Professional Documents
Culture Documents
Roll Number: 26
Module:
Therapeutic Exercises 1 (MPG103)
Assignment:
Skeletal Muscle Function and Adaptation to Resistance Exercise
Structure
Skeletal muscle is made up of bundles of muscle fibers and is surrounded by and held together with connective
tissue.This connective tissue forms three layers, the epimysium which surrounds the whole muscles, the perymysium
which surrounds fascicles or bundles of 10-100 muscle fibers and the endomysium which surrounds individual
muscle fibers. The connective tissue layers hold the muscle together, connect muscle to other structures in the body
and form tendons to connect muscle to bone.When a muscle contracts, tension is transmitted through the
connective tissue which pulls on the muscle insertion and produces movement.
Contraction
Muscles contract according to sliding filament theory.
Nerve supply
Motor neurons stimulate muscles to contract.
Each motor neuron supplies group of motor fibers within a muscle this is called motor unit.
Blood Supply
Muscles are well supplied with blood vessels.There are many capillaries in the endomysium to deliver oxygen &
other nutrients and to remove waste products..
Skeletal muscle fiber types
Skeletal muscles are composed of various types of muscle fibers and based on metabolic and contractile characteristics are
classified into two groups:
Type 1
Type 1 (tonic, slow-twitch) muscle fibers generate a low level of muscle tension but can sustain the contraction
for a long time.
These fibers are geared toward aerobic metabolism.
Type 1 fibers are more resistant to fatigue than type 2A.
Type 1 fibers contain a large number of mitochondria and myoglobin and a high concentration of mitochondrial
enzymes.
This type of fiber has low myosin ATPase activity and slow calcium handling ability and shortening speed and
hence generates comparatively less force.
Type 1 fibers generate energy for ATP resynthesis mainly via oxidative phosphorylation.
Thus, this type of fiber is predominately utilized during prolonged aerobic exercise since it is relatively fatigue
resistant because of lower force generation and also has an abundant supply of energy via oxidative
phosphorylation.
A heavy distribution of type 1 (tonic) fibers is found in postural muscles, which allows muscles such as the soleus
to sustain a low level of tension for extended periods of time to hold the body erect against gravity or stabilize
against repetitive loads.
Type 2
Fifty percent of type2 muscle fibers are 2A & fifty percent are 2B.
In contrast to type 1, type 2 or fast-twitch fibers possess a high capability for electrochemical transmission of
action potentials and increased activity of myosin ATPase, and hence larger force generation.
Calcium is also rapidly released by the sarcoplasmic reticulum, which contributes to this fiber’s rapid ATP
turnover for short, intense periods of muscular contraction.
Type 2 fibers rely heavily on the glycolytic system for energy production; thus this fiber type is particularly suited
to exercise of an anaerobic nature and correspondingly these fiber types also tend to fatigue more rapidly than
type 1 fibers.
In general type 2 fibers generate a great amount of tension within a short period of time, with type 2B being
geared toward anaerobic metabolic activity and having a tendency to fatigue more quickly than type 2A fibers.
Muscles with a large distribution of type 2B (phasic) fibers, such as the gastrocnemius or biceps brachii, produce
a great burst of tension to enable a person to lift the entire body weight or to lift, lower, push, or pull a heavy
load but fatigue quickly.
Any form of active exercise in which a dynamic muscular contraction is resisted by an outside force.
A. Manual resistance exercise, a type of active exercise in which a dynamic or static muscular contraction is resisted
by an outside force.
B. Mechanical resistance exercise, resistance is applied through the use of equipment or mechanical apparatus.
Skeletal muscles are used for a wide variety of motor tasks ranging from maintaining posture to whistling,
from jumping to breathing, from running at 40Km/h for 10s (100 meters) to running at half the speed for 2h
(i.e., the marathon, 42,195Km).
The capacity to accomplish such variable motor tasks relies on the very fine motor control performed by the
nervous system and on the very large functional heterogeneity and plasticity of skeletal muscles.
