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TIPOS DE AÇÃO MUSCULAR Luciana De Michelis Mendonça Cinesiologia Contribuição Prof. Giovanna Amaral Função dos músculos 42 Secdon I Essential Topics o f Kinesiology T A B L E 3 - 1. Major Concepts: Muscle as a Skeletal Stabilizer 1. Muscle morphoiogy 2. Strutturai organization of skeletal muscle 3. Connettive tissues vvithin muscle 4. Physiologic cross-sectional area 5. Pennation angle 6. Passive length-tension curve 7. Parallel and series elastic components of muscle and ten- don 8. Elastic and viscous properties of muscle 9. Attive length-tension curve 10. Histology of thè muscle fìber 11. Total length-tension curve 12. Isometric force and internai torque-joint angle curve devel- opment 13. Mechanical and physiologic properties affecting internai torque-joint angle curve muscle is stimulated by thè nervous System. The relationship between muscle force and length and how it influences thè isometric torque generated about a joint are then examined. Table 3 - 1 is a summary of thè major concepts addressed in this section. Muscle Morphoiogy: Shape and Structure Muscle morphoiogy describes thè basic shape of a vvhole muscle. Muscles have many shapes, reflecting their ultimale function. Figure 3 - 1 shows two common shapes of muscle: fusiform and pennate (from thè Latin penna, meaning feather). Fusiform muscles, such as thè biceps bracini, have fìbers running parallel to each other and to thè centrai ten- don. In pennate muscles, thè fìbers approach thè centrai ten- don obliquely. Pennate muscles may be further classified as unipennate, bipennate, or multipennate, depending on thè number of similarly angled sets of fìbers that attach into thè centrai tendon. The muscle fiber is thè structural unii of muscle, ranging in thickness from about 10 to 100 micrometers, and length from about 1 to 50 cm .17 Each muscle fìber is actually an individuai celi with multiple nuclei. The connettive tissue that surrounds and supports muscle serves many roles. Simi- lar to connettive tissue throughout other bodily structures, thè connettive tissue within muscle consists of fìbers embed- ded in an amorphous ground substance. Most fìbers are collagen, and thè remaining fìbers are elastin. The combina- tion of these two proteins provides strength, structural sup- port, and elasticity io muscle. Three different, although structurally related, sets of con- nettive tissue occur in muscle: epimysium, perimysium, and endomysium (Fig. 3 - 2 ) . The epimysium is a tough strutture that surrounds thè entire surface of thè muscle belly and separates it from other muscles. In essence, thè epimysium gives form to thè muscle belly. The epimysium contains tightly woven bundles of collagen fìbers that are highly resis- tive io stretch. The perimysium lies beneath thè epimysium, and divides muscle into fascicles that provide a conduit for blood vessels and nerves. This connettive tissue, like epi- mysium, is tough and thick and resistive to stretch. The endomysium surrounds individuai muscle fìbers. It is com- posed of a relatively dense meshwork of collagen ftbrils that are partly connected to thè perimysium. Through lateral connections to thè muscle fìber, thè endomysium conveys part of thè contrattile force to thè tendon. Although thè three types of connettive tissues are de- scribed as separate entities, they are interwoven in such a way that they may be considered as a continuous sheet of connettive tissue. All connettive tissue that encases a mus- cle, directly or indirectly, contributes to thè tendons of thè muscle. Muscle Architecture Each muscle and its tendons have different architecture and, as a consequence, are able to generate different ranges of force. Understanding muscle architecture allows thè predic- tion of thè functional role of a given muscle. Physiologic cross-sectional area and pennation angle are major determi- nants of thè range and thè force produced by thè muscle. The physiologic cross-sectional area of a muscle reflects thè amount of contrattile protein available to generate force. Generally speaking, thè cross-sectional area (cm2) of a fusi- form muscle is determined by dividing thè muscles volume (cm1) by its length (cm). A fusiform muscle with many thick fìbers has a greater cross-sectional area than a muscle of similar length and morphoiogy with fewer thinner fìbers. Maximal force potential o f a muscle is, therefore, proportional to thè sum o f thè cross-sectional area o f all thè fìbers. Under normal conditions, thè thicker thè muscle, thè greater thè force potential. Measuring thè cross-sectional area of a fusi- form muscle is relatively simple because all fìbers run paral- Pennate Fusiform FIGURE 3 -1 . Two common shapes of muscle, fusiform and pen- nate, are shown. Different shapes are formed by different fiber orientation relative to thè connecting tendon. (Modifìed from Wil- liams PL: Gray’s Anatomy: The Anatomical Basis of Medicine and Surgery, 38th ed. New York, Churchill Livingstone, 1995.) Funções dos músculos • Mobilidade – Produção de movimento – Componente rotatório • Estabilidade – Aproximação de superfícies articulares – Componente translatório • As funções de estabilidade e mobilidade dependem da estrutura e biomecânica dos músculos e das articulações Arquitetura muscular 42 Secdon I Essential Topics o f Kinesiology T A B L E 3 - 1. Major Concepts: Muscle as a Skeletal Stabilizer 1. Muscle morphoiogy 2. Strutturai organization of skeletal muscle 3. Connettive tissues vvithin muscle 4. Physiologic cross-sectional area 5. Pennation angle 6. Passive length-tension curve 7. Parallel and series elastic components of muscle and ten- don 8. Elastic and viscous properties of muscle 9. Attive length-tension curve 10. Histology of thè muscle fìber 11. Total length-tension curve 12. Isometric force and internai torque-joint angle curve devel- opment 13. Mechanical and physiologic properties affecting internai torque-joint angle curve muscle is stimulated by thè nervous System. The relationship between muscle force and length and how it influences thè isometric torque generated about a joint are then examined. Table 3 - 1 is a summary of thè major concepts addressed in this section. Muscle Morphoiogy: Shape and Structure Muscle morphoiogy describes thè basic shape of a vvhole muscle. Muscles have many shapes, reflecting their ultimale function. Figure 3 - 1 shows two common shapes of muscle: fusiform and pennate (from thè Latin penna, meaning feather). Fusiform muscles, such as thè biceps bracini, have fìbers running parallel to each other and to thè centrai ten- don. In pennate muscles, thè fìbers approach thè centrai ten- don obliquely. Pennate muscles may be further classified as unipennate, bipennate, or multipennate, depending on thè number of similarly angled sets of fìbers that attach into thè centrai tendon. The muscle fiber is thè structural unii of muscle, ranging in thickness from about 10 to 100 micrometers, and length from about 1 to 50 cm .17 Each muscle fìber is actually an individuai celi with multiple nuclei. The connettive tissue that surrounds and supports muscle serves many roles. Simi- lar to connettive tissue throughout other bodily structures, thè connettive tissue within muscle consists of fìbers embed- ded in an amorphous ground substance. Most fìbers are collagen, and thè remaining fìbers are elastin. The combina- tion of these two proteins provides strength, structural sup- port, and elasticity io muscle. Three different, although structurally related, sets of con- nettive tissue occur in muscle: epimysium, perimysium, and endomysium (Fig. 3 - 2 ) . The epimysium is a tough strutture that surrounds thè entire surface of thè muscle belly and separates it from other muscles. In essence, thè epimysium gives form to thè muscle belly. The epimysium contains tightly woven bundles of collagen fìbers that are highlyresis- tive io stretch. The perimysium lies beneath thè epimysium, and divides muscle into fascicles that provide a conduit for blood vessels and nerves. This connettive tissue, like epi- mysium, is tough and thick and resistive to stretch. The endomysium surrounds individuai muscle fìbers. It is com- posed of a relatively dense meshwork of collagen ftbrils that are partly connected to thè perimysium. Through lateral connections to thè muscle fìber, thè endomysium conveys part of thè contrattile force to thè tendon. Although thè three types of connettive tissues are de- scribed as separate entities, they are interwoven in such a way that they may be considered as a continuous sheet of connettive tissue. All connettive tissue that encases a mus- cle, directly or indirectly, contributes to thè tendons of thè muscle. Muscle Architecture Each muscle and its tendons have different architecture and, as a consequence, are able to generate different ranges of force. Understanding muscle architecture allows thè predic- tion of thè functional role of a given muscle. Physiologic cross-sectional area and pennation angle are major determi- nants of thè range and thè force produced by thè muscle. The physiologic cross-sectional area of a muscle reflects thè amount of contrattile protein available to generate force. Generally speaking, thè cross-sectional area (cm2) of a fusi- form muscle is determined by dividing thè muscles volume (cm1) by its length (cm). A fusiform muscle with many thick fìbers has a greater cross-sectional area than a muscle of similar length and morphoiogy with fewer thinner fìbers. Maximal force potential o f a muscle is, therefore, proportional to thè sum o f thè cross-sectional area o f all thè fìbers. Under normal conditions, thè thicker thè muscle, thè greater thè force potential. Measuring thè cross-sectional area of a fusi- form muscle is relatively simple because all fìbers run paral- Pennate Fusiform FIGURE 3 -1 . Two common