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Myotonia congenita is a congenital neuromuscular channelopathy that affects skeletal muscles (muscles used for movement). It is a genetic disorder.The hallmark of the disease is the failure of initiated contraction to terminate, often referred to as delayed relaxation of the muscles and rigidity. [1]
Balloonist theory was a theory in early neuroscience that attempted to explain muscle movement by asserting that muscles contract by inflating with air or fluid. The Roman and Greek physician Galen believed that muscles contracted due to a fluid flowing into them, and for 1500 years afterward, it was believed that nerves were hollow and that they carried fluid. [1]
The termination of muscle contraction is followed by muscle relaxation, which is a return of the muscle fibers to their low tension-generating state. [ 1 ] For the contractions to happen, the muscle cells must rely on the change in action of two types of filaments : thin and thick filaments.
To test the reflex, the muscle should be in a neutral position. The muscle being tested needs to be flexed for the clinician to locate the tendon. After the muscle is relaxed, the clinician strikes the tendon. The response should be contraction of the muscle. If this is the knee jerk reflex, the clinician should observe a kick.
Generally, repeated contraction of the muscle can alleviate the myotonia and relax the muscles thus improving the condition, however, this is not the case in paramyotonia congenita. This phenomenon is known as the "warm-up" reflex [8] and is not to be confused with warming up before exercise, though they may appear similar. Individuals with the ...
The α 2, on the other hand, couples to G i, which causes a decrease in neurotransmitter release, as well as a decrease of cAMP activity resulting in smooth muscle contraction. The β receptor couples to G s and increases intracellular cAMP activity, resulting in e.g. heart muscle contraction, smooth muscle relaxation and glycogenolysis. There ...
Fused tetanus is when there is no relaxation of the muscle fibers between stimuli and it occurs during a high rate of stimulation. [5] A fused tetanic contraction is the strongest single-unit twitch in contraction. [6] When tetanized, the contracting tension in the muscle remains constant in a steady state. This is the maximal possible ...
Stretch of the muscle membrane opens a stretch-activated ion channel. The cells then become depolarized and this results in a Ca 2+ signal and triggers muscle contraction. No action potential is necessary here; the level of entered calcium affects the level of contraction proportionally and causes tonic contraction.