Muscles assume different roles during joint motion, depending on such variables as the motion being performed,
the direction of the motion, and the amount of resistance the muscle must overcome. If any of these variables
change, the muscle’s role may also change.
Knowledge of the factors that influence the force producing capacity of normal muscle during an active
contraction is fundamental to understand how the neuromuscular system adapts as the result of resistance
training.This knowledge provides a basis on which a therapist is able to make sound clinical decisions when
designing a resistance exercise program for patients with weakness and functional limitations as the result of
injury or disease or to enhance physical performance and prevent or reduce the risk of injury in healthy individuals.
Factors that Influence Tension Generation in Normal Skeletal Muscle
Muscle Performance
It’s a capacity of muscle to do work (force x distance).
A complex component of functional movement.
Diverse but interrelated factors affect the tension generating capacity of normal skeletal muscle necessary
to control the body and perform motor tasks.
Biomechanical influences:
Fiber-type distribution of muscle: type I (tonic, slow twitch) and type 2A & 2B ( phasic, fast-twitch)
Influence: High percentage of type I fibers: low force production, slow rate of maximum force development,
resistant to fatigue
High percentage of type 2A and 2B fibers: rapid high force production; rapid fatigue
Length-tension relationship of muscle at time of contraction
Influence: Muscle produces greatest tension when it is near or at the physiological resting position at the time
of contraction
Type of muscle contraction
Influence: Force output from greatest to least: eccentric, isometric, concentric muscle contraction
Speed of muscle contraction(force velocity relationship)
Influence: Concentric contraction: ↑ speed → ↓ tension. Eccentric contrac on: ↑ speed → ↑ tension
Neurological Factors:
Recruitment of motor units
Influence: Great number of motor units required great tension
Frequency of firing of motor units
Influence: Higher the frequency higher the tension produced
Fatigue(Local)
It’s a diminished response of a muscle to repeated stimulus. Fatigue is reflected by progressive decrement in
amplitude of motor unit potentials. This occurs during exercise when a muscle repeatedly contracts statically or
dynamically against an Imposed load. Decline in force producing capacity of neuromuscular system may be
considered normal or reversible, it could be due to
Decrease in energy stores ,insufficient oxygen or lactic acid build up
CNS inhibition
Decrease conduction in NMJ (Particularly type 2 fibers)
Signs and Symptoms of Muscle Fatigue
Muscle pain
Active movements jerky not smooth
Inability to complete full range of available motion during dynamic exercise against the same level of resistance
Use of substitute or incorrect motions to complete the movement pattern
Inability to continue low-intensity physical activity
When these signs and symptoms develop during resistance exercise, it is time to decrease the load on the
exercising muscle or stop the exercise and shift to another muscle group to allow time for the fatigued muscle to
rest and recover.
Puberty
During puberty muscle mass increases more than 30% per year.
Rapid increase in muscle strength in both sexes.
Marked difference in strength levels develops in boys and girls.
In boys, muscle mass and body height and weight peak before muscle strength; in girls, strength peaks before
body weight.
Late Adulthood
Rate of decline of muscle strength accelerates to 15% to 20% per decade during the sixth and seventh decades
and increases to 30% per decade thereafter.
Loss of muscle mass continues; by the eighth decade, skeletal muscle mass has decreased by 50%.
Atrophy of type 2 muscle fibers.
Decrease in the speed of muscle contractions and peak power.
Gradual decrease in endurance and maximum oxygen uptake.
Loss of flexibility reduces the force-producing capacity of muscle.
Minimal decline in performance of functional skills during the sixth decade.
Significant deterioration in functional abilities by the eighth decade associated with a decline in muscular
endurance.
The ability to sustain low-intensity muscular effort also declines in late adulthood because of reduced blood
supply and capillary density in muscle, decreased mitochondrial density, changes in enzymatic activity level, and
decreased glucose transport. As a result, muscle fatigue may tend to occur more readily in the elderly
With a resistance training program, a significant improvement in muscle strength, power, and endurance is
possible during late adulthood.
