1 neuromuscular fundamentals anatomy and kinesiology 420:024

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1 Neuromuscular Fundamentals Anatomy and Kinesiology 420:024

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1

Neuromuscular Fundamentals

Anatomy and Kinesiology

420:024

2

Outline Introduction Structure and Function Fiber Arrangement Muscle Actions Role of Muscles Neural Control Factors that Affect Muscle Tension

3

Introduction Responsible for movement of body and all of its

joints Muscles also provide:

Over 600 skeletal muscles comprise approximately 40 to 50% of body weight

215 pairs of skeletal muscles usually work in cooperation with each other to perform opposite actions at the joints which they cross

Aggregate muscle action:

4

Muscle Tissue Properties

Irritability or Excitability

Contractility

Extensibility

Elasticity

5

Outline Introduction Structure and Function Fiber Arrangement Muscle Actions Role of Muscles Neural Control Factors that Affect Muscle Tension

6

Structure and Function

Nervous system structure Muscular system structure Neuromuscular function

7

Figure 14.1, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

8

Nervous System Structure

Integration of information from millions of sensory neurons action via motor neurons

Figure 12.1, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

9

Nervous System Structure Organization

Brain Spinal cord

Nerves Fascicles

Neurons

Figure 12.2, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

Figure 12.7, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

10

Nervous System Structure Both sensory and motor neurons in nerves

Figure 12.11, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

11

Nervous System Structure

The neuron: Functional unit of nervous tissue (brain, spinal cord, nerves) Dendrites: Cell body: Axon:

Myelin sheath: Nodes of Ranvier: Terminal branches: Axon terminals: Synaptic vescicles: Neurotransmitter:

12

DendritesCell body

Axon

Myelin sheath

Node of Ranvier

Terminal branch

Terminal ending

Figure 12.4, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

13

Figure 12.8, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

Terminal ending

Synaptic vescicle

Neurotransmitter: Acetylcholine (ACh)

14

Figure 12.19, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

15

Structure and Function

Nervous system structure Muscular system structure Neuromuscular function

16

Classification of Muscle Tissue Three types:

1. Smooth muscle

2. Cardiac muscle

3. Skeletal muscle

17

Muscular System Structure Organization:

Muscle (epimyseum) Fascicle (perimyseum)

Muscle fiber (endomyseum) Myofibril Myofilament Actin and myosin

Other Significant Structures: Sarcolemma Transverse tubule Sarcoplasmic reticulum Tropomyosin Troponin

18

Figure 10.1, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

19

Figure 10.4, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

20

http://staff.fcps.net/cverdecc/Adv%20A&P/Notes/Muscle%20Unit/sliding%20filament%20theory/slidin16.jpg

21

Figure 10.8, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

22

Structure and Function

Nervous system structure Muscular system structure Neuromuscular function

23

Neuromuscular Function

Basic Progression:

1. Nerve impulse

2. Neurotransmitter release

3. Action potential along sarcolemma

4. Calcium release

5. Coupling of actin and myosin

6. Sliding filaments

24

Nerve Impulse

What is a nerve impulse?

-Transmitted electrical charge

-Excites or inhibits an action

-An impulse that travels along an axon is an ACTION POTENTIAL

25

Nerve Impulse

How does a neuron send an impulse?

-Adequate stimulus from dendrite

-Depolarization of the resting membrane potential

-Repolarization of the resting membrane potential

-Propagation

26

Nerve Impulse

What is the resting membrane potential?-Difference in charge between inside/outside of the neuron

-70 mV

Figure 12.9, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

27

Nerve Impulse

What is depolarization?

-Reversal of the RMP from –70 mV to +30mV

Propagation of the action potential

Figure 12.9, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

28

Nerve Impulse

What is repolarization?

