BMET9901 Flashcards
What are the 6 functions of the skeletal system (12)
Support. Bone is hard and rigid; cartilage is flexible yet strong. Cartilage in nose, external ear, thoracic cage and trachea. Ligaments- bone to bone
• Protection. Skull around brain; ribs, sternum, vertebrae protect organs of thoracic cavity
• Movement. Produced by muscles on bones, via tendons. Ligaments allow some movement between bones but prevent excessive movement. Bones are the attachment pt for muscles, muscles don’t really achieve anything without something to attach to.
• Absorb shock. This specifically refers to cartilage - Impacts during motion need to be absorbed to reduce strain on bone and joints and damage to soft tissues.
• Storage. Ca and P ions. Stored then released as needed. Fat stored in marrow
• Blood cell production (Hematopoeisis). Bone provides a niche for bone marrow that gives rise to blood cells and platelets.
- Describe the form and function of carpals (2)
short bone - allows for some movement and provides some structure. Found in the wrist, ankles and feet. - Ankles/feet are called the tarsals
- Describe the form and function of sesamoid bone (2)
- enclosed by tendons - kneecaps enclosed by thigh muscles
- Describe the form and function of flat bone (2)
protective casing e.g. the cranium
- Name the different types of vertebrae and number of each type in the human skeleton (8)
- 7 cervical vertebrae
- 12 thoracic vertebrae
- 5 lumbar vertebrae
1 sacrum & 1 coccyx
- Name the different types of bone projection/processes and their function (10)
Tubercle - Smallest
Trochanter - Medium sized
Tuberosity - Largest (top of tibia)
Condyle - Point of articulation between bones
Process - Small and pointy e.g. spinal processes on vertebrae
- What is bone made up of? (1)
- Bone is a heterogeneous composite material consisting of
○ A mineral phase - hydroxyapatite
○ Organic phase - collagen and lipids
○ Water
- Where is the epiphysal growth plate, and why is it important in long bone growth?
The growth plate, also known as the epiphyseal plate is a thin layer of cartilage that lies between the epiphyses and metaphyses, and is where the growth of long bones takes place.
- Compare diaphysal bone with epiphysal bone.
The main difference between epiphysis and diaphysis is that epiphysis is the rounded end of a long bone, at its joint with adjacent bone(s), whereas diaphysis is the main or midsection (shaft) of a long bone. Furthermore, epiphysis is made up of spongy bone while diaphysis is made up of cortical bone
- Compare the periosteum with the endosteum
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- What is an osteon? Outline its structure.
- Describe the structure of spongy bone/trabecullae
- Interconnecting honeycomb-like structure of bone - like scaffolding
- Spaces filled with RBM
- Covered with endosteum>compact bone > periostreum
- Oriented along stress lines - its shape is dependent on stress applied, will bend as needed
- Does not have a blood vessel in the middle
- Has lamella but not in a strict concentric shape like osteons
- What are canaliculi?
Canaliculus - cytoplasmic projections from osteocyte into lamellae
- Outline the process of intramembranous ossification
- Mesenchymal cells convert to osteoblasts in ossification centre
- Osteoblasts secrete extracellular matrix and deposit calcium, which hardens matrix
- Osteoid - uncalcified matrix
- When osteoid calcifies, this restricts movement, results in development of osteocytes
- Osteocytes responsible for increased Ca2+ production, made from osteoblasts
- External mesenchymal cells then become the new osteoblasts
- Bone matrix is formed around blood vessels during ossification, creating spongy bone
The non-mineralized portion of the bone or osteoid continues to form around blood vessels, forming spongy bone. Connective tissue in the matrix differentiates into red bone marrow in the fetus. The spongy bone is remodeled into a thin layer of compact bone on the surface of the spongy bone.
Mesenchymal cells > periosteum >thin layer of cortical bone
- Outline the process of endochondral ossification
1)In endochondral ossification, bone develops by replacing hyaline cartilage. Cartilage serves as a template to be completely replaced by new bone.