shapes of muscle, fusiform and pen- nate, are shown. Different shapes are formed by different fiber orientation relative to thè connecting tendon. (Modifìed from Wil- liams PL: Gray’s Anatomy: The Anatomical Basis of Medicine and Surgery, 38th ed. New York, Churchill Livingstone, 1995.) Arquitetura/estrutura à função/ação Fusiforme = transmitem 100% da força para o tendão Penados = produzem mais força 80% fibras tipo 1 (resistência) Multipenado (maior área de secção transversa) Mesmo “perdendo” força por ser penado, o sóleo transmite muita força para o tendão 44 Section I Essential Topics o f Kinesiology FIGURE 3-3. Unipennate muscle is shown with thè muscle ftbers oriented at a 30-degree angle of pennation (0), physiologic cross-sectional area. As shown in Figure 3 - 3 , a pennation angle of 30 degrees stili enables thè fibers to transfer 86% of their force through thè long axis of thè tendon. Muscle and Tendon: Generation of Force PASSIVE LENGTH-TENSION CURVE Muscle contains contractile proteins that are embedded within a network of connective tissues, namely, thè epimys- ium, perimysium, and endomysium. Table 3 - 2 lists thè functions of these tissues. Connective tissues are slightly elastic and, like a rubber band, generate resistive force (i.e., tension) when elongated. For functional rather than anatomie purposes, thè con- nective tissues within thè muscle and tendon have been described as thè paraìlel elastic component and thè series elas- tic component. Elongation or stretch of thè whole muscle lengthens thè connective tissue elements (Fig. 3 - 4 ) . The paraìlel elastic component refers to thè connective tissues TABLE 3 - 2 . Functions of Connective Tissue within Muscle 1. Provides gross structure to muscle 2. Serves as a conduit for blood vessels and nerves 3. Generates passive tension by resisting stretch 4 Assists muscle to regain shape after stretch 5. Conveys contractile force to thè tendon and across thè joint that surround or lie paraìlel to thè proteins that cause thè muscle to contract. The series elastic component, in contrast, refers to thè connective tissues within thè tendon. Because thè tendon lies in series with thè contractile proteins, active forces produced by these proteins are transferred directly to thè bone and across thè joint. Stretching a muscle by ex- tending a joint elongates both thè paraìlel elastic component and thè series elastic component, generating a springlike resistance, or stiffness, in thè muscle. The resistance is re- ferred to as a passive tension because it is does not depend on active or volitional contraction. The concept of paraìlel and serial elastic components is a simplifìed description of thè anatomy; however, it is useful to explain thè levels of resistance generated by a stretched muscle. The tendon has several unique mechanical properties. Be- cause of thè longitudinal orientation and thickness of its collagen fibers, thè tendon can resist large forces that might otherwise damage thè muscle tissue. Muscle fibers decrease in diameter by as much as 90% as they blend with thè tendon tissue.12 As a result, thè force through a muscle fiber per cross-sectional area (i.e., stress) increases significantly. At each end of a muscle fiber is an extensive folding of thè plasmalemma (i.e., thè membrane surrounding thè muscle fiber), which interdigitates with thè connective tissue of thè tendon. This folding ensures that high forces can be distrib- uted over a large area, thus reducing thè stress on thè muscle. When thè paraìlel and series elastic components are stretched within a muscle, a generalized passive length-tension curve is generated (Fig. 3 - 5 ) . The curve is similar to that obtained by stretching a rubber band. Approximating thè shape of an exponential mathematica! function, thè passive Bone Paraìlel EC FIGURE 3-4. Contractile components and elastic components (EC) that generate force in muscle tissue are shown. The contractile component represents thè actin and myosin crossbridge structures. The paraìlel elastic component (paraìlel to thè contractile component) represents muscle connective tissue. The series elastic component (in series with thè whole muscle) represents thè connec- tive tissues within thè tendon. The paraìlel and series connective tissues act in a manner similar to a spring. Contração muscular compacted collagen fibers that attach directly or indi- rectly to muscles, fasciae, bones, cartilage, and other muscles. Aponeuroses distribute forces generated by the muscle to the structures to which they are attached.1 ! Parallel and Series Elastic Components of Muscle All of the connective tissue in a muscle is intercon- nected and constitutes the passive elastic component of a muscle. The connective tissues that surround the mus- cle, plus the sarcolemma, the elastic protein titin, and other structures (i.e., nerves and blood vessels), form the parallel elastic component of a muscle. When a mus- cle lengthens or shortens, these tissues also lengthen or shorten, because they function in parallel to the muscle contractile unit. For example, the collagen fibers in the perimysium of fusiform muscles are slack when the sar- comeres are at rest but straighten out and become taut as sarcomere lengths increase. As the perimysium is lengthened, it also becomes stiffer (resistance to fur- ther elongation increases). The increased resistance of perimysium to elongation may prevent overstretching of the muscle fiber bundles and may contribute to the tension at the tendon.31 When sarcomeres shorten from their resting position, the slack collagen fibers within the parallel elastic component buckle (crimp) even fur- ther. Whatever tension might have existed in the colla- gen at rest is diminished by the shortening of the sarcomere. Because of the many parallel elastic compo- nents of a muscle, the increase or decrease in passive tension can substantially affect the total tensionoutput of a muscle. This relationship between length and ten- sion will be addressed in the next section. The tendon of the muscle is considered to function in series with the contractile elements. This means that the tendon will be under tension when the muscle actively produces tension. When the contractile ele- ments in a muscle actively shorten, they exert a pull on the tendon. The pull must be of sufficient magnitude to take up the slack (compliance) in the tendon so that the muscle pull can be transmitted through the tendon to the bony lever (Fig. 3-12). Fortunately, the compli- ance (or extensibility) of the tendon is relatively small (about 3% to 10% in human muscles). Thus, most of the muscle force can be used for moving the bony lever and is not dissipated stretching the tendon. The tendon is also under tension when a muscle is controlling or braking the motion of the lever in an eccentric con- traction. A tendon is under reduced tension only when a muscle is completely relaxed and in a relatively short- ened position. 122 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-10 ! Iliotibial tract. A lateral view of the left lower limb showing the deep fascial iliotibial tract extending from the tubercle of the iliac crest to the lateral aspect of the knee. The right arrow represents the pull of the gluteus maximus. The left arrow rep- resents the pull of the tensor fasciae latae. " Figure 3-11 ! Retinacula. A. The superior and inferior reti- nacula are shown in their normal position, in which they form a tun- nel for the tendons from the extensor muscles of the lower leg. B. When the retinacula are torn or removed, the tendons move anteri- orly. " Figure 3-12 ! Series elastic component. A. The muscle is shown in a relaxed state with the tendon slack (crimping or buckling of collagen fibers has occurred). The sarcomere depicted above the muscle shows minimal overlap of thick and thin filaments and little cross-bridge formation. B. The muscle in an actively shortened posi- tion shows that the tendons are under tension and no crimp can be observed. The sarcomere depicted above the muscle shows extensive overlap of filaments and cross-bridge formation. 03Levengie(F)-03 05/14/2005 3:45 PM Page 122 Copyright © 2005 by F. A. Davis. Contração muscular tension. The muscle fiber will shorten (contract) if a sufficient number of sarcomeres actively shorten and if either one or both ends of the muscle fiber are free to move. The active shortening of a muscle is called a concentric contraction, or shortening contraction (Fig. 3-6). In contrast to a shortening contraction, in which the thin filaments are being pulled toward the thick fil- aments, the muscle may undergo an eccentric contrac- tion, or lengthening contraction. In a lengthening contraction, the thin filaments are pulled away from the thick filaments, and cross-bridges are broken and re- formed as the muscle lengthens. Tension is generated by the muscle as cross-bridges are re-formed. Eccentric contractions occur whenever a muscle actively resists motion created by an external force (such as gravity). The muscle fiber will not change length if the force cre- ated by the cross-bridge cycling is matched by the exter- nal force. The contraction of a muscle fiber without changing length is called an isometric contraction. 