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MECHANISM OF
MECHANISM OF
MUSCLE
MUSCLE
CONTRACTION
CONTRACTION
Ginus Partadiredja
Ginus Partadiredja
The Department of Physiology
The Department of Physiology
UGM, Yogyakarta
UGM, Yogyakarta
• Muscle = neuron  excited chemically, electrically,
mechanically to produce action potentials
• Muscle  neuron  contractile mechanism activated by
action potentials
Skeletal muscle:
• cross-striations
• does not contract without innervation
• lacks anatomic & functional connections between fibers
• voluntary control
Cardiac muscle:
• cross-striations
• functionally syncytial
• contracts rhythmically in the absence of external innervation
• contains pacemaker
Smooth muscle:
• Lacks cross-striations
• functionally syncytial
• contains pacemaker
• Skeletal muscle  muscle fibers  myofibrils
• Muscle fiber: multinucleated, long, cylindrical, single cell
surrounded by sarcolemma (cell membrane)
• Skeletal muscle  muscle fibers  myofibrils  filaments
Hexagonal pattern
• Filaments = contractile proteins:
• Myosin II (thick filament)
• Actin
• Tropomyosin
• Troponin: - Troponin I thin filament
- Troponin T
- Troponin C
Thick filaments  A bands
Thin filaments  I bands
• Myosin  2 globular heads & long tail
• Head of myosin contains actin-binding site & catalytic site
that hydrolize ATP
• Thin filaments  two chains of actin
• Tropomyosin in the groove of actin
• Troponin: T binds other troponin to tropomyosin
I inhibits the interaction of myosin & actin
C contains the binding sites for Ca+2
• Sarcotubular system = T system + sarcoplasmic reticulum
• T system of tubules + adjacent terminal cisternae = triad
• T system  rapid transmission of action potentials from
the cell membrane to the fibrils
• The resting membrane potential of muscle = -90 mV
• The action potential = 2 – 4 ms
• The speed along the muscle = 5 m/s
• The absolute refractory period = 1 – 3 ms
• The distribution of ions  nerve cells
• Depolarization = Na+
influx
• Repolarization = K+
efflux
• Depolarization starts at motor end plate  transmitted
along the fiber  contractile response
Sequence of events during transmission from the motor
nerve  the muscles = transmission in synapses between
neurons
Sequence of Events in Contraction and Relaxation of
Skeletal Muscle
Steps in Contraction:
1. Discharge of motor neuron  end of motor neuron  Ca+2
enters the endings
2. Release of transmitter (acetylcholine) at motor end-plate
3. Binding of acetylcholine to nicotinic acetylcholine
receptors (concentrated at the tops of the junctional folds)
Junctional folds
4. Increased Na+
and K+
conductance in end-plate membrane
5. Generation of end-plate potential
6. Generation of action potential in muscle fibers
7. Inward spread of depolarization along T tubules 
excitation – contraction coupling
8. Release of Ca+2
from terminal cisterns of sarcoplasmic
reticulum and diffusion to thick and thin filaments
9. Binding of Ca+2
to troponin C, uncovering myosin-binding
sites on actin (at resting, troponin I is tightly bound to actin
and tropomyosin covers the sites where myosin heads bind
to actin)
• ATP is then split  ADP + Pi  contraction
10. Formation of cross-linkages between actin and myosin
and sliding of thin on thick filaments, producing movement
Steps in Relaxation:
1. Ca+2
pumped back into sarcoplasmic reticulum 
diffuses into the terminal cisterns, ready to be released
by next action potential
2. Release of Ca+2
from troponin
