Lecture 14 - Reflexes Flashcards

1
Q
A

Organization of neural structures involved in the control of movement. Four systems— local spinal cord and brainstem circuits, descending control centers in the cerebral cortex and brainstem, the cerebellum, and the basal ganglia—make essen- tial and distinct contributions to motor control.

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2
Q
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Distribution of lower motor neurons in the ventral horn of the spinal cord. Motor neu- rons were identified by injecting a retrograde tracer into either the medial gastrocnemius or soleus muscle of the cat, thus labeling neuronal cell bodies and re- vealing their spatial distribution. A transverse section through the lumbar level of the spinal cord (A) shows lower motor neurons forming distinct, rod-shaped clus- ters (motor neuron pools) in the ipsilateral ventral horn. Spinal cord cross sections (B) and a reconstruction seen from the dorsal surface (C) illustrate the distribu- tion of motor neurons innervating individual skeletal muscles in both axes of the cord. The rodlike shape and distinct distribution of different motor neuron pools are especially evident in the dorsal view of the reconstructed cord. The dashed lines in (C) represent the locations of individual lumbar and sacral spinal cord sections shown in (B). (After Burke et al., 1977.)

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3
Q
A

Since there are far more muscle fibres than motor neurons, individual motor axons branch within muscles to synapse on multiple extrafusal fibres; and the fibres that a motor neuron synapses onto are typically distributed over a wide area within the muscle => ensuring smoother movement because the contractile force is spread evenly.

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4
Q

Most extrafusal skeletal muscle fibres are innervated by how many alpha motor neurons?

A

Only one.

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5
Q

Benefit of arrangement of motor unit

A

Reduces the chance that damage to one or a few alpha motor neurons will significantly alter a muscle’s action.

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6
Q

What is a motor unit?

A

An alpha motor neuron and the muscle fibres it innervates; The smallest unit of force that can be activated by the muscle, because an AP generated by a motor neuron usually reaches the contraction threshold of all the muscle fibres in the motor unit.

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7
Q

Where do we see an orderly relationship between the locations of motor neuron pools and the muscles they innervate

A

Along the length of the SC and across the medial-to-lateral dimension of the cord. Provides a spatial map of the body’s musculature.

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8
Q

How do we see this topography of motor neuron pools along the length of the SC?

A

Each lower motor neuron innervates muscle fibres within a single muscle, and all the motor neurons of the motor neuron pool are grouped together into a rod-shaped cluster that runs parallel to the long axis of the SC for one or more spinal cord segments.

Eg. the motor neuron pools that innervate the arm are located in the cervical enlargement of the cord and those that innervate the leg are located int eh lumbar enlargement.

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9
Q

How do we see this topography of motor neuron pools in the medial to lateral dimension of the SC?

A

Motor neurons that innervate the axial musculature (like the postural muscles of the trunk) are located most medially in the ventral horn of the SC, whereas neurons that innervate the muscles of the shoulders are lateral to the axial neurons. Those that innervate the proximal muscles of the arm are the next most lateral, while those that innervate the distal parts of the extremities lie farthest from the midline.

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10
Q

What is the implication of the spatial organisation of motor neuron pools in the ventral horn?

A

Provides a framework for understanding how descending projections of upper motor neurones and intersegmental SC circuits control posture and modulate movement.

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11
Q

Somatotopic plan reflected in upper motor neuron pathways

A

Medial lower motor neuron pools governing postural control etc receive input from upper motor neurons that comprise long pathways running in the medial and ventral white matter of the SC. More lateral lower motor neuron pools that innervate the distal extremities (concerned with the execution of skilled behaviour) are governed by projections that run through the lateral white matter of the SC.

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12
Q

Somatotopic plan reflected in the location of local SC circuits that interconnect the lower motor neuron pools distributed along the longitudinal axis of the SC

A

The medial local circuit neurons, supplying lower motor neurons in the medial ventral horn, have axons that project to many SC segments (some between the cervical and lumbar enlargements => coordination of rhythmic movements of upper/lower limbs) while other axons terminate along the entire length of the cord and help mediate posture. Many also have axonal branches that cross the midline in the ventral commissure of the SC to innervate lower motor neurons in the medial part of the contralateral hemicord. This ensures that groups of axial muscles on both sides of the body act in concert to maintain and adjust motor activity that requires synchronous bilateral coordination of muscles (posture and breathing).