116 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-5 ! Cross-bridge cycle. A. Rest. Cross-bridges proj- ect from a myosin myofilament but are not coupled with an actin myofilament. Adenosine triphosphate (ATP) is attached near the head of the cross-bridge; troponin covers the active sites on the actin myofilament; and calcium ions are stored in the sarcoplasmic reticu- lum. B. Coupling. Arrival of the muscle action potential depolarizes the sarcolemma and T tubules; calcium ions are released and react with troponin; and change in the shape of the troponin-calcium com- plex uncovers active sites on actin; a cross-bridge couples with an adjacent active site, thereby linking myosin and actin myofilaments. C. Contraction. Linkage of a cross-bridge and an active site triggers adenosine triphospatase (ATPase) activity of myosin; ATP splits into adenosine diphosphate (ADP) ! PO4 ! energy; the reaction pro- duces a transient flexion of the cross-bridge; the actin myofilament is pulled a short distance past the myosin myofilament; and Z disks are moved closer together. D. Recharging. The cross-bridge uncouples from the active site and retracts; ATP is replaced on the cross-bridge. The recoupling, flexion, uncoupling, retraction, and recharging processes are repeated hundreds of times per second. E. Relaxation. Cessation of excitation occurs; calcium ions are removed from the vicinity of the actin myofilament and are returned to storage sites in the sarcoplasmic reticulum; troponin returns to its original shape, covering active sites on the actin myofilament; and actin and myosin myofilaments return to the rest state. (From Smith LK, Weiss EL, Lemkuhl LD [eds]: Brunnstrom’s Clinical Kinesiology, 5th ed. Philadelphia, FA Davis, 1996, p 83, with permission.) A. B. C. Isometric Concentric Eccentric " Figure 3-6 ! Types of muscle contraction from the perspec- tive of change (or lack of change) in sarcomere length during the contraction. A. Isometric contraction with no change in length. B. Concentric or shortening muscle contraction. C. Eccentric or length- ening muscle contraction. The top illustration in each type of con- traction represents the beginning of the contraction, and the bottom illustration represents the end of the contraction. 03Levengie(F)-03 05/14/2005 3:45 PM Page 116 Copyright © 2005 by F. A. Davis. tension. The muscle fiber will shorten (contract) if a sufficient number of sarcomeres actively shorten and if either one or both ends of the muscle fiber are free to move. The active shortening of a muscle is called a concentric contraction, or shortening contraction (Fig. 3-6). In contrast to a shortening contraction, in which the thin filaments are being pulled toward the thick fil- aments, the muscle may undergo an eccentric contrac- tion, or lengthening contraction. In a lengthening contraction, the thin filaments are pulled away from the thick filaments, and cross-bridges are broken and re- formed as the muscle lengthens. Tension is generated by the muscle as cross-bridges are re-formed. Eccentric contractions occur whenever a muscle actively resists motion created by an external force (such as gravity). The muscle fiber will not change length if the force cre- ated by the cross-bridge cycling is matched by the exter- nal force. The contraction of a muscle fiber without changing length is called an isometric contraction. 116 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-5 ! Cross-bridge cycle. A. Rest. Cross-bridges proj- ect from a myosin myofilament but are not coupled with an actin myofilament. Adenosine triphosphate (ATP) is attached near the head of the cross-bridge; troponin covers the active sites on the actin myofilament; and calcium ions are stored in the sarcoplasmic reticu- lum. B. Coupling. Arrival of the muscle action potential depolarizes the sarcolemma and T tubules; calcium ions are released and react with troponin; and change in the shape of the troponin-calcium com- plex uncovers active sites on actin; a cross-bridge couples with an adjacent active site, thereby linking myosin and actin myofilaments. C. Contraction. Linkage of a cross-bridge and an active site triggers adenosine triphospatase (ATPase) activity of myosin; ATP splits into adenosine diphosphate (ADP) ! PO4 ! energy; the reaction pro- duces a transient flexion of the cross-bridge; the actin myofilament is pulled a short distance past the myosin myofilament; and Z disks are moved closer together. D. Recharging. The cross-bridge uncouples from the active site and retracts; ATP is replaced on the cross-bridge. The recoupling,flexion, uncoupling, retraction, and recharging processes are repeated hundreds of times per second. E. Relaxation. Cessation of excitation occurs; calcium ions are removed from the vicinity of the actin myofilament and are returned to storage sites in the sarcoplasmic reticulum; troponin returns to its original shape, covering active sites on the actin myofilament; and actin and myosin myofilaments return to the rest state. (From Smith LK, Weiss EL, Lemkuhl LD [eds]: Brunnstrom’s Clinical Kinesiology, 5th ed. Philadelphia, FA Davis, 1996, p 83, with permission.) A. B. C. Isometric Concentric Eccentric " Figure 3-6 ! Types of muscle contraction from the perspec- tive of change (or lack of change) in sarcomere length during the contraction. A. Isometric contraction with no change in length. B. Concentric or shortening muscle contraction. C. Eccentric or length- ening muscle contraction. The top illustration in each type of con- traction represents the beginning of the contraction, and the bottom illustration represents the end of the contraction. 03Levengie(F)-03 05/14/2005 3:45 PM Page 116 Copyright © 2005 by F. A. Davis. Tipos de contração muscular Isotônica • Concêntrica: FM > forças externas • Excêntrica: forças externas > FM Isométrica •Comprimento inalterado • FM= forças externas • encurtamento de elementos contráteis e alongamento dos elásticos Tipos de contração muscular Tipo de contração muscular • Contração muscular = ação muscular: – Concêntrica – Excêntrica – Isométrica Contração concêntrica Prof. Fabiano Botelho Siqueira, MSc. Contração concêntrica • Músculo produz torque suficiente para �vencer� resistência (peso, gravidade, etc.) • Ossos aos quais o músculo insere se movem em direção ao músculo • Movimento ocorre na direção da ação principal do músculo Prof. Fabiano Botelho Siqueira, MSc. Contração concêntrica • Músculo produz torque suficiente para �vencer� resistência (peso, gravidade, etc.) • Ossos aos quais o músculo insere se movem em direção ao músculo • Movimento ocorre na direção da ação principal do músculo tension. The muscle fiber will shorten (contract) if a sufficient number of sarcomeres actively shorten and if either one or both ends of the muscle fiber are free to move. The active shortening of a muscle is called a concentric contraction, or shortening contraction (Fig. 3-6). In contrast to a shortening contraction, in which the thin filaments are being pulled toward the thick fil- aments, the muscle may undergo an eccentric contrac- tion, or lengthening contraction. In a lengthening contraction, the thin filaments are pulled away from the thick filaments, and cross-bridges are broken and re- formed as the muscle lengthens. Tension is generated by the muscle as cross-bridges are re-formed. Eccentric contractions occur whenever a muscle actively resists motion created by an external force (such as gravity). The muscle fiber will not change length if the force cre- ated by the cross-bridge cycling is matched by the exter- nal force. The contraction of a muscle fiber without changing length is called an isometric contraction. 116 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-5 ! Cross-bridge cycle. A. Rest. Cross-bridges proj- ect from a myosin myofilament but are not coupled with an actin myofilament. Adenosine triphosphate (ATP) is attached near the head of the cross-bridge; troponin covers the active sites on the actin myofilament; and calcium ions are stored in the sarcoplasmic reticu- lum. B. Coupling. Arrival of the muscle action potential depolarizes the sarcolemma and T tubules; calcium ions are released and react with troponin; and change in the shape of the troponin-calcium com- plex uncovers active sites on actin; a cross-bridge couples with an adjacent active site, thereby linking myosin and actin myofilaments. C. Contraction. Linkage of a cross-bridge and an active site triggers adenosine triphospatase (ATPase) activity of myosin; ATP splits into adenosine diphosphate (ADP) ! PO4 ! energy; the reaction pro- duces a transient flexion of the cross-bridge; the actin myofilament is pulled a short distance past the myosin myofilament; and Z disks are moved closer together. D. Recharging. The cross-bridge uncouples from the active site and retracts; ATP is replaced on the cross-bridge. The recoupling, flexion, uncoupling, retraction, and recharging processes are repeated hundreds of times per second. E. Relaxation. Cessation of excitation occurs; calcium ions are removed from the vicinity of the actin myofilament and are returned to storage sites in the sarcoplasmic reticulum; troponin returns to its original shape, covering active sites on the actin myofilament; and actin and myosin myofilaments return to the rest state. (From Smith LK, Weiss EL, Lemkuhl LD [eds]: Brunnstrom’s Clinical Kinesiology, 5th ed. Philadelphia, FA Davis, 1996, p 83, with permission.) A. B. C. Isometric Concentric Eccentric " Figure 3-6 ! Types of muscle contraction from the perspec- tive of change (or lack of change) in sarcomere length during the contraction. A. Isometric contraction with no change in length. B. Concentric or shortening muscle contraction. C. Eccentric or length- ening muscle contraction. The top illustration in each type of con- traction represents the beginning of the contraction, and the bottom illustration represents the end of the contraction. 