CoverModule 1.0. Homeostasis, Membranes, Electrophysiology and ANS1.1. Homeostasis1.1.1. Homeostasis Defined1.1.2. Homeostatic Control Systems1.1.3. Feedback Response Loop1.2. Cell Transport; Water & Solutes1.2.1. Fluid Compartments1.2.2. Osmosis1.2.3. Diffusion of Solutes1.2.4. Active Transport1.2.5. Bulk Transport1.3. Electrophysiology1.3.1. Ions and Cell Membranes1.3.2. Membrane Potentials1.3.3. Graded Potential1.3.4. Action Potentials1.3.5. Refractory Periods1.3.6. Propagation of an Action Potential1.4. The Synapse1.5. The Autonomic Nervous System1.5.1. Organization of the Nervous System1.5.2. Structural Organization of the ANS1.5.3. The SNS and the PNS1.5.4. The Enteric Nervous System1.5.5. Physiology of the ANS1.5.6. Neurotransmitters of the ANS1.5.7. Receptors of the ANS1.5.8. Actions of the Autonomic Nervous System1.5.9. Table of Actions for the SNS and PNS and Some Common DrugsModule 2.0. Skeletal Muscle and Special Senses2.1. Structural Organization of Skeletal Muscle2.2.1. Neuromuscular Junction, Excitation-Contraction Coupling2.2.2. Muscle Contractures and Cramps2.3. Whole Muscle Contraction, Fiber Type, Fatigue and Muscle Pharmacology2.3.1. Motor Units2.3.2. Factors that Influence the Force of Contraction2.3.2. Factors that Influence the Force of Muscle Contraction2.3.3. Energy Source for Muscle Contraction2.3.4. Skeletal Muscle Fiber Types2.3.5. Fatigue2.3.6. Muscle Pharmacology2.4. Smooth Muscle2.4.1. Smooth Muscle Contraction2.5. Control of Body Movement2.5.1. Voluntary Control of Muscle2.5.2. Reflexes2.6. Taste and Smell2.6.1. Taste2.6.2. The Sense of Smell2.7. Vision2.7.1. Structure of the Eye2.7.2. Focusing Light on the Retina2.7.3. Converting Light to Action Potentials2.7.4. The Retina2.7.5. Phototransduction2.7.6. Receptive Fields2.8. Hearing and Equilibrium2.8.1. The Nature of Sound2.8.2. The Hearing Apparatus2.8.3. Sound Vibrations to Action Potentials2.8.4. The Sense of Balance and EquilibriumModule 3.0. Cardiovascular System3.1. Structure of the Heart3.1.1. Chambers and Circulation3.2. Cardiac Cell Action Potentials3.2.1. Action Potentials in Cardiac Muscle Cells3.2.2. Action Potentials in Cardiac Autorhythmic cells3.2.3. Cellular Mechanisms of Inotropy and Chronotropy3.3. Electrophysiology of Heart Muscle3.3.1. Heart Conduction System3.3.2. Electrocardiogram (ECG)3.3.3. Abnormal ECG - Current of Injury3.4. The Cardiac Cycle3.4.1. Cardiac cycle3.4.2. Cardiac Measurements and Pressure Volume Loops3.5. Blood vessels and Blood Pressure3.5.1. Arteries and Veins3.5.2. Capillaries3.5.3. Blood Pressure Regulation and Shock3.5.4. Capillary Exchange3.5.5. Myogenic and Paracrine Regulation of Vasoconstriction and Vasodilation3.6. Blood3.6.1. Composition of Blood3.6.2. Hematopoeisis3.6.3. Breaking Down Red Blood Cells3.6.4. HemostasisModule 4.0. Urinary and Respiratory Systems4.1. Function and Structure of the Kidney4.1.1. Urinary System Function4.1.2. Functional Anatomy of the Urinary System4.1.3. The Nephron: Functional Unit of the Kidney4.1.4. The Renal Corpuscle: Bowman's Capsule4.2. Physiology of Urine Production4.2.1. Filtration4.2.2. Renal Clearance4.2.3. Tubular Reabsorption4.2.4. Urine Concentration and Dilution4.2.5. Hormonal Regulation of Urine Production4.3. Acid/Base Balance4.3.1. Buffers4.3.2. Acid/Base Disturbances4.4. The Respiratory System4.4.1. Respiratory System Structure and Function4.4.2. Respiratory Membrane4.4.3. Respiratory pressures and Inspriation/Expiration4.4.4. Alveoli and Surfactant4.4.5. Pneumothorax4.4.6. Pressure-Volume Loops and the Work of Breathing4.5. Gas Exchange and Transport4.5.1. Gas Laws4.5.2. Partial Pressure Gradients in the Lung4.5.3. Alveolar Gas Equation4.5.4. Oxygen and Carbon Dioxide Transport in the Blood4.5.5. Alveolar Ventilation4.5.6. Ventilation/Perfusion Ratio4.6. Chronic Bronchitis and Emphysema4.6.1. Respiratory Control by the Medulla Oblongata4.6.2. Chemicals that Regulate VentilationModule 5.0. Digestive, Endocrine and Reproductive Systems5.1. Functional Anatomy of the Digestive System5.1.1. Layers of the Digestive Tract5.1.2. Enteric Nervous System5.1.3. Organs of the Digestive System5.2. Digestion5.2.1. Carbohydrates5.2.2. Proteins5.2.3. Lipids5.2.4. Lipoproteins5.3. Regulation of Digestive Secretions5.4. Endocrine System5.4.1. Overview of the Endocrine System5.4.2. Hormone Receptors5.4.3. Hormones of the Body5.4.4. Other Hormones: Melatonin and Pheromones5.5. The Hypothalamus and Pituitary Gland5.5.1. Structure and Function of the Hypothalamus and Pituitary Gland5.5.2. The Posterior Pituitary5.5.3. The Anterior Pituitary5.5.4. Growth Hormone5.5.5. Prolactin5.5.6. Thyroid Hormones5.5.7. Adrenal Hormones5.6. Pancreas5.6.1. Insulin and Glucagon5.6.2. Diabetes Mellitus5.7. Reproductive System Anatomy5.7.1. Female Reproductive Anatomy5.7.2. Male Reproductive Anatomy5.7.3. Sexual Development at Puberty5.7.4. Male Reproductive Endocrine Axis5.7.5. Spermatogenesis5.7.6. Female Reproductive System: Oogenesis5.7.7. Ovulation and Fertilization5.7.8. The Ovarian Cycle5.7.9. The Uterine Cycle5.7.10. PregnancyAppendix A. GenderAppendix B. The Placebo EffectB.2.1. The Placebo EffectB.2.2. Examples of the Placebo EffectB.2.3. How do Placebos Work?B.2.4. Are Placebos Ethical?B.2.5. How do we validate actual effectiveness of placebosB.2.6. Tips for evaluating scientific evidenceB.2.7. What about Faith Healingstest chapter