2)In a long bone, for example, at about 6 to 8 weeks after conception, some of the mesenchymal cells differentiate into chondroblasts (cartilage cells) that form the hyaline cartilaginous skeletal precursor of the bones (Figure 6.4.2a). This cartilage is a flexible, semi-solid matrix produced by chondroblasts and consists of hyaluronic acid, chondroitin sulfate, collagen fibers, and water. As the matrix surrounds and isolates chondroblasts, they are called chondrocytes. Unlike most connective tissues, cartilage is avascular, meaning that it has no blood vessels supplying nutrients and removing metabolic wastes. All of these functions are carried on by diffusion through the matrix from vessels in the surrounding perichondrium, a membrane that covers the cartilage,a).
As more and more matrix is produced, the cartilaginous model grow in size. Blood vessels in the perichondrium bring osteoblasts to the edges of the structure and these arriving osteoblasts deposit bone in a ring around the diaphysis – this is called a bone collar (Figure 6.4.2b). The bony edges of the developing structure prevent nutrients from diffusing into the center of the hyaline cartilage. This results in chondrocyte death and disintegration in the center of the structure. Without cartilage inhibiting blood vessel invasion, blood vessels penetrate the resulting spaces, not only enlarging the cavities but also carrying osteogenic cells with them, many of which will become osteoblasts. These enlarging spaces eventually combine to become the medullary cavity. Bone is now deposited within the structure creating the primary ossification center (Figure 6.4.2c).
While these deep changes are occurring, chondrocytes and cartilage continue to grow at the ends of the structure (the future epiphyses), which increases the structure’s length at the same time bone is replacing cartilage in the diaphyses. This continued growth is accompanied by remodeling inside the medullary cavity (osteoclasts were also brought with invading blood vessels) and overall lengthening of the structure (Figure 6.4.2d). By the time the fetal skeleton is fully formed, cartilage remains at the epiphyses and at the joint surface as articular cartilage.
After birth, this same sequence of events (matrix mineralization, death of chondrocytes, invasion of blood vessels from the periosteum, and seeding with osteogenic cells that become osteoblasts) occurs in the epiphyseal regions, and each of these centers of activity is referred to as a secondary ossification center (Figure 6.4.2e). Throughout childhood and adolescence, there remains a thin plate of hyaline cartilage between the diaphysis and epiphysis known as the growth or epiphyseal plate (Figure 6.4.2f). Eventually, this hyaline cartilage will be removed and replaced by bone to become the epiphyseal line.
- Types of fractures
Closed (simple)
No penetration of skin
Open
Penetration of skin
Greenstick
Incomplete split of bone
Comminuted
Fractured into several pieces
Impacted
Broken, then compressed
- Outline the process of bone repair
Bone repair
• Day 1-5: Haematoma formation
• Ruptured blood vessels form a haematoma
• Haematoma clots and forms frame for subsequent healing
Macrophages, monocytes and lymphocytes remove damaged tissue and stimulate healing
• Day 5-11: Fibrocartilaginous callus formation
• Chondroblasts lay down fibrocartilaginous connection between fractured ends
• Day 11-28 Bony callus formation:
• Osteoblasts lay down bone tissue to form immature bone tissue
• Day 18-months/years Remodelling:
• Conversion of immature bone tissue to mature bone tissue
- How does bone get longer and wider?
Longitudinal growth - increase in length
Appositional growth - increase in width
- How is bone remodelled?
- Modelling occurs mainly during a bone’s growth
- In adult life, bone undergoes remodelling
- Resorption of old or damaged bone takes place on the same surface where osteoblasts lay new bone to replace that which is resorbed
- Primarily triggered by injury or exercise
- 5-10% of bone remodelled as a normal part of maintaining healthy bone
- During the process of remodelling, woven bone is progressively replaced by lamellar bone
How does cartilage become bone?
Cartilage grows and solidifies with the matrix. This results in death of chondrocytes, creating cavities through which blood vessels can pass through and bring osteoblasts> osteoblasts create bone.