03Levengie(F)-03 05/14/2005 3:45 PM Page 116 Copyright © 2005 by F. A. Davis. Tipos de contração • Concêntrica – Actina desliza sobre miosina – Músculo encurta – Tensão se desenvolve Contração concêntrica Contração isométrica Prof. Fabiano Botelho Siqueira, MSc. Contração isométrica • Torque produzido pelo músculo igual torque produzido por forças externas ou contrárias ao movimento • Não há movimento visível no comprimento muscular Prof. Fabiano Botelho Siqueira, MSc. Contração isométrica • Torque produzido pelo músculo igual torque produzido por forças externas ou contrárias ao movimento • Não há movimento visível no comprimento muscular tension. The muscle fiber will shorten (contract) if a sufficient number of sarcomeres actively shorten and if either one or both ends of the muscle fiber are free to move. The active shortening of a muscle is called a concentric contraction, or shortening contraction (Fig. 3-6). In contrast to a shortening contraction, in which the thin filaments are being pulled toward the thick fil- aments, the muscle may undergo an eccentric contrac- tion, or lengthening contraction. In a lengthening contraction, the thin filaments are pulled away from the thick filaments, and cross-bridges are broken and re- formed as the muscle lengthens. Tension is generated by the muscle as cross-bridges are re-formed. Eccentric contractions occur whenever a muscle actively resists motion created by an external force (such as gravity). The muscle fiber will not change length if the force cre- ated by the cross-bridge cycling is matched by the exter- nal force. The contraction of a muscle fiber without changing length is called an isometric contraction. 116 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-5 ! Cross-bridge cycle. A. Rest. Cross-bridges proj- ect from a myosin myofilament but are not coupled with an actin myofilament. Adenosine triphosphate (ATP) is attached near the head of the cross-bridge; troponin covers the active sites on the actin myofilament; and calcium ions are stored in the sarcoplasmic reticu- lum. B. Coupling. Arrival of the muscle action potential depolarizes the sarcolemma and T tubules; calcium ions are released and react with troponin; and change in the shape of the troponin-calcium com- plex uncovers active sites on actin; a cross-bridge couples with an adjacent active site, thereby linking myosin and actin myofilaments. C. Contraction. Linkage of a cross-bridge and an active site triggersadenosine triphospatase (ATPase) activity of myosin; ATP splits into adenosine diphosphate (ADP) ! PO4 ! energy; the reaction pro- duces a transient flexion of the cross-bridge; the actin myofilament is pulled a short distance past the myosin myofilament; and Z disks are moved closer together. D. Recharging. The cross-bridge uncouples from the active site and retracts; ATP is replaced on the cross-bridge. The recoupling, flexion, uncoupling, retraction, and recharging processes are repeated hundreds of times per second. E. Relaxation. Cessation of excitation occurs; calcium ions are removed from the vicinity of the actin myofilament and are returned to storage sites in the sarcoplasmic reticulum; troponin returns to its original shape, covering active sites on the actin myofilament; and actin and myosin myofilaments return to the rest state. (From Smith LK, Weiss EL, Lemkuhl LD [eds]: Brunnstrom’s Clinical Kinesiology, 5th ed. Philadelphia, FA Davis, 1996, p 83, with permission.) A. B. C. Isometric Concentric Eccentric " Figure 3-6 ! Types of muscle contraction from the perspec- tive of change (or lack of change) in sarcomere length during the contraction. A. Isometric contraction with no change in length. B. Concentric or shortening muscle contraction. C. Eccentric or length- ening muscle contraction. The top illustration in each type of con- traction represents the beginning of the contraction, and the bottom illustration represents the end of the contraction. 03Levengie(F)-03 05/14/2005 3:45 PM Page 116 Copyright © 2005 by F. A. Davis. Tipos de contração • Isométrica – Actina desliza sobre miosina até certo ponto – Músculo encurta, mas não de maneira visível – Tensão se desenvolve Contração isométrica Contração excêntrica Prof. Fabiano Botelho Siqueira, MSc. Concentração excêntrica • Torque muscular insuficiente para vencer resistência. • Músculo alonga - pontes quebram. • Extremidades do músculo se afastam, músculo controla, freia movimento. • Movimento ocorre em direção oposta a da ação principal do músculo. Prof. Fabiano Botelho Siqueira, MSc. Concentração excêntrica • Torque muscular insuficiente para vencer resistência. • Músculo alonga - pontes quebram. • Extremidades do músculo se afastam, músculo controla, freia movimento. • Movimento ocorre em direção oposta a da ação principal do músculo. tension. The muscle fiber will shorten (contract) if a sufficient number of sarcomeres actively shorten and if either one or both ends of the muscle fiber are free to move. The active shortening of a muscle is called a concentric contraction, or shortening contraction (Fig. 3-6). In contrast to a shortening contraction, in which the thin filaments are being pulled toward the thick fil- aments, the muscle may undergo an eccentric contrac- tion, or lengthening contraction. In a lengthening contraction, the thin filaments are pulled away from the thick filaments, and cross-bridges are broken and re- formed as the muscle lengthens. Tension is generated by the muscle as cross-bridges are re-formed. Eccentric contractions occur whenever a muscle actively resists motion created by an external force (such as gravity). The muscle fiber will not change length if the force cre- ated by the cross-bridge cycling is matched by the exter- nal force. The contraction of a muscle fiber without changing length is called an isometric contraction. 116 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-5 ! Cross-bridge cycle. A. Rest. Cross-bridges proj- ect from a myosin myofilament but are not coupled with an actin myofilament. Adenosine triphosphate (ATP) is attached near the head of the cross-bridge; troponin covers the active sites on the actin myofilament; and calcium ions are stored in the sarcoplasmic reticu- lum. B. Coupling. Arrival of the muscle action potential depolarizes the sarcolemma and T tubules; calcium ions are released and react with troponin; and change in the shape of the troponin-calcium com- plex uncovers active sites on actin; a cross-bridge couples with an adjacent active site, thereby linking myosin and actin myofilaments. C. Contraction. Linkage of a cross-bridge and an active site triggers adenosine triphospatase (ATPase) activity of myosin; ATP splits into adenosine diphosphate (ADP) ! PO4 ! energy; the reaction pro- duces a transient flexion of the cross-bridge; the actin myofilament is pulled a short distance past the myosin myofilament; and Z disks are moved closer together. D. Recharging. The cross-bridge uncouples from the active site and retracts; ATP is replaced on the cross-bridge. The recoupling, flexion, uncoupling, retraction, and recharging processes are repeated hundreds of times per second. E. Relaxation. Cessation of excitation occurs; calcium ions are removed from the vicinity of the actin myofilament and are returned to storage sites in the sarcoplasmic reticulum; troponin returns to its original shape, covering active sites on the actin myofilament; and actin and myosin myofilaments return to the rest state. (From Smith LK, Weiss EL, Lemkuhl LD [eds]: Brunnstrom’s Clinical Kinesiology, 5th ed. Philadelphia, FA Davis, 1996, p 83, with permission.) A. B. C. Isometric Concentric Eccentric " Figure 3-6 ! Types of muscle contraction from the perspec- tive of change (or lack of change) in sarcomere length during the contraction. A. Isometric contraction with no change in length. B. Concentric or shortening muscle contraction. C. Eccentric or length- ening muscle contraction. The top illustration in each type of con- traction represents the beginning of the contraction, and the bottom illustration represents the end of the contraction. 03Levengie(F)-03 05/14/2005 3:45 PM Page 116 Copyright © 2005 by F. A. Davis. Tipos de contração • Excêntrica – Actina afasta da miosina – Músculo alonga – Tensão desenvolve Contração excêntrica Outros tipos de contração •Isocinética •velocidade constante •Econcêntrica •comprimento inalterado •movimento articular visível •músculos biarticulares Simular uma contração isométrica, uma concêntrica e outra excêntrica 50 Section I Essential Topìcs o j Kinesiology FIGURE 3-14. Relationship between muscle load (extemal resis- tance) and maximal shortening velocity. (Velocity is equal to ihe slope of thè dotted line.) At a no load condition, a muscle is capable of shortening at a high velocity. As a muscle becomes progressively loaded, thè maximal shortening velocity decreases. Eventually, at some very large load, thè muscle is incapable of shortening and thè velocity is 0. (Redrawn from McComas AJ: Skeletal Muscle: Form & Function. Champaign, IL, Human Kinet- ics, 1996.) cle’s strength. This information may be required to deter- mine thè suitability of a person for a certain task at thè workplace, especially if thè task requires a criticai internai torque to be produced at certain joint angles. MUSCLE AS A SKELETAL MOVER: FORCE M0DULATI0N The previous section considers how an isometrically acti- vated muscle can stabilize thè skeletal System; this next sec- tion considers how muscles actively grade forces while changing lengths, which is necessary to move thè skeletal System. Active grading of muscle force requires a mechanism to control excitation of muscle tissue. The nervous system acts as a “controller” that can vary thè activation of muscle according to thè particular demands of thè task. For exam- ple, if thè task is to point accurately at a small target, thè controller must be able to make split-second adjustments in activation levels io a relatively small number of muscle fi- bers. With this control strategy, thè pointing finger does not veer off course when extemal perturbations or resistance are imposed. If thè task is to produce a forceful motion, thè controller must then rapidly and efficiently adivate large numbers of muscle fibers. Understanding thè role of muscle activationin generating movement begins with an appreciation of how muscle force is modulated