Skeletal Muscle Fiber Types

Classically, skeletal muscle fibers can be categorized according to their speed of contraction (myosin ATPase rate) and their resistance to fatigue. These classifications are in the process of being revised, but the basic types include:

  1. Slow twitch oxidative (type I)muscle fibers,
  2. Fast-twitch oxidative-glycolytic (Type IIA)muscle fibers, and
  3. Fast-twitch glycolytic (Type IIB or IIX)

In humans, within the above classifications, there are seven identifiable subtypes. From slowest to fastest they are types: I, IC, IIC, IIAC, IIA, IIAB and IIB. It has been shown that humans do not contain the “B” isoform like animals and instead should be renamed type X but altering nomenclature can take years and is rarely successful. Therefore, we will refer to type X as B so that as you read other articles you can follow the nomenclature.

Fast-twitch (type II) fibers develop tension two to three times faster than slow-twitch (type I) fibers. How fast a fiber can contract is related to how long it takes for completion of the cross-bridge cycle. This variability is due to different varieties of myosin molecules and how quickly they can hydrolyze ATP. Recall that it is the myosin head that splits ATP. Fast-twitch fibers have a more rapid ATPase (splitting of ATP into ADP + Pi) ability. Fast-twitch fibers also pump Ca2+ ions back into the sarcoplasmic reticulum very quickly, so these cells have much faster twitches than the slower variety. Thus, fast-twitch fibers can complete multiple contractions much more rapidly than slow-twitch fibers. For a complete list of how muscle fibers differ in their ability to resist fatigue see the table below:

  Slow Twitch Oxidative (Type I, IC) Fast-twitch Oxidative (Type IIC, IIAC, IIA) Fast-Twitch Glycolytic (Type IIAB, IIB)
Myosin ATPase activity Slow fast fast
Size (diameter) Small medium large
Duration of contraction Long short short
SERCA pump activity Slow fast fast
Fatigue Resistant resistant easily fatigued
Energy utilization aerobic/oxidative both anaerobic/glycolytic
capillary density High medium low
mitochondria high numbers medium numbers low numbers
Color red (contain myoglobin) red (contain myoglobin) white (no myoglobin)

In human skeletal muscles, the ratio of the various fiber types differs from muscle to muscle. For example, the gastrocnemius muscle of the calf contains about half slow and half fast type fibers, while the deeper calf muscle, the soleus, is predominantly slow twitch. On the other hand, the eye muscles are predominantly fast twitch. As a result, the gastrocnemius muscle is used in sprinting while the soleus muscle is important for standing. In addition, women seem to have a higher ratio of slow twitch to fast twitch compared to men. The "preferred" fiber type for sprinting athletes is the fast-twitch glycolytic, which is very fast, however, most humans have a very low percentage of these fibers, < 1%. Muscle biopsies of one world class sprinter revealed 72% fast twitch fibers and amazingly 20% were type IIB. The Holy Grail of muscle research is to determine how to change skeletal muscle fibers from one type to another. It appears that muscle fiber types are determined embryologically by the type of neuron that innervates the muscle fiber. The default muscle appears to be slow, type I fibers. If a muscle is innervated by a small neuron that muscle fiber will remain slow, whereas large myelinated fibers induce the fast isoforms. In addition, the frequency of firing rates of the neuron also alters the muscle fiber type. Research suggests that humans have subtypes of fibers, making up about <5% of the muscle, that are dually innervated and allow for switching between slow and fast to occur. Generally, it would appear that genetics determine the type of innervation that occurs and subsequent muscle fiber types and that training may be able to slightly alter the ratios due to the dually innervated muscles. However, since <5% have dual innervation, genetics is going to play a much greater role in your fiber types than your training.

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