3. Cessation of interaction between actin and myosin
Muscular Contraction
• The width of A bands is constant
• Z lines move closer
Production of ATP in Muscle Fibers (Tortora & Derrickson,
2006)
• 3 ways of ATP production:
1. From creatine phosphate
2. Anaerobic cellular respiration (ATP-producing reactions
not requiring oxygen)
3. Aerobic cellular respiration (ATP-producing reactions
requiring oxygen, in mitochondria)
1. Creatine Phosphate
• Creatine: small amino acid-like molecule formed in liver,
kidneys, pancreas  transported to muscles
• Relaxed muscles  creatine phosphate 3-4x > ATP
• Relaxation: ATP + creatine  creatine phosphate + ADP
(by creatine kinase)
• Contraction: creatine phosphate + ADP  ATP + creatine
(by creatine kinase)
• For  15 seconds contraction (100-m dash)
2. Anaerobic Cellular Respiration
• Creatine phosphate is depleted then:
• Glucose (from blood or from the breakdown of glycogen in
muscles)  glycolysis  2 pyruvic acid + 2 ATP (produces
4 ATP but net gain of 2 ATP)
• Pyruvic acid  mitochondria, aerobic respiration  ATP
• No oxygen (anaerobic) in cytosol: 80% Pyruvic acid 
lactic acid  blood (becomes acid)  liver  convert back
into glucose
• For 30 - 40 seconds activity (400-m race)
3. Aerobic Cellular Respiration
• Sources of ATP: pyruvic acid, fatty acid (breakdown of
triglycerides; yields > 100 ATP), amino acids (breakdown
of proteins)
• Sufficient oxygen: Pyruvic acid  mitochondria 
oxydized  ATP + CO2 + H2O + heat
• Slower than glycolysis, but yields 36 ATP
• Sources of oxygen: hemoglobin & myoglobin
• For > 10 minutes activity (marathon race)
Energy Sources (Ganong, 2005)
ATP + H2O  ADP + H3PO4 + 7.3 kcal
Phosphorylcreatine + ADP ↔ Creatine + ATP
Rest & light exercise:
FFA  CO2 + H2O + ATP
Increased intensity of exercise
Glucose + 2 ATP (or glycogen + 1 ATP)  2 Lactic acid + 4 ATP
(anaerobic)
Glucose + 2 ATP (or glycogen + 1 ATP)  6CO2 + 6H2O + 40ATP
(aerobic)
• 100-m dash (10 seconds)  85% of energy is derived
anaerobically
• 2-mile race (10 minutes)  20% of energy is derived
anaerobically
• long-distance race (60 minutes)  5% of energy is derived
anaerobically
• Muscle fatigue: The inability of muscle to maintain force
of contraction after prolonged activity, caused by:
• Inadequate release of Ca+2
from sarcoplasmic
reticulum
• Depletion of creatine phosphate
• ATP levels = resting levels
• Insufficient oxygen
• Depletion of glycogen
• Buildup of lactic acid & ADP
• Failure of action potentials in releasing ACh
Oxygen Consumption after Exercise
• Oxygen debt  added oxygen, over and above the
resting oxygen consumption, taken into the body after
exercise
1. Convert lactic acid  glycogen stores in liver (small
amount)
2. Resynthesize creatine phosphate & ATP
3. Replace the oxygen removed from myoglobin
• Much of lactic acid  pyruvic acid for ATP production
(heart, liver, kidneys, skeletal muscles)
• Better term: recovery oxygen uptake ( chemical
reactions, heart & muscles still working, recovery
processes)
Isotonic (A) and isometric (B) contraction
Types of Contraction
Types of Contraction
• Isometric (“same length”) contraction: Contraction occurs
without an appreciable decrease in the length of the whole
muscle  do not work (work = force x distance)
• Isotonic (“same tension”) contraction: Contraction against
a constant load  do work
Isotonic contraction
Cause more damage
Muscle twitch: brief contraction followed by relaxation of all
muscle fibers in a motor unit caused by a single action