What are the 2 main divisions of the skeletal system (2)
Axial and appendicular
What is the function of the axial skeleton? (2)
central/longitudinal axis. Protects organs and spinal cord. Point of muscle attachment as well
What is the function of the appendicular skeleton? (2)
limbs & their attachment pts e.g. the collarbone, pelvis. Movement
What are the 5 different types of bone? (5)
Long, flat, carpal, sesamoid, irregular
Describe long bone (2) - quick outline
diaphysis
epiphysis
medullary cavity
RBM
- Outline the 4 main parts of long bone (4)
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- What is the form and function of the 4 main parts of long bone? (8)
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- What are the 3 types of bone cells, and their functions (6)
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- Where do osteoblasts come from? (2)
mesenchymal stem cells
- Where do osteocytes come from? (2)
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- Where do osteoclasts come from? (2)
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What are the components of the axial skeleton? (5)
facial bones, cranium, vertebrae, sternum, ribs
Name the parts of the appendicular skeleton (14)
scapula, clavicle, humerus, ulna, radius, carpals, metacarpals, phalanges, tarsals, metatarsals, pelvis, femur, tibia, fibula
- Name the different types of bone depressions/cavities and their form/function (6)
Meatus, fossa, foramen
- What happens if there isn’t enough collagen in bone? (1)
It becomes very brittle - see osteogenesis imperfecta
- What happens if there isn’t enough mineral in bone? (1)
Bone will be floppy, like cartilage. Won’t maintain shape.
What colour is bone marrow in adulthood? Why? (2)
Yellow - it contains fat
- How do collagen fibres respond to a bone being stretched?
Longitudinal stretch in response to tensile stress
Transverse stretch in response to compression
- Which hormones control calcium homeostasis?
Parathyroid hormone and calcitonin
- How is cortical bone remodelled?
- Osteoclasts form a cutting cone and tunnel through the bone forming a tunnel
- Blood vessels advance with the osteoclasts. Osteoblasts then form and lay concentric layers of bone matrix until the tunnel is almost completely filled
- This gives rise to Haversian systems seen in cross section as circular structures surrounding blood vessels with bone formed in concentric lamellae
- Do mesenchymal stem cells only become osteoblasts?
No, they can become other kind of cells, including chondroblasts
- What causes the deterioration of bone in osteoporosis?
Reduction in calcium density - from low levels of vit D, poor diet, poor Ca absorption, smoking, etc.
- Why does an adult reach a steady height at 25? Do their bones become static?
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- Research how different fractures are repaired
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- Research: what happens with a lack of osteoblasts/clasts/cytes? - osteoporosis
Lack of blasts - bones are not built back - osteoporosis
Clasts - Bone overgrows
Cytes - Calcium not maintained
- What would happen if cartilage doesn’t become bone?
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- How do we know about the structure of bones?
Xray, autopsies, analysis of bone fragments, mass spectrometry
- Where do osteoblasts and osteoclasts live before they’re needed?
Osteoblasts - mesenchymal stem cells in periosteum
Osteoclasts - in red bone marrow
- Outline the process of intramembranous ossification, from end to beginning
thin layer of cortical bone< periosteum< MSCs + collagen < non-mineralised portion of bone becomes spongy < extra MSCs become osteoblasts < osteocytes made from mature osteoblasts < deposit Ca < osteoid secreted < MSCs to osteo
- Outline the process of endochondral ossification from end to beginning
Ends at long bone < formation of articular cartilage and spongy bone < formation of secondary ossification centre < medullary cavity created in diaphysis < primary ossification centre made(osteoblast action) < hyaline cartilage model
What is appositional growth?
Increase in diameter of diaphysis:
- Osteoclasts resorb old bone that lines the medullary cavity
- Osteoblasts produce new bone tissue beneath the periosteum (intramembranous ossification)
- Results in an increased diameter of both diaphysis and medullary cavity
- This process is called modelling
- Outline these anatomical directions: medial v lateral, distal v proximal, anterior v posterior, superior v inferior
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- Name and describe the 3 different body planes
Sagittal, transverse, coronal
- What do joints/articulations do?
- Also called articulations, where 2 bones meet
- Structure determines direction and distance of movement
Joints hold bones together and give mobility
- Compare synathroses/diarthroses/amphiarthroses
Synarthoses - fibrous joints - most stable, least movement - fissures of the cranial bones
Diarthroses - synovial joints - least stable, most movement - shoulder
Amphiarthroses - cartilaginous joints - pubic symphysis
- Compare monoaxial/biaxial/triaxial
Mono - 1 plane of movement
Bi - 2 planes of movement
Tri - 3 planes of movement
- Which joint types are monoaxial?