while thè muscle is either shortening or length- ening. The ways in which force is graded by neural activa- tion are explored. The reduction in force that occurs with muscular fatigue is examined. Finally, thè use of electromy- ography as a tool for understanding muscle activation during movement is introduced. Moduiating Force Through Concentric or Eccentric Activation: Force-Velocity Relationship The nervous System stimulates a muscle to generate or resisi a force by concentric, eccentric, or isometric activation. Dur- ing concentric activation, thè muscle shortens (contracts); during eccentric activation, thè muscle elongates; and during isometric activation, thè length of thè muscle remains Con- stant. During concentric and eccentric activation, thè rate o j change of length is significanti related to thè muscle’s maxi- mal force potential. During concentric activation, for exam- ple, thè muscle contracts at a maximum velocity when thè load is negligible (Fig. 3 -1 4 ) . As thè load increases, thè maximal contraction velocity of thè muscle decreases. At some point, a very large load results in a contraction velocity of zero (i.e., thè isometric state). Eccentric activation needs to be considered separately from concentric activation. With eccentric activation, a load that barely exceeds thè isometric force level causes thè mus- cle to lengthen slowly. Speed of lengthening increases as a greater load is applied. There is a maximal load that thè muscle cannot resist, and beyond this load level thè muscle uncontrollably lengthens. The theoretical force-velocity curve for muscle across con- centric, isometric, and eccentric activations is often shown with thè force on thè Y (vertical) axis and shortening and lengthening velocity on thè X (horizontal) axis (Fig. 3 -1 5 ) . In generai, during a maximal effort concentric activation, thè amount of muscle force is inversely proportional to thè veloc- ity of muscle shortening. During a maximal effort eccentric activation, thè muscle force is, to a point, directly proportional to thè velocity of muscle lengthening. The clinical expression of a force-velocity relationship of muscle is a torque-joint FIGURE 3-15. Theoretic force-velocity curve of an activated muscle is shown. Concentric activation is shown on thè righi and eccentric activation on thè left. Isometric activation occurs at thè zero veloc- ity point on thè graph. 44 Section I Essential Topics o f Kinesiology FIGURE 3-3. Unipennate muscle is shown with thè muscle ftbers oriented at a 30-degree angle of pennation (0), physiologic cross-sectional area. As shown in Figure 3 - 3 , a pennation angle of 30 degrees stili enables thè fibers to transfer 86% of their force through thè long axis of thè tendon. Muscle and Tendon: Generation of Force PASSIVE LENGTH-TENSION CURVE Muscle contains contractile proteins that are embedded within a network of connective tissues, namely, thè epimys- ium, perimysium, and endomysium. Table 3 - 2 lists thè functions of these tissues. Connective tissues are slightly elastic and, like a rubber band, generate resistive force (i.e., tension) when elongated. For functional rather than anatomie purposes, thè con- nective tissues within thè muscle and tendon have been described as thè paraìlel elastic component and thè series elas- tic component. Elongation or stretch of thè whole muscle lengthens thè connective tissue elements (Fig. 3 - 4 ) . The paraìlel elastic component refers to thè connective tissues TABLE 3 - 2 . Functions of Connective Tissue within Muscle 1. Provides gross structure to muscle 2. Serves as a conduit for blood vessels and nerves 3. Generates passive tension by resisting stretch 4 Assists muscle to regain shape after stretch 5. Conveys contractile force to thè tendon and across thè joint that surround or lie paraìlel to thè proteins that cause thè muscle to contract. The series elastic component, in contrast, refers to thè connective tissues within thè tendon. Because thè tendon lies in series with thè contractile proteins, active forces produced by these proteins are transferred directly to thè bone and across thè joint. Stretching a muscle by ex- tending a joint elongates both thè paraìlel elastic component and thè series elastic component, generating a springlike resistance, or stiffness, in thè muscle. The resistance is re- ferred to as a passive tension because it is does not depend on active or volitional contraction. The concept of paraìlel and serial elastic components is a simplifìed description of thè anatomy; however, it is useful to explain thè levels of resistance generated by a stretched muscle. The tendon has several unique mechanical properties. Be- cause of thè longitudinal orientation and thickness of its collagen fibers, thè tendon can resist large forces that might otherwise damage thè muscle tissue. Muscle fibers decrease in diameter by as much as 90% as they blend with thè tendon tissue.12 As a result, thè force through a muscle fiber per cross-sectional area (i.e., stress) increases significantly. At each end of a muscle fiber is an extensive folding of thè plasmalemma (i.e., thè membrane surrounding thè muscle fiber), which interdigitates with thè connective tissue of thè tendon. This folding ensures that high forces can be distrib- uted over a large area, thus reducing thè stress on thè muscle. When thè paraìlel and series elastic components are stretched within a muscle, a generalized passive length-tension curve is generated (Fig. 3 - 5 ) . The curve is similar to that obtained by stretching a rubber band. Approximating thè shape of an exponential mathematica! function, thè passive Bone Paraìlel EC FIGURE 3-4. Contractile components and elastic components (EC) that generate force in muscle tissue are shown. The contractile component represents thè actin and myosin crossbridge structures. The paraìlel elastic component (paraìlel to thè contractile component) represents muscle connective tissue. The series elastic component (in series with thè whole muscle) represents thè connec- tive tissues within thè tendon. The paraìlel and series connective tissues act in a manner similar to a spring. Tecido Conectivo 44 Section I Essential Topics o f Kinesiology FIGURE 3-3. Unipennate muscle is shown with thè muscle ftbers oriented at a 30-degree angle of pennation (0), physiologic cross-sectional area. As shown in Figure 3 - 3 , a pennation angle of 30 degrees stili enables thè fibers to transfer 86% of their force through thè long axis of thè tendon. Muscle and Tendon: Generation of Force PASSIVE LENGTH-TENSION CURVE Muscle contains contractile proteins that are embedded within a network of connective tissues, namely, thè epimys- ium, perimysium, and endomysium. Table 3 - 2 lists thè functions of these tissues. Connective tissues are slightly elastic and, like a rubber band, generate resistive force (i.e., tension) when elongated. For functional rather than anatomie purposes, thè con- nective tissues within thè muscle and tendon have been described as thè paraìlel elastic component and thè series elas- tic component. Elongation or stretch of thè whole muscle lengthens thè connective tissue elements (Fig. 3 - 4 ) . The paraìlel elastic component refers to thè connective tissues TABLE 3 - 2 . Functions of Connective Tissue within Muscle 1. Provides gross structure to muscle 2. Serves as a conduit for blood vessels and nerves 3. Generates passive tension by resisting stretch 4 Assists muscle to regain shape after stretch 5. Conveys contractile force to thè tendon and across thè joint that surround or lie paraìlel to thè proteins that cause thè muscle to contract. The series elastic component, in contrast, refers to thè connective tissues within thè tendon. Because thè tendon lies in series with thè contractile proteins,active forces produced by these proteins are transferred directly to thè bone and across thè joint. Stretching a muscle by ex- tending a joint elongates both thè paraìlel elastic component and thè series elastic component, generating a springlike resistance, or stiffness, in thè muscle. The resistance is re- ferred to as a passive tension because it is does not depend on active or volitional contraction. The concept of paraìlel and serial elastic components is a simplifìed description of thè anatomy; however, it is useful to explain thè levels of resistance generated by a stretched muscle. The tendon has several unique mechanical properties. Be- cause of thè longitudinal orientation and thickness of its collagen fibers, thè tendon can resist large forces that might otherwise damage thè muscle tissue. Muscle fibers decrease in diameter by as much as 90% as they blend with thè tendon tissue.12 As a result, thè force through a muscle fiber per cross-sectional area (i.e., stress) increases significantly. At each end of a muscle fiber is an extensive folding of thè plasmalemma (i.e., thè membrane surrounding thè muscle fiber), which interdigitates with thè connective tissue of thè tendon. This folding ensures that high forces can be distrib- uted over a large area, thus reducing thè stress on thè muscle. When thè paraìlel and series elastic components are stretched within a muscle, a generalized passive length-tension curve is generated (Fig. 3 - 5 ) . The curve is similar to that obtained by stretching a rubber band. Approximating thè shape of an exponential mathematica! function, thè passive Bone Paraìlel EC FIGURE 3-4. Contractile components and elastic components (EC) that generate force in muscle tissue are shown. The contractile component represents thè actin and myosin crossbridge structures. The paraìlel elastic component (paraìlel to thè contractile component) represents muscle connective tissue. The series elastic component (in series with thè whole muscle) represents thè connec- tive tissues within thè tendon. The paraìlel and series connective tissues act in a manner similar to a spring. Tecido Conectivo muscles working over the joints of the body produces the movements we use for daily activities, work, play, and sport. Unfortunately, some of the movements may cause injury to the muscles and tendons. The following case identifies a common muscle injury. Throughout this chapter, you will see how the structure and function of the muscles can be applied to this clinical situation. 