2.1.2 Spinal Reflexes Flashcards

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1
Q

Term: an alpha motor neuron and all of the muscle cells it innervates

A

Motor Unit

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2
Q

How many alpha motor neurons innervate a given muscle cell?

A

Only ONE

With that being said, alpha motor neurons can innervate multiple muscle cells

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3
Q

What is the innervation ratio? What are the characteristics of high and low ratios?

A

of muscle cells / alpha motor neuron

Highly variable and dependent on the region of the body:

  • Small ratio: fine control, capable of small loads
  • Large ratio: coarse control, capable of large loads
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4
Q

What are the two mechanism by which the motor neuron force can be increased?

A
  1. Increased force with increased firing rate of a single motor neuron
  2. Increased force with an increase in number of motor neurons firing
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5
Q

What are the two types of muscle receptors and what do they sense?

A

Primary muscle spindle affferents: muscle position and velocity

Golgi Tendon organ: tension at tendon

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6
Q
A
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7
Q
A
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8
Q

What is referred to as the final common pathway?

A

The motor unit

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9
Q

Motor units are referred to clinically as ____

A

Lower motor neurons

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10
Q

What is meant by the motoneuron and muscle cell synapse is obligatory?

A

That every action potential of the motoneuron causes in an action potential in every muscle cell innervated by that motoneuron

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11
Q

Term: all motor neurons that innervate a single muscle

A

Motor neuron pool

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12
Q

What is a motor unit?

A

: an alpha motor neuron and all of the muscle cells it innervates

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13
Q

Every motor neuron AP causes?

A

-an AP in every muscle cell innervated (due to safety factor)

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14
Q

What is the motor unit pool and where are they located?

A
  • all motor neurons that innervate a single muscle
  • Occupy localized longitudinal columns in the ventral horn of the spinal cord
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15
Q

What type of pattern does the motor neuron pool exhibit in the ventral horn?

A
  • Exhibit a medial to lateral organization in the ventral horn
  • Distal muscles: dorsolateral
  • Proximal/Axial muscles: ventromedial
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16
Q

Increasing firing rate of a motor neuron will?

A

Increase force by increasing firing rate of an individual motor unit

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17
Q

How will fast rate compare to slow rate in AP firing on a motor?

A

-Frequency of APs determines force generated by muscle

  • -Slow rate: muscle has time to relax between APs
  • -Fast rate: tension does not reach baseline before next AP
  • Firing rate will eventual reach a maximum force capable of being generated
  • -Termed “tetanic tension” (typically 50-60hz)
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18
Q

What is the other way to increase motor neuron force other than increasing firing rate?

A

Increase force by increasing number of motor units firing

  • Can increase number of motor units via recruitment
  • Small motor units are recruited first, followed by large
  • -Low tension = small units only
  • -High tension = large units activated also
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19
Q

Describe the motor neuron property of orderly recruitment by size. How will this change with an external stimulus?

A
  • Motor unit will only be activated when a recruitment threshold (tension) is reached
  • Small motor neurons are activated first because their recruitment threshold is easier reached due to a smaller resistance
  • -I.e. for the same synaptic current, depolarization of the small cell will be greater than in the larger (more resistant) cell
  • -EXTERNAL stimulation (electrodes) will activate large motor units first
20
Q

Fill in this chart

A
21
Q

What is the pathway of Axon projections of Ia afferent fibers?

A
22
Q

What is a spinal reflex?

A
  • Involuntary response to stimuli
  • Automatic and sterotyped
  • Does not require cognitive input
  • Simplest form of neural integration in the nervous system
23
Q

What are the components of a spinal reflex?

A
  • Components:
  • Receptor
  • Interneuron
  • Effector Organ: skeletal muscle, smooth muscle, or gland
  • -Somatic Reflexes: skeletal muscle
  • -Autonomic Reflexes: smooth muscle and glands
24
Q

Abnormal reflexes are?

A

characteristic of pathologies and CNS damage

25
Q

What is a stretch reflex?

A
  • Deep tendon monosynaptic reflexes
  • Function to help maintain tone and set background tension of postural muscles needed for the performance of voluntary movements
26
Q

What are the two components of a stretch reflex?

A
  • Phasic – corresponding to dynamic component of stretch
  • Tonic – corresponding to static phase of stretch
27
Q

What is the sequence of events for a stretch reflex?

A
  • 1) Tendon of a muscle is tapped, causing it to stretch
  • 2) Sensory endings (1a and II axons) in muscle spindle are stimulated
  • 3) Central afferent processes synapse in the spinal cord onto motorneurons of the corresponding stretched muscle
  • 4) Excitatory synapses excite the motorneurons, causing muscle contraction
28
Q

What is the Jendrassik maneuver?

