2: Intro to the Motor Systems Flashcards

1
Q

Define the terms motor unit and motor pool and discuss their location in the spinal cord.

A

Motor unit: all of the muscle fibers innervated by a single motor neuron

Motor pool: all of the motor neurons innervating a single muscle
–Grouped together in clusters in the ventral horn, spread over several spinal segments -> most muscles receive innervation from several spinal segments and nerve roots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Discuss the types of extrafusal muscle fibers in relation to their size, speed of contraction, tension/fiber, metabolism, and susceptibility to fatigue. (3)

A

Type I (red): for endurance

  • -Small fibers
  • -Small neurons
  • -Moderate speed of contraction
  • -Low tension/fiber
  • -High aerobic metabolism
  • -Resistant to fatigue

Type II (white): for powerful movements

  • -Large fibers
  • -Large neurons
  • -Very fast speed of contraction
  • -High tension/fiber
  • -Low aerobic metabolism
  • -Fatigues easily

Type III: intermediate
–Fast twitch, powerful, but more fatigue resistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the structure and function of muscle spindle receptors.

A

Muscle spindle receptor: sets LENGTH of muscle, RESISTS STRETCH from this position

  • -Intrafusal fibers, much smaller than extrafusal
  • -Innervated by A-gamma neuron
  • -Center portion wrapped in nerve ending (ANNULOSPIRAL ENDING) of 1A afferent nerve fiber
  • -Contraction at ends of intrafusal muscle stretches center portion of muscle fiber -> 1A afferent nerve fiber activated
  • -Activated either by stretch of muscle or activation of gamma motor neuron
  • -Burst of activity during active stretch, followed by baseline firing pattern
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List the three classic spinal cord reflexes.

A
Muscle stretch (myotatic, "deep tendon") reflex: stretching a muscle results in contraction
--Tested with reflex hammer

Inverse myotatic/Golgi tendon organ reflex: stretch (to the point of muscle damage) results in relaxation of muscle

Flexion reflex (withdrawal): painful stimulus of a limb results in a withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Explain the general principles of alpha-gamma coactivation in the regulation of movement.

A

Aligns muscle spindle tension with new muscle length so that muscle spindle can respond to any deviations from new set length

–If muscle is shortened, intrafusal fiber would be unloaded and unable to detect stretch IF they didn’t contract along with extrafusal fibers

–Since contraction of extrafusal fibers = activation of gamma motor neurons -> contraction of ends of intrafusal fibers -> alignment of muscle spindle with new position of muscle -> restored ability to detect stretch from new position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

***Describe the gamma loop and its participation in normal movements. (4 steps)

A

Gamma loop: the mechanism by which many smooth, routine movements take place
–Allows you to shorten biceps without thinking about lengthening triceps

  1. Activating gamma motor neurons will contract intrafusal fibers
  2. Annulospiral endings are activated as a result of stretch of center of intrafusal fibers
  3. 1a afferent neuron activated
  4. Alpha motor neuron -> agonist motor neurons activated, antagonist motor neurons inhibited
  5. Reflex contraction of extrafusal fibers takes tension off intrafusal fibers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Explain the clinical findings in spasticity in terms of abnormalities of normal function.

A

Spasticity: overactivity of gamma motor neurons -> excessively sensitive stretch reflex

  • -Resistance to passive movement that is greater with faster movement
  • -Due to activation of muscle stretch reflex
  • -Also have “clasp knife” phenomena: muscle gives way when it is passively stretched (from overactive GTO)
  • -Typically results from damage to descending projections from brainstem that inhibit gamma motor runs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Give a BRIEF overview of motor systems in the spinal cord, including the type of motor neurons and how they are controlled.

A

Spinal cord:

  1. Alpha (“lower”) motor neurons
    - -Project to skeletal muscles
  2. Controlled by INTERNEURONS that pattern particular types of movements
    - —Interneurons also respond to sensory input: muscle stretch, muscle tension, pain

Alpha motor neurons can also be activated by higher centers of the NS for rapid, skilled movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What types of motor neurons are present in the spinal cord? Where are they located?

A

Located in the ventral horn

Alpha motor neurons: large, rapidly conducting (80-120 m/s)
–EXTRAFUSAL

Gamma motor neurons: axons in the A-gamma range of size/speed (4-24 m/s)
–INTRAFUSAL (spindle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where are interneurons of the motor systems located?

