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Anatomy & Physiology Study notes

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A&P Midterm 2
Chapter 10:
Skeletal muscles are things that produce movement, control movement, prevent movement
Skeletal muscles: Most have at least 2 attachments
Origin of muscle attachment (Proximal)
Insertion of muscle attachment (Distal)
Can attach to bone, cartilage, ligament, or fascia by tendon (aponeuroses)
Architecture:
Circular: controls openings (mouth, eye)
Convergent: converge onto one tendon (pec major)
Parallel: all run parallel to one another
Unipennate: central, with fibers off one side
Bipennate: central, have fibers off 2 sides (rectus femoris)
Multipennate: multiple branches (deltoid)
Structure informs its function
Concentric contraction: Produce movement. Acts as prime mover or synergist
Prime mover: muscle that has the main responsibility for producing a movement. (Knee extension: Quads, Hip
extension: Glut max).
Synergists: Muscles that help with other motions (helpers) (hip rotation: Glut max, Hip flexion: Quads)
Stabilizers: Prevent movement. (fixator) (Scapular muscles when water skiing, Abdominal muscles to stabilize
posture/core, knee muscles to stabilize joint)
Eccentric contraction: Controls movement. Usually with gravity (Gravity when sitting, going down slowly in
push up, weight in hand)
Naming:
Location: Temporalis (Temporal), brachialis (Brachii), Tibialis posterior (Tibia)
Size: Maximus (large), Medius (Medium), Minimis (small)
Direction: Transverse abdominus (Horizontal), Internal oblique (angle)
Number or heads (origin): Biceps (2), Triceps (3), Quadriceps (4)
Action: Flexor carpi radialis (Flexion, wrist, radius), Flexor carpi ulnaris (Flexion, wrist, ulna)
Rules:
1. To move a joint, a muscle must cross that joint. (Must attach to 2 bones that form that joint)
2. Muscles must always pull on bone, they never push.
3. Movement produced depends on attachment location
Chapter 9
Muscles are almost 50% of body mass
Muscles use energy to make force
Chemical energy (ATP) - > mechanical energy = Force
Force = movement
Muscles also maintain body position/posture, stabilize joints, and maintain body temperature.
Excitability: Responsiveness to stimuli
Contractility: Shorten when stimulated (Unique to muscle tissue)
Extensibility: Ability to stretch
Elasticity: Ability to recoil
Skeletal Muscle: most attach to bone via tendon
- Muscle = many muscle cells called muscle fibers
- Very large: up to 30cm long, diameter 10x of normal cell
- Multinucleated (unique)
Myofibril: specialized organelles in muscle cells
Sarcolemma = Plasma membrane
Myofibril: Striated (repeated light and dark bands)
- Sarcomere: small piece of myofibril
- Sarcomere: made up of numerous myofilaments
- Sarcomere: functional unit of cell, where contraction happens
Myofilaments:
- Myosin: Thick – many molecule heads that stick out on opposite sides
- Actin: Thin – 2 strands of subunits in helix.
- Elastic: Titin – hold myosin in place
- Dystrophin: links actin to extracellular matrix
T-Tubules: communication
Neuromuscular junction: Where contraction starts: where nerve that activates the muscle, meets the muscle
cells.
Nervous systems send signal down to initiate contraction.
-
Signal travels down neuron (Action Potential)
Comes in contact with myofibril
Causes channels to open, some proteins in/out
These channels allow Ca2+go in, ACH come out.
ACH come out (Exocytosis), diffuse across space, binds to receptors on sarcolemma (plasma
membrane)
- Causes more channels to open, Na and K channels.
- ACH binds and changes receptor. Allows Na in/out.
- More sodium in than K out
- This makes action potential in Sarcolemma (graded potential)
Excitation-contraction coupling
- New action potential moves along sarcolemma
- Goes down T-tubules
- Makes Ca2+ open again inside in sarcoplasmic reticulum
- Ca2+ comes out goes to myofilaments
- Binds to actin (thin), lets myosin head bind to actin (activates it by Ca2+)
Cross bridge cycle
- NEEDS ATP
- Where force comes from
- Myosin is bound to actin
- Myosin head pulls actin with it
- Then it releases, and cycles as long as ATP is available and stimulus is there.
