Welcome to The Course! Dr. Matt Casturo DPT, CSCS ● ● ● ● ● Doctorate of Physical Therapy from The Ohio State University B.S. Exercise Science from The Ohio State University Former High School Strength and Conditioning Coach Ohio State University Olympic Sports Intern Strength Coach The Movement System The Movement System CSCS Study Course Chapter 1: Structure and Function of Body Systems Overview: ● ● ● ● ● ● Skeletal System Muscular System & Physiology Sliding Filament Theory Muscle Fiber Types & Function Cardiovascular System Respiratory System Skeletal System Skeletal System Axial Skeleton: ● ● ● Skull Ribcage Vertebrae Appendicular Skeleton: ● Everything else! ○ Scapula ○ Humerus ○ Pelvis ○ Femur ○ etc. (TeachPE, 2022) Skeletal System Skeletal System: ● Bones make up the frame of the body (Miller, N.D) Skeletal System Joints: ● Synovial Joints: Primary movement joints in the body (ex: hip, shoulder, knee, and elbow) ○ ○ Joint Capsule: synovial fluid Bone Ends: hyaline cartilage (Teach Me, 2023) Skeletal System Vertebral Column: ● ● ● ● 7 Cervical 12 Thoracic 5 Lumbar Sacrum/ Coccyx (Teach Me, 2023) Muscular System Muscular System Tendons: Attach Muscle to Bone (Inline Physio, 2021) Ligaments: Attach Bone to Bone (Recoup Fitness, 2020) Muscular System What Makes up A Muscle? Muscle Fascicle Muscle Fiber Myofibril Sarcomere Actin / Myosin (Oregon State University, N.D.) Muscular System What is Fascia? ● A thin layer of connective tissue surrounding different layers of muscle Layers of Fascia: 1. Epimysium: Outermost layer surrounds the entire muscle 2. Perimysium: Surrounds one Bundle of Muscle Fibers 3. Endomysium: Surrounds one Muscle Fiber (National Cancer Institute, N.D.) Muscular System Fascicle ● ● A bundle of muscle fibers (cells) Grouped by fiber type (Ex: Type 1 fascicle) Motor Units ● One nerve + muscle fibers it innervates ○ So all fibers in one unit contract at same time ● Can be different sizes (type 1 smaller) ○ One section of fibers ranging from 50 to 1000+ fibers (Neurological Imaging, 2016) Muscular System Muscle Fiber (a muscle cell) ● Made of myofibrils ○ Contains sarcomeres ■ Contractile unit of muscle ■ Smallest unit of muscle ■ Made of actin and myosin Sarcomere Structure: Muscle Physiology Z Disc: The “walls” A Band: The length of the Myosin THE A BAND NEVER CHANGES LENGTH I Band: Actin but no Myosin H Zone: Myosin but no Actin The I Band and H Zone shorten when a muscle contracts. (Bioninja, N.D) Sarcomere Action: Muscle Physiology Muscle Relaxes: (or Contracts Eccentrically) Z Lines get farther apart Z Line (yellow) Z Line (yellow) Muscle Contracts: Z lines get closer together (Bioninja, N.D) Muscle Physiology Sliding Filament Theory: What happens at the very smallest level of a muscle fiber (within one sarcomere) Myosin is like a row boat floating in between the actin Myosin reaches out the oars to grab onto the actin Myosin pulls on the actin to shorten the muscle ● Power Stroke from ATP Hydrolysis (Keely, 2012) Muscle Physiology Force Summation/ Tetanus: Action Potential is sent from the brain down the nerve to the neuromuscular junction ● Causes the release of Acetylcholine (Ach) ○ Ach causes muscle contraction all or nothing ● Can grade the level of force by rate of sending action potentials ○ This is a trainable quality (rate coding) (Chegg, N.D) Muscle Physiology Activating a Muscle Fiber: 1: Create an Action Potential 2: Action Potential propagates down the nerve to the neuromuscular junction 3: Acetylcholine crosses the neuromuscular junction exciting the sarcolemma 4: Signal goes down the t-tubules and causes a release of calcium from the sarcoplasmic reticulum (Frontera, 2014) Muscle Physiology 5: Troponin binds to tropomyosin (rope around actin) and pulls the tropomyosin out of the way 6: Tropomyosin moves to open up the binding site: 7: Myosin binds to actin forming a Cross Bridge (Physiology Plus, N.D) Muscular System Skeletal Muscle Fiber Types: Type I: Oxidative ● Aerobic Training Type IIa: Mixed Type IIx: Glycolytic ● 1-5 Rep Max (Xinlu et al, N.D) Muscular System Muscle Spindle ● Senses Muscle Stretch Example: Anterior shoulder is stretched during the layback of a pitch. This results in a reflexive contraction to slow the arm from overstretching. Bottom Line: Muscle Spindles sense a muscle stretch and cause a muscle contraction (Martin, 2017), (Barret Stover, 2014) Muscular System Golgi Tendon Organ ● ● Senses when a muscle contracts hard and a tendon is stretched GTO tells this muscle to relax Example: Achilles Tendon stretched while sprinting causes a slight inhibition to the calf muscles. https://www.sportsinjuryclinic.net/sport-injurie s/lower-leg/calf-pain/calf-strain Bottom Line: GTO senses a muscle contraction and causes muscle inhibition (Martin, 2017), (Walden, 2022) Cardiovascular System