Pivot, hinge, gliding
- Which joint types are biaxial?
Saddle, ellipsoid/condyloid
- Which joint types are triaxial?
Ball and socket
- Compare condyloid/ellipsoid and “ball and socket” joints
Sockets of ellipsoid has an oval shape, provide more restriction of movement, lose 1 plane of movement
- Describe gliding joint movement
Both bones are flat, bones glide past one another, carpal bones of the wrist. Surrounding ligaments prevent rotation
- Describe angular joint movement
change of angle - flexion and extension. Flexion = decreased angle. Abduct (away), adduct(towards)
- Describe rotational joint movement
Turning movement, occurs in 1 plane only e.g. rotation of head is in transverse plane
- Outline some special joint movements
○ Supination vs pronation: You need to face your hands up to hold a bowl of soup
○ PRU/SUR - prone radius over ulna; supine ulna over radius
○ Dorsiflexion - foot is flat, toes are curling up
○ Plantar flexion - pointing your toes (like in dancing!)
○ Opposition - touching your fingertip with your thumb of the same hand
Eversion - opposite of inversion
- Outline the main features of synovial joints
Fibrous joint capsule - contains outer fibrous membrane and inner synovial membrane
Synovial membrane
Articular cartilages - reduces friction, is viscoelastic. Has smooth surfaces
Joint cavity with synovial fluid - - Synovial fluid secreted by synovial membrane, reduces friction b/w articular cartilage, shock absorption, lubrication
- List some accessory structures for joints
○ Other cartilages -e.g. menisci - articular disc which holds the bone in place
○ Fat pads - superficial to the joint capsules, shock absorption, protective, superficial
○ Ligaments - bone to bone connections, joint support and strength. Provide stability by restricting movement
○ Tendons - bone to muscle connections
Bursae - pockets of synovial fluid, provide increased cushioning between tendons/ligaments and bone. Bursitis is swelling/inflammation of the bursa
- What parts can help keep synovial joints stable?
○ Other cartilages -e.g. menisci - articular disc which holds the bone in place
○ Fat pads - superficial to the joint capsules, shock absorption, protective, superficial
○ Ligaments - bone to bone connections, joint support and strength. Provide stability by restricting movement
○ Tendons - bone to muscle connections
○ Bursae - pockets of synovial fluid, provide increased cushioning between tendons/ligaments and bone. Bursitis is swelling/inflammation of the bursa
- What are the 6 types of synovial joints?
Pivot, hinge, condyloid, saddle, ball-and-socket, gliding/plane
- Outline how each type of synovial joint works.
Gliding - Both bones are flat, bones glide past one another, carpal bones of the wrist. Surrounding ligaments prevent rotation
Hinge - Monoaxial, allows for flexion and extension. U-shaped structure on joint prevents rotation and, adduction/abduction. Includes the elbow
Pivot - Monoaxial - can only rotate. Ring-like structure prevents flexion/extension. Radius and ulna
Condyloid - Similar to ball and socket. Both the ball and socket have oval shape, which provides more restriction compared to round shape.
Saddle - Rotation limited by bone structure. The thumb. . Made of 2 bones which have both convex and concave structures
Ball-and-socket - Triaxial, hip and shoulder joint. Hip in deeper socket c.f. shoulder, hence hip has less range of movement - stability increased by ligaments, not by joint shape (compare to ellipsoid
- What is a rheumatic disease?
Rheumatic diseases are autoimmune and inflammatory diseases that cause your immune system to attack your joints, muscles, bones and organs
- What is arthritis?
Inflammation of joints
- Describe 3 types of arthritis and their features/causes
Osteoarthritis - - caused by wear and tear of joint surfaces, genetic factors affecting collagen formation
- As it is primarily an age/overuse issue, tends to be found in people over 60
Rheumatoid arthritis - - inflammatory condition caused by allergy/autoimmune disease, which then damages the synovial membrane (opposite mechanism of action c.f. osteoarthritis)
Gouty arthritis - uric acids form within synovial fluid, due to metabolic disorders
- What are the risk factors for osteoarthritis?
caused by wear and tear of joint surfaces, genetic factors affecting collagen formation
- As it is primarily an age/overuse issue, tends to be found in people over 60
- What are the stages of articular cartilage damage?