Motor unit: alpha motor neuron (nerve cell) and all the muscle fibers it goes through (innervates)
- What the action potential travels down
- All or none action
Muscles for fine movement: small motor units (Eye)
Muscles for gross movement: larger motor units (Butt)
Muscle Twitch Force:
- If ONE action potential goes to muscle, result is twitch force
Increase frequency of stimulation: send more frequent action potentials
Increase number of Motor units: increase frequency may not be enough, instead needs more motor units.
Motor units are used from smallest to largest.
They build upon each other;
- engage muscle motor unit, max out frequency, needs more
- more motor units, max out frequency, needs more
- more motor units, max out frequency needs more, etc.
- until needs are met
- If body cant meet that need, cant do task.
Nervous systems needs way to grade (judge) how much force body needs to complete task:
- increase frequency
- increase # of motor units
Muscle Tone: constant, slightly contracted state of muscles
- When awake/conscious
- Keeps muscles firm, healthy, and ready to respond.
Flaccid: low muscle tone (Spinal cord injury)
Spastic: Tone is increased (Brain injury, stroke)
Factors that influence force production:
- Rate of stimulation (frequency)
- Number of motor units
- Size muscle/fiber
- Length of muscle (if muscle is very short, or very long: ability to produce force is decreased)
When muscle is stimulated it is NOT all or none
Muscle Contraction:
Isometric: No change in muscle length (Static; carrying something) producing force, but not moving
- Myosin head does not move the thin (actin) filament.
Isotonic: muscle changes length, get longer or shorter.
- Can be concentric (shorter). Produces movement
- Can be eccentric (longer). Controls movement
-
Force is produced in same way for both isometric and isotonic
Muscles require energy (ATP):
- To move and detach cross bridges
- Operate the NA-K+ pump
- Operate Ca2+ pump in SR
Only enough ATP stored for 4-6 seconds.
3 ways to regenerate ATP:
- Direct phosphorylation
- Anaerobic glycolysis
- Aerobic respiration
Length of exercise determines how ATP is made:
- First 6 seconds: stored ATP
-
Next 10 seconds: Direct phosphorylation
Next 30-40 seconds: Anaerobic glycolysis
Remainder: Aerobic Respiration
ATP Production
Direct Phosphorylation
Anaerobic Glycolysis
No Oxygen
No oxygen
1 ATP made
2 ATP
15 seconds
30-40 seconds
- Brief burst of energy for short period, use one of first 2 methods
Aerobic Respiration
Needs Oxygen
32 ATP
Hours
Aerobic/Endurance exercise: long time
- Change in physiology and structure
- Greater endurance, greater strength, and greater resistance to fatigue
Endurance: length of time of muscle contraction before its fatigued
Resistance exercise: weightlifting
- Progressive (build up strength)
- Typically anaerobic
- Muscle hypertrophy (growth): from increase in muscle fibers (myofibrils)
- Increase in myofilaments, glycogen stores, and connective tissue
- Increased muscle strength and size
# of muscle fibers stays the same, but number of myofilaments can increase
- Muscles cells DO NOT undergo mitosis – why they don’t increase in #
Ageing: Muscles weakness occurs as we age
- Sarcopenia: age related muscle loss. Issues with mobility, fall risk, loss of independence
- Losses in strength quickened when immobile (hospitalization, disability, injury) – PJ paralysis
- Muscle loss is NOT permanent. Can be reversed through resistance training
o Be progressive resistive exercises
o 3 x a week
Smooth muscle
- In hollow organs (stomach, bladder, airways)
- NO voluntary control
- Usually arranged in sheets
- Has 2 layers: longitudinal, circular
o Longitudinal: parallel to long way of organ. Contraction = shortens
o Circular: on circumference of organ. Contraction = constricts
- Contraction of 2 layers leads to rhythmic contraction: Peristalsis
- Single unit: has gross control (moves as a unit) - Stomach
- Multi-unit: has independent control (fine movement) – Pupil size, erector pili muscles (hair follicles)
- Stress-relaxation response: move substances along by temporary contraction – adjusts to ‘new
normal’
o Can contract ‘on demand’
-
Length/tension change: when at half-2x resting length.
