The first practical is designed to teach students the basics of EMG recording, carried out at the end of the musculoskeletal system module. The background written information reinforces physiology concepts seen in class, as well as the application of basic physics concepts seen in other coursework. It begins with a description of how muscle-bone-joint complexes function as lever systems. Students are encouraged to think back to the three types of classical lever system and find corresponding examples of these in the human body. This involves visualizing biomechanics and how the relative position of bones, joints, muscles, and loads will affect movement. The written documentation goes on to reinforce concepts such as how muscle structure affects tension development, length-tension relationships, and the energy requirements for muscle contraction. We then describe the basics of EMG recording, comparing the advantages and disadvantages of invasive versus surface recording, and the basic bipolar differential recording configuration. Study questions prompt students to think about where they will need to place electrodes to record from different muscles and what potential limitations they might encounter.
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In module 3 of their human physiology course, students learn about the cardiovascular system and carry out a practical to record their ECG before and after exercise. The background written information begins with a description of how the heart performs external mechanical work. Students are encouraged to visualize the heart as a single-chamber pump with inflow and outflow valves, and examine the pressure-volume relationships similar to the way one would with an internal combustion engine 66 . Students learn about sequential pressure and volume changes in different chambers of the heart during the cardiac cycle, and how to graph this with a pressure-volume loop. The documentation goes on to describe the electrical activity of specialized populations of cells in the heart, including the ionic basis of APs in these cells. Discussing cardiac muscle activity also encourages students to think back to module 2 of the human physiology course when we discussed contraction mechanisms in this muscle type. Finally, we describe the basics of ECG recording, including how the summation of individual potentials leads to the extracellularly recorded events, different recording configurations, and the importance of electrode placement.
In module 5 of their human physiology course, students learn about the respiratory system, an important part of which is understanding the mechanics of breathing. How do respiratory muscles expand or contract the thoracic cavity and change pressure gradients? How does the participation of different muscles change when respiration is normal versus forced? And to relate back to the musculoskeletal module, how is respiratory muscle contraction related to electrical activity? 2ff7e9595c
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