Whereas, local circuit neurons in the lateral region of the intermediate zone have shorter axons that typically extend fewer than 5 segments and are predominantly ipsilateral. More restricted pattern of connectivity = finer and more differentiated control that is exerted over muscles of distal extremities on one side.

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13
Q

Two types of lower motor neurons in the motor neuron pools of the ventral horn

A

Alpha motor neurons and gamma motor neurons

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14
Q

Alpha motor neurons

A

Large, innervate striated muscle fibres, which actually generate the forces needed for posture and movement.

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15
Q

Gamma motor neurons

A

Interspersed among the alpha motor neurons; smaller; innervate specialised muscle fibres; actually sensory receptors arranged in parallel with the force-generating striated muscle fibres.
Function is to regulate sensory input to the muscle spindles by setting intramural muscle fibres to an appropriate length.

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16
Q

Muscle spindles

A

Specialised muscle fibres; actually sensory receptors arranged in parallel with the force-generating striated muscle fibres. Embedded within connective tissue capsules int he muscle. AKA intrafusal muscle fibres.
Innervated by sensory axons that send info to the SC and brainstem about the length of the muscle.

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17
Q

Variation in size of motor units and small alpha neurons

A

Small alpha neurons innervate relatively few muscle fibres to form motor units that generate small forces, whereas large motor neurons innervate larger, more powerful motor units.

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18
Q

Slow motor units/fibres

A

Comprise small “red” muscle fibres that contract slowly and generate relatively small forces; rich myoglobin content, a lot of mitochondria, and rich capillary beds, so resistant to fatigue.

Have lower thresholds for activation.

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19
Q

Fast fatigue-resistant motor units

A

Intermediate size; not quite as fast as fast-fatiguable; generate about 2X force of slow motor unit; resistant to fatigue

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20
Q

Fast fatigable motor units

A

innervated by larger alpha motor neurons; pale muscle fibres that generate more force; sparse mitochondria, so easily fatigued. Required for brief exertions that require large forces like running or jumping.

Higher thresholds for activation; reached only during rapid movements requiring great force.

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21
Q

Motor unit plasticity

A

The myofibril and neuronal properties of motor units are subject to use-dependent plasticity. Can change proportion of different muscle fibres. Muscle biopsies show that sprinters have a large proportion of powerful but rapidly fatiguing pale fibres in their leg muscles than do marathon runners - underlying mechanism of neuromuscular adaptions to physical exercise and training.

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22
Q

Size principle

A

Henneman. As the synaptic activity driving a motor neuron pool increased (by stimulating sensory nerves or upper motor pathways that project to a lower motor neuron pool), low-threshold S motor units are recruited first, then FR motor units, and finally the FF motor units (at the highest level of activity).
==> Ordered recruitment of motor units.

Offers a simple solution to the problem of grading muscle force. The combination of motor units activated by such orderly recruitment optimally matches the physiological properties of different motor unit types with the range of forces required to perform different motor tasks.

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23
Q

Simplest of the reflex arcs is what?

A

Sensory response to muscle stretch, which provides direct excitatory feedback tot he motor neurons innervating the muscle that has been stretched.

24
Q

Where does the sensory signal for the stretch reflex originate?

A

In the muscle spindles

25
Q

Structure of the muscle spindle

A

Group Ia afferent sensory axons are coiled around the middle region of each class of intrafusal fibre = annulospiral primary endings.

Group II afferents form secondary endings on mostly nuclear chain fibres = flower spray endings.

26
Q
A
27
Q

What are the two classes of intrafusal fibres and how do they differ

A

Nuclear bag fibres and nuclear chain fibres (dynamic or static); can be distinguished by their structure and function. They differ in their arrangement of their nuclei, intrinsic architecture of their myofibrils, and their dynamic sensitivity to stretch.

28
Q

What do group Ia and group II afferents mediate

A

Mediate very rapid reflex adjustments when the muscle is stretched. The stretch imposed on the muscle deforms the intrafusal muscle fibres, which in turn initiates APs by activating mechanotransduction channels in the group I and II axon endings innervating the spindle.

29
Q

Group Ia afferents vs group II afferents responses

A

Group Ia afferents tend to respond phasically to small stretches, dominated by signals from the dynamic nuclear bag fibre which is sensitive to the velocity of the fibre stretch.

