CNS Lecture 4 Flashcards

1
Q

How is sensory input used to control body movement?

A
  • Higher centres of the brain generate motor commands and transmit them through the brainstem to the spinal cord
    • sensory signals from sensory afferent neurons mediate spinal reflexes and ascend to the brainstem, cerebellum and cerebral cortex where they provide feedback of the evolving movement
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2
Q

Signals from the sensorimotor cortex descend to the ____ and to the ______ _______ ______ which innervate muscle fibres

A

Signals from the sensorimotor cortex descend to the brainstem and to the spinal cord motor neurons which innervate muscle fibres

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3
Q

Information from sensory receptors travels to the spinal cord via _______ axons. Sensory pathways ascend to the _____, the _____ and the _______ which transmits sensory information to the _________ cortex where sensory input is combined with input from other parts of the brain (integrated) to form output commands to the _____, ________ and the ______

A

Information from sensory receptors travels to the spinal cord via afferent axons. Sensory pathways ascend to the brainstem, the cerebellum and the thalamus which transmits sensory information to the sensorimotor cortex where sensory input is combined with input from other parts of the brain (integrated) to form output commands to the brainstem, basal ganglia (basal nuclei) and the cerebellum

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4
Q

The basal ganglia and the cerebellum send their outputs to the ______ and the ______

A

The basal ganglia and the cerebellum send their outputs to the thalamus and the brainstem

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5
Q

What are the supraspinal centres involved in controlling motion?

A

Supraspinal = above spinal cord

Include:

  • sensorimotor cortex
  • brainstem
  • cerebellum
  • cerebral cortex
  • thalamus
  • basal ganglia
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6
Q

the sensorimotor cortex, the cerebellum and the basal ganglia issue motor commands via the _____ and ______

Describe feedback control of the image:

  • the motor command is a desired limb position
  • spinal cord transmits the command to the muscles via ______ _____ ____ ______ where it stimulates ______ ______
  • receptors in the _____, ______ and _____ signal the position of the limb to the _______ via _______
  • What happens in the spinal cord?
  • What happens if a load is added?
A

the sensorimotor cortex, the cerebellum and the basal ganglia issue motor commands via the brainstem and spinal cord

Describe feedback control of the image:

  • the motor command is a desired limb position
  • spinal cord transmits the command to the muscles via alpha motor neuronal axons where it stimulates muscle contraction
  • receptors in the muscles, joints and skin signal the position of the limb to the spinal cord via afferent axons
  • What happens in the spinal cord?
    • the actual position is subtracted from the desired position and the difference causes motor neurons to contract in order to minimize the difference
    • limb moves from actual position to desired position
    • greater the difference = stronger the muscle activation
  • What happens if a load is added?
    • Limb is moved away from desired position
    • this movement is detected by receptors
    • operation of feedback loop acts to minimize difference corrected for external load
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7
Q

What is necessary for feedback control?

A

Sensory information and a mechanism for comparing desired to actual state

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8
Q

What two types of muscle receptors provide the most relevant information to the control of muscle?

A
  1. Muscle spindle - respond to changes in muscle length
  2. Golgi Tendon Organs (tendon organs - signal changes in muscle force
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9
Q

Muscle spindles respond to changes in _________

A

Muscle spindles respond to changes in muscle length

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10
Q

Muscle spindles are located in parallel with the ________ so their sensory endings, which give rise to group ____ and ____ sensory afferents respond to changes in muscle length.

A

Muscle spindles are located in parallel with the force-producing muscle fibres so their sensory endings, which give rise to group Ia and Group II sensory afferents, respond to changes in muscle length.

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11
Q

Tendon organs are in the ______ ______ at the ends of the muscle fibres.

Their muscle endings (Group ___) respond to muscle _____

A

Tendon organs are in the tendinous fascicles at the ends of the muscle fibres.

Their muscle endings (Group Ib) respond to muscle Force

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12
Q

In addition to responding to muscle stretch, muscle spindle group Ia afferents also respond to _________

What is the clinical significance of this?

A

In addition to responding to muscle stretch, muscle spindle group Ia afferents also respond to Muscle or tendon vibration

  • Prolonged vibration used in physiotherapy to alleviate spasticity (overactive stretch reflexes) - possibly because Ia afferents activate interneurons that inhibit transmission in the stretch reflex pathway
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13
Q

The sensory endings of muscle spindles are spiralled around specialized muscle fibers called ________

A

The sensory endings of muscle spindles are spiralled around specialized muscle fibers called intrafusal muscle fibres (which are inside the muscle spindle)

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14
Q

What are the components making up the muscle spindle?

A
  • Connective tissue capsule
  • intrafusal muscle fibres
  • stretch receptors
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15
Q

What does the term spasticity refer to?

A

Overactive stretch reflexes

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16
Q

______ (within muscle spindles) generate only tiny amounts of force

A

intrafusal muscle fibres (within muscle spindles) generate only tiny amounts of force

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17
Q

The main muscle fibres found outside the muscle spindle that produce all of the measurable force are called:

A

Extrafusal muscle fibres

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18
Q

What are the two types of motor neurons innervating a muscle?

