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Human Physiology – From Cells to Systems | 9e

Lauralee Sherwood

8
Muscle Physiology

Prof. Walid Hleihel


Dr. Perla Gerges
2016. All Rights Reserved.Dr. Tania Bitar
© Cengage Learning 2016
The Muscles

o Largest group of tissues in the body

o Constitute approximately half the body’s weight

• Skeletal muscles accounting for

 40% of the body weight in men


 32% of the body weight in women

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Muscles categorization

o Structure

• Striated: skeletal and cardiac muscles

• Unstriated: smooth muscles

o Control

• Voluntary: skeletal muscles

• Involuntary: cardiac and smooth muscles

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(a) Skeletal muscle (b) Cardiac muscle (c) Smooth muscle

3 Muscle Types

Multiple nuclei in Intercalated disc Smooth


single cell muscle cell
Cell nucleus Cell nucleus
Skeletal muscle
cell (muscle fiber) (Cells separated
Cardiac muscle
for clarity)
cell

Classification: Striated muscle, Classification: Striated muscle, Classification: Unstriated


voluntary muscle involuntary muscle muscle, involuntary muscle
Characteristics Description: Bundles of long, Description: Interlinked net- work Description: Loose network of
thick, cylindrical, striated, of short, slender, cylindri- cal, short, slender, spindle- shaped,
contractile, multinucleate cells striated, branched, contrac- tile unstriated, contractile cells that
that extend the length of the cells connected cell to cell by are arranged in sheets
muscle intercalated discs
Typical location: Walls of
Typical location: Attached to Location: Wall of heart hollow organs and tubes, such as
bones of skeleton stomach and blood vessels
Function: Movement of
Function: Movement of body in Function: Pumping of blood contents within hollow organs
relation to external environment out of heart

© Cengage Learning 2016. All Rights Reserved.


(a) Skeletal muscle (b) Cardiac muscle (c) Smooth muscle

3 Muscle Types

Multiple nuclei in Intercalated disc Smooth


single cell muscle cell
Cell nucleus Cell nucleus
Skeletal muscle
cell (muscle fiber) (Cells separated
Cardiac muscle
for clarity)
cell

Classification: Striated muscle, Classification: Striated muscle, Classification: Unstriated


voluntary muscle involuntary muscle muscle, involuntary muscle
Characteristics Description: Bundles of long, Description: Interlinked net- work Description: Loose network of
thick, cylindrical, striated, of short, slender, cylindri- cal, short, slender, spindle- shaped,
contractile, multinucleate cells striated, branched, contrac- tile unstriated, contractile cells that
that extend the length of the cells connected cell to cell by are arranged in sheets
muscle intercalated discs
Typical location: Walls of
Typical location: Attached to Location: Wall of heart hollow organs and tubes, such as
bones of skeleton stomach and blood vessels
Function: Movement of
Function: Movement of body in Function: Pumping of blood contents within hollow organs
relation to external environment out of heart

© Cengage Learning 2016. All Rights Reserved.


(a) Skeletal muscle (b) Cardiac muscle (c) Smooth muscle

3 Muscle Types

Multiple nuclei in Intercalated disc Smooth


single cell muscle cell
Cell nucleus Cell nucleus
Skeletal muscle
cell (muscle fiber) (Cells separated
Cardiac muscle
for clarity)
cell

Classification: Striated muscle, Classification: Striated muscle, Classification: Unstriated


voluntary muscle involuntary muscle muscle, involuntary muscle
Characteristics Description: Bundles of long, Description: Interlinked net- work Description: Loose network of
thick, cylindrical, striated, of short, slender, cylindri- cal, short, slender, spindle- shaped,
contractile, multinucleate cells striated, branched, contrac- tile unstriated, contractile cells that
that extend the length of the cells connected cell to cell by are arranged in sheets
muscle intercalated discs
Typical location: Walls of
Typical location: Attached to Location: Wall of heart hollow organs and tubes, such as
bones of skeleton stomach and blood vessels
Function: Movement of
Function: Movement of body in Function: Pumping of blood contents within hollow organs
relation to external environment out of heart

© Cengage Learning 2016. All Rights Reserved.