-
o functions well when empty – bladder, stomach
o Skeletal muscle only when at optimal resting length
Hyperplasia: Smooth muscle cells can divide and increase numbers (Uterus during puberty)
Smooth
One nucleus
Very small
No striations or sarcomeres
Has actin and mysoin
No T-Tubules
No neuromuscular junction
Has varicosities
Skeletal
Multinucleated
10 x wider
1000’s x longer
Striated
Has sarcomeres, Myosin and Actin
Has T-Tubules
Has neuromuscular junction
Smooth
Force by sliding filaments
Calcium triggers contraction
ATP required
Stimulation causes excitation and inhibition
Very slow contraction, uses less ATP
Skeletal
Force by sliding filaments
Calcium triggers contraction
ATP required
Stimulation causes excitation
Contract 30 x faster, uses high ATP amounts
Chapter 11
Functions of Nervous system:
- Sensory input: Taking information in (red light)
- Integration: Interpretation of what that means (I should stop)
- Motor output: Doing action (Stopping)
PMS
MAS
APS
PMAS
PMASP
Sensory part: take info in
Motor part: puts info out
Nervous system tissues:
Neuroglial (Glial cells): Provide support. The ‘jelly’ of the cake. The supportive structure
- 6 different types of glial cells
o Schwann cells (PNS)
o Oligodendrocytes (CNS) – form myelin sheath
- Glial cells in PNS can regenerate – cut cell, will grow back
o In CNS, will inhibit (Spinal cord/brain do not fix itself)
- Way more glial cells than neurons
Neurons: are excitable and can conduct information
- How Nervous system communicates
- Long lifespan
- Amitotic (cant divide)
- High metabolic rate (needs oxygen continuously) – why we do CPR
Dendrites: little arms off cell body, interact with rest of environment. They receive input information
Axon hillock: Important for action potentials
Axon: where information exits neuron. Length varies by location. Can have 1000’s of axon terminals
Myelin sheath: makes axon an effective transmitter
Information can go to a cell or gland, or another neuron
In CNS: bundles of axons are called tracts
In PNS: bundles of axons are called nerves
3 types of neurons:
- Sensory: carry sensory information from peripheral to brain(Going in)
- Motor: carry information from brain to muscles, glands (Going out)
- Interneurons: 99% of all neurons. Neurons that connect neurons.
Action Potentials:
- How nervous systems send messages over long distances
- Muscles also make and use AP to contract
- Happens when ions cross cell membranes
- Made in axons (axon hillock) and travel to axon terminals
- ALL OR NONE – once made, will continue until axon terminal
1. Cell is waiting, neutral
2. Stimulus. Membrane potential
changes to less negative.
3. Continues to rise, passes
threshold. Makes voltage gated
channels open (NA Fast, K Slow)
this makes it depolarized as NA
rusehs into cell, making it more +,
K ruses out of cell, making more –
4. Hyperpolarization: more polarized
because K goes out
5. K channel open for longer, goes
below normal (more -). Evens out
through sodium Potassium pump
-
Voltage gated channels only open when it reaches certain voltage
For AP its -55mV
Resting potential is -70
Peak is +30
Depolarization – Na IN
Hyperpolarization – K OUT
If no voltage gated channels, no action potential
- No AP at dendrites
AP Propagation:
- Acts as stimulus for next section
- Voltage in one spot, activates, next, which activates next, etc.
Unmyelinated neurons – slow (2m/s)
Myelinated neurons – fast (100 m/s)
- Multiple sclerosis., affects myelin on neurons, not efficient at transmission
AP’s don’t flow back because of Hyperpolarization – refractory period
Synapses: connection that allows AP to transmit
- Can happen between 2 neurons
- Can happen between neuron and effector cell (Muscle cell)
- Most are chemical – by neurotransmitters
- Enables transmission across synaptic cleft
Chemical Synaptic transmission
- AP arrives at terminal of neuron
- Causes voltage gated channels Ca2+ channel to open.
- Ca2+ rushes into axon terminal
- Makes neurotransmitter leave by exocytosis
- Neurotransmitter diffuses across space, specific receptors bind to NT, opens ion channels
- Flow of NA and K
- AP happens (Most of time)
Neurotransmitters:
- Language of the nervous system – enable neurons to talk to each other and body
- Anything that interferes with NT function can impair nervous system function
- Can be excitatory (depolarization) or inhibitory (Hyperpolarization)
- Can act directly (bind to receptors to make ion channels open)
- Can act indirectly (by second messenger molecules)
- Two types:
o Channel linked receptors – located right next to site of neurotransmitter release (closed ion,
and open ion channel)
o G protein coupled receptors – not as immediate.