potential in its motor neuron
• “Fast” muscle fibers: fine movements (7.5 ms)
• “Slow” muscle fibers: gross movements (100 ms)
Summation of Contractions
• No refractory period such as in neuronsin muscle fibers
• Repeated stimulation  summation of contractions
• Tetanus (tetanic contraction)  continuous contraction:
• Fused (complete) tetanus
• Unfused (incomplete) tetanus
Type I
Type I Type II
Type II
Other names
Other names Slow, oxidative,
Slow, oxidative,
red muscles
red muscles
Fast;
Fast;
glycolytic;
glycolytic;
white muscles
white muscles
Myosin isoenzyme ATPase rate
Myosin isoenzyme ATPase rate Slow
Slow Fast
Fast
Ca
Ca+2
+2
pumping capacity of
pumping capacity of
sarcoplasmic reticulum
sarcoplasmic reticulum
Moderate
Moderate High
High
Diameter
Diameter Moderate
Moderate Large
Large
Glycolytic capacity
Glycolytic capacity Moderate
Moderate High
High
Oxidative capacity (content of
Oxidative capacity (content of
mitochondria, capillary
mitochondria, capillary
density, myoglobin content)
density, myoglobin content)
High
High Low
Low
Examples
Examples Long muscles of
Long muscles of
the back
the back
Estraocular
Estraocular
Types of Muscle Fibers
Type I
Type I
(Red muscles)
(Red muscles)
Type II
Type II
(White muscles)
(White muscles)
Charateristics
Charateristics Slow response;
Slow response;
long latency;
long latency;
adapted for
adapted for
long, slow
long, slow
contractions
contractions
Short twitch
Short twitch
durations
durations
Functions
Functions Posture
Posture
maintenance
maintenance
Fine, skilled
Fine, skilled
movements
movements
Examples
Examples Long muscles in
Long muscles in
the back
the back
Extraocular
Extraocular
muscles, hand
muscles, hand
muscles
muscles
Slow
Slow
Oxidative
Oxidative
Fibers
Fibers
Fast
Fast
Oxidative-
Oxidative-
Glycolytic
Glycolytic
Fibers
Fibers
Fast
Fast
Glycolytic
Glycolytic
Fibers
Fibers
Structural
Structural
Characteristi
Characteristi
c
c
Fiber
Fiber
diameter
diameter
Smallest
Smallest Intermediate
Intermediate Largest
Largest
Myoglobin
Myoglobin
content
content
Large
Large
amount
amount
Large
Large
amount
amount
Small
Small
amount
amount
Mitochondria
Mitochondria Many
Many Many
Many Few
Few
Capillaries
Capillaries Many
Many Many
Many Few
Few
Color
Color Red
Red Red-pink
Red-pink White
White
(pale)
(pale)
Slow
Slow
Oxidative
Oxidative
Fibers
Fibers
Fast
Fast
Oxidative-
Oxidative-
Glycolytic
Glycolytic
Fibers
Fibers
Fast
Fast
Glycolytic
Glycolytic
Fibers
Fibers
Functional
Functional
Characteristi
Characteristi
c
c
Capacity of
Capacity of
generating
generating
ATP
ATP
High;
High;
aerobic
aerobic
respiration
respiration
Intermediate;
Intermediate;
aerobic &
aerobic &
anaerobic
anaerobic
(glycolysis)
(glycolysis)
Low;
Low;
anaerobic
anaerobic
(glycolysis)
(glycolysis)
Rate of ATP
Rate of ATP
hydrolysis
hydrolysis
Slow
Slow Fast
Fast Fast
Fast
Contraction
Contraction
velocity
velocity
Slow
Slow Fast
Fast Fast
Fast
Fatigue
Fatigue High
High Intermediate
Intermediate Low
Low
Slow
Slow
Oxidative
Oxidative
Fibers
Fibers
Fast
Fast
Oxidative-
Oxidative-
Glycolytic
Glycolytic
Fibers
Fibers
Fast
Fast
Glycolytic
Glycolytic
Fibers
Fibers
Creatine
Creatine
kinase
kinase
Lowest
Lowest
amount
amount
Intermediate
Intermediate
amount
amount
Highest
Highest
amount
amount
Glycogen
Glycogen
stores
stores
Low
Low Intermediate
Intermediate High
High
Order of
Order of
recruitment
recruitment
First
First Second
Second Third
Third
Location
Location Postural
Postural
muscles
muscles
(e.g. neck)
