Physiology
Basic Cellular
Regarding skeletal muscle, which of the following statements is CORRECT:
Answer:
The single motor neurone (alpha-neuron) and all the muscle fibres it innervates is called the motor unit. This is the smallest part of a muscle that can contract independently from other parts of the muscle. The number of muscle fibres supplied by a single motor neurone is correlated with the precision required of that muscle, for example the total number of muscle fibres is small in muscles such as the extraocular muscles that provide fine smooth movements, but large in muscles such as the gluteus maximus that needs to generate powerful but coarse movements. Each motor unit contracts in an all or nothing fashion, i.e. if a motor unit is excited, it will stimulate all of its muscle fibres to contract and they can not contract independently of one another.Motor Unit
Physiology / Basic Cellular / Skeletal Muscle Physiology
Last Updated: 15th May 2019
Definition
In normal skeletal muscle, muscle fibres never contract as isolated individuals. Several contract at almost the same time as they are all supplied by the same alpha-motor neuron. The single motor neuron and all the fibres it innervates is called the motor unit. This is the smallest part of a muscle that can be made to contract independently from other parts of the muscle.
Motor Unit Recruitment
The number of muscle fibres supplied by a single motor neurone is correlated with the precision required of that muscle, for example the total number of muscle fibres is small in muscles such as the extraocular muscles that provide fine smooth movements, but large in muscles such as the gluteus maximus that needs to generate powerful but coarse movements.
Each motor unit contracts in an all or nothing fashion, i.e. if a motor unit is excited, it will stimulate all of its muscle fibres to contract. The force of contraction of a muscle is controlled by varying the motor unit recruitment (spatial summation), and by varying the firing rate of the motor units (temporal summation).
Spatial Summation
Spatial summation is the recruitment of additional motor units to generate more force; there is a recruitment order of the motor units in that the smallest cells discharge first and the largest last (size principle). During a gradual increase in contraction of a muscle, the first units start to discharge and increase their firing rate, and, as the force needs to increase, new units are recruited and, in turn, also increase their firing rate.
Temporal Summation
Increasing the firing rate of motor units is temporal summation where the tension developed by the first action potential has not completely decayed when the second action potential and twitch is grafted onto the first and so on. If the muscle fibres are stimulated repeatedly at a faster frequency, a sustained contraction results where it is not possible to detect individual twitches. This is called tetany. The tension of tetany is much greater than the maximum tension of a single, double or triple twitch.
For most motor units, the firing rate for a steady contraction is between 5 and 8 Hz. Because the unitary firing rates for each motor unit are different and not synchronised, the overall effect is a smooth force profile from the muscle.
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- Biochemistry
- Blood Gases
- Haematology
| Biochemistry | Normal Value |
|---|---|
| Sodium | 135 – 145 mmol/l |
| Potassium | 3.0 – 4.5 mmol/l |
| Urea | 2.5 – 7.5 mmol/l |
| Glucose | 3.5 – 5.0 mmol/l |
| Creatinine | 35 – 135 μmol/l |
| Alanine Aminotransferase (ALT) | 5 – 35 U/l |
| Gamma-glutamyl Transferase (GGT) | < 65 U/l |
| Alkaline Phosphatase (ALP) | 30 – 135 U/l |
| Aspartate Aminotransferase (AST) | < 40 U/l |
| Total Protein | 60 – 80 g/l |
| Albumin | 35 – 50 g/l |
| Globulin | 2.4 – 3.5 g/dl |
| Amylase | < 70 U/l |
| Total Bilirubin | 3 – 17 μmol/l |
| Calcium | 2.1 – 2.5 mmol/l |
| Chloride | 95 – 105 mmol/l |
| Phosphate | 0.8 – 1.4 mmol/l |
| Haematology | Normal Value |
|---|---|
| Haemoglobin | 11.5 – 16.6 g/dl |
| White Blood Cells | 4.0 – 11.0 x 109/l |
| Platelets | 150 – 450 x 109/l |
| MCV | 80 – 96 fl |
| MCHC | 32 – 36 g/dl |
| Neutrophils | 2.0 – 7.5 x 109/l |
| Lymphocytes | 1.5 – 4.0 x 109/l |
| Monocytes | 0.3 – 1.0 x 109/l |
| Eosinophils | 0.1 – 0.5 x 109/l |
| Basophils | < 0.2 x 109/l |
| Reticulocytes | < 2% |
| Haematocrit | 0.35 – 0.49 |
| Red Cell Distribution Width | 11 – 15% |
| Blood Gases | Normal Value |
|---|---|
| pH | 7.35 – 7.45 |
| pO2 | 11 – 14 kPa |
| pCO2 | 4.5 – 6.0 kPa |
| Base Excess | -2 – +2 mmol/l |
| Bicarbonate | 24 – 30 mmol/l |
| Lactate | < 2 mmol/l |