(a) Skeletal muscle (b) Cardiac muscle (c) Smooth muscle

3 Muscle Types

Multiple nuclei in Intercalated disc Smooth


single cell muscle cell
Cell nucleus Cell nucleus
Skeletal muscle
cell (muscle fiber) (Cells separated
Cardiac muscle
for clarity)
cell

Classification: Striated muscle, Classification: Striated muscle, Classification: Unstriated


voluntary muscle involuntary muscle muscle, involuntary muscle
Characteristics Description: Bundles of long, Description: Interlinked net- work Description: Loose network of
thick, cylindrical, striated, of short, slender, cylindri- cal, short, slender, spindle- shaped,
contractile, multinucleate cells striated, branched, contrac- tile unstriated, contractile cells that
that extend the length of the cells connected cell to cell by are arranged in sheets
muscle intercalated discs
Typical location: Walls of
Typical location: Attached to Location: Wall of heart hollow organs and tubes, such as
bones of skeleton stomach and blood vessels
Function: Movement of
Function: Movement of body in Function: Pumping of blood contents within hollow organs
relation to external environment out of heart

© Cengage Learning 2016. All Rights Reserved.


Skeletal Muscles

o Are composed of cells (fibers)


o Fibers are bound together by connective tissue
o Fibers communicate with nerves & blood vessels

o Contractions can play a part in:


• Homeostatic activities
 Heat generation

• Non-homeostatic activities
 Movement of the body through space

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Skeletal Muscle Cells

o Are composed of myofibrils made of thick and


thin filaments

o Appear striated due to a highly organized


internal arrangement of thick and thin filaments:
sarcomeres

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From the Skeletal Muscle to its Fiber

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Skeletal Muscle Cells

Sarcolemma:
Muscle fiber plasma (cell) membrane

Sarcoplasm:
Muscle fiber cytoplasm
o Contains glycosomes (granules of glycogen)
o Contains the oxygen-binding protein called myoglobin
o Is almost completely filled with contractile filaments
called myofilaments

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The Sarcoplasmic Reticulum (SR)

o It is the Smooth Endoplasmic Reticulum (SER)


in the muscle fiber
o It is a network of tubes surrounding myofibrils
o It releases calcium ions to allow contraction
o It reabsorbs calcium ions during relaxation

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The Transverse Tubules (T Tubules)

o Formed by invaginations of the sarcolemma and


flanked by the sarcoplasmic reticulum
o Are continuous with the sarcolemma
o Provide tightly linked signals for muscle
contraction
o Conduct electrical impulses to the throughout
cell (every sarcomere)
• The electrical impulse signals for the release of Ca2+
from adjacent terminal cisternae
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Sarcolemma & Sarcoplasm

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The Triad structure (TT & SR)

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The Triad structure (TT & SR)

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Triad function: DHPR & RyR

o T tubule proteins are the Dihydropyridine receptors (DHPR)


Calcium channels
Act as voltage sensors
o SR foot proteins are Ryanodine receptors (RYR)
Calcium channels
Regulate Ca2+ release from the SR cisternae

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The Sarcomere

A band
Thick filaments along with portions of thin filaments that overlap
I band
Remaining portion of thin filaments that do not project into A band
Cross-bridges
Project from each thick filament in six directions toward the surrounding thin
filaments
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Myosin

Myosin forms thick filaments


o Protein consisting of two identical subunits, each
shaped somewhat like a golf club

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Actin

Actin is the main component of thin filaments


o Interacts with the myosin cross-bridges
o Two other proteins, tropomyosin and troponin, lie
across the surface of actin

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Tropomyosin and Troponin

Tropomyosin lies alongside groove of actin


spiral:
• Covers actin sites blocking cross-bridge binding

Troponin is made of three polypeptide units:


• One binds to tropomyosin
• One binds to actin
• One binds with Ca2+

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Bands and Cross-Bridges

A and I bands
A: thick filaments along with portions of thin filaments that overlap
I: remaining portion of thin filaments that do not project into A band

Cross-bridges
Project from each thick filament in six directions toward the
surrounding thin filaments
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Molecular Basis of the Contraction

During contraction
Cycles of cross-bridge binding and bending pull
thin filaments inward
o Sliding filaments mechanism
• Contraction is accomplished by thin filaments from the opposite
sides of each sarcomere sliding closer together between the
thick filaments

o Power stroke
• Stroking motion pulls the thin filament toward the center of the
sarcomere