Group II afferents innverate static nuclear bag fibres and nuclear chain fibres, signal the level of sustainedd stretch by firing tonically at frequency proportional to the degree of stretch.

30
Q

Reciprocal innervation + example

A

Leads to rapid and efficient adjustments to changes in the length of the muscle.
Centrally projecting branch of the sensory neuron forms monosynaptic excitatory connections with those alpha motor neurons in the ventral horn of the SC that innervate the same muscle and also forms inhibitory connections (via local circuit neurons) with the alpha motor neurons that innervate antagonistic muscles.

Stretching a muscle spindle leads to increased activity in group Ia afferents and an increase in the activity of alpha motor neurons that innervate the same muscle. Group Ia afferents also excite the motor neurons that innervate synergistic muscles, and they indirectly inhibit the motor neurons that innervate antagonists via intervening reciprocal Ia-inhibitory interneurons.

31
Q

What is unusual about the excitatory pathway from a spindle to an alpha motor neuron innervating the same muscle

A

It is a monosynaptic reflex; sensory neurons from the periphery usually no not contact lower motor neurons directly but instead exert their effects thru local circuit neurons.

32
Q

Muscle tone

A

Steady level of tension in muscles. The reflex circuit is usually responsible for this, mediated largely by group II afferents.

33
Q

What kind of loop is the stretch reflex?

A

A negative feedback loop used to maintain muscle length at a desired value The appropriate length is specified by the activity of descending upper motor neuron pathways that influence the lower motor neuron pool. Deviations from the desired length are detected by the muscle spindles because increases or decreases in the stretch of the intrafusal fibres alter the level of activity in the sensory axons that innervate the spindles. These changes lead to adjustments in the activity of alpha motor neurons which returns the muscle to the desired length by contracting the stretched muscle and relaxing the opposite muscle group and by restoring the level of spindle activity and sensitivity.

34
Q

Spinal cord circuitry for the flexion-crossed extension reflex

A

Involves slowly conducting afferent axons and several synaptic links.
Simulation of nociceptive sensory fibres leads to withdrawal of the limb from the source of pain by excitation of ipsilateral flexor muscles and reciprocal inhibition of ipsilateral extensor muscles. Contralateral extensor muscles are also excited while flex muscles are inhibited, providing postural support during withdrawal of the affected limb.

35
Q

Role of local circuit neurons and upper motor neurons in the flexion reflex pathway

A

Local circuit neurons in the flexion reflex pathway receive converging inputs from several different sources, including other spinal cord interneurons and upper motor neuron pathways - the descending projections to the SC modulate the responsiveness of the local circuitry to a variety of sensory inputs.

36
Q

Reflexes summary

A

Involuntary responses to peripheral stimulation.

Protective, or to achieve motor goal.

37
Q

Stretch reflex vs flexion-extension reflex

A

Stretch reflex is monosynaptic, negative feedback loop.

Flexion-extension is polysynaptic.

38
Q

Alpha motor neurons vs gamma motor neurons

A

Alpha - final common path, extrafusal, motor unit.

Gamma - proprioceptive feedback, gain, intrafusal; gain

39
Q

Gain

A

Number of action potentials / gr of force

The level of gamma motor neuron activity. can be adjusted by upper motor neuron pathways as well as by local reflex circuitry. Gain of myotatic reflex refers to the amount of muscle force generated in response to a given stretch of the intrafusal fibres.

gain also depends on the level of excitability of the alpha motor neurons that serve as the efferent side of this reflex loop.

if the gain is high, a small amount of stretch applied to the intrafusal fibres will produce a large increase in the number of alpha motor neurons recruited and a large increase in the amount of tension produced by the extrafusal fibres.

40
Q

Step cycle - locomotion

A

Diagram and electromyographic recordings of the step cycle, showing leg flexion (F) and extension (E) and their relation to the swing and stance phases of locomotion.

41
Q

Central pattern generators

A

local circuits in the SC. Fully capable of controlling the timing and coordination of complex patterns of movement and adjusting them in response to altered circumstances. Eg. locomotion.

42
Q

2 phases of locomotion

A

Stance phase (limb is extended and placed in contact with the ground to propel the animal forward). Swing phase, where the limb is flexed to leave the ground and then brought forward to begin the next stance phase.