(e.g. neck)
Lower limb
Lower limb Upper limb
Upper limb
Slow
Slow
Oxidative
Oxidative
Fibers
Fibers
Fast
Fast
Oxidative-
Oxidative-
Glycolytic
Glycolytic
Fibers
Fibers
Fast Glycolytic
Fast Glycolytic
Fibers
Fibers
Primary
Primary
function
function
s
s
Maintaining
Maintaining
posture;
posture;
aerobic
aerobic
endurance
endurance
(running a
(running a
marathon)
marathon)
Walking,
Walking,
sprinting
sprinting
Rapid, intense
Rapid, intense
movement of
movement of
short duration
short duration
(weight lifting;
(weight lifting;
throwing a ball)
throwing a ball)
Disorders and Abnormalities
• Myasthenia gravis: skeletal muscles are weak and tire
easily; caused by autoantibodies  destroying nicotinic
acetylcholine receptors
• Lambert-Eaton syndrome: muscle weakness; caused by
antibodies against Ca+2
channels in the nerve endings
• Denervation hypersensitivity
• Contracture: No relaxation due to the inhibition of Ca+2
transport into the reticulum
Disorders and Abnormalities
• Hypotonia: decreased or lost muscle tone
• Flaccid paralysis  loss of muscle tone, loss/ reduction
of tendon reflexes, atrophy, degeneration of muscles
(disorders of nervous system; electrolytes imbalances
(Na+
, Ca+2
, Mg+2
)
• Hypertonia: increased muscle tone
• Spastic paralysis  increased muscle tone, tendon
reflexes, pathological reflexes (Babinski sign)
• Rigidity  increased muscle tone, not reflexes
(tetanus)
Disorders and Abnormalities
• Muscular dystrophy: progressive weakness of skeletal
muscle  caused by mutations in genes for muscle proteins
• Duchene’s muscular dystrophy  dystrophin protein is
absent from muscle; X-linked; fatal by 30 y/o
• Metabolic myopathies (e.g. McArdle’s syndrome) 
mutations in genes of enzymes involved in carbohydrates,
fats, and proteins, metabolism
• Myotonia  muscle relaxation is prolonged after
contraction; abnormal genes in chromosomes 7, 17, or 19,
which produce abnormalities of Na+
or Cl-
channels
References
1. Ganong WF (2005). Review of Medical Physiology, 22nd
ed. Chapter 3, Pages: 65-78; Chapter 4, Pages: 116-120
2. Tortora GJ & Derrickson B (2006). Principles of Anatomy
and Physiology, 11th
ed. Chapter 10, Pages: 290-314.

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297837625-Mechanism-of-Muscle-Contraction.pdf

  • 1. MECHANISM OF MECHANISM OF MUSCLE MUSCLE CONTRACTION CONTRACTION Ginus Partadiredja Ginus Partadiredja The Department of Physiology The Department of Physiology UGM, Yogyakarta UGM, Yogyakarta
  • 2. • Muscle = neuron  excited chemically, electrically, mechanically to produce action potentials • Muscle  neuron  contractile mechanism activated by action potentials
  • 3. Skeletal muscle: • cross-striations • does not contract without innervation • lacks anatomic & functional connections between fibers • voluntary control Cardiac muscle: • cross-striations • functionally syncytial • contracts rhythmically in the absence of external innervation • contains pacemaker Smooth muscle: • Lacks cross-striations • functionally syncytial • contains pacemaker
  • 4. • Skeletal muscle  muscle fibers  myofibrils • Muscle fiber: multinucleated, long, cylindrical, single cell surrounded by sarcolemma (cell membrane)
  • 5. • Skeletal muscle  muscle fibers  myofibrils  filaments
  • 7. • Filaments = contractile proteins: • Myosin II (thick filament) • Actin • Tropomyosin • Troponin: - Troponin I thin filament - Troponin T - Troponin C
  • 8. Thick filaments  A bands Thin filaments  I bands
  • 9.
