Ch 5 - EDX: Anatomy & Physiology Flashcards

1
Q

Where is the cell body of a motor neuron located?

A

Anterior (ventral) horn of the SC

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2
Q

Where is the cell body of a sensory neuron?

A

Located in dorsal root ganglion outside the SC in intervertebral foramen

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3
Q

What is an axon?

A

Projection from sensory or motor neurons that propagate current flow and transport nutrition

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4
Q

Where do axons of motor neurons project?

A

Projects axons distal

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5
Q

Where do axons of a sensory neuron project?

A

Bipolar cells with 2 axons

1 projects proximal and one distal

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6
Q

What is the innervation ratio?

A

Amount of muscle fibers innervated by one axon

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7
Q

What is the innervation ratio of a muscles of gross movement?

A

High
The higher the ratio the higher the force
ex) 600 muscle fibers to one axon in leg

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8
Q

What is a myotome?

A

Group of muscles innervated by one spinal segement

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9
Q

What is a dermatome?

A

Sensory innervation of one spinal segment

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10
Q

What is a NMJ?

A

Sites where electric impulse along an axon converts to a chemical rxn and translated to an electrical impulse at postsynaptic mem to initiate a muscle fiber action potential (AP)

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11
Q

What is a motor unit?

A
Anterior horn cell
Motor nerve axon
Peripheral nerve
NMJ
Muscle fibers
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12
Q

What is the Henneman size principle?

A

Smaller alpha motor neuron has low threshold for excitation and is recruited first in voluntary contraction

(Large recruited for greater contractile force)

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13
Q

Describe Type I muscle fibers

A

Small cell body
Thin diameter axon
Low innervation ratio
Slow twitch muscle fibers

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14
Q

Describe Type II muscle fibers

A

Large cell body
Thick diameter axon
High innervation ratio
Fast twitch muscle fibers

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15
Q

What type of fibers does EDX evaluate?

A

Ia (large, myelinated) fibers

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16
Q

What does the cathode of EDX do?

A

Neg cathode attracts positive charges and lowers membrane potential allowing Na to rush through voltage-gated channels and generate an AP

17
Q

How do cooler temperatures impact EDX?

A

Prolongs latency
Inc: amp, duration, phases
Dec: CV

18
Q

What is saltatory conduction?

A

Propogation of current between myelin in Na channels in nodes of Ranvier

19
Q

What is orthodromic recording?

A

AP recorded in direction of physiologic conduction

20
Q

What is antidromic recording?

A

AP recorded in opposite direction of physiologic conduction

21
Q

How is a miniature endplate potential (MEPP) created?

A

Spontaneous release of Ach ~ 5 sec during resting state at NMJ

22
Q

How is an endplate potential (EPP) produced?

A

Nerve depolarization opens voltage-gated Ca channels and release Ach into synaptic cleft which inc # of MEPP and generates a MUAP

23
Q

Describe a Type I muscle fiber

A
Slow Twitch Oxidative
Small
Dark
Early recruitment
Highly resistant to fatigue
Mild effort (4-8 hz)
Slow, prolonged firing freq
Fine, precise movements
Small innervation ratio
Small amp/duration
Aerobic
24
Q

Describe a Type IIA muscle fiber

A
Fast Twitch Oxidative-Glycolytic
Large
Dark
Late recruitment
Fatigue resistant
Intermed effort (20-30 Hz)
Fast, unsustained firing freq
Gross movements
Large innervation ratio
Large amp/duration
Anaerobic
25
What is Endoneurium?
CT surrounding each individual axon and its myelin sheath
26
What is Perineurium?
CT surrounding bundles or fascicles of myelinated and unmyelinated nerve fibers
27
What is Epineurium?
Loose CT surrounding entire nerve that holds fascicles together and protects from compression
28
What does the needle EMG monitor?
Factors related to the motor unit and thus the alpha motor neuron
29
Describe a Type IIB muscle fiber
``` Fast Twitch Glycolytic Large Pale Late recruitment Fatigue sensitive High effort (20-30 Hz) Fast, unsustained firing freq Gross movements Large innervation ratio Large amp/duration Anaerobic ```