A
  1. alpha motor neurons
  2. gamma motor neurons
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19
Q

What do alpha motorneurons (often just called ‘motor neurons’) activate?

What is their conduction velocity?

A

Motor neurons activate the main (extrafusal) muscle fibres to contract

  • conduction velocities similar to those of muscle spindle 1A afferents and tendon organ 1B afferents
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20
Q

What muscle fibres are activated by Gamma motor neurons?

What is their conduction velocity?

A

Gamma motor neurons activate intrafusal muscle fibres at each end of the muscle spindle (middle is non-contractile)

  • conduction velocity between 25-40 m/s
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21
Q

Muscle spindle afferents (1A and 2) signal changes in ______

A

muscle length

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22
Q

What happens when the intrafusal muscle fibres are activated?

A

stretches the elastic non-contractile middle part where the sensory endings are located =

  • causes sensory afferents to fire more rapidly and become more sensitive to changes in length of muscle as a whole
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23
Q

What afferents signal muscle force?

What group do these afferents belong to?

A

Golgi tendon organ afferents (group 1B) signal muscle force

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24
Q

What is alpha-gamma coactivation?

What does this theory suggest about the simultaneous activation of intrafusal muscle fibres and alpha motorneurons

A

Theory that suggested gamma motor neurons are coactivated with alpha motorneurons to keep the muscle spindle afferents firing during muscle shortening

  • if intrafusal muscle fibres are activated at the same time as alpha motorneurons, this will keep the muscle spindle taut as the muscle shortens
  • the elastic non-contractile region remains approx the same length instead of going slack
  • intrafusal contraction compensates for extrafusal muscle shortening, tightening the spindle so the afferents maintain (or increase) their firing
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25
Q

According to the theory of alpha-gamma coactivation, what is the main role of gamma motor neurons?

A

Alter the sensitivity of muscle spindles to changes in muscle length

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26
Q

Describe what is happening in each of the figures

A

a, b) no gamma activity: spindle afferent firing increases with muscle stretch and decreases with shortening

c) descending signals from the brain coactivate alpha and gamma MN’s.

  • alpha MN’s activate extrafusal muscle fibres = cause muscle shortening
  • gamma MN’s activate intrafusal muscle fibres
  • intrafusal contraction compensates for extrafusal muscle shortening, tightening the spindle so the afferents maintain their firing
27
Q

Spindle afferent firing increases during ______ and decreases during ______ (but the changes are less than they would be in the absence of gamma mn activity)

A

Spindle afferent firing decreases during shortening and increase during lengthening (but the changes are less than they would be in the absence of gamma mn activity)

28
Q

How do golgi tendon organ afferents respond to passive stretching of a muscle?

A

With small increases in their firing rate

  • stretch of an inactive muscle causes a small increase in the force measured at the tendon
29
Q

How do golgi tendon organs respond when an extrafusal muscle fibre contracts?

A

Contraction of extrafusal muscle fibres causes the golgi tendon organ to fire much more rapidly

  • force in the tendon of a contracting muscle is much higher than that during passive stretch of a non-contracting muscle
30
Q

Why do golgi tendon organs fire more rapidly in contraction than in passive stretch?

A

Golgi tendon organs respond to the force produced by a muscle, especially force produced during active contractions

31
Q

In the spinal cord reflex, what happens at the muscle spindle fibre when a stretch reflex is activated via muscle stretch?

A
  1. tap of patellar tendon - small but rapid increase in the length of the muscle or stretch of the muscle - activates muscle spindle afferents
  2. AP’s in the afferents travel to the spinal cord
  3. synaptically activate quadriceps motoneurons
  4. muscle shortens
  5. Reflex acts to counteract the stretch
  6. Stretch reflex connection btwn muscle spindle afferent and alpha motor neurons automatically performs the subtraction between actual state and desired state
  7. afferent excitation of inhibitory interneurons causes inhibition of motoneurons innervating antagonist muscles (hamstrings)
32
Q

What effect does the tap of the patellar tendon have on the golgi tendon organs?

A
  1. Tap on patellar tendon activates golgi tendon organ
  2. Signals from golgi tendon organ travel to the spinal cord and have the reverse reflex action to that of the muscle spindle afferents
  3. Golgi tendon afferent from the extensor muscle activates an interneuron which activates the antagonist flexor motor neuron
33
Q

How do muscle spindle and golgi tendon organ feedback respond during spinal cord reflexes (such as tap at patellar tendon)

A
  • muscle spindle feedback resists the increase in length by reflexly activating extensor motor neurons
  • The golgi tendon organ feedback resists the increase in force by reflexly inhibiting the extensor motor neurons
34
Q

Why are muscle spindle feedback and golgi tendon organ feedback competing during muscle stretch?

