Lecture 6 Flashcards

1
Q

Alpha and gamma neurons are what kind of neurons?

A

Motor

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2
Q

What is the difference between Golgi tendon organs and Muscle Spindles

A

Both are sensory organs
Muscle spindle- detect stretch in muscle
GTO- Detect stretch in tendon

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3
Q

What are the joint kinesthetic receptors

A

Pacinian and ruffini corpusle

bare endings

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4
Q

Muscle spindles are ______ muscle fibers

A

Intrafusal

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5
Q

True or false: muscle spindles contract in their central region

A

False, the central region is non-contractile

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6
Q

Type 2 sensory fibers go to what muscle spindles?

A

Nuclear chain and STATIC nuclear bag fibers

(not dynamic nuclear bag)

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7
Q

Type 1a fibers go to what muscle spindles?

A

All 3

Nuclear chain, static, and dynamic nuclear bag

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8
Q

Static gamma neurons innervate the contractile endings of what muscle spindles?

A

Static nuclear bag and nuclear chain

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9
Q

Dynamic gamma neurons innervate the contractile endings of what muscle spindles?

A

dynamic nuclear bags

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10
Q

True or false: Sarcomeres are found inside of intrafusal muscle fibers

A

False. only in extrafusal

This is true?

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11
Q

What do gamma motor neurons innervate?

A

The contractile ends of muscle spindles

slide says: “polar regions of intrafusal fibers”

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12
Q

Small diameter Alpha motor neurons (also called lower motor neurons) innervate what?

A

Extrafusal skeletal muscle fibers

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13
Q

Large diameter 1a and 2 fibers originate from the _____ region of muscle spindles

A

Central regions

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14
Q

A typical muscle spindle contains ____ nuclear bag and ____ chain fibers

A

2-3 nuclear bag and 5 chain fibers

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15
Q

Muscle spindles measure the velocity of stretch from phasic discharge of ____ fibers

A

1a

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16
Q

Muscle spindles measure the steady state length of muscle from tonic discharge of _______ fibers

A

1a and 2

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17
Q

1a’s have both ____ and _____ discharges

whereas 2’s only have ____ discharges

A

1a: Phasic and tonic

2: only tonic

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18
Q

True or false: Muscle spindles fire even when muscle fibers are relaxing

A

True

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19
Q

Muscle spindles regulate _____________ neurons via feedback mechanism/stretch reflex

A

alpha motor neurons

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20
Q

Muscle spindles send input via sensory neurons to the spinal cord at the _________ horn and the spinal cord relays information to the muscle via alpha motor neurosn from the _______ horn

A

Dorsal horn (afferent)

Ventral horn (efferent)

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21
Q

Gamma motor neurons control the ______ of the muscle spindles

A

Sensitivity

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22
Q

Dynamic gamma motor neurons increase the dynamic sensitivity of…

A

1a fibers

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23
Q

Static gamma motor neurons increase the tonic activity of….

A

Type 1a and 2

Note: also decreases the dynamic sensitivity of 1a

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24
Q

When extrafusal fibers shorten the intrafusal fibers _______

A

Are slack, do not fire as much

Note: less stretch = less firing

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25
Q

Without the sensory afferents of muscle spindles, the CNS cannot monitor information about….

A

Muscle length/position

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26
Q

coactivation of gamma and alpha motor neurons ensure

A

appropriate length/tension relationship

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27
Q
A
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28
Q

What causes reciprocal inhibitor?

Golgi Tendon Organs OR Muscle Spindles

A

Muscle Spindles

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29
Q

How does reciprocal inhibition work?

A

Muscle spindles of agonist (example:quads) send signal to spinal cord

From the spinal cord a signal is sent that activates further contraction at the quads

AND it sends a signal via inter neurons to inhibit contraction of the antagonist (example:hamstrings)

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30
Q

True or false: reciprocal inhibition can occur voluntarily AND reflexively

A

True

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31
Q

Where are golgi tendon organs found?