-Return of the RMP to –70 mV

Figure 12.9, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

29

-70 mV

+30 mV

30

Neuromuscular Function

Basic Progression:

1. Nerve impulse

2. Neurotransmitter release

3. Action potential along sarcolemma

4. Calcium release

5. Coupling of actin and myosin

6. Sliding filaments

31

Release of the Neurotransmitter

Action potential axon terminals

1. Calcium uptake

2. Release of synaptic vescicles (ACh)

3. Vescicles release ACh

4. ACh binds sarcolemma

32

Ca2+

ACh

Figure 12.8, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

33Figure 14.5, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

34

Neuromuscular Function

1. Nerve impulse

2. Neurotransmitter release

3. Action potential along sarcolemma

4. Calcium release

5. Coupling of actin and myosin

6. Sliding filaments

35

Ach

36

AP Along the Sarcolemma

Action potential Transverse tubules

1. T-tubules carry AP inside

2. AP activates sarcoplasmic reticulum

37

Figure 14.5, Marieb & Mallett (2003). Human Anatomy. Benjamin Cummings.

38

Neuromuscular Function

1. Nerve impulse

2. Neurotransmitter release

3. Action potential along sarcolemma

4. Calcium release

5. Coupling of actin and myosin

6. Sliding Filaments

39

Calcium Release

AP T-tubules Sarcoplasmic reticulum

1. Activation of SR

2. Calcium released into sarcoplasm

40

Sarcolemma

CALCIUM

RELEASE

41

Neuromuscular Function

1. Nerve impulse

2. Neurotransmitter release

3. Action potential along sarcolemma

4. Calcium release

5. Coupling of actin and myosin

6. Sliding filaments

42

Coupling of Actin and Myosin

Tropomyosin Troponin

43

Blocked Coupling of actin and myosin

44

Neuromuscular Function

1. Nerve impulse

2. Neurotransmitter release

3. Action potential along sarcolemma

4. Calcium release

5. Coupling of actin and myosin

6. Sliding filaments

45

Sliding Filament Theory

Basic Progression of Events

1. Cross-bridge

2. Power stroke

3. Dissociation

4. Reactivation of myosin

46

Cross-Bridge

Activation of myosin via ATP

-ATP ADP + Pi + Energy

-Activation “cocked” position

47

Power Stroke

ADP + Pi are released Configurational change Actin and myosin slide

48

Dissociation

New ATP binds to myosin Dissociation occurs

49

Reactivation of Myosin Head

ATP ADP + Pi + Energy Reactivates the myosin head

Process starts over Process continues until:

-Nerve impulse stops-AP stops-Calcium pumped back into SR-Tropomyosin/troponin back to original position

50

51

Outline Introduction Structure and Function Fiber Arrangement Muscle Actions Role of Muscles Neural Control Factors that Affect Muscle Tension

52

Shape of Muscles & Fiber Arrangement

Muscles have different shapes & fiber arrangements

Shape & fiber arrangement affects

53

Shape of Muscles & Fiber Arrangement

Two major types of fiber arrangements

54

Fiber Arrangement - Parallel

Parallel muscles

Categorized into following shapes: Flat Fusiform Strap Radiate Sphincter or circular

55

Fiber Arrangement - Parallel

Flat muscles

Modified from Van De Graaff KM: Human anatomy, ed 6, Dubuque, IA, 2002, McGraw-Hill.

56

Fiber Arrangement - Parallel

Fusiform muscles

Figure 3.3. Hamilton, Weimar & Luttgens (2005). Kinesiology: Scientific basis for human motion. McGraw-Hill.

57

Fiber Arrangement - Parallel

Strap muscles

Figure 8.7. Hamilton, Weimar & Luttgens (2005). Kinesiology: Scientific basis for human motion. McGraw-Hill.

58

Fiber Arrangement - Parallel

Radiate muscles

Modified from Van De Graaff KM: Human anatomy, ed 6, Dubuque, IA, 2002, McGraw-Hill.

59

Fiber Arrangement - Parallel

Sphincter or circular muscles

Modified from Van De Graaff KM: Human anatomy, ed 6, Dubuque, IA, 2002, McGraw-Hill.

60

Fiber Arrangement - Pennate

Pennate muscles

61

Fiber Arrangement - Pennate

Categorized based upon the exact arrangement between fibers & tendon

Modified from Van De Graaff KM: Human anatomy, ed 6, Dubuque, IA, 2002, McGraw-Hill.

