I DO: Muscular Disorders

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Name:

Date:

House:

Teacher:

Day Two: Laboratory

DO NOW

Directions: Try to recall as many of the muscular terms and concepts we learned yesterday as you can.

Parts of a Muscle

Directions: Identify as many parts of a muscle as you can in the diagram below.

Contraction Types

Isometric

Isotonic

Concentric

Eccentric

Mr. Shah’s 7 th Grade Science Class | Page 1

I DO: Muscular Disorders

Directions: Organize notes about the most common disorders and diseases of the muscular system.

Muscular Dystrophy

Classification

Progressive muscle degenerative disease

Signs and Symptoms

Muscle loss, poor balance, drooping eyelids, atrophy, scoliosis, inability to walk, waddling gait

Diagnosis

Muscle biopsy, electromyography,

DNA analysis, and physical examination

Treatment

Preventable?

None

Curable?

None

Manageable?

Physical therapy

Occupational therapy

Orthopedic tools

Myasthenia Gravis

Classification

Autoimmune neuromuscular disease where antibodies attack normal body proteins

Signs and Symptoms

Quick to tire, drooping eyelids, slurred speech, weakness during activity that returns during inactivity

Diagnosis

Difficult to diagnose.

Physical examination, symptoms in infancy or childhood, blood tests for antibodies

Treatment

Preventable?

None

Curable?

None

Manageable?

Medication or surgery

Physical therapy

Myotonia Congenita

Classification

Genetic neuromuscular disease

Signs and Symptoms

Failure of contracted muscles to relax, especially during periods of rest

Diagnosis

Genetic history

Difficulty swallowing or closing eyes

Treatment

Preventable?

None

Curable?

None

Manageable?

Only in extreme cases

Anticonvulsant drugs

Physical therapy

Tendonitis

Classification

Inflammatory disorder of a tendon, generally after acute injury

Signs and Symptoms

Aches, pains, joint stiffness, burning sensation, swelling

Diagnosis

Symptoms present after an acute injury and/or stressful situations

Treatment

Preventable?

Prevention of injury

Curable?

Rest and time

Manageable?

Non-steroidal antiinflammatory drugs

Laser therapy

Mr. Shah’s 7 th Grade Science Class | Page 2

WE DO: Basal Metabolic Rate

Basal Metabolic Rate (BMR) is used to measure how much energy your body needs and uses to carry out its basic functions at rest. From pumping blood, to breathing, to sending signals in the nervous system, to fighting diseases, to muscle movement, mitochondria are working hard to provide the energy needed to keep you alive and operational. This energy is measured in terms of calories, and when used, can be restored by eating food.

Once BMR is calculated, we may still need additional calories based on our daily needs. Many factors can influence BMR:

 Genetics

 Gender

 Age

 Muscle mass

 Body temperature

 Exercise

Directions: Follow the steps below to calculate your own BMR.

1.

Define the following variables according to your own measurements: a = weight in pounds b = height in inches c = age

2.

Plug these variables into the Harris Benedict Equation and solve to calculate your BMR.

BMR = 66 + (6.23 x a

) + (12.7 x b

) – (6.8 x c

)

My BMR =

Mr. Shah’s 7 th Grade Science Class | Page 3

Activity Level

Sedentary

Light Exercise (1-3 days/week)

Moderate Exercise (3-5 days/week)

Intense Exercise (6-7 days/week)

Very Intense Exercise (2/day)

YOU DO: Calorie Counting

Daily Calories Needed

BMR x 1.2

BMR x 1.375

BMR x 1.55

BMR x 1.725

BMR x 1.9

In the space below, calculate your daily calories needed based on your activity level and BMR.

Daily Calories Needed: _____________

1.

Assume you eat three meals a day, plus a few snacks in between. How many calories would you budget for each of these meals? Remember, these must add up to your Daily Calories Needed.

Calories for Breakfast Calories for Lunch Calories for Dinner Calories for Snacks

The table to the left shows the number of calories in many common fast food items. Which of these food items would fit into your caloric budget?

Mr. Shah’s 7 th Grade Science Class | Page 4

Name:

Date:

House:

Teacher:

EXIT TICKET

Directions: Jill Rothman, a 26-year-old gymnastics instructor, presents with complaints of muscle weakness in her face that comes and goes, but has been getting worse over the past two months. Most notably, she complains that her "jaw gets tired" as she chews and that swallowing has become difficult. She also notes diplopia ("double vision") which seems to come on late in the evening, particularly after reading for a few minutes. At work, it has become increasingly difficult to "spot" her gymnasts during acrobatic moves because of upper arm weakness. On physical examination, she has notable ptosis ("drooping") of both eyelids after repeated blinking exercises. When smiling, she appears to be snarling.

Diagnose the patient with one of the muscle disorders below.

Muscular Dystrophy Myasthenia Gravis Myotonia Congenita Tendonitis

Then, explain your answer using the R.A.G.E. method. Your evidence should relate to bone and body mass.

I would diagnose the patient as having myasthenia gravis. I say this because she is not cramping up as she would in myotonia congenita, and has no injury or join pain to associate with tendonitis. Although many of the symptoms are similar to muscular dystrophy, the fact that the disease is specific to the face right now is more closely resembling of myasthenia gravis, especially since the weakness is during periods if activity. If it were muscular dystrophy, she would be weak everywhere and would have lost considerable muscle mass. It also would not come and go the way it might in myasthenia gravis.

Mr. Shah’s 7 th Grade Science Class | Page 5

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