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Calcium (Ca2+)
The link Between Excitation and Contraction
Stimulation by the neuron (SNS)
ÞA graded potential is formed at the end plate
ÞThis stimulates Action Potentials to propagate across the sarcolemma
ÞThe DHP is activated by the Action Potentials
ÞActivated DHP interact with Ryanodine receptors in the lateral sacs of the SR
ÞThe Ryanodine receptors open to allow Ca 2+ to leak into the cytosol
ÞCa2+ binds with the troponin, initiating the contractile cycle

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Calcium (Ca2+)
The link Between Excitation and Contraction

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Fiber at rest
1 Energized: ATP split by myosin
ATPase; ADP and Pi remain attached to
myosin; energy stored in cross bridge ADP ADP

y
(that is, energy “cocks” cross bridge). ...or... No Ca2+

erg

erg
En

En
2b Resting: No excitation; no
Ca2+ released; actin and myosin
prevented from binding; no
cross-bridge cycle; muscle fiber
remains at rest.

present (excitation)

4a Detachment: Linkage
ADP

y
between actin and myosin Cross-

erg
2a Binding: Ca2+ released on
broken as fresh molecule of bridge

En
excitation; removes inhibitory
ATP binds to myosin cross cycle influence
bridge; cross bridge assumes
from actin, enabling it to
original
bind with cross bridge.
conformation; ATP hydrolyzed
(cycle starts again at step 1).

Fresh ATP available


ADP
Energy

3 Bending: Power stroke of


...or... cross bridge triggered on
contact between myosin and
actin; Pi released during and
No ATP (after death) ADP released after power
stroke.

4b Rigor complex: If
no fresh ATP available
(after death),
actin and myosin remain
bound in rigor complex.

© Cengage Learning 2016. All Rights Reserved.


Cross-bridge cycle
1 Energized: ATP split by myosin
ATPase; ADP and Pi remain attached to
myosin; energy stored in cross bridge ADP ADP

y
(that is, energy “cocks” cross bridge). ...or... No Ca2+

erg

erg
En

En
2b Resting: No excitation; no
Ca2+ released; actin and myosin
prevented from binding; no
cross-bridge cycle; muscle fiber
remains at rest.

present (excitation)

4a Detachment: Linkage
ADP

y
between actin and myosin Cross-

erg
2a Binding: Ca2+ released on
broken as fresh molecule of bridge

En
excitation; removes inhibitory
ATP binds to myosin cross cycle influence
bridge; cross bridge assumes
from actin, enabling it to
original
bind with cross bridge.
conformation; ATP hydrolyzed
(cycle starts again at step 1).

Fresh ATP available


ADP
Energy

3 Bending: Power stroke of


...or... cross bridge triggered on
contact between myosin and
actin; Pi released during and
No ATP (after death) ADP released after power
stroke.

4b Rigor complex: If
no fresh ATP available
(after death),
actin and myosin remain
bound in rigor complex.

© Cengage Learning 2016. All Rights Reserved.


Cross-bridge cycle
1 Energized: ATP split by myosin
ATPase; ADP and Pi remain attached to
myosin; energy stored in cross bridge ADP ADP

y
(that is, energy “cocks” cross bridge). ...or... No Ca2+

erg

erg
En

En
2b Resting: No excitation; no
Ca2+ released; actin and myosin
prevented from binding; no
cross-bridge cycle; muscle fiber
remains at rest.

present (excitation)

4a Detachment: Linkage
ADP

y
between actin and myosin Cross-

erg
2a Binding: Ca2+ released on
broken as fresh molecule of bridge

En
excitation; removes inhibitory
ATP binds to myosin cross cycle influence
bridge; cross bridge assumes
from actin, enabling it to
original
bind with cross bridge.
conformation; ATP hydrolyzed
(cycle starts again at step 1).

Fresh ATP available


ADP
Energy

3 Bending: Power stroke of


...or... cross bridge triggered on
contact between myosin and
actin; Pi released during and
No ATP (after death) ADP released after power
stroke.

4b Rigor complex: If
no fresh ATP available
(after death),
actin and myosin remain
bound in rigor complex.

© Cengage Learning 2016. All Rights Reserved.