Stage 1: Roughening of cartilage + black spots
Stage 2: Fissuring - striations in articular cartilage
Stage 3: Full thickness defect - holes in cartilage
Stage 4: Joint surface has collapsed - bone becomes exposed
- How is a joint replacement implanted?
- Scrape off damaged bone/cartilage - insert an implant that mimics shape and function
Rehabilitation to train muscles to work with the implant
- Why is the demand for joint replacements increasing?
ageing population, cheaper implants, easy to implant, sports, more people
- Why does bone loss occur around joint replacements? And what is one strategy to mitigate this?
- Bone loss occurs around implant
○ Inflammatory response to wear particle - implant creates wear debris, immune response is to phagocytose the debris and release cytokines > more osteoclasts > bone resorption
Stress shielding - the implant reduces shock received by bone, no feedback received to prompt increase in bone density. This has been addressed by creating porous implants which still allow some shock to be absorbed by the bone, encouraging it to maintain density
- What are joint replacements made up of?
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- How can a bone fracture impact joint movements?
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- Compare osteoporosis v osteoarthritis
Osteoporosis - reduction in bone density due to imbalance between osteoclasts and osteoblasts
Osteoarthritis - inflammation of joints, wearing down of articular cartilage
- What are the biomechanical functions of cartilage - adv starts here
- viscoelasticity - viscous and elastic - properties of both fluids and solids. Responds to stress differently depending on the speed it is applied.
• Creep & stress relaxation - Creep increases strain under constant stress - time dependent plastic deformation
- SR decreases stress under constant strain - decrease in compressive force over time
Shear resistance
- Outline the structure of articular cartilage
- Superficial zone - towards the surface, fibres are arranged parallel to the surface. Allows shear resistance, shear stress on bone.
- Middle zone - Anatomical/functional bridge between layers
- Deep zone - Fibres are arranged perpendicular to the surface, anchored to cancellous bone, anchors cartilage in place
Tidemark - border between cartilage and calcified zone
- What is the microenvironment of articular cartilage made up of?
SOLID PHASE:
Collagen type II matrix, high (10%) proteoglycan content (protein & carb)
• Collagen + PG mix = solid phase
• PGs have negative charged areas along structure
• Solid phase - stiff, resistant to deformation
LIQUID PHASE
- Negative charge of PG draws in Na+ ions, creates osmotic gradient
- Increases water flow, resulting in swelling. Produces liquid phase
• Liquid phase - allows for slow “inelastic” deformation (or anelastic?)
- How does cartilage respond to stress and strain?
Constant stress - liquid phase, deformation/creep
Constant deformation - gradually relax - results in stress deformation response
- Where are the intervertebral joints found? What kind of joints are they?
- All found between C2 and L5
- They are all facet/gliding joints
- What is an alternate name for the IV discs?
Intervertebral symphyses
- Which ligaments and muscles are connected to the spine?
- Interspinous/supraspinous ligament - linked to spinous process
- Erector spinae and rectus abdominus - muscle groups which hold spine in place
- What are the articulating pts of the vertebrae called?
Each joint has a inferior and superior articular process - inferior is on the top of a vertebrae, superior process is on the bottom of a vertebrae
- What are the IV discs made up of, and how are they structured?
• Discs are sandwiched between vertebrae, pads of fibrocartilage
- Annulus fibrous = fibrous
Nucleus pulposus
- How do the IV discs respond to body movement?
During usual body movement - nucleus shifts, disc shape conforms to motion
- he annulus enhances the spine’s rotational stability and helps to resist compressive stress.’
- Together with the annulus fibrosis, the nucleus pulposus transmits stress and weight from vertebra to vertebra
- Compare slipped disc vs herniated disc
- Slipped disc - part of disc bulges out, no leakage of nucleus
- Herniated - nucleus has moved through annulus fibrosus, is leaking out > more painful
- Which bones create the glenohumeral joint?
Scapula (glenoid cavity) + humerus
- Is the shoulder joint stable?
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- Which muscles hold the shoulder joint?
The most important shoulder muscles are the four rotator cuff muscles - the subscapularis, supraspinatus, infraspinatus and teres minor muscles - which connect the scapula to the humerus and provide support for the glenohumeral joint.
