Simple Muscle Twitch: Excitable Tissue
Simple Muscle Twitch: Excitable Tissue
Simple Muscle Twitch: Excitable Tissue
Physiology Department
Helwan University
School of Medicine
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Learning objectives
The overall objective is to identify contractile property of the
skeletal muscle through:
1. Identify the Simple Muscle Twitch (SMT) preparation and its’
phases.
2. Explain factors affecting SMT.
3. Describe the relation between SMT to different excitability
phases.
4. Discuss the effect of multiple stimuli on SMT.
5. Compare between the Isometric and Isotonic contraction.
6. Identify SMT as a potential drug target.
7. Integrate Clinical Significance of SMT.
8. Graph interpretation.
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Stimulus
• Definition: It’s the change that occur in the environment around the living
organism.
• Types:
Electrical Mechanical Chemical thermal
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Simple Muscle Twitch
It’s the mechanical response of muscle to a
single electrical stimulus i.e.
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Phases of SMT
• Latent Period (0.01 sec)
• Contraction phase ( 0.04 sec)
• Relaxation phase (0.05sec)
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1-latent period. 2-contraction phase. 3-relaxation phase.
•Time between •During this period,the ms •During this period, the
application of the stimulus length↓ i.e.ms shortens initial ms length is
& start of contraction. restored.
•It represents time needed
for: Or Or
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Effect of successive stimulation of the ms
B-if the 2nd stimulus fall during contraction New contraction occur which will be
phase of the 1st twitch → summated to the preceding one → stronger
contraction (wave summation).
C-if the 2nd stimulus fall during relaxation New contraction also is produced which also
phase of the 1st twitch → is stronger than the 1st one & a curve with 2
humps /peaks is produced (superposition).
D-if the 2nd stimulus fall soon after end of New contraction also is produced which also
relaxation of the 1st twitch → is stronger than the 1st one & 2 separate
twitches are produced (beneficial effect).
Effect of 2 Successive Stimuli
Force of
contraction
duration
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Effect of multiple successive stimuli(genesis of tetanus)
A- if the frequency is low at the rate of 5 Separate twitches are produced (which show
stimuli so that the stimuli fall soon after end staircase phenomena) (treppe).
of the relaxation phases of the preceding
twitches →
duration
• NB: Cardiac muscle cannot be tetanized due to
prolonged absolute refractory period.
(if car.ms tetanized , no COP and sudden death occur).
Learning objectives
The overall objective is to identify contractile property of the
skeletal muscle through:
1. Identify the Simple Muscle Twitch (SMT) preparation and its’
phases.
2. Explain factors affecting SMT.
3. Describe the relation between SMT to different excitability
phases.
4. Discuss the effect of multiple stimuli on SMT.
5. Compare between the Isometric and Isotonic contraction.
6. Identify SMT as a potential drug target.
7. Integrate Clinical Significance of SMT.
8. Graph interpretation.
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Factors affecting SMT
1. Stimulus factors (strength/frequency).
4. Fatigue.
5. Temperature.
6. Drugs.
3-fatigue
Repeated indirect stimulation of ms Repeated direct stimulation of ms
(through stimulation of its nerve supply) (through stimulation of ms itself)
This means that the site of fatigue is NMJ Due to: 1-depletion of energy stores
(not ms itself) as nerve is non fatiguable. (ATP/glycogen/creatine phosphate).
Due to: exhaustion / depletion of A.ch. As a
result of repeated nerve stimulation. 2-accumulation of metabolites e.g.
lactic acid which –ve enzyme
activity inside ms.
Force of
contraction
duration
4-temperature
Warming of sk.ms→ cooling of sk.ms→
↑force of contraction ↓force of contraction
2-↑ enz.activity → fasten all chemical reactions 2-↓ enz.activity → slowing all chemical reactions
inside ms. inside ms.
Force of
contraction
Duration of
contraction
NB: heating of sk.ms <45 C→ denaturation / coagulation of its proteins → ms stiffening(heat rigor)
5-drugs Refer to
pharmacology
Nerve
NMJ
Muscle
Its all Historical
• Studying SMT helped in developing EMG.
• An electromyogram (EMG):
measures the electrical activity of muscles
when they're at rest and when they're being used.
EMG