Cross-bridge cycle
1 Energized: ATP split by myosin
ATPase; ADP and Pi remain attached to
myosin; energy stored in cross bridge ADP ADP

y
(that is, energy “cocks” cross bridge). ...or... No Ca2+

erg

erg
En

En
2b Resting: No excitation; no
Ca2+ released; actin and myosin
prevented from binding; no
cross-bridge cycle; muscle fiber
remains at rest.

present (excitation)

4a Detachment: Linkage
ADP

y
between actin and myosin Cross-

erg
2a Binding: Ca2+ released on
broken as fresh molecule of bridge

En
excitation; removes inhibitory
ATP binds to myosin cross cycle influence
bridge; cross bridge assumes
from actin, enabling it to
original
bind with cross bridge.
conformation; ATP hydrolyzed
(cycle starts again at step 1).

Fresh ATP available


ADP
Energy

3 Bending: Power stroke of


...or... cross bridge triggered on
contact between myosin and
actin; Pi released during and
No ATP (after death) ADP released after power
stroke.

4b Rigor complex: If
no fresh ATP available
(after death),
actin and myosin remain
bound in rigor complex.

© Cengage Learning 2016. All Rights Reserved.


Cross-bridge cycle
1 Energized: ATP split by myosin
ATPase; ADP and Pi remain attached to
myosin; energy stored in cross bridge ADP ADP

y
(that is, energy “cocks” cross bridge). ...or... No Ca2+

erg

erg
En

En
2b Resting: No excitation; no
Ca2+ released; actin and myosin
prevented from binding; no
cross-bridge cycle; muscle fiber
remains at rest.

present (excitation)

4a Detachment: Linkage
ADP

y
between actin and myosin Cross-

erg
2a Binding: Ca2+ released on
broken as fresh molecule of bridge

En
excitation; removes inhibitory
ATP binds to myosin cross cycle influence
bridge; cross bridge assumes
from actin, enabling it to
original
bind with cross bridge.
conformation; ATP hydrolyzed
(cycle starts again at step 1).

Fresh ATP available


ADP
Energy

3 Bending: Power stroke of


...or... cross bridge triggered on
contact between myosin and
actin; Pi released during and
No ATP (after death) ADP released after power
stroke.

4b Rigor complex: If
no fresh ATP available
(after death),
actin and myosin remain
bound in rigor complex.

© Cengage Learning 2016. All Rights Reserved.


Cross-bridge cycle
1 Energized: ATP split by myosin
ATPase; ADP and Pi remain attached to
myosin; energy stored in cross bridge ADP ADP

y
(that is, energy “cocks” cross bridge). ...or... No Ca2+

erg

erg
En

En
2b Resting: No excitation; no
Ca2+ released; actin and myosin
prevented from binding; no
cross-bridge cycle; muscle fiber
remains at rest.

present (excitation)

4a Detachment: Linkage
ADP

y
between actin and myosin Cross-

erg
2a Binding: Ca2+ released on
broken as fresh molecule of bridge

En
excitation; removes inhibitory
ATP binds to myosin cross cycle influence
bridge; cross bridge assumes
from actin, enabling it to
original
bind with cross bridge.
conformation; ATP hydrolyzed
(cycle starts again at step 1).

Fresh ATP available


ADP
Energy

3 Bending: Power stroke of


...or... cross bridge triggered on
contact between myosin and
actin; Pi released during and
No ATP (after death) ADP released after power
stroke.

4b Rigor complex: If
no fresh ATP available
(after death),
actin and myosin remain
bound in rigor complex.

© Cengage Learning 2016. All Rights Reserved.


Cross-bridge cycle
Skeletal muscle contraction is voluntary and controlled by the somatic nervous
system
1. A neural signal results in Ca2+ being released from the lateral sacs of the
sarcoplasmic reticulum
2. This Ca2+ binds with troponin, which alters the shape of the
troponin/tropomyosin complex unmasking the myosin binding sites on the
actin monomers
3. This results in the formation of the crossbridge where myosin binds with actin
4. Once the crossbridge has formed, the power stroke takes place with the
displacement of ATP and Pi from the myosin head
5. The power stroke progresses to form the rigor complex, a very strong bond
between the actin and myosin molecules
6. The power stroke causes the thin filaments to be pulled over the thick
filaments, shortening the sarcomere
7. In order to release the bond between actin and myosin, ATP must bind to the
myosin head and be hydrolyzed to ADP and Pi. This sequence of crossbridge
and power stroke continues until the sarcomere is fully contracted
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Latent Contraction Relaxation
Relationship of an action potential period time time
to the resultant muscle twitch in a
Muscle
slow contracting fiber twitch