Of note -
The pectoralis major, pectoralis minor, latissimus dorsi, teres major and deltoid connect to the proximal end of the humerus and anchor it to the body.
- Which bones are part of the knee joint?
Femur, tibia, patella
- What type of joint is the knee joint?
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- How are the menisci attached to the knee, what is their form and function?
Menisci are attached to the tibia not the femur, cup-shaped fibrocartilages (medial & lateral). Act as shock absorbers, stabilise the knee
- Where would you find the cruciate ligament?
Cruciate ligaments are behind patella - include ACL and PCL
- Which muscles hold the knee together?
Knees held together by quads (anterior) and hamstrings(posterior)
- What is the impact of a torn meniscus?
What is the function of the patella?
During some activities — especially contact sports — the force and degree of twisting your knee can tear some of the wedge-shaped cartilage that provides cushioning between femur and tibia. This cartilage is your meniscus. Each of your knees has two meniscus wedges
Pain in the knee joint that comes and goes and gets worse when putting pressure on the joint
Swelling and stiffness
The feeling that your knee is giving way, locking, or catching when you bend it
- Gain a basic understanding of how skeletal muscles work together with the skeletal system to create movement
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- Outline cellular and tissue structure of skeletal muscles
Each muscle belly made up of fascicle bundles, covered by the epimysium
Fascicle - made up of bundles of muscle fibres and surrounded by the perimysium
Muscle fibre - made up of bundles of myofibrils and surrounded by endomysium
- Define a motor unit and its importance in muscle contraction?
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- What do these prefixes/suffixes mean: ad, ab, sub, ductor, anti, epi, apo, longissimus, longus, brevus, maximus, medius, minimus, recture, multi, uni, bi/di, tri, quad
- Describe various patterns of fascicle arrangement and how these may impact muscle function
arallel - parallel to longitudinal axis of muscle - can contract at greater distance, more movement, less fascicles per unit SA
Fusiform - similar to parallel, has muscle belly
Unipennate - 1 angle, can fit in more fascicles, more muscle strength
Bipennate - Fascicles arranged like a feather, at an angle to longitudinal axis, 2 angles
Multipennate - several angles of arrangement
Convergent - fascicle converge onto a tendon. Pt of convergence = high tension/force
circular
- Explain how muscles, bones and joints function together as lever systems and the benefits and drawbacks of each type
Lever system in the body
Fulcrum - the joint
Bone - lever
Resistance - weight
Effort - muscle contraction
Type 1 - fulcrum b/w load and effort
2 - load in middle, has a mechanical advantage
3 - effort in the middle, has ROM advantage. Little effort needed to move resistance around
Mech advantage = force arm/resistance arm
- State the process by which a nerve impulse leads to muscle contraction
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- Describe the principles which govern tension production by muscle
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- Outline the cross-bridge cycle
Cross-bridge cycle
Cross-bridge formation - ADP+Pi is already bound to myosin>myosin binds to actin >Pi released
Myosin head pivoting - this generates the power stroke, shifting the actin forward > ADP released, myosin in rigor
Cross-bridge detachment - new ATP binds, resulting in the myosin detaching from actin
Myosin reactivation - ATP is hydrolysed >myosin returns to cocked position + ADP/Pi
- Which neurotransmitter is heavily involved in muscle contraction?
Acetylcholine
- When is ATP hydrolysed during muscle contraction?
ATP is hydrolysed at the end of the cross-bridge cycle, allowing the myosin to move to a cocked position
- What is the function of the sarcolemma?
Sarcolemma perform an important role in the muscle contraction process - see also types of muscle contractions. When the Muscle Action Potential (which is a form of electrical “instruction”) travels along the sarcolemma of muscle fibres, then into the transverse tubules, calcium ions (Ca2+) are released into the sarcoplasm.
- What is the function of the sarcoplasmic reticulum?
SR stores and releases Ca2+ needed for contraction at terminal cisternae
- Outline the structure of a sarcomere
- Myofibrils have sarcomeres - main contracting unit of the muscle
- Region from z-disc to z-disc = 1 sarcomere
○ Contains thick and thin filaments - thick= myosin, thin = actin
○ Actin filaments are oriented towards the ends of z-discs (creates an I-band across sarcomeres)
○ Myosin filaments are oriented towards the middle of z-discs (creates an A band in centre of sarcomere, combines with actin here)
○ M line - central point of sarcomere, anchor pt for myosin
- What needs to happen to allow myosin to bind to actin?
