
Muscle tetanus, also known as a tetanic contraction, is a sustained muscle contraction that occurs when a muscle's motor unit is stimulated by multiple impulses at a high frequency. This results in a strong and complete contraction, known as a fused tetanus, where there is no relaxation of the muscle fibres between stimuli. To stimulate muscle tetanus, a high-frequency stimulus is required, which can be achieved through electrical stimulation. This type of contraction is often observed during voluntary actions such as holding up a heavy box, but it can also occur involuntarily, ranging from mild cramps to severe movement disorders. Understanding the mechanisms behind muscle tetanus is crucial for fields like kinesiology and neurology, as it provides insights into muscle function and disorders.
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What You'll Learn

High-frequency stimulation
To achieve high-frequency stimulation, it is important to understand the role of calcium ions (Ca2+). Studies have shown that the inclusion of a high-frequency doublet stimulus at the beginning of a tetanus results in a faster rate of rise of tetanic force. This is attributed to the sustained increase in myoplasmic Ca2+ concentration, which provides a straightforward explanation for the observed acceleration in force development.
The concept of fused tetanus is crucial here. Fused tetanus occurs when there is no relaxation of muscle fibres between stimuli, resulting in a constant contracting tension in the muscle. This is achieved through high-frequency stimulation, where the stimuli are delivered rapidly enough to prevent the muscle from fully relaxing between twitches.
The rate of stimulation that produces fused tetanus is called the fusion frequency. By stimulating the muscle at a frequency between the extremes of a single pulse and a constant tension response, the muscle can be kept in a state of fused tetanus. This is a powerful mechanism that allows for the maximum possible contraction, as seen in activities like lifting a heavy box.
Additionally, the role of individual motor units is important to consider. While they do not undergo fused tetanic contractions, the sustained development of force by a skeletal muscle is often the result of asynchronous unfused tetani of these individual motor units. The efficiency of force development in these intact muscles is influenced by the frequency of stimulation, with higher frequencies leading to increased force.
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Muscle twitches
During a tetanic contraction, the muscle's contractile elements are maintained, and they eventually shorten enough to extend the series of elastic elements. This is in contrast to a twitch, where the activity of the muscle is so brief that the contractile elements cannot extend the elastic elements completely before relaxation begins. As a result, the tension at the ends of the muscle is less than the maximum tension during a tetanus.
The mechanical response to repeated stimulation depends on the rate of stimulation. If the pulses are delivered slowly, the muscle will relax between successive twitches. If the pulses are delivered quickly enough, the tension in the muscle will remain constant, resulting in a fused tetanus.
Tetanic contractions can be either unfused or fused. An unfused tetanus occurs when the muscle fibres do not completely relax before the next stimulus because they are being stimulated at a fast rate. A fused tetanus, on the other hand, occurs when there is no relaxation of the muscle fibres between stimuli and it occurs during a high rate of stimulation. Fused tetanus is the strongest single-unit twitch in contraction.
Tetanic contractions can be studied using time-resolved X-ray diffraction of intact, electrically stimulated muscles. This technique has been used to study the mechanisms that determine the amplitude and complete time course of twitch and tetanus responses in mammalian and amphibian muscle.
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Isotonic and isometric contractions
Isometric contractions, on the other hand, generate force without changing the length of the muscle. These contractions are performed without joint motion, and the muscle length remains constant. For example, when holding a heavy weight steady, the muscle contraction required to grip and hold the weight without moving it is an isometric contraction. Isometric contractions are frequently used to maintain posture and are common in the muscles of the hand and forearm responsible for grip.
Both isotonic and isometric contractions are important for physical activities and can be combined in various exercises. Isotonic exercises, also known as aerobic or endurance exercises, involve high-repetition movements against low resistance, such as walking, running, swimming, and cycling. Isometric exercises, on the other hand, are a form of resistance or strength training, involving low-repetition movements against high resistance, such as weight lifting and bodybuilding.
Tetanic contractions, also known as tetanus or physiologic tetanus, are a type of sustained muscle contraction that occurs when a motor nerve that innervates a skeletal muscle emits action potentials at a very high rate. This results in a fused or unfused tetanic contraction, with the muscle fibres either completely or incompletely relaxing between stimuli. Tetanic contractions can occur during both isotonic and isometric contractions, such as when lifting a heavy box (isotonic) and holding it at an elevated position (isometric).
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Muscle relaxation
Progressive muscle relaxation (PMR) is a simple and effective technique to relax the body and calm the mind. It involves a two-step process of creating and releasing tension in specific muscle groups to build awareness of sensations of tension and deep relaxation.
PMR was developed by Dr. Edmund Jacobson in the 1920s and has been used to treat various conditions, including anxiety, insomnia, and high blood pressure. The practice is simple: first, tension is created in a specific muscle group while breathing in, and then the tension is released while breathing out. This rhythmic pattern of breathing and movement is key to enhancing relaxation throughout the body.
When starting out, it is recommended to practice PMR with 14 different muscle groups, as outlined by Dr. Jacobson in his 1938 book, *Progressive Relaxation*. With practice, an abbreviated version can be used, focusing on just one or a few muscle groups, such as the hands, arms, forehead, eyes, and jaw.
To deepen awareness and train the body to relax more profoundly, it is beneficial to repeat the process in the same muscle groups, gradually reducing the tension with each repetition. This technique allows individuals to recognize and differentiate between the feelings of tensed and relaxed muscles, promoting a greater sense of relaxation.
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Calcium release
During a muscle contraction, an action potential travels down the transverse tubules, which are channels that run through the muscle fibre. This change in electrical properties triggers the release of calcium ions from the terminal cisternae, which are part of the sarcoplasmic reticulum. The release of these ions is essential for initiating and maintaining muscle tetanus.
As the concentration of calcium ions increases in the sarcoplasm (the muscle fibre's cytoplasm), they bind to troponin molecules in the thin filaments. This binding removes the inhibition on the interaction between myosin and actin, allowing the muscle fibres to contract. The release of calcium ions from the terminal cisternae is rapid and significant, contributing to the intense and sustained nature of muscle tetanus.
In addition to the rapid release of calcium ions, the removal of these ions from the sarcoplasm is also carefully regulated. Another part of the sarcoplasmic reticulum, the longitudinal tubules, removes calcium ions from the sarcoplasm. These ions then slowly diffuse back to the terminal cisternae, where they are stored by binding to a protein called calsequestrin. This removal process requires energy, which is supplied by the breakdown of ATP molecules.
The concentration of calcium ions in the sarcoplasm is crucial for muscle contraction. During a 1.2-second muscle tetanus, approximately 59% of the calcium content in the terminal cisternae is released, raising the cytoplasmic calcium concentration by about 1 mM. This increase in calcium ion concentration is essential for activating the contraction and can be measured to understand the mechanisms underlying muscle tetanus.
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Frequently asked questions
A muscle tetanus, or tetanic contraction, is a sustained muscle contraction that occurs when a muscle's motor unit is stimulated by multiple impulses at a high frequency.
To stimulate muscle tetanus, you can impose two or three high-frequency action potentials at the beginning of tetanic stimulation. This will significantly increase the rate of rise of force.
An unfused tetanus occurs when the muscle fibres do not completely relax before the next stimulus because they are being stimulated at a fast rate. A fused tetanus, on the other hand, is when there is no relaxation of the muscle fibres between stimuli, and it occurs during a high rate of stimulation.
Muscle tetanus can occur during everyday activities such as holding up a heavy box or maintaining a crouching position. In these cases, muscles exhibit some level of tetanic activity to maintain posture or lift a load.











