  • 10. • Myosin  2 globular heads & long tail • Head of myosin contains actin-binding site & catalytic site that hydrolize ATP
  • 11. • Thin filaments  two chains of actin • Tropomyosin in the groove of actin • Troponin: T binds other troponin to tropomyosin I inhibits the interaction of myosin & actin C contains the binding sites for Ca+2
  • 12. • Sarcotubular system = T system + sarcoplasmic reticulum • T system of tubules + adjacent terminal cisternae = triad • T system  rapid transmission of action potentials from the cell membrane to the fibrils
  • 13. • The resting membrane potential of muscle = -90 mV • The action potential = 2 – 4 ms • The speed along the muscle = 5 m/s • The absolute refractory period = 1 – 3 ms • The distribution of ions  nerve cells • Depolarization = Na+ influx • Repolarization = K+ efflux • Depolarization starts at motor end plate  transmitted along the fiber  contractile response
  • 14. Sequence of events during transmission from the motor nerve  the muscles = transmission in synapses between neurons
  • 15. Sequence of Events in Contraction and Relaxation of Skeletal Muscle Steps in Contraction: 1. Discharge of motor neuron  end of motor neuron  Ca+2 enters the endings
  • 16. 2. Release of transmitter (acetylcholine) at motor end-plate 3. Binding of acetylcholine to nicotinic acetylcholine receptors (concentrated at the tops of the junctional folds)
  • 18. 4. Increased Na+ and K+ conductance in end-plate membrane 5. Generation of end-plate potential 6. Generation of action potential in muscle fibers
  • 19. 7. Inward spread of depolarization along T tubules  excitation – contraction coupling 8. Release of Ca+2 from terminal cisterns of sarcoplasmic reticulum and diffusion to thick and thin filaments
  • 20. 9. Binding of Ca+2 to troponin C, uncovering myosin-binding sites on actin (at resting, troponin I is tightly bound to actin and tropomyosin covers the sites where myosin heads bind to actin) • ATP is then split  ADP + Pi  contraction
  • 21. 10. Formation of cross-linkages between actin and myosin and sliding of thin on thick filaments, producing movement
  • 22.
  • 23.
  • 24. Steps in Relaxation: 1. Ca+2 pumped back into sarcoplasmic reticulum  diffuses into the terminal cisterns, ready to be released by next action potential 2. Release of Ca+2 from troponin 3. Cessation of interaction between actin and myosin
  • 25. Muscular Contraction • The width of A bands is constant • Z lines move closer
  • 26.
