1. Biology of manual therapies Flashcards

1
Q

Define mechanotransduction.

A

various mechanisms by which cells convert mechanical stimuli into electrical activity

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2
Q

Can a change is cells cause a change in systems? Why?

A

Yes

Because cells group up to make tissues.

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3
Q

Which tissues mainly use mechanotransduction (2)?

A

ALL 4 use mechanotransduction, but mainly talked about:

Nervous tissue

Connective tissue (also communicates damage, wound healing)

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4
Q

How can cells communicate mechanotransduction?

A

endocrine, action potentials, Matrocrine (sp?)

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5
Q

Examples of why deep fascia forming compartments can be good and bad?

A

Good: makes your muscles more efficient
Bad: compartment syndrome

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6
Q

What type of cells is fascia made of (4)?

A

Fibroblasts- secretes proteoglycans, glycoproteins and precursors to collagen and elastin

Macrophages- Turnover ECM

Mast cells

Plasma cells

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7
Q

What is tensegrity?

related to connected cells

A

unison of tensioned and compressed parts

The tensegrity of each cell provides a means for local changes in shape to be computed by each cell as a whole tissue. Change to one cell can change tissue.

Tent idea- tent has structure when poles are put in but is more stable when staked to ground. If multiple tents lined up motion to one could cause motion to others.

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8
Q

In a wound state what cells will change and what changes will be made to the ECM?

A

Fibroblasts (from floating collagen matrix to restrained)

Wounding cuases fibroblasts to turn proliferation and ECM biosynthesis ON.

Stress relaxation will reverse this.

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9
Q

What is a myofibroblast and would it be found in a wound or non wound state?

A

like a mix of fibroblast and muscle cell.

Found in wound state because it is stiffer and helps healing process.

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10
Q

Two research articles might have questions from them related to cell matrix tension…

A

he said we should read them…

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11
Q

High tension vs Low tension cell matrix

What do fibroblasts exhibit in each state?

A

High tension (example wound state): lamellar morphology (less processes/thicker) stress fibers, focal adhesions/signaling, proliferative, high matrix biosynthesis, differentiate into myofibroblasts

Low tension (resting state): dendritic morphology, gap junctions, low matrix biosynthesis, quiescent

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12
Q

Can mechanotransduction change the shape of signaling proteins to let different things pass through?

A

Yes

Higher tension states will stretch channels open larger.

Basically mechanotransduction can activate some of the channels. that deal with signaling

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13
Q

When you get a wound do you want the end result of healing to be low tension or high tension ECM?

A

Low tension (called Resolution when this happens)

If high tension chronically it will cause scarring.

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14
Q

When you treat someone with somatic dysfunction, the benefits go far beyond making sure they maintain good bone and muscle tissue. Good MSK system also helps fight off diabetes, obesity, sarcopenia, osteoporosis and metabolic syndrome. How is this related to mechanotransduction?

A

Mechanotransduction causes signaling which can help you stay healthy in other parts of the body.

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15
Q

Main Point: Cells are organized into _________ and are surrounded by ______.

A

cells are organized into TISSUES and are surrounded by ECM

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16
Q

Main point: Cell:cell and cell:ECM connections give cells structural ____A___ but also sensitivity and a mechanis to respond to ___B____ stimuli.

A

A. Stability

B. Mechanical

17
Q

Main point: In what tissues can mechanotransduction occur?

A

All 4 primary tissues.

18
Q

Main point: Changes in ___A___ , intracellular signaling and release of soluble factors will affect local and ____B___ tissues in response to mechanical forces

A

A. ECM

B. Distal

19
Q

Gogli tendon and muscle spindles are what type of receptors?

A

Proprioceptors

20
Q

What category of neuron is a free nerve ending that sends pain signals?

A

nociceptors

21
Q

movement of muscle spindles and nerve endings around hair cells are translated to ______ ________ in order to send a signal.

A

Action potential.

22
Q

Reflexes are not always pulling your hand away from a fire or your leg kicking. What are some other everyday examples of reflexes?

A

Standing, holding a cup that is getting filled with water.

Reflexes are always making our muscles contract against opposing forces.

23
Q

Somato-somatic reflex and example?

A

Somatic stimulus which gives a somatic response.

Osteopathic manipulation of spine elicits relaxation response in muscles around that area.

Another example is wound that cuases releas of substance P

24
Q

What is substance P?

A

Ramping up activity of nociceptors releases substance P to notify body of pain. Substance P also dilates blood vessels and attracts mast cells which release histamine.

Unconcious

(Example of somatosomatic reflex.

25
Q

Somato-visceral reflex

A

Impact on body which has reflex on internal organs.

26
Q

viscerosomatic reflex

Ex.

A

internal organ eliciting somatic issues.

Example- referred pain.

27
Q

How are your visceral organs connected to your bones, skin, muscle, and connective tissue?

A

through wiring in your spinal cord and brain.