A

In the center of the gray matter of the spinal cord, next to the motor neurons they control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Does the amount of white matter increase or decrease as you progress down the spinal cord?

A

Decrease. Ascending sensory tracts add as you ascend and motor tracts terminate as you progress down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Briefly describe the somatotopic organization of lower motor neurons in the ventral horn, using the cervical level as an example.

A

Motor neurons to arm are lateral
Axial muscles are medial

Extensor muscles are ventral
Flexor muscles are dorsal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens when you gradually try to increase the force of contraction of a muscle?

A
  1. Single motor unit fires slowly
  2. Single motor unit fires quickly
  3. Second motor unit becomes active, fires slowly
  4. Second motor unit fires quickly
    ….
    n. All motor units fire quickly

Additionally, more white fibers are recruited as percent of maximum force is increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What determines the numbers and types of muscle fibers contained within a muscle?

A

The nerve innervating the muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Explain the organization and functions of the muscle stretch reflex. (6)

A

Muscle stretch (myotatic, “deep tendon”) reflex: stretching a muscle results in contraction

  • -Tested with reflex hammer
  • -Requires receptors for stretch and tension
  1. Strike tendon -> sudden/rapid stretch of muscle
  2. Annulospiral ending activated
  3. Signal of muscle stretch sent along 1A afferent nerve fiber
  4. 1A afferent fiber synapses directly on motor neurons to muscle, activating them
  5. Collateral branches of afferent fiber synapse on interneurons to inhibit antagonist muscles and facilitate agonist muscles
  6. Muscle contracts -> limb is stabilized, unintended movement prevented
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Explain the organization and functions of the inverse myotatic reflex.

A

Inverse myotatic/Golgi tendon organ reflex: stretch (to the point of muscle damage) results in relaxation of muscle
–Requires GTO receptors

Massive activation of GTO receptors when muscle is about to tear -> reflex inhibition of that muscle and activation of antagonist muscles -> drop/let go whatever it is that’s stretching the muscle

17
Q

Explain the organization and functions of the nociceptive flexion reflex.

A

Nociceptive flexion reflex (withdrawal): painful stimulus of a limb results in a withdrawal
–Painful stimulus -> flexion of affected limb, extension in contralateral limb

18
Q

Describe the structure and function of Golgi tendon organ receptors.

A

Golgi tendon organ: signal muscle TENSION

  • -Important for controlling movements accurately
  • -Exist in CT that attaches muscle fiber to muscle tendon
  • -Activated by tension placed on connective tissue when muscle fibers are contracted
  • —More contraction -> more tension -> more signal
  • -Innervated by 1B afferent nerve fibers
19
Q

Why don’t Golgi tendon organs respond to stretch? What is the exception?

A

Muscles are more compliant than tendon or CT, so muscle stretches without transmitting much force to the GTO

Exception: MASSIVELY activated when CT of muscle is about to tear

20
Q

Explain the clinical findings in upper motor neuron weakness and lower motor neuron weakness in terms of abnormalities of normal function.

A

???

21
Q

What is the role of interneuron pattern generation?

A

Pattern complex reflexes (cough, sneeze, blink/corneal)

Additionally, control many voluntary movements (only need to activate the “flexion” and “extension” interneuron to walk)
–Interact with sensory input and descending input from higher centers

22
Q

What is the propriospinal tract?

A

Short and long distance local circuit interneurons that interconnect spinal cord segments

23
Q

List four functions of interneurons.

A

Interconnect spinal cord segments
Generate motor patterns
Contribute to bilateral functions
Allow an excitatory input to the cord to inhibit motor neurons

24
Q

True or false: The withdrawal reflex is slower than the muscle stretch reflex.

A

True. Withdrawal reflex relies on pain fibers, which are very slow conducting.

25
Q

What is the Babinski response? What normal reflex is it an exaggeration of?

A

Babinski response: withdrawal of toes when feet are stimulated - dorsiflexion of the toes

Exaggeration of part of the withdrawal reflex
Indicates a problem with descending motor systems

26
Q

Why is the gamma loop advantageous for performing smooth movements?

A

Without gamma loop, would have to control all involved alpha motor neurons for agonists and antagonists

With gamma loop, only have to control the few gamma motor neurons that already have this circuitry set up (activate agonists, inhibit antagonists)
–In normal movements, this is how we move