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Write a short note on rigor mortis.

Physiology · 1st Professional — Pre-Clinical

Definition

Rigor mortis = the stiffening of muscles that develops after death, owing to depletion of ATP, which leaves the myosin heads permanently attached to actin.

Mechanism

Death → Circulation and oxygenation cease → Anaerobic glycolysis, then ATP exhausted → No ATP to detach myosin from actin → Ca2+ also leaks out of SR (pump needs ATP) → Permanent actin–myosin cross-bridges → rigidity

  • Recall that ATP is required for relaxation, not only for contraction — this is the whole basis of rigor mortis
  • Lactic acid accumulation lowers muscle pH and contributes

Time Course (temperate Conditions)

EventTime after death
Onset1–2 hours
Complete12 hours
Persists12–24 hours
Passes off36 hours (by autolysis and putrefaction)
  • Order — proceeds from above downwards: eyelids, face and jaw, neck, trunk, upper limbs, lower limbs. Disappears in the same order

Factors Affecting Onset

Rapid onsetDelayed onset
High environmental temperatureCold environment
Violent exercise before death (glycogen already used)Rest before death
Convulsions, electrocution, strychnineDeath from haemorrhage
Children and the elderly (less muscle)Muscular adults

Conditions to Distinguish

  • Cadaveric spasm — instantaneous rigidity at the moment of death, affecting one group of muscles; no preceding primary flaccidity; of great medicolegal value as it indicates the last act
  • Heat stiffening — from burns; muscle protein coagulates → "pugilistic attitude"
  • Cold stiffening — freezing of body fluids

Applied Aspects

  • Estimation of time since death — the chief medicolegal use
  • Position of the body in rigor may indicate whether it was moved after death

All questions in Nerve & Muscle Physiology

  1. Q1Define action potential. Describe its phases and ionic basis. Add a note on the refractory period. ★
  2. Q2Describe the structure of the neuromuscular junction and the steps of neuromuscular transmission. Add a note on the drugs acting on it. ★
  3. Q3Describe the sliding filament mechanism of skeletal muscle contraction. Explain excitation–contraction coupling and the role of calcium. ★
  4. Q4Classify nerve fibres. Describe the mechanism of impulse conduction and compare saltatory with continuous conduction. Add a note on nerve degeneration and regeneration. ★
  5. Q5Compare the structure and properties of skeletal, cardiac and smooth muscle. Describe the mechanism of smooth muscle contraction. ★
  6. SN1Write a short note on myasthenia gravis. ★
  7. SN2Write a short note on rigor mortis. ★
  8. SN3Define motor unit. Describe the innervation ratio and the size principle. ★
  9. SN4Differentiate between isotonic and isometric contraction.
  10. SN5Describe the changes following section of a peripheral nerve. Add a note on regeneration. ★
  11. SN6Describe the length–tension relationship of skeletal muscle and give its significance.
  12. SN7Write a short note on muscle fatigue. Add a note on oxygen debt.

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