Tension
Contractile
response

A few
msec

+30
Membrane potential (mV)
Action
0 potential

Note that the resting potential –90


of a skeletal muscle fiber is –90 1 msec

mV, compared to a resting 50 100


potential of –70 mV in a neuron Stimulation Time (msec)

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Skeletal Muscle Mechanics

o Tendons attach the muscle to bones

o Muscle tension is transmitted to bone as the


contractile component tightens the series-
elastic component (tendon)
• Tension is produced internally within the sarcomeres
 Contractile component of the muscle

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Skeletal Muscles of the Human Body

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Lever Systems

Interactive units of skeletal muscles, bones,


and joints form lever systems

o Lever: rigid structure capable of moving around a


pivot point known as a fulcrum

• Bones are levers


• Joints are fulcrums
• Skeletal muscles provide the force to move the bones

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Flexion Extension

Origin Origin
of biceps of triceps

Biceps Triceps
contracts contracts

Insertion Insertion
of biceps of triceps

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Primary Types of Contraction

Isotonic (constant tension):


o Load remains constant as the muscle changes

Isokinetic (constant motion):


o Velocity remains constant as the fibers shorten

Isometric (constant length):


o Muscle length remains constant as tension increases

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Other Types of Contractions

Concentric contractions
o Muscle shortens

Eccentric contractions
o Muscle lengthens

PS: Some skeletal muscles do not attach to


bones at both ends but still produce
movement (e.g., tongue muscles)

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Load, Velocity, Work, and Force

The velocity of shortening is related to the load


o Load–velocity relationship

Although muscles can accomplish work, much of


the energy is converted to heat
o Work: force multiplied by distance
o Force: muscle tension required to overcome
the load (the weight of the object)

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Graded Contractions

Contractions of a whole muscle can be of


varying strength

Two primary factors can be adjusted to


produce graded contractions:

• Number of muscle fibers contracting


• Tension developed by each contracting fiber

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Number of fibers

The number of fibers contracting within a


muscle depends on the extent of motor unit
recruitment

o More motor units are recruited for stronger


contractions

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Motor neuron

Muscle fiber

Spinal cord

KEY
=
Motor unit 1
=
Motor unit 2
=
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Twitch Summation

Frequency of stimulation can influence the tension


developed by each muscle fiber

Twitch summation and tetanus


o Twitch summation: the increase
in tension accompanying
repetitive stimulation of a
muscle fiber
o Tetanus: a sustained contraction
of maximal strength

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Twitch Summation

Twitch summation results primarily from a sustained


elevation in cytosolic Ca2+
o Additional factor: more time to stretch the series-elastic
component

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Muscle Metabolism & Fiber Types

Four steps in the excitation, contraction, and


relaxation processes require ATP
o Splitting of ATP by myosin ATPase provides the
energy for power stroke of cross bridge
o Binding of ATP to myosin breaks cross bridge

o Active transport of Ca2+ back into lateral sacs of the


SR during relaxation
o Activity of Na+-K+ pump during action potential
production

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Alternate Pathways

Muscle fibers have alternate pathways for forming new ATP

o Creatine phosphate: is the first energy storehouse used at the onset of


contractile activity. Creatine kinase is the enzyme responsible for liberating the
energy needed for synthesizing ATP
o Oxidative phosphorylation: require adequate supply of oxygen so these
muscles are replete with myoglobin. These muscles do not fatigue easily.
o Glycolysis: utilized during high-intensity exercise, when oxygen may be
limited. These muscles produce powerful contractions but fatigue easily
o Lactate production: At times of intense exercise, the glycolytic process
may overwhelm oxidative phosphorylation, and the glycolytic end products
(pyruvate) may build up in the muscle. The muscle will convert the pyruvate to
lactate by the process of fermentation.

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Fatigue

Fatigue may be of muscle or central origin


o Muscle fatigue occurs when an exercising muscle can
no longer respond to stimulation with the same degree of
contractile activity

The primary factors involved include:


– a local increase in inorganic phosphate, which reduces the strength
of the myosin/actin interaction and decreases the sensitivity of the
troponin/tropomyosin complex to Ca++.
– the depletion of glycogen stores plays a role in fatigue.