43
Q

Changes in the sequence of limb movements accompanying changes in speed of locomotion

A

At the highest speeds, the movements of the two front legs are synchronised, as are the movements of the two hindlimbs.

44
Q

CPGs and locomotion

A

Transection of the spinal cord at the thoracic level isolates the hindlimb segments of the cord. After recovering from surgery, the hindlimbs are still able to walk on a treadmill, and reciprocal bursts of electrical activity can be recorded from flexors during the swing phase and from extensors during the stance phase of walking.

Combined with experiment where dorsal roots are sections too, in which locomotion can still be induced by the activation of local circuits either by the act of transecting the SC or by the stimulating the release of NT from the now-transected upper motor neuron pathway. Rhythmic patterns are not just dependent on sensory inputs (you can sever the dorsal roots and still have locomotion) or input from descending projections from higher centres (you can transect the SC and still have locomotion).

So, Seems like local circuitry provides for each limb a CPG responsible for the alternating flexion and extension of the limb during locomotion.

45
Q

CPGs are comprised of

A

CPG comprise local circuit neurons that include excitatory glutamateric neurons coupled to one another and a variety of inhibitory GABAergic and glycinergic neurons.

46
Q

Control theory

A

Proportional-integral-derivative PID controller.

Minorsky.

Open loop - no feedback.
Closed loop - feedback.

Has a set point and feedback signal. New inputs generate a change in the system that compensates for the input and maintains the system state. Can think of the knee-jerk reflex in this way.

47
Q

Control theory

A

Proportional-integral-derivative PID controller.

Minorsky.

Open loop - no feedback.
Closed loop - feedback.

Has a set point and feedback signal. New inputs generate a change in the system that compensates for the input and maintains the system state. Can think of the knee-jerk reflex in this way.

48
Q

Two systems of the somatosensory system

A

Dorsal column, medial lemniscus: tactile, large axons, fast, new, myelinated. (touch, vibration, pressure, proprioception).

Anterolateral pathway: pain and temperature, small, slow, old. (Pain, temperature, coarse touch).

49
Q
A
50
Q

How do the brainstem and motor cortex control locomotion?

A

The spinal locomotor system is activated by signals from the mesencephalic locomotor region MLR, relayed by neurons in the medial reticular formation MRF. The cerebellum receives signals from both peripheral receptors and spinal CGPs and adjusts the locomotor pattern through connections in brain stem nuclei. Visual information conveyed to the motor cortex can also modify stepping movements.

51
Q

How does the mesencephalic locomotor region motify stepping patterns?

A

Stimulation of the MLR excites interneurons in the MRF whose axons descend in the ventrolateral funicular VLF to the spinal locomotor system. When the strength of stimulation of the MLR in a decerebrate cat walking on a treadmill is gradually increased, the gait and rate of stepping change from slow walking to trotting and finally to galloping. As the cat progresses from trotting to galloping, the hind limbs shift from alternating to simultaneous flexion and extension.

52
Q

How the neural structures involved in the control of locomotion are organised

A

Once activity is initiated, cortical systems play a relatively minor role in sustaining CPG. Cortical control is most relevant for conveying motor intention (like spatial navigation, walking or running) and visual guidance of locomotion thru complex environments.

53
Q

What evidence is there for preprogrammed, endogenous activity involved in locomotion?

A

Extensor muscles activate even before the limb hits the ground.

54
Q

Llinas on the true function of the CNS

A

Movement. Brain as encephalisation of motor rhythms. CPGs may be present in humans but we are essentially cortical machines.

55
Q

Sherrington vs Brown

A

Sherrington argued that our entire nervous system works as reflex arcs. The function of the brain is to generate a long chain of synaptic steps, triggered by a sensory stimulus, and eventually activate motor neurons that activate muscles and generate behaviour.

Brown and CPGs represent a different viewpoint. CPGs can be well explained as network attractor states. The brain is full of recurrent excitatory connections, building neuronal ensembles, that endogenously generate intrinsic spatio-temporal patterns of activity, which are then used to activate motor neurons, generate behaviour, or activate other internal patterns, generating mental processes.

Each can explain a significant portion of our current knowledge. Both agree on the idea that the purpose of the NS is to generate movement, consistent with the evolutionary restriction of NS to those metazoan species that can move.