Surgery
Volume 28, Issue 2 , Pages 60-62, February 2010

The control of muscle contraction

David A Jones PhD is a Professor of Muscle Physiology at the Institute for Biomedical Research into Human Movement and Health (IRM), Manchester Metropolitan University, Manchester, UK. Conflicts of interest: none declared

Carolyn A Greig PhD is a Senior Research Fellow in the Dept. of Clinical and Surgical Sciences (Geriatric Medicine) at The University of Edinburgh Royal Infirmary, Edinburgh, UK. Conflicts of interest: none declared

Abstract 

Skeletal muscle is also known as voluntary muscle and, as its name implies, it is under volitional control, unlike smooth or cardiac muscle. Adult skeletal muscle fibres are each innervated by a single branch of the axon arising from an α-motoneuron in the spinal cord. The α-motoneuron and all the fibres it innervates constitute a motor unit, and this is the functional unit of the muscle. α-Motoneurons differ in size and excitability and it is the recruitment of these cell bodies in the spinal cord that determines which fibres within the muscle are active during a movement. The axonal branches generally make contact with their muscle fibre about halfway along its length, this being the ‘motor point’ at which the muscle can most easily be stimulated by an external electrical stimulus during muscle testing. Correct functioning of the neuromuscular junction is clearly critical for muscle action and it is a site at which many drugs affecting muscle have their action.

Keywords: Excitation-contraction coupling, muscle contraction, neuromuscular junction

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PII: S0263-9319(09)00257-9

doi:10.1016/j.mpsur.2009.10.017

Surgery
Volume 28, Issue 2 , Pages 60-62, February 2010