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Fatigue

Fatigue may be of muscle or central origin


o Muscle fatigue occurs when an exercising muscle can
no longer respond to stimulation with the same
degree of contractile activity
o Central fatigue occurs when the CNS no longer
adequately activates motor neurons

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Fatigue

Fatigue may be of muscle or central origin


o Muscle fatigue occurs when an exercising muscle can
no longer respond to stimulation with the same
degree of contractile activity
o Central fatigue occurs when the CNS no longer
adequately activates motor neurons

Increased O2 consumption is necessary to


recover from exercise
o Excess post-exercise oxygen consumption

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Types of Skeletal Muscle Fibers

Based on differences in ATP hydrolysis and


synthesis

o Slow-oxidative (type I) fibers


o Fast-oxidative (type IIa) fibers
o Fast-glycolytic (type IIx) fibers

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Comparing Skeletal Muscle Fibers

Fast versus slow fibers


o Fast fibers have higher myosin ATPase (ATP-splitting)
activity than slow fibers

Oxidative versus glycolytic fibers


o Fiber types differ in ATP-synthesizing ability

Genetic endowment of muscle fiber types


o Largely determined by the type of activity for which
the muscle is specialized

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Muscle fiber types
Fast twitch
Tension (% of maximum)

Slow twitch
Comparison of the speed of contraction
of fast and slow muscle fiber types

0 20 40 60 80 100
Time
Stimulation (msec)
(a)

Cross section of a human


muscle showing the distribution
muscle fiber types

Slow-oxidative fiber Fast-oxidative fiber Fast-glycolytic fiber

(b)
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Muscle Fibers and Adaptation

Muscle fibers adapt considerably in response


to the demands placed on them

o Improvement in oxidative capacity


o Muscle hypertrophy
o Influence of testosterone
o Interconversion between fast muscle types
o Muscle atrophy
o Limited repair of muscle

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Muscle Fibers and Adaptation
• Regular aerobic exercise will promote metabolic changes within oxidative muscle
fibers, allowing them to more efficiently use O2 and therefore better tolerate
prolonged exercise without fatiguing.
• Muscle fibers can also respond to regular bouts of anaerobic, short-duration, high-
intensity resistance training by undergoing hypertrophy  an enlargement of the
muscle due to increased synthesis of actin and myosin filaments.

• Muscles may atrophy (decrease mass) due to:


(1) disuse atrophy, seen in muscles not used for long periods of time, such as when a
limb is in a cast;
(2) denervation atrophy, if the nervous input to the muscle is lost
(3) age-related atrophy or sarcopenia, which begins at about age 40 with progressive
loss of motor neurons, especially those innervating fast-glycolytic fibers.

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Control of Motor Movement

Motor activity can be classified as reflex,


voluntary, or rhythmic
o Somatic reflex responses
o Voluntary movements
o Rhythmic activities

Multiple neural inputs influence motor unit


output
o Input from afferent neurons, the primary motor cortex,
and brain stem

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Muscle Receptors

Muscle receptors provide afferent information


needed to control skeletal muscle activity

o For effective control of motor output, the CNS needs


continual information regarding ongoing changes in
muscle length and tension

• Muscle spindles monitor muscle length


• Golgi tendon organs detect changes in tension

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Muscle Spindles and the Stretch Reflex

Muscle spindle structure


o Distributed throughout the fleshy part of a skeletal
muscle
o Consist of collections of specialized muscle fibers
known as intrafusal fibers

Stretch reflex
o Local negative-feedback mechanism to sense and
resist changes in muscle length when an additional
load is applied

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Motor Neurons & Golgi Tendon Organs

Coactivation of gamma and alpha motor


neurons
o Gamma motor neurons initiate contraction of the
muscular end regions of intrafusal fibers
o Alpha-gamma coactivation: simultaneous stimulation
of gamma and alpha motor-neuron system

Golgi tendon organs


o Located in muscle tendons
o Respond to changes in the muscle’s tension

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© Cengage Learning 2016. All Rights Reserved.
Pain Reflexes

Skeletal muscle reflexes can be triggered by


painful stimulation of the skin

o Withdrawal reflex: used to withdraw from a painful


stimulus

o Crossed extensor reflex: ensures the opposite limb is


in a position to bear the weight of the body as the
injured limb is withdrawn from the stimulus

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Points to Ponder

o What makes one muscle larger than


another muscle?

o What causes your foot to “fall asleep”?

o Why do you think the average life


expectancy for NFL players is only 57
years?

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