62

Fiber Arrangement - Pennate

Unipennate muscles

63

Fiber Arrangement - Pennate

Bipennate muscle

64

Fiber Arrangement - Pennate

Multipennate muscles

Bipennate & unipennate produce more force than multipennate

65

Outline Introduction Structure and Function Fiber Arrangement Muscle Actions Role of Muscles Neural Control Factors that Affect Muscle Tension

66

Muscle Actions: Terminology

Origin (Proximal Attachment):

67

Muscle Actions: Terminology

Insertion (Distal Attachment):

68

Muscle Actions: Terminology

When a particular muscle is activated:

Examples: Bicep curl vs. chin-up Hip extension vs. RDL

69

Muscle Actions Action:

Contraction:

70

Muscle Actions Muscle actions can be used to cause,

control, or prevent joint movement or

71

Types of Muscle Actions

IsometricIsometric IsotonicIsotonic

EccentricEccentricConcentricConcentric

MUSCLE ACTION (under tension)MUSCLE ACTION (under tension)

72

Types of Muscle Actions

Isometric action:

73

Types of Muscle Actions

Isotonic (same tension):

Isotonic contractions are either concentric (shortening) or eccentric (lengthening)

74

Types of Muscle Actions

Concentric contractions involve muscle developing tension as it shortens

Eccentric contractions involve the muscle lengthening under tension

75

Modified from Shier D, Butler J, Lewis R: Hole’s human anatomy & physiology, ed 9, Dubuque, IA, 2002, McGraw-Hill

What is the role of the elbow extensors in each phase?

76

Types of Muscle Actions Isokinetics:

77

Types of Muscle Actions

Movement may occur at any given joint without any muscle contraction whatsoever

78

Outline Introduction Structure and Function Fiber Arrangement Muscle Actions Role of Muscles Neural Control Factors that Affect Muscle Tension

79

Role of Muscles

Agonist muscles

80

Role of Muscles

Antagonist muscles

81

82

Role of Muscles

Stabilizers

83

Role of Muscles

Synergist

84

Role of Muscles

Neutralizers

85

Outline Introduction Structure and Function Fiber Arrangement Muscle Actions Role of Muscles Neural Control Factors that Affect Muscle Tension

86

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Pennation

87

Number Coding & Rate Coding

Difference between lifting a minimal vs. maximal resistance is the number of muscle fibers recruited (crossbridges)

The number of muscle fibers recruited may be increased by

88

Number Coding & Rate Coding

Number of muscle fibers per motor unit varies significantly

89

Number Coding & Rate Coding As stimulus strength increases from threshold,

more motor units (Number Coding) are recruited & overall muscle contraction force increases in a graded fashion

From Seeley RR, Stephens TD, Tate P: Anatomy & physiology, ed 7, New York, 2006, McGraw-Hill.

90

Number Coding & Rate Coding

Greater contraction forces may also be achieved by increasing the frequency or motor unit activation (Rate Coding)

Phases of a single muscle fiber contraction or twitch Stimulus Latent period Contraction phase Relaxation phase

91

Number Coding & Rate Coding

Latent period

Contraction phase

Relaxation phase

From Powers SK, Howley ET: Exercise physiology: theory and application to fitness and performance, ed 4, New York, 2001 , McGraw-Hill.

92

Number Coding & Rate Coding

Summation When successive stimuli are provided before

relaxation phase of first twitch has completed, subsequent twitches combine with the first to produce a sustained contraction

Generates a greater amount of tension than single contraction would produce individually

As frequency of stimuli increase, the resultant summation increases accordingly producing increasingly greater total muscle tension

93

Number Coding & Rate Coding Tetanus

From Powers SK, Howley ET: Exercise physiology: theory and application to fitness and performance, ed 4, New York, 2001 , McGraw-Hill.

94

All or None Principle

Motor unit

Typical muscle contraction

All or None Principle

95

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Pennation

96

Length - Tension Relationship

Maximal ability of a muscle to develop tension & exert force varies depending upon the length of the muscle during contraction

Active Tension

Passive Tension

97

Length - Tension Relationship Generally, depending upon muscle

involved

98

Length - Tension Relationship

Generally, depending upon muscle involved

99Figure 20.2, Plowman and Smith (2002). Exercise Physiology, Benjamin Cummings.