3-1 Patient Case Vik Patel, a 50-year-old man, was playing softball one summer evening. He was trying to catch a fly ball when he stepped back with his right foot and slipped slightly. As his foot slipped, the motion at the ankle was dorsiflexion and the ankle plantar flexor muscles were contracting as he tried to push off so that he could run forward. At the moment of trying to push off, he felt a twinge of pain in the right calf muscle. Vik states that he has pain in the calf muscle and along the Achilles tendon when he tries to stand on his toes and when he does calf-stretching exercises. After eval- uation of Vik, it appears that he might have strained the calf mus- cle or caused some tendinitis. Elements of Muscle Structure Skeletal muscles are composed of muscle tissue (con- tractile) and connective tissue (noncontractile). The muscle tissue has the ability to develop tension in response to chemical, electrical, or mechanical stimuli. The connective tissue, on the other hand, develops ten- sion in response to passive loading.1 The properties of these tissues and the way in which they are interrelated give muscles their unique characteristics. Composition of a Muscle Fiber ! Contractile Proteins A skeletal muscle is composed of many thousands of muscle fibers. A single muscle contains many fascicles, a group of muscle fibers (cells) surrounded by connec- tive tissue (Fig. 3-1A). The arrangement, number, size, and type of these fibers may vary from muscle to mus- cle,2,3 but each fiber is a single muscle cell that is enclosed in a cell membrane called the sarcolemma (see Fig. 3-1B). Like other cells in the body, the muscle fiber is composed of cytoplasm, which in a muscle is called sarcoplasm. The sarcoplasm contains myofibrils (see Fig. 3-1C), which are the contractile structures of a muscle fiber and nonmyofibrillar structures such as ribosomes, glycogen, and mitochondria, which are required for cell metabolism. The myofibril is composed of thick myofilaments composed of the protein myosin and thin filaments composed of the protein actin (see Fig. 3-1D). The interaction of these two myofilaments is essential for a muscle contraction to occur. The thin myofilaments are formed by two chainlike strings of actin molecules wound around each other. Molecules of the globular protein troponin are found in notches between the two actin strings and the protein tropomyosin is attached to each troponin molecule (Fig. 3-2A). The troponin and tropomyosin molecules control the binding of actin and myosin myofilaments. Each of the myosin molecules has globular enlarge- ments called head groups (see Fig. 3-2B).4 The head groups, which are able to swivel and are the binding sites for attachment to the actin, play a critical role in muscle contraction and relaxation. When the entire myofibril is viewed through a microscope, the alterna- tion of thick (myosin) and thin (actin) myofilaments forms a distinctive striped pattern, as seen in Figure 3-1D. Therefore, skeletal muscle is often called stria- ted muscle. A schematic representation of the ordering of the myofilaments in a myofibril is presented in Figure 3-3. ! Structural Proteins The muscle fiber also consists of several structural pro- teins (see Patel and Lieber5 for a review of these pro- teins). Some of these proteins (intermediate filaments) provide a structural scaffold for the muscle fiber, whereas others (e.g., desmin) may be involved in the transmission of force along the fiber and to adjoining fibers. One protein, titin, has a particularly important role maintaining the position of the thick filament dur- ing a muscle contraction and in the development of passive tension.6,7 Titin is a large protein that is attached along the thick filament and spans the gap from the thick filament to the Z lines (Fig. 3-4). More 114 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-1 ! Composition of a muscle fiber. A. Groups of muscle fibers form bundles called fascicles. B. The muscle fiber is enclosed in a cell membrane called the sarcolemma. C. The muscle fiber contains myofibrillar structures called myofibrils. D. The myofibril is composed of thick myosin and thin actin myofilaments. 03Levengie(F)-03 05/14/2005 3:45 PM Page 114 Copyright © 2005 by F. A. Davis. Prof. Fabiano Botelho Siqueira, MSc. Tecido conectivo • Elementos elásticos em paralelo – Endomísio – Perimísio – Epimísio Elementos elásticos em série (EES) • Tendão • Tensão é aumentada quando o músculo contrai e quando o músculo é alongado Tecido Conectivo compacted collagen fibers that attach directly or indi- rectly to muscles, fasciae, bones, cartilage, and other muscles. Aponeuroses distribute forces generated by the muscle to the structures to which they are attached.1 ! Parallel and Series Elastic Components of Muscle All of the connective tissue in a muscle is intercon- nected and constitutes the passive elastic component of a muscle. The connective tissues that surround the mus- cle, plus the sarcolemma, the elastic protein titin, and other structures (i.e., nerves and blood vessels), form the parallel elastic component of a muscle. When a mus- cle lengthens or shortens, these tissues also lengthen or shorten, because they function in parallel to the muscle contractile unit. For example, the collagen fibers in the perimysium of fusiform muscles are slack when the sar- comeres areat rest but straighten out and become taut as sarcomere lengths increase. As the perimysium is lengthened, it also becomes stiffer (resistance to fur- ther elongation increases). The increased resistance of perimysium to elongation may prevent overstretching of the muscle fiber bundles and may contribute to the tension at the tendon.31 When sarcomeres shorten from their resting position, the slack collagen fibers within the parallel elastic component buckle (crimp) even fur- ther. Whatever tension might have existed in the colla- gen at rest is diminished by the shortening of the sarcomere. Because of the many parallel elastic compo- nents of a muscle, the increase or decrease in passive tension can substantially affect the total tension output of a muscle. This relationship between length and ten- sion will be addressed in the next section. The tendon of the muscle is considered to function in series with the contractile elements. This means that the tendon will be under tension when the muscle actively produces tension. When the contractile ele- ments in a muscle actively shorten, they exert a pull on the tendon. The pull must be of sufficient magnitude to take up the slack (compliance) in the tendon so that the muscle pull can be transmitted through the tendon to the bony lever (Fig. 3-12). Fortunately, the compli- ance (or extensibility) of the tendon is relatively small (about 3% to 10% in human muscles). Thus, most of the muscle force can be used for moving the bony lever and is not dissipated stretching the tendon. The tendon is also under tension when a muscle is controlling or braking the motion of the lever in an eccentric con- traction. A tendon is under reduced tension only when a muscle is completely relaxed and in a relatively short- ened position. 122 ! Section 1: Joint Structure and Function: Foundational Concepts " Figure 3-10 ! Iliotibial tract. A lateral view of the left lower limb showing the deep fascial iliotibial tract extending from the tubercle of the iliac crest to the lateral aspect of the knee. The right arrow represents the pull of the gluteus maximus. The left arrow rep- resents the pull of the tensor fasciae latae. " Figure 3-11 ! Retinacula. A. The superior and inferior reti- nacula are shown in their normal position, in which they form a tun- nel for the tendons from the extensor muscles of the lower leg. B. When the retinacula are torn or removed, the tendons move anteri- orly. " Figure 3-12 ! Series elastic component. A. The muscle is shown in a relaxed state with the tendon slack (crimping or buckling of collagen fibers has occurred). The sarcomere depicted above the muscle shows minimal overlap of thick and thin filaments and little cross-bridge formation. B. The muscle in an actively shortened posi- tion shows that the tendons are under tension and no crimp can be observed. The sarcomere depicted above the muscle shows extensive overlap of filaments and cross-bridge formation. 