A

results in muscles resisting stretch in a spring-like manner (the stronger the spindle reflex = the stiffer the spring, the stronger the GTO reflex, the more compliant the spring)

35
Q

What is flexor withdrawal reflex?

A

reflex response that results in withdrawal of a limb from a painful input

36
Q

Where does flexor withdrawal reflex occur?

A

In the spinal cord

37
Q

How does flexor withdrawal reflex work?

A

Afferent signals from nociceptors in the foot cause a reflex activation of the flexor motor neurons and a reflex inhibition of the extensor motor neurons resulting in lifting of the leg away from the stimulus

38
Q

noxious stimulus evokes flexion of _____ leg and extension of _____ leg

A

noxious stimulus evokes flexion of ipsalateral leg and extension of contralateral leg

39
Q

The primary motor cortex is also called the:

A

Sensorimotor cortex

40
Q

What are 5 areas of the cerebral cortex that control movements of the extremities?

A
  1. Pre-motor cortex
  2. supplementary motor cortex
  3. primary motor cortex (sensorimotor)
  4. somatosensory cortex (primary sensory)
  5. parietal lobe association areas
41
Q

How was the somatotopic map created?

A

Using transcranial magnetic stimulation (TMS) to activate neurons in the primary motor cortex and observing ilicited movement

42
Q

What is the other name for the coricospinal tract?

A

Pyramidal tract: because it passes through the brainstem “pyramids”

43
Q

The corticospinal tract conveys signals from the ________ through the _____ to the ______

A

The corticospinal tract conveys signals from the sensorimotor cortex through the brainstem to the spinal cord

44
Q

What forms the corticospinal tract?

A

Axons from neurons in the sensorimotor cortex

45
Q

What happens in the corticospinal tract at the level of the brainstem?

A

Crosses to the contralateral side of the NS

46
Q

Corticospinal tract neurons make ________ connections with spinal _______ whose axons in turn activate muscle

  • How many synapses separates CST neurons from muscles
A

Corticospinal tract neurons make monosynaptic connections with spinal alpha motoneurons whose axons in turn activate muscle

  • CST neurons are only one neuronal synapse away from muscles
47
Q

What are the sensory motor cortex and the corticospinal tract sometimes referred to as?

A

The final common pathway - because CST neurons are only one neuronal synapse away from muscles

48
Q

What results from a CST (corticospinal tract) lesion? What are clinical terms for CST lesions?

A
  • Spastic hemiplegia: hemiplegia = inability to move the limb on the contralateral side of the body
  • “stroke”, “cerebro-vascular accidant (CVA)”, “brain attack”
49
Q

What are five symptoms of a CST lesion (spastic hemiplegia)?

What side of the body would they compare in relation to the location of the brain damage?

A
  1. Weakness (paresis) or paralysis of extremities
  2. Exaggerated stretch reflexes (hypertonus, spasticity)
  3. Spasms
  4. Speech deficits (dysarthria)
  5. Attentional deficits (aphasia, apraxia, hemi-neglect)
  • Occur on the opposite side of the body to the brain damage
50
Q

CST lesions are called ________ because of the idea that CST neurons are the final output pathway from the brain and synapse directly onto spinal alpha motoneurons (which are called the “lower” motoneurons)

A

CST lesions are called Upper motoneuron lesions because of the idea that CST neurons are the final output pathway from the brain and synapse directly onto spinal alpha motoneurons (which are called the “lower” motoneurons)

51
Q

What is hypertonus?

A

Excessive level of skeletal muscle tension or activity

52
Q

What is spasticity?

A

State of increased muscular tone with exaggeration of the tendon reflexes

53
Q

What is aphasia?

A

Inability to understand the meaning of sensory inputs or a defect in language

54
Q

What is apraxia?

A

Problem using day to day objects

55
Q

What is Hemi-neglect?

A

Occurs when patients fail to be aware of items to one side of their body

56
Q

In most people, which side of the brain controls speech?

A

Left

57
Q

What are the two main speech areas in the brain?

A
  1. Broca’s area
  2. Wernicke’s are
58
Q

What aspects of speech are controlled by broca’s area?

A

Motor aspects of speech (movements of tongue/lips)

59
Q

Slurring in speech (motor aphasia) could indicate lesions in which area of the brain?

A

Broca’s area

60
Q

What is wernicke’s area responsible for?

A
  1. Comprehension of language
  2. association of visual, auditory and tactile input with words
61
Q

Lesions in wernicke’s area result in:

A
  1. sensory aphasia - difficulty understanding meaning of sensory inputs
  2. dyslexia - difficulty in reading aloud fluently
62
Q

What is an example of sensory aphasia?

A
  • A person is handed a pen and says it’s a spoon
  • but write their name when asked to use the object
  • problem producing the correct linguistic response, yet appropriate motor response
63
Q

What does sensory aphasia suggest about the relationship between sensory to motor transformation and sensory to linguistic transformation?

A

indicates that the sensory to motor transformation is separate from the sensory to linguistic transformation