A

A procedure to heighten stretch reflexes. Patient links fingers of the hand together and makes a slight outward pull. It functions to disinhibit the segmental pool of inhibitory neurons.

29
Q

What are the characteristics of the phasic component of the stretch reflex? What do the type Ia afferents sense? What do the type II afferents sense?

A
30
Q

What are the characteristics of the tonic component of the stretch reflex?

A
31
Q

What is the principle of recriprocal innervation?

A
  • Contraction of a muscle is accompanied by inhibition of its antagonist
  • Ia fibers make monosynaptic excitatory connections with homonymous motor neurons
  • -On the same muscle that was tapped
  • Branches of the Ia fibers excited inhibitory interneurons that inhibit motor neurons of antagonistic muscles
  • -Relieves inhibition of muscle jerk in response to tap
32
Q

Fill in this chart

A
33
Q

What is an inverse stretch reflex?

A
  • Opposite of the stretch reflex – here muscle stretch DECREASES muscle contraction
  • Activated by stretching a rigid or spastic muscle
34
Q

What are the two phases of the inverse stretch reflex?

A
  • Contraction initially increases because of the stretch reflex (lengthened muscle ⇒ increased Ia activation) until a threshold is reached
  • At threshold, rigidity “melts away” and limb extends freely as inverse stretch reflex occurs
35
Q

What is the sequence of events of an inverse stretch reflex and what is it mediated by?

A
  • Mediated by GTO and Ib afferents
  • Sequence of events
  • Stretch of rigid/spastic muscle ⇒ increased muscle tension ⇒ increased Ib afferents
  • At threshold, inhibitory interneuron is switched on
  • Inhibition of alpha mn ⇒ decreased muscle contraction ⇒ muscle lengthens
36
Q

How does the muscle spindle compare to the golgi tendon reflex?

A
37
Q

What is muscle tone?

A
  • state of contraction of muscle, dependent on the excitability of alpha mns
  • -Assessed clinically via the deep tendon reflexes
38
Q

What are the characteristcs of Lower motor neuron lesions?

A

1) Lower Motor Neuron Lesions ⇒ Hypotonia/Hyporeflexia
- Diminished deep tendon reflexes, flaccid muscles
- Early stage spinal cord transection
* -Alpha motorneuron excitability is diminished
- Following peripheral nerve injury (ventral horn)

39
Q

What are the characteristics of upper motor neuron injury?

A

1) Upper Motor Neuron Lesions ⇒ Hypertonia/Hyperreflexia
- Heightened deep tendon reflexes, rigid muscles (spasticity/clonus)
- Occurs following upper motor neuron lesion
- Inhibition to lower motorneurons is lost

40
Q

What is rigidity associated with hypertonia/hyperreflexia?

A

-Sustained contraction at rest (in the absence of voluntary movement)

  • -Increased tonic stretch reflex (tension when holding muscle constant)
  • -Increased muscle stiffness in some cases

-Examples: decerebrate rigidity, Parkinson’s

41
Q

What is spasticity associated with hypertonia/hyperreflexia?

A

Spasticity

-Little or not contraction at rest

  • -Increased phasic stretch reflex (tension when moving muscle)
  • -Resistance to stretch is proportional to velocity of stretch ⇒ faster a spastic muscle is stretch, the more it resists

-Examples: late phase spinal cord transection, lesions in motor cortex, decerebrate rigidity

42
Q

What is clonus associated with hypertonia/hyperreflexia?

A

Clonus

  • Rhythmic series of contractions brought about by sustained stretch of a spastic muscle
  • Sequence of events:
  • -Quick stretch of spastic muscle ⇒ intense burst of Ia afferents ⇒ activation alpha MN
  • -Reflex contraction ⇒ muscle shortening ⇒ spindle activity decreases
  • -Removes excitation of alpha mns ⇒ decreased contraction ⇒ rebound lengthening
  • -Spindle stretch ⇒ Ia afferent burst ⇒ contraction
  • -Cycle repeats

-Clonic cycle is interrupted only by holding joint in a constant position

43
Q

What are the characteristics of a flexion (withdrawl) reflex?

A

-Initiated by cutaneous stimuli

  • Functions to remove body from potentially damaging stimuli
  • Protects against slow transmission of noxious information to CNS via C fibers
  • Uses flexor reflex afferents (FRAs)
44
Q

What is the crossed-extensor reflex?

A
  • Contralateral components of the flexion reflex
  • Helps to maintain balance
  • Example:
  • -Right leg steps on something sharp ⇒ initiates flexion to withdrawal leg
  • -Excitation of contralateral extensor motor neurons ⇒ weight supported on left leg

-Reflexes can be contralateral – sensory input must cross the midline in spinal cord

45
Q

Fill in this chart

A
46
Q

Why can ballerinas stand on their toes for so long!?!?!?

A