03Levengie(F)-03 05/14/2005 3:45 PM Page 122 Copyright © 2005 by F. A. Davis. Tensão ativaTensão ativa • Tensão produzida pelo elemento contrátil do músculo • Fatores que aumentam a tensão ativa – Grande número de pontes actina- miosina – Músculos com maior secção transversal – Aumento na freqüência do impulso que chega às fibras musculares Tensão passiva Prof. Fabiano Botelho Siqueira, MSc. Tensão passiva • Tensão produzida pelo elemento passivo não contrátil • Tensão passiva do tecido conectivo pode ser produzida pelo encurtamento ou alongamento muscular Prof. Fabiano Botelho Siqueira, MSc. Tensão passiva • Tensão produzida pelo elemento passivo não contrátil • Tensão passiva do tecido conectivo pode ser produzida pelo encurtamento ou alongamento muscular Chapter 3 Muscle: The Ultimate Force Generator in thè Body 45 Increasing stretch FIGURE 3 -5 . A generalized passive length-tension curve is shown. As a muscle is progressively stretched, thè tissue is slack during its irutial shortened lengths until it reaches a criticai length where it begins to generate tension. Beyond this criticai length, thè tension builds as an exponential function. elements within thè muscle begin generating passive tension after thè criticai length where all of thè relaxed (i.e., slack) tissue has been brought to an initial level of tension. After this criticai length has been reached, tension progressively increases until it reaches levels of extremely high stiffness. At higher tension, thè tissue fails. The simple passive length- tension curve represents an important component of force- generating capability in muscle and tendon tissue. This capa- bility is especially important ai very long lengths where muscle fibers begin to lose their active force-generating capa- bility. Passive tension stabilizes skeletal structures against gravity and responds to perturbations and other imposed loads. Passive elongation of thè Achilles tendon of thè ankle during thè downstroke of bicycle pedaling, for example, al- lows for transmittal of hip and muscular forces to thè bicycle crank.6 This capability, however, is limited because of thè slow adaptability of thè tissue to rapidly changing extemal forces and because of thè significant amount of initial lengthening that must occur before tissue can generate suffi- cient passive tension. Stretched muscle tissue exhibits thè properties of elasticity and viscosity. Both properties influence thè amount and rate of passive tension developed within a stretched muscle. A stretched muscle exhibits elasticity because it can temporarily store pari of thè energy that created thè stretch. Stored energy, ahhough relatively slight when compared with thè full force potential of thè muscle, helps prevent a muscle from being damaged during maximal elongation. Viscosity, in this context, describes thè rate-dependent resistance encoun- tered between thè surfaces of adjacent fluid-like tissues. Vis- cosity is rate dependent; thus, a muscle’s internai resistance to elongation increases with thè rate of stretch. Viscosity helps protect a muscle from being damaged by a quick and forceful stretch. The viscous properties of muscle prolong thè application of force to allow a more graduai elongation, reducing thè risk of tissue rupture. In summary, both elastic- ity and viscosity serve as damping mechanisms that protect thè stracanai components of thè muscle and tendon. ACTIVE LENGTH-TENSION CURVE Muscle tissue is uniquely designed to generate force actively in response to a stimulus from thè nervous System. This section describes thè means for generating active force. Ac- tive force is produced by thè muscle fiber. Ultimately, active force and passive tension must be transmitted io thè skeletal structures. The interaction between active and passive forces is explored in thè next section. As explained earlier, muscle fibers constitute thè basic functional element of muscle. Furthermore, each muscle fi- ber, or celi, is composed of many tiny strands called myofi- brils. Myofibrils are thè contractile elements of thè muscle fiber and have a distinctive structure. Each myofibril is 1 io 2 micrometers in diameter and consists of many myofila- ments. The primary structures within myofilaments are two types of proteins: actin and myosin. The regular organization of myofilaments produces thè characteristic banded appear- ance of thè myofibril as seen under thè microscope (Fig. 3 — 6). The actin and myosin physically interact through cross- bridges (i.e., projections from thè myosin filamenti and other connective structures. By way of thè endomysium, myofibrils ultimately connect with thè tendon. This elegant connective web, formed between myofilaments and connec- tive tissues, allows force to be evenly distributed throughout muscle and efficiently transmitted to skeletal structures. Upon inspection of thè muscle fiber, a distinctive light and dark banding is apparent (Fig. 3 - 7 ) .The dark bands, thè A-bands, correspond to thè presence of myosin— thè thick filaments. Myosin also contains projections, called cross-bridges, which are arranged in pairs (Fig. 3 - 8 ) . The light bands, thè I-bands, contain actin— thè thin filaments (see Fig. 3 - 7 ) . In a resting muscle fiber, actin filaments partially overlap myosin filaments. Under an electron micro- scope, thè bands reveal a more complex pattern that consists of H bands, M lines, and Z discs (Table 3 -3 ) . The banding pattern repeats along thè length of thè mus- TABLE 3 - 3 . Regions Within a Sarcomere A bands Dark bands caused by presence of thick myosin filament I bands Light bands caused by presence of thin actin fila- ment H band Region within A band where actin and myosin do not overlap. M lines Mid region thickening of thick myosin filament in thè center of H band Z discs Region where successive actin filaments mesh to- gether. Z disc helps anchor thè thin filaments. Relação comprimento - tensão Relação comprimento-tensão • Há um comprimento muscular ideal (�ótimo�) no qual um músculo produz máxima tensão • Comprimento ótimo – Aproximadamente comprimento de repouso • Filamentos de actina/miosina estão posicionados de tal forma que um número de pontes podem ser formadas • Um conceito importante – Insuficiência Muscle Function Muscle Tension The most important characteristic of a muscle is its abil- ity to develop tension and to exert a force on the bony lever. Tension can be either active or passive, and the total tension that a muscle can develop includes both active and passive components. Total tension, which was identified in Chapter 1 as Fms, is a vector quantity that has (1) magnitude, (2) two points of application (at the proximal and distal muscle attachments), (3) an action line, and (4) direction of pull. The point of application, action line, and direction of pull were the major part of the discussion of muscle force in Chapter 1, but we now need to turn our attention to the deter- minants of the component called magnitude of the muscle force, or the total muscle tension. ! Passive Tension Passive tension refers to tension developed in the par- allel elastic component of the muscle. Passive tension in the parallel elastic component is created by lengthen- ing the muscle beyond the slack length of the tissues. The parallel elastic component may add to the active tension produced by the muscle when the muscle is lengthened, or it may become slack and not contribute to the total tension when the muscle is shortened. The total tension that develops during an active contraction of a muscle is a combination of the passive (noncon- tractile) tension added to the active (contractile) ten- sion (Fig. 3-13) . Continuing Exploration: Passive Muscle Stiffness Passive muscle stiffness is an important property of skeletal muscle. The passive stiffness of an isolated muscle (not connected to bones and joints) is the slope of the passive length-tension relationship. The steeper the slope is, the greater is the stiffness in the muscle. The passive stiffness of a muscle attached to bone and crossing a joint is the slope of the torque-angle relationship (Fig. 3-14). Titin is the pri- mary structure of the muscle that accounts for the stiffness of the muscle (see Lieber28 for a review of the role of titin). On the other hand, the connective tissues in and around the muscle (perimysium and endomysium) are responsible for the extent to which the muscle can be elongated.31 This is often referred to as the muscle extensibility or flexibility. ! Active Tension Active tension refers to tension developed by the con- tractile elements of the muscle. Active tension in a mus- cle is initiated by cross-bridge formation and movement of the thick and thin filaments. The amount of active tension that a muscle can generate depends on neural factors and mechanical properties of the muscle fibers. The neural factors that can modulate the amount of active tension include the frequency, number, and size of motor units that are firing. The mechanical proper- ties of muscle that determine the active tension are the isometric length-tension relationship and the force- velocity relationship. ! Isometric Length-Tension Relationship One of the most fundamental concepts in muscle phys- iology is the direct relationship between isometric ten- sion development in a muscle fiber and the length of the sarcomeres in a muscle fiber.32 The identification of this relationship was, and continues to be, the primary evidence supporting the sliding filament theory of mus- cle contraction. The isometric sarcomere length- tension relationship was experimentally determined with isolated single muscle fibers under very controlled circumstances. There is an optimal sarcomere length at which a muscle fiber is capable of developing maximal isometric tension (see Fig. 3-13). Muscle fibers develop maximal isometric tension at optimal sarcomere length because the thick and thin filaments are positioned so that the maximum number of cross-bridges within the sarcomere can be formed. If the muscle fiber is length- ened or shortened beyond optimal length, the amount of active tension that the muscle fiber is able to gener- ate when stimulated decreases (see Fig. 3-13). When a muscle fiber is lengthened beyond optimal length, there is less overlap between the thick and thin fila- ments and consequently fewer possibilities for cross- bridge formation. However, the passive elastic tension in the parallel component may be increased when the muscle is elongated. This passive tension is added to the active tension, resulting in the total tension (see Fig. 3-13). Chapter 3: Muscle Structure and Function ! 123 " Figure 3-13 ! The skeletal muscle sarcomere length-tension relationship. Active, passive, and the total curves are shown. The plateau of the active curve signifies optimal sarcomere length where maximum active tension is developed. Isometric tension decreases as the muscle is lengthened because fewer cross-bridges are able to be formed. Tension decreases as the muscle is shortened because of interdigitation of the thin filaments. The increase in passive tension with elongation of the muscle is shown by the dashed line. Passive plus active tension results in the total amount of tension developed by the muscle fiber. 