- 50 types of Neurotransmitters
- A lot of drugs affect NT (therapeutic and illicit)
- Ach first NT and most understood
- Acts at neuromuscular junction
Chapter 12
Central Nervous System:
- Brain
- Spinal cord
Brain:
- Central hemisphere, diencephalon, cerebellum, midbrain, pons, medulla oblongata
Grey matter:
- Neuron cell bodies
White matter
- Generally myelinated axons. Fiber tracts in the CNS
Ventricles:
- Lateral, third, and fourth.
- Makes the cerebrospinal fluid – key function
- Aperatures connect ventricles to subarachnoid space
Cerebral hemispheres
- Right/left hemispheres, separated by longitudinal fissure
- Gyri: raised area
- Sulci: shallow grooves
- These increase surface area. Bigger surface area = more cell bodies
- Head needs to be small for balance.
Lobes:
- Frontal, occipital, parietal, temporal, insula
Major sulci:
- Central, divides from front and back. (frontal and parietal)
- Lateral sulcus, divides, side near ears (temporal from frontal and parietal)
3 regions of Hemisphere
- Cerebral cortex (grey matter), white matter, basal ganglia
Cerebral Cortex:
- Conscious mind
- Think, feel, remember, communicate, initiate movement
- 40% of mass of brain
- Sulci/gyri triples surface area
- Contralateral: side of brain controls opposite side of body
- Lateralization: each side is specialized (though both contribute to most functions)
- Has 3 functional areas:
o Motor
o Sensory
o Association (Integration)
Motor areas: generally in front of central sulcus
- Primary: conscious control
- Premotor: movement planning takes place here, movement not instantaneous
- Broca’s area: controls muscles for speech
Homunculus: shows size of brain that is devoted to that area of body
Sensory areas: generally behind central sulcus
- Primary somatosensory cortex: impulses from general sensory receptors in the skin and from
proprioceptors arrive here
- Auditory area: impulses from inner ear are projected here where they are ‘heard’ and interpreted
- Wernicke’s area: understanding written and spoken language
- Visual area: sensation and interpretation of what our eyes ‘see’
- Olfactory area: impulses from receptors in nasal cavity
Vestibular cortex: keeps us upright (equilibrium)
Gustatory cortex: taste
Visceral sensory area: conscious perception of visceral sensation (upset GI)
Association areas: (Integration)
- Multimodal – all the pink of brain in picture
- Gives meaning to information we receive
- Sends output to multiple areas
White Matter
- Responsible for communication between areas of the cerebrum and between cerebral cortex and
lower CNS
- Has myelinated fibers in tracts
o Association: connect different parts of same hemisphere
o Projection: connect cortex to rest of nervous system
o Commissural: connect 2 hemispheres (corpus collosum)
Basal Ganglia:
- Group of 3 nuclei, deep in white matter
o Caudate, putamen, globus pallidus
- Receive input from cortex and provide output to motor cortex
- Have extensive connection to one another
- Critical for production of voluntary movement, initiating movement, and involuntary movement
- Parkinson’s and Huntington’s – lesions in area
- Learning : rewards or avoidance of punishment
- Habit formation
Diencephalon: Thalamus, hypothalamus, epithalamus
- It encloses the 3rd ventricle
Thalamus: directs what way to go – director
- Relay station
- All sensory information entering the cortex passes through here
- Funnels important information to the appropriate parts of cortex
- Regulation of learning, memory, motor activities
Hypothalamus
- Main visceral control center
- Autonomic nervous system
- Initiates physical response to emotions (heart racing – scared)
- Regulates body temperature, food intake, water balance and thirst, sleep wake cycle
- Controls endocrine system
- Damage to area: Emotional imbalances, obesity, sleep issues
Epithalamus
- Pineal gland: Secretes hormone melatonin
- Helps with sleep-wake cycle
Brain stem: Midbrain, Pons, Medulla Oblongata
- 2.5% of brain
- Necessary functions: breathing, heartrate
- Anything going to rest of body HAS to pass through here
- Has 10/12 cranial nerves
Medulla Oblongata: spinal cord injury here would impact breathing – close proximity to brainstem
- Cardiovascular centre, respiratory centre, vomiting hiccups, coughing, sneezing,
Pons: means bridge
- Mainly has conduction fibers
- goes between higher brain and spinal cord
- Also helps brining information between cerebellum and motor cortex
Cerebellum: little brain
- Outer cortex with many convolutions on surface (similar to gyri and sulci) – very large surface area
- Only 10% of brain volume, but 50% of brain neurons
- Not part of conscious brain
- Timing and coordination of movement – could not pronate/supinate
- Cannot initiate movement
- Easily disrupted by alcohol
- It acts as a comparator, compares actions that happen to what should have happened and corrects it.