  • 27. Production of ATP in Muscle Fibers (Tortora & Derrickson, 2006) • 3 ways of ATP production: 1. From creatine phosphate 2. Anaerobic cellular respiration (ATP-producing reactions not requiring oxygen) 3. Aerobic cellular respiration (ATP-producing reactions requiring oxygen, in mitochondria)
  • 28. 1. Creatine Phosphate • Creatine: small amino acid-like molecule formed in liver, kidneys, pancreas  transported to muscles • Relaxed muscles  creatine phosphate 3-4x > ATP • Relaxation: ATP + creatine  creatine phosphate + ADP (by creatine kinase) • Contraction: creatine phosphate + ADP  ATP + creatine (by creatine kinase) • For  15 seconds contraction (100-m dash)
  • 29. 2. Anaerobic Cellular Respiration • Creatine phosphate is depleted then: • Glucose (from blood or from the breakdown of glycogen in muscles)  glycolysis  2 pyruvic acid + 2 ATP (produces 4 ATP but net gain of 2 ATP) • Pyruvic acid  mitochondria, aerobic respiration  ATP • No oxygen (anaerobic) in cytosol: 80% Pyruvic acid  lactic acid  blood (becomes acid)  liver  convert back into glucose • For 30 - 40 seconds activity (400-m race)
  • 30. 3. Aerobic Cellular Respiration • Sources of ATP: pyruvic acid, fatty acid (breakdown of triglycerides; yields > 100 ATP), amino acids (breakdown of proteins) • Sufficient oxygen: Pyruvic acid  mitochondria  oxydized  ATP + CO2 + H2O + heat • Slower than glycolysis, but yields 36 ATP • Sources of oxygen: hemoglobin & myoglobin • For > 10 minutes activity (marathon race)
  • 31. Energy Sources (Ganong, 2005) ATP + H2O  ADP + H3PO4 + 7.3 kcal Phosphorylcreatine + ADP ↔ Creatine + ATP Rest & light exercise: FFA  CO2 + H2O + ATP Increased intensity of exercise Glucose + 2 ATP (or glycogen + 1 ATP)  2 Lactic acid + 4 ATP (anaerobic) Glucose + 2 ATP (or glycogen + 1 ATP)  6CO2 + 6H2O + 40ATP (aerobic)
  • 32. • 100-m dash (10 seconds)  85% of energy is derived anaerobically • 2-mile race (10 minutes)  20% of energy is derived anaerobically • long-distance race (60 minutes)  5% of energy is derived anaerobically
  • 33. • Muscle fatigue: The inability of muscle to maintain force of contraction after prolonged activity, caused by: • Inadequate release of Ca+2 from sarcoplasmic reticulum • Depletion of creatine phosphate • ATP levels = resting levels • Insufficient oxygen • Depletion of glycogen • Buildup of lactic acid & ADP • Failure of action potentials in releasing ACh
  • 34. Oxygen Consumption after Exercise • Oxygen debt  added oxygen, over and above the resting oxygen consumption, taken into the body after exercise 1. Convert lactic acid  glycogen stores in liver (small amount) 2. Resynthesize creatine phosphate & ATP 3. Replace the oxygen removed from myoglobin • Much of lactic acid  pyruvic acid for ATP production (heart, liver, kidneys, skeletal muscles) • Better term: recovery oxygen uptake ( chemical reactions, heart & muscles still working, recovery processes)
  • 35. Isotonic (A) and isometric (B) contraction Types of Contraction
  • 36. Types of Contraction • Isometric (“same length”) contraction: Contraction occurs without an appreciable decrease in the length of the whole muscle  do not work (work = force x distance)
  • 37. • Isotonic (“same tension”) contraction: Contraction against a constant load  do work
  • 39. Muscle twitch: brief contraction followed by relaxation of all muscle fibers in a motor unit caused by a single action potential in its motor neuron • “Fast” muscle fibers: fine movements (7.5 ms) • “Slow” muscle fibers: gross movements (100 ms)
  • 40. Summation of Contractions • No refractory period such as in neuronsin muscle fibers • Repeated stimulation  summation of contractions • Tetanus (tetanic contraction)  continuous contraction: • Fused (complete) tetanus • Unfused (incomplete) tetanus
  • 41.
