Functional anatomy of balance Flashcards

1
Q

what is the definition of balance

A

complex dynamic process involving musculoskeletal system, neurological system and cardiovascular system

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

how is balance commonly described

A

the constant fight against gravity

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

how is posture maintained

A

constant integration of sensory inputs and modifications of motor outputs

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

what is the model of balance

A

PNS has stretch flexes, these are muscle contractions in response to stretching in order to maintain constant muscle length
these are spinal reflexes which are fast and travel short distances

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

inputs for maintenance of balance

A

eyes - vision and surrounding environment
inner ear balance organs - angular and linear acceleration of head)
muscles, joints, tendons and skin - self-movement, body position, proprioception and exteroception)

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

what organs process balance maintenance

A

cerebellum and brainstem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the output for maintenance of balance

A

reactive postural response
anticipatory postural adjustments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the vestibular system

A

main sensory apparatus of balance

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

where is the vestibular system found

A

inner ear
all structures are located within the labyrinth
contains vestibule, semi-circular canals (balance) and cochlea (hearing)

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

what is the labyrinth

A

a series of interconnected fluid-filled cavities inside the petrous temporal bone

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

what is the vestibule and its function

A

a chamber opening into another
oval structure at the centre of the labyrinth
has an utricle and saccule
function is to detect linear acceleration (head position with respect to gravity)

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

semi-circular canals and their fucntion

A

3 loops - anterior, posterior and lateral
anterior and posterior are in vertical plane at right angles, lateral is in horizontal plane
detect angular (rotational) acceleration

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

how is movement detected

A

cells of the vestibular system detect movement of fluid using mechanosensitive hair cells

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

what is the microstructure of the vestibular system

A

apical (epithelial) surface covered by cilia
cells are covered by an otolithic membrane (jelly-like structure containing many small crystals called otoliths)

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

how does movement affect the vestibular system

A

results in the otolithic membrane lagging behind the layer of hair cells due to inertia
hair cells act as transducers converting kinetic energy into nervous impulses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is dizziness

A

symptom that could lead to syncope/presyncope (could suggest CV cause), vertigo (suggests vestibular disorder) or altered balance (suggests disruption to balance pathways)

17
Q

what is vertigo

A

abnormal perception of movement due to conflicting visual, proprioceptive and vestibular information about position in space
often described as the room spinning around you

18
Q

what is benign paroxysmal positional vertigo

A

presence of otolithic debris affecting free flow of endolymph in semi-circular canals
transient precipitated by movement, self-limiting after weeks or months

19
Q

when can BPPV occur

A

typically spontaneous
may appear after minor head injury

20
Q

diagnosis and treatment of BPPV

A

Dix-Hallpike manoeuvre is diagnostic
Epley manoeuvre helps to move debris to utricle and saccule

21
Q

what is Meniere disease

A

idiopathic
vertigo and tinnitus (feeling of fullness in ear)
attacks last a few hours
may develop progressive deafness (low frequency)

22
Q

what is the management of Meniere’s disease

A

low salt diet
vestibular sedative medications
surgery to increase endolymphatic drainage