Cardiovascular System Blood Flow through The Heart Vena Cava Right Atrium Tricuspid valve Right ventricle Pulmonary artery Lungs Pulmonary vein Left atrium Mitral valve Left ventricle Aorta (Haff, G., & Triplett, 2016) Cardiovascular System Blood Flow to the Muscles Arteries Arterioles Capillaries (Level of gas exchange) Venules Veins (Teach Me, 2023) Cardiovascular System Conduction System SA Node: Pacemaker of the heart AV Node: Where the impulse is delayed AV Bundle: Sends signal to the ventricles Purkinje Fibers: Further divides the signal to the ventricles Resting Heart Rate: Typically 60-100 BPM Bradycardia: Fewer than 60 BPM Tachycardia: More than 100 BPM (TeachPE, 2022) Cardiovascular System ECG (electrocardiogram) P Wave: Atria depolarize QRS Complex: Ventricles depolarize & Atria repolarize T Wave: Ventricular Repolarization (Aakash, N.D.) Respiratory System Respiratory System Lungs: Inspire Oxygen Expire CO2 Trachea Bronchi Bronchiole Alveoli (level of gas exchange) ● ● Right lung has 3 lobes Left lung has 2 lobes (room for heart) (Haff, G., & Triplett, 2016) Respiratory System Oxygenated Blood: ● ● Systemic Arteries Pulmonary Vein Deoxygenated Blood: ● ● Veins Pulmonary Artery (Hex Anatomy, N.D.) References ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Aakash. (N.D). What does QRS complex represent in ECG. Byjus. Retrieved from https://byjus.com/neet/what-does-qrs-complex-represent-in-ecg/ Barret Stover. (2014). Arm strength. Barret Stover. Retrieved from https://barrettstover.com/tag/arm-strength/ Bioninja. (N.D). Muscle contraction. Bioninja. Retrieved from https://ib.bioninja.com.au/higher-level/topic-11-animal-physiology/112-movement/muscle-contraction.html Bioninja. (N.D). Sarcomeres. Bioninja. Retrieved from https://ib.bioninja.com.au/higher-level/topic-11-animal-physiology/112-movement/sarcomeres.html Chegg. (N.D). Twitch summation. Chegg. Retrieved from https://www.chegg.com/learn/biology/introduction-to-biology/twitch-summation Chegg. (2023). Distal definition. Chegg Inc. Retrieved from https://www.chegg.com/learn/medicine-and-health/medical-terminology/distal EZMed. (2022). Anatomical positions and directional terms. EZMed. Retrieved from https://www.ezmedlearning.com/blog/anatomical-position-and-directional-terms Frontera, W. (2014). The transverse tubules and sarcoplasmic reticulum systems. Research Gate. Retrieved from https://docs.google.com/presentation/d/14d7lC4x8GmPGbZQE05UsrqqO-njaL0MpH59PaSpKBn4/edit#slide=id.g1d79386bd21_1_0 Haff, G., & Triplett, N. T. (2016). Essentials of strength training and conditioning. Fourth edition. Champaign, IL, Human Kinetics. Hex Anatomy. (N.D.). Human Anatomy: Cardiovascular system. Hex Anatomy. Retrieved from http://hexanatomy.weebly.com/cardiovascular-system.html Inline Physio. (2021). 10 facts about tendons. Inline Physio. Retrieved from https://inlinephysio.com.au/10-facts-about-tendons/ Keely L. (2012). Details of Actin-Myosin Crosslinking. Retrieved from https://www.youtube.com/watch?v=zQocsLRm7_A Martin, M. (2017). Golgi tendon organs and muscle spindles explained. American Council on Exercise. Retrieved from https://www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/5336/golgi-tendon-organs-and-muscle-spindles-expl ained/ Miller, C. (N.D.). Human biology. Pressbooks. Retrieved from https://humanbiology.pressbooks.tru.ca/chapter/13-2-introduction-to-the-skeletal-system/ Neurological Imaging. (2016). Ultrasound of muscle. Radiology Key. Retrieved from Physiology Plus. (N.D). Skeletal muscle structure. Physiology Plus. Retrieved from http://physiologyplus.com/intro-mcq-skeletal-muscle-structure/ Recoup Fitness. (2020). Causes and prevention of knee ligament injuries. Recoup Fitness. Retrieved from https://recoupfitness.com/blogs/news/causes-prevention-of-knee-ligament-injuries Walden, M. (2022). Calf strain. Sports Injury Clinic. Retrieved from https://docs.google.com/presentation/d/14d7lC4x8GmPGbZQE05UsrqqO-njaL0MpH59PaSpKBn4/edit#slide=id.g1d79386bd21_1_0 Teach Me. (2023). Key structures of a synovial joint. Teach Me Anatomy. Retrieved from https://teachmeanatomy.info/the-basics/joints-basic/synovial-joint/ Teach Me. (2023). The vertebral column. Teach Me Anatomy. Retrieved from https://teachmeanatomy.info/back/bones/vertebral-column/ Teach Me. (2023) Ultrastructures of blood vessels. Teach Me Anatomy. Retrieved from https://teachmeanatomy.info/the-basics/ultrastructure/blood-vessels/ TeachPE. (2022). Cardiac conduction system. TeachPE. Retrieved from https://www.teachpe.com/anatomy-physiology/the-heart-conduction-system TeachPE. (2022). The axial and appendicular skeleton. TeachPE.Retrieved from https://www.teachpe.com/anatomy-physiology/axial-appendicular-skeleton Xinlu, et al. (N.D.) Movement & support. Slideplayer. Retrieved from https://slideplayer.com/slide/8603408/