- Cerebellum injury:
o Has difficulty carrying out rapidly changing motions
o Difficulty estimating distances – walking over spaces
- People with cerebellar issues often times people think they are drunk
Functional brain system: limbic system and reticular formation
- Network of neurons that are wide-spread among brain
Limbic system: on medial aspect of cerebral hemispheres
- Emotional-visceral brain
- Emotional centre
- Motivation and survival – to eat, have sex
- Memory storge
- Regulation – our behaviors
- Functions that are essential to quality of life
Reticular formation
- 3 broad columns of neurons that go along brain stem
- Have connections to hypothalamus, thalamus, cerebral cortex, cerebellum, and spinal cord (Basically
everywhere)
- Broad connections: controls arousal as a whole
- Has reticular activating system (RAS)
RAS
- Continuously sends signals to cortex to keep it alert/active
- Sever injury would result in irreversible coma
- Filters out unimportant sensory information (background info)
- LSD interferes with this filter
- Involved in control of movement
Brain protected by Skull, Meninges, Cerebrospinal fluid, blood brain barrier
Meninges: Dura, arachnoid, pia – maintains brain shape
- Subdural – between dura and arachnoid
- Subarachnoid – between arachnoid and pia – usually damage to blood vessels
- Meningitis: inflammation of meningitis
- Encephalitis: inflammation of brain tissue
Cerebrospinal fluid: Surrounds brain and spinal cord
- Brain is floating in CSF – reduces weight by 97%
- Produced by choroid plexus, hangs from roof of each ventricle
- In subarachnoid space, so always bathing the brain
- Main function top cushion the brain, also helps nourish
- Replaced every 8 hours
All protect from trauma from outside
Blood-brain barrier: - protects the brain from substances already in the body
- Neurons are sensitive to surrounding environment, kept very stable
- Prevents any unwanted molecules from entering the brain
- Tight junctions in endothelial cells: key structures of blood brain barriers
- Only lipid soluble can enter – medication
Spinal cord: part of CNS
- CSF
- Spinal nerves, has 31 pairs
- Spinal cord end around T12.
- Cauda equina: long nerve roots from higher up go from there down spinal column. Vertebral column
grows faster than spinal cord.
o Why lumbar punctures go here, no risk of puncturing spinal cord
Meninges: same as brain: dura, arachnoid, and pia
Spinal cord has butterfly shape for grey matter
- Dorsal (posterior) horn
o Neurons (interneurons) from periphery up to brain – sensory info
o PS – posterior, sensory
- Ventral (anterior) horn
o Motor neurons out to periphery from brain
o ALS, Polio, only affect anterior/motor
- Dorsal root and ventral root come together/split to form the spinal nerve root
Multi neuronal pathways: bring info from brain to periphery
- Decussation: most pathways cross from one side to the other; right side controls left etc.
- Relay: most pathways consist of a group of 2/3 neurons that convey info from one region to another
- Somatophy: fibers are arranged in orderly fashion, mapping out body – could use symptoms to identify
where injury is on spinal cord
- Symmetry: all pathways and tracts are paired
Ascending tracts: Sensory
- Most cross over, some in spinal cord, some in medulla
o Spinothalamic: from spinal cord to thalamus: info about temperature, pain, coarse touch,
pressure
o Spinocerebellar: from spinal cord to cerebellum: info about muscle tendon stretch
(coordinating movement)
o Medial Lemniscus: dorsal column: vibration, discriminatory touch, proprioception
Descending tracts: motor
- All cross over, some in spinal cord, some in medulla
- All involve interneurons
- All end on skeletal muscles
o Pyramidal tract: direct pathway from cortex to spinal cord
o Indirect patthways: more complex. more connections and synapses. Posture and balance, very
coarse limb movements, head, neck, and eye related to seeing (following someone)
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