03Levengie(F)-03 05/14/2005 3:45 PM Page 123 Copyright © 2005 by F. A. Davis. Relação ideal entre comprimento do músculo e tensão 68 RELAÇÃO IDEAL ENTRE COMPRIMENTO DO MÚSCULO E TENSÃO • �A� (posição encurtada): filamentos de actina e miosina muito próximos limitando a capacidade de gerar tensão ativa. • �B��(comprimento ótimo): comprimento ideal de geração de tensão ativa. • �C� (posição alongada): filamentos de actina e miosina muito distantes e prejudicando a capacidade de gerar tensão ativa SAHRMANN, Shirley. A. (2005) EDUCAÇÃO FÍSICA E FISIOTERAPIA A B C 69 Relação comprimento- tensão § É a relação entre o desenvolvimento de tensão e o comprimento do músculo. • Tensão máxima no comprimento ótimo. • O comprimento ótimo está próximo do que é conhecido como comprimento de repouso (nem muito alongado e nem muito encurtado). Varia de indivíduo para indivíduo, de acordo com as características de suas atividades. • Comprimentos maiores ou menores que o ótimo, cada vez menos oportunidade de sobreposição entre actina e miosina, resultando em menor potencial para se gerar força. Relação comprimento - tensão Adaptação anatômica do comprimento do músculo 70 ADAPTAÇÃO ANATÔMICA DO COMPRIMENTO DO MÚSCULO • O músculo com cumprimento de repouso próximo de alongado desenvolve tensão máxima em posições onde ele esteja mais alongado. • Quando este músculo fica em posição de encurtamento sua tensão é menor. • Músculos treinados em posições alongadas desviam a curva de comprimento e tensão para a direita. • Em posição de encurtamento,estes músculos desenvolvem uma menor tensão ativa quando comparados com músculos encurtados. comprimento 71 Relação comprimento- tensão • O número de sarcômeros não é fixo e, no músculo adulto, pode aumentar ou diminuir. • A regulação do número de sarcômeros é uma adaptação às mudanças no comprimento funcional de um músculo. • Para treino de músculos adaptados fora do comprimento fisiológico, o treinamento deve ser aplicado fora do comprimento habitual. Ex: músculos alongados deverão ser treinados na posição fisiológica para encurtada. Relação comprimento - tensão Muscle Function Muscle Tension The most important characteristic of a muscle is its abil- ity to develop tension and to exert a force on the bony lever. Tension can be either active or passive, and the total tension that a muscle can develop includes both active and passive components. Total tension, which was identified in Chapter 1 as Fms, is a vector quantity that has (1) magnitude, (2) two points of application (at the proximal and distal muscle attachments), (3) an action line, and (4) direction of pull. The point of application, action line, and direction of pull were the major part of the discussion of muscle force in Chapter 1, but we now need to turn our attention to the deter- minants of the component called magnitude of the muscle force, or the total muscle tension. ! Passive Tension Passive tension refers to tension developed in the par- allel elastic component of the muscle. Passive tension in the parallel elastic component is created by lengthen- ing the muscle beyond the slack length of the tissues. The parallel elastic component may add to the active tension produced by the muscle when the muscle is lengthened, or it may become slack and not contribute to the total tension when the muscle is shortened. The total tension that develops during an active contraction of a muscle is a combination of the passive (noncon- tractile) tension added to the active (contractile) ten- sion (Fig. 3-13) . Continuing Exploration: Passive Muscle Stiffness Passive muscle stiffness is an important property of skeletal muscle. The passive stiffness of an isolated muscle (not connected to bones and joints) is the slope of the passive length-tension relationship. The steeper the slope is, the greater is the stiffness in the muscle. The passive stiffness of a muscle attached to bone and crossing a joint is the slope of the torque-angle relationship (Fig. 3-14). Titin is the pri- mary structure of the muscle that accounts for the stiffness of the muscle (see Lieber28 for a review of the role of titin). On the other hand, the connective tissues in and around the muscle (perimysium and endomysium) are responsible for the extent to which the muscle can be elongated.31 This is often referred to as the muscle extensibility or flexibility. ! Active Tension Active tension refers to tension developed by the con- tractile elements of the muscle. Active tension in a mus- cle is initiated by cross-bridge formation and movement of the thick and thin filaments. The amount of active tension that a muscle can generate depends on neural factors and mechanical properties of the muscle fibers. The neural factors that can modulate the amount of active tension include the frequency, number, and size of motor units that are firing. The mechanical proper- ties of muscle that determine the active tension are the isometric length-tension relationship and the force- velocity relationship. ! Isometric Length-Tension Relationship One of the most fundamental concepts in muscle phys- iology is the direct relationship between isometric ten- sion development in a muscle fiber and the length of the sarcomeres in a muscle fiber.32 The identification of this relationship was, and continues to be, the primary evidence supporting the sliding filament theory of mus- cle contraction. The isometric sarcomere length- tension relationship was experimentally determined with isolated single muscle fibers under very controlled circumstances. There is an optimal sarcomere length at which a muscle fiber is capable of developing maximal isometric tension (see Fig. 3-13). Muscle fibers develop maximal isometric tension at optimal sarcomere length because the thick and thin filaments are positioned so that the maximum number of cross-bridges within the sarcomere can be formed. If the muscle fiber is length- ened or shortened beyond optimal length, the amount of active tension that the muscle fiber is able to gener- ate when stimulated decreases (see Fig. 3-13). When a muscle fiber is lengthened beyond optimal length, there is less overlap between the thick and thin fila- ments and consequently fewer possibilities for cross- bridge formation. However, the passive elastic tension in the parallel component may be increased when the muscle is elongated. This passive tension is added to the active tension, resulting in the total tension (see Fig. 3-13). Chapter 3: Muscle Structure and Function ! 123 " Figure 3-13 ! The skeletal muscle sarcomere length-tension relationship. Active, passive, and the total curves are shown. The plateau of the active curve signifies optimal sarcomere length where maximum active tension is developed. Isometric tension decreases as the muscle is lengthened because fewer cross-bridges are able to be formed. Tension decreases as the muscle is shortened because of interdigitation of the thin filaments. The increase in passive tension with elongation of the muscle is shown by the dashed line. Passive plus active tension results in the total amount of tension developed by the muscle fiber. 03Levengie(F)-03 05/14/2005 3:45 PM Page 123 Copyright © 2005 by F. A. Davis. Muscle Function Muscle Tension The most important characteristic of a muscle is its abil- ity to develop tension and to exert a force on the bony lever. Tension can be either active or passive, and the total tension that a muscle can develop includes both active and passive components. Total tension, which was identified in Chapter 1 as Fms, is a vector quantity that has (1) magnitude, (2) two points of application (at the proximal and distal muscle attachments), (3) an action line, and (4) direction of pull. The point of application, action line, and direction of pull were the major part of the discussion of muscle force in Chapter 1, but we now need to turn our attention to the deter- minants of the component called magnitude of the muscle force, or the total muscle tension. ! Passive Tension Passive tension refers to tension developed in the par- allel elastic component of the muscle. Passive tension in the parallel elastic component is created by lengthen- ing the muscle beyond the slack length of the tissues. The parallel elastic component may add to the active tension produced by the muscle when the muscle is lengthened, or it may become slack and not contribute to the total tension when the muscle is shortened. The total tension that develops during an active contraction of a muscle is a combination of the passive (noncon- tractile) tension added to the active (contractile) ten- sion (Fig. 3-13) . Continuing Exploration: Passive Muscle Stiffness Passive muscle stiffness is an important property of skeletal muscle. The passive stiffness of an isolated muscle (not connected to bones and joints) is the slope of the passive length-tension relationship. The steeper the slope is, the greater is the stiffness in the muscle. The passive stiffness of a muscle attached to bone and crossing a joint is the slope of the torque-angle relationship (Fig. 3-14). Titin is the pri- mary structure of the muscle that accounts for the stiffness of the muscle (see Lieber28 for a review of the role of titin). On the other hand, the connective tissues in and around the muscle (perimysium and endomysium) are responsible for the extent to which the muscle can be elongated.31 This is often referred to as the muscle extensibility or flexibility. ! Active Tension Active tension refers to
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