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- What would happen to muscle contraction if Ca2+ was inhibited?
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- Explain the energy systems involved in producing the ATP required for muscle contraction, how muscle fatigue occurs, and how it recovers
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- Identify the three types of muscle fibre and how they may differ from each other
Type I - slow - weaker, more resistant to fatigue
Type IIa - fast - stronger, less resistant to fatigue
Type IIb - fast
- ADVANCED: Differentiate between the terms isometric, isotonic, concentric, eccentric as is relates to muscle contraction
Isometric - muscle maintains same length, changing tension, i.e. voluntarily contracting a muscle
Isotonic - same tension, change in length
Concentric - muscle shortening
Eccentric - muscle lengthening
- Understand the reflexes that originate, and end, in skeletal muscle: the stretch reflex and golgi tendon reflex
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- Compare the functions of stretch reflex to golgi tendon reflex
Stretch reflex : Spindles are sensitive to change of length and rate of change of length > signals muscle (extrafusal fibres?) to contract in response
Golgi reflex:
- Receptive to muscle tension: increase in tension in tendon (caused by muscle contraction/shortening) > sends signal to spinal cord to inhibit contraction > motor neuron inhibited > reduce muscle contraction to reduce shortening
- Describe some diseases and conditions associated with the muscular system: paralysis, cramp, strain, MD
Cramps
- localised, continued, painful, involuntary contraction of muscle
- No confirmed cause
- Theories - dehydration/electrolyte imbalance, peripheral fatigue of neurological origin (which could explain why stretching relieves cramps)
- Golgi tendon reflex not working? Acetylcholine not being broken down?
Muscle strain
- Tear of muscle or tendon due to over-extension
- Spindle not working fast enough
- Golgi - no relaxation happens (resulting in tendon tear)
Paralysis
- a nervous system issue
- Damage to spinal cord
- Pt of damage - every pt downstream is affected
Muscular dystrophy
- Causes muscles to atrophy
Duchenne MD - x-linked disease
- Why does stretching relieve a cramp?
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- How does the P-Cr system work?
Steps of the ATP-PC system:
- Initially ATP stored in the myosin cross-bridges (microscopic contractile parts of muscle) is broken down to release energy for muscle contraction. This leaves the by-products of ATP breakdown: adenosine diphosphate (ADP) and one single phosphate (Pi) all on its own.
- Phosphocreatine (PC) is then broken down by the enzyme creatine kinase into Creatine and Pi
- The energy released in the breakdown of PC allows ADP and Pi to rejoin forming more ATP. This newly formed ATP can now be broken down to release energy to fuel activity.
- Outline glycolysis
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- Outline aerobic respiration
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- Why does muscle fatigue happen?
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How does muscle recover from fatigue
- Time required after exertion for muscles to return to normal
- Oxygen becomes available
- Mitochondrial activity resume
- Oxygen debt: after exercise - the body needs more oxygen than usual to normalise metabolic activities, results in heavy breathing, also called post-exercise oxygen consumption
- Outline the major divisions and components of the nervous system
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- Explain the general structure and function of neurons
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- Define a ”synapse” and state how neurotransmitters are involved in this region
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- Differentiate between neuroglia of the central and peripheral nervous systems and highlight their functions
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- Outline the structure of a synapse
- Pre-synaptic neuron - has the synpatic terminal an expanded area at end of axon w/ neurotransmitters
- Post-synaptic neuron - has receptors to receive the neurotransmitters
- Synaptic cleft - gap between neurons
- Definition of a synapse: “the site of transmission of electric nerve impulses between two nerve cells (neurons) or between a neuron and a gland or muscle cell (effector)”
- What are neurotransmitters, and how do they work?
•Are chemical messengers
released at presynaptic membrane, affect receptors of postsynaptic membrane
- Are broken down by enzymes
- Are reassembled at synaptic terminal/re-uptake
Impulses can be chemical, but electrical is more common
- When does neurotransmitter re-uptake happen?
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