Psychological and Cognitive Factors:
Psychological factors can positively or negatively influence muscle performance. For example, fear of pain, injury
or re injury ,depression related to physical illness, or impaired attention or memory as the result of age, head
injury, or the side effects of medication can adversely affect the ability to develop or sustain sufficient muscle
tension.
Psychological factors can also positively influence physical performance.
Attention: Patient may be able to focus on given task. Attention involves the ability to process relevant data
while screening out irrelevant information from the environment and to respond to internal cues from the body.
Both are necessary when first learning an exercise and later when carrying out an exercise program
independently.
Motivation: Patient must be willing to put sufficient effort and adhere to an exercise program over time to
improve muscle performance for functional activities. Use of activities that are meaningful and periodically
modifying an exercise routine help maintain a patient’s interest in resistance training. Charting or graphing a
patient’s strength gains also helps sustain motivation.
Feedback: feedback can have a positive impact on a patient’s motivation and subsequent adherence to an
exercise programe.For Example, some computerized equipment, such as isokinetic dynamometers, provide visual
or auditory signals that let the patient know if each muscle contraction during a particular exercise is in a zone
that causes a training effect.
Documenting improvements over time, such as the amount of weight (exercise load) used during various
exercises or changes in walking distance or speed, also provides positive feedback to sustain a patient’s
motivation in a resistance exercise program.
SKELETAL MUSCLE ADAPTATION TO RESISTANCE EXERCISES
Physiological Adaptations to Resistance Exercise
The use of resistance exercise in rehabilitation programs has a substantial effect on all systems of the body. Resistance
exercises are equally important for patients with impaired muscle performance and for those who wish to improve or
maintain their level of fitness or reduce the risk of injury. When body systems are exposed to a greater than usual but
appropriate level of resistance in an exercise program, they initially react with a number of acute physiological responses
and then later adapt. That is, body systems accommodate over time to the newly imposed physical demands.
Training-induced adaptations to resistance exercise are known as chronic physiological responses.
Adaptations to overload create changes in muscle performance, its determines the effectiveness of a resistance training
program. The time course for these adaptations to occur varies from one individual to another and is dependent on a
person’s health status and previous level of participation in a resistance exercise program.
An adaptation to exercise training demonstrates a diverse range of integrative approaches from the peripheral to the
molecular level. The adaptations can be divided majorly into those that occur in the nervous system and those that occur
directly within muscle tissue.
Neural Adaptations:
The ability of the muscles to produce force is first initiated in the nervous system not adaptive changes in muscle
itself. This is reflected by an increase in electromyographic (EMG) activity during the first 4 to 8 weeks of training
with little to no evidence of muscle fiber hypertrophy.
Neural adaptations are attributed to motor learning and improved coordination.
The neurologic factors that modulate muscle induced force production are motor unit recruitment & rate of
motor unit firing.These two factors together are called central activation.
It is assumed that these changes are caused by a decrease in the central nervous system (CNS) inhibition,
decreased sensitivity of the Golgi tendon organ (GTO), or changes at the myoneural junction of the motor unit.
Vascular Adaptations:
With endurance training, when muscles hypertrophy with high-intensity, low-volume training the capillary bed
density decreases because of an increase in the number of myofilaments per fiber.
Athletes who participate in heavy resistance training have fewer capillaries per muscle fiber than endurance
athletes and even untrained individuals.
Metabolic Adaptations:
Decrease in mitochondrial density occurs with high-intensity resistance training.
This is associated with reduced oxidative capacity of muscle.
Increase in ATP & CP storage.
Increase myoglobin storage.
Increase triglyceride storage (endurance training).
REFERENCES
1.The Physiotherapist Pocket Guide To Exercise
BY Angela Glynn PhD, MCSP & Helen Fiddler MSc PG Cert. Introduction to Exercise Physiology. Page 1-3
4. Role of Physical Exercise in Preventing Disease and Improving the Quality of Life
BY Vilberto Stocchi ,Pierpaolo De Feo & David A.Hood. Cellular and Molecular Mechanisms of Skeletal Muscle
Plasticity.Page 4