  • 42. Type I Type I Type II Type II Other names Other names Slow, oxidative, Slow, oxidative, red muscles red muscles Fast; Fast; glycolytic; glycolytic; white muscles white muscles Myosin isoenzyme ATPase rate Myosin isoenzyme ATPase rate Slow Slow Fast Fast Ca Ca+2 +2 pumping capacity of pumping capacity of sarcoplasmic reticulum sarcoplasmic reticulum Moderate Moderate High High Diameter Diameter Moderate Moderate Large Large Glycolytic capacity Glycolytic capacity Moderate Moderate High High Oxidative capacity (content of Oxidative capacity (content of mitochondria, capillary mitochondria, capillary density, myoglobin content) density, myoglobin content) High High Low Low Examples Examples Long muscles of Long muscles of the back the back Estraocular Estraocular Types of Muscle Fibers
  • 43. Type I Type I (Red muscles) (Red muscles) Type II Type II (White muscles) (White muscles) Charateristics Charateristics Slow response; Slow response; long latency; long latency; adapted for adapted for long, slow long, slow contractions contractions Short twitch Short twitch durations durations Functions Functions Posture Posture maintenance maintenance Fine, skilled Fine, skilled movements movements Examples Examples Long muscles in Long muscles in the back the back Extraocular Extraocular muscles, hand muscles, hand muscles muscles
  • 45. Slow Slow Oxidative Oxidative Fibers Fibers Fast Fast Oxidative- Oxidative- Glycolytic Glycolytic Fibers Fibers Fast Fast Glycolytic Glycolytic Fibers Fibers Functional Functional Characteristi Characteristi c c Capacity of Capacity of generating generating ATP ATP High; High; aerobic aerobic respiration respiration Intermediate; Intermediate; aerobic & aerobic & anaerobic anaerobic (glycolysis) (glycolysis) Low; Low; anaerobic anaerobic (glycolysis) (glycolysis) Rate of ATP Rate of ATP hydrolysis hydrolysis Slow Slow Fast Fast Fast Fast Contraction Contraction velocity velocity Slow Slow Fast Fast Fast Fast Fatigue Fatigue High High Intermediate Intermediate Low Low
  • 47. Slow Slow Oxidative Oxidative Fibers Fibers Fast Fast Oxidative- Oxidative- Glycolytic Glycolytic Fibers Fibers Fast Glycolytic Fast Glycolytic Fibers Fibers Primary Primary function function s s Maintaining Maintaining posture; posture; aerobic aerobic endurance endurance (running a (running a marathon) marathon) Walking, Walking, sprinting sprinting Rapid, intense Rapid, intense movement of movement of short duration short duration (weight lifting; (weight lifting; throwing a ball) throwing a ball)
  • 48. Disorders and Abnormalities • Myasthenia gravis: skeletal muscles are weak and tire easily; caused by autoantibodies  destroying nicotinic acetylcholine receptors • Lambert-Eaton syndrome: muscle weakness; caused by antibodies against Ca+2 channels in the nerve endings • Denervation hypersensitivity • Contracture: No relaxation due to the inhibition of Ca+2 transport into the reticulum
  • 49. Disorders and Abnormalities • Hypotonia: decreased or lost muscle tone • Flaccid paralysis  loss of muscle tone, loss/ reduction of tendon reflexes, atrophy, degeneration of muscles (disorders of nervous system; electrolytes imbalances (Na+ , Ca+2 , Mg+2 ) • Hypertonia: increased muscle tone • Spastic paralysis  increased muscle tone, tendon reflexes, pathological reflexes (Babinski sign) • Rigidity  increased muscle tone, not reflexes (tetanus)
  • 50. Disorders and Abnormalities • Muscular dystrophy: progressive weakness of skeletal muscle  caused by mutations in genes for muscle proteins • Duchene’s muscular dystrophy  dystrophin protein is absent from muscle; X-linked; fatal by 30 y/o • Metabolic myopathies (e.g. McArdle’s syndrome)  mutations in genes of enzymes involved in carbohydrates, fats, and proteins, metabolism • Myotonia  muscle relaxation is prolonged after contraction; abnormal genes in chromosomes 7, 17, or 19, which produce abnormalities of Na+ or Cl- channels
  • 51. References 1. Ganong WF (2005). Review of Medical Physiology, 22nd ed. Chapter 3, Pages: 65-78; Chapter 4, Pages: 116-120 2. Tortora GJ & Derrickson B (2006). Principles of Anatomy and Physiology, 11th ed. Chapter 10, Pages: 290-314.