmyelinated, respond to all noxious stimuli, mediate slow pain.

describe nociceptive pain

-normal response to injury of tissue by noxious stimuli


-nociceptive pain is adaptive


-functions as early earning physiological protective system to detect and avoid noxious stimuli

describe inflammatory pain

-caused by the activation of the immune system by tissue injury or infection


-causes heightened pain sensitivity to noxious stimuli and pain sensitivity to innocuous stimuli


-inflamatory pain is adaptive and promotes repair until healing occurs

describe neuropathic (pathological) pain?

-caused by damage to neural tissue


-can be percieved as burning, shooting, numbness, pins and needles


-examples include: compression neuropathies, peripheral neuropathies etc.

describe dysfunctional(pathological) pain

-no identifiable damage or inflammation


-pathological pain is not protective but maladaptive


-examples include: fibromyalgia, IBS etc

explain the physiology of referred pain

caused by the convergence of nociceptive visceral and skin afferents upon the same spinothalmic neurons at the same spinal level