Balance, Posture & Vestibular System Flashcards

1
Q

What systems affect balance & posture?

A
  • Vestibular
  • Visual
  • Somatosensory: muscle & joint proprioception
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2
Q

What are semicircular canals important for?

A

Head rotation

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3
Q

What do the otolith organs detect?

A
  • Force of gravity & tilt of head

- Linear acceleration

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4
Q

What is the vestibular nerve composed of?

A
  • Utricular nerve
  • Saccular nerve
  • Ampullary nerve
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5
Q

What are the 6 degrees of freedom?

A
  • 3 translational: linear acc detected by utricle & saccule
  • 3rotational: angular acc detected by semicircular canals
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6
Q

How does depolarisation & hyper polarisation occur?

A
  • De= Kinocilia bend towards stereocilia

- Hyper-kinocilia bend away from stereocilia

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7
Q

What are hair cells made up of?

A
  • Many stereocilia

- 1 kinocilium

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8
Q

What information does the macula detect?

A
  • Static equilibrium

- Dynamic equilibrium

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9
Q

How is the macula in the utricle and saccule orientated?

A
  • Utricle=horizontal

- Saccule=Vertical

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10
Q

What are the functional features of the semicircular canals?

A
  • 3D space
  • Main sensory structure
  • Information on rotational movement & angular acc
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11
Q

What are the structural features of the semicircular canals?

A
  • Contain endolymph
  • Cupula(barrier against endolymph)= embedded cilia of hair cells
  • Cupula bends in opposite direction to head rotation
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12
Q

What are sensory hair cells innervated by?

A

-Ampulla nerve

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13
Q

What are the functional pairs in the semicircular canals?

A
  • L&R lateral/horizontal canals
  • L.ant&R.post canals
  • R.ant&L.post canals
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14
Q

What do cupula afferents project to? What does this lead to?

A
  • Medial nucleus
  • Medial efferents project to MN of neck/body to orientate head & stabilise retinal image
  • Lateral efferents project to cerebellum & LMN to maintain body posture
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15
Q

What do otolith afferents project to?

A

Lateral nucleus

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16
Q

What is the main function of the vestibule-ocular reflex?

A

-Maintain forward vision during head movements

17
Q

What diseases affect the vestibular system?

A
  • Meniere’s syndrome: inc vol of endolymph, ruptured membranous labyrinth
  • Benign paroxysmal positional vertigo: Ca carbonate crystals movement within canal
  • Ototoxicty: drugs CNVIII
  • Vestibular neuritis/brainstem carcinoma/infarct&haem: disrupted postural control secondary to vestibular damage
  • Medulloblastoma: unable to utilise lateral vestibular info-postural instability