100

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Pennation

101

Force – Velocity Relationship When muscle is contracting (concentrically or

eccentrically) the rate of length change is significantly related to the amount of force potential

102

Force – Velocity Relationship

Maximum concentric velocity = minimum resistance

As load increases, concentric velocity decreases

Eventually velocity = 0 (isometric action)

103

Force – Velocity Relationship As load increases beyond muscle’s ability to

maintain an isometric contraction

As load increases

Eventually

104

Muscle Force – Velocity Relationship

Indirect relationship between force (load) and concentric velocity

Direct relationship between force (load) and eccentric velocity

105

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Pennation

106

Angle of Pull Angle between the line of pull of the muscle & the

bone on which it inserts (angle toward the joint) With every degree of joint motion, the angle of

pull changes Joint movements & insertion angles involve

mostly small angles of pull

107

Angle of Pull Angle of pull changes as joint moves

through ROM Most muscles work at angles of pull less

than 50 degrees Amount of muscular force needed to

cause joint movement is affected by angle of pull – Why?

108

Angle of Pull Rotary component - Acts perpendicular to

long axis of bone (lever)

Modified from Hall SJ: Basic biomechanics, New York, 2003, McGraw-Hill.

109

Angle of Pull If angle < 90 degrees,

the parallel component is a stabilizing force

If angle > 90 degrees, the force is a dislocating force

Modified from Hall SJ: Basic biomechanics, New York, 2003, McGraw-Hill.

What is the effect of >/< 90 deg on ability to rotate the joint forcefully?

110

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Pennation

111

Uni Vs. Biarticular Muscles

Uniarticular muscles

Ex: Brachialis

Ex: Gluteus Maximus

112

Uni Vs. Biarticular Muscles Biarticular muscles

May contract & cause motion at either one or both of its joints

Advantages over uniarticular muscles

113

Advantage #1

Can cause and/or control motion at more than one joint

114

Advantage #2

Can maintain a relatively constant length due to "shortening" at one joint and "lengthening" at another joint (Quasi-isometric)

- Recall the Length-Tension Relationship

115

Advantage #3

Prevention of Reciprocal Inhibition This effect is negated with biarticular

muscles when they move concurrently Concurrent movement:

Countercurrent movement:

116

What if the muscles of the hip/knee were uniarticular?

Hip

Knee

Ankle

Muscles stretched/shortened to extreme lengths!

Implication?

117Figure 20.2, Plowman and Smith (2002). Exercise Physiology, Benjamin Cummings.

118

Hip

Knee

Ankle

Quasi-isometric action? Implication?

119

Active & Passive Insufficiency Countercurrent muscle actions can reduce the

effectiveness of the muscle

As muscle shortens its ability to exert force diminishes

As muscle lengthens its ability to move through ROM or generate tension diminishes

120

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Pennation

121

Cross-Sectional Area

Hypertrophy vs. hyperplasia Increased # of myofilaments

Increased size and # of myofibrils Increased size of muscle fibers

http://estb.msn.com/i/6B/917B20A6BE353420124115B1A511C7.jpg

122

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Reflexes Pennation

123

Muscle Fiber Characteristics

Three basic types:

1. Type I:

-Slow twitch, oxidative, red

2. Type IIb:

-Fast twitch, glycolytic, white

3. Type IIa:

-FOG

124

Factors That Affect Muscle Tension

Number Coding and Rate Coding Length-Tension Relationship Force-Velocity Relationship Angle of Pull Uniarticular vs. Biarticular Muscles Cross-sectional Diameter Muscle Fiber Type Reflexes Pennation

125

Effect of Fiber Arrangement on Force Output

Concept #1: Force directly related to cross-sectional area more fibers

Example: Thick vs. thin longitudinal/fusiform muscle?

Example: Thick fusiform/longitudinal vs. thick bipenniform muscle?

Concept #2: As degree of pennation increases, so does # of fibers per CSA

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