A

At the junction between muscle fibers and tendons

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32
Q

What kind of neurons innervate the Golgi Tendon Organs?

A

1b fibers

33
Q

What do Golgi tendon organs do?

A

Autogenic inhibition or activation

The respond to force/muscle tension at the junction between the muscle and its tendon

They can either inhibit or activate the same muscle that they’re found in.

34
Q

True or false: both the Golgi tendons and the muscle spindles use fast conducting afferent nerves

A

True

35
Q

What is the ratio of muscles to motor neuron pool?

A

1:1

36
Q

all motor neurons within the muscle neuron pool innervate ____

A

a single muscle

37
Q

MNs innervating the axial muscles are located where in the ventral horn? what about distal muscles?

A

located medially

located laterally

38
Q

where are flexor muscles located in the ventral horn? extensors?

A

flexors located dorsally

extensors ventrally

39
Q

describe a motor unit

A

one alpha motor neuron and all the muscle fibers it innervates

40
Q

small motor units (not very many muscle fibers innervated) are used for what type of movement? what about larger motor units?

A

small = fine movements

large = gross movement

41
Q

What determines if a muscle fiber is fast/slow twitch?

A

the neuron innervating the muscle

motor neurons/UNITS (both) are classified as slow twitch or fast twitch depending on speed of contraction

so “both”…. but motor neurons.

42
Q

which fiber (type 1 or 2) can maintain levels of force for long periods of time?

A

type 1 (endurance)

43
Q

which muscle fiber (type 1 or 2) has a larger axon diameter?

A

type 2 (fast)

larger forces but fatigue quickly

44
Q

which muscle fibers are used for postural control?

A

endurance - type 1

45
Q

What NT is released from the presynaptic neuron in the NMJ?

A

Ach

46
Q

After being released into the NMJ, Ach binds to the muscle membrane, causing what?

A

Depolarization of the muscle membrane and then depolarization of the T-tubules in the muscle fiber

47
Q

What happens following the depolarization of T-tubules in the muscle cell?

A

voltage-gated channels open, releasing Ca+ from the sarcoplasmic reticulum (SR)

48
Q

To initiate a muscle contraction, ___ (what ion) binds to ___

A

Ca+

troponins

49
Q

What is rate coding?

A

MN signals amount of force to be exerted by muscle

(frequency of firing determines contraction strength)

50
Q

Tetanus

A

muscle is contracting maximally

51
Q

Force summation is caused by

A

higher firing rate

52
Q

How do slow vs fast twitch MNs compare with

time to peak-twitch force

contraction time

peak force

relative force summation

A

time to peak force: fast twitch have shorter time

contraction time: fast twitch have shorter twitch time

peak force: fast twitch generates higher forces

relative force summation: at lower frequencies, slower twitch form better summation

53
Q

What is recruited first, smaller or larger MNs?

Why is this the case?

A

smaller

V = IR, smaller motor neurons have large resistance (“R”), so a smaller current (“I”) will still lead to higher V

small amount of synaptic current will be sufficient to cause the potential of small MN to reach the firing threshold

54
Q

Z lines are ____ and are at the end of each sarcomere

Titin is ____ and anchors Z and M lines

A

fibrous

elastic

55
Q

Which filament has the “head” and which one slides inwards towards M line? (thick or thin)

A

Myosin heads connect with actin, pulling actin towards center

56
Q

What does Ca+ bind to in order to open active sites on actin?

A

Ca+ binds to troponin, causing tropomyosin to move off active sites

57
Q

Resistance to stretch in resting muscle is

A

muscle tone

58
Q

what determines the amount of muscle tone?

A

weak actin/myosin bonds at rest as well as titin

59
Q

How does contraction or immobility impact muscle tone/resistance to stretch?

A

resistance to stretch increases for a short time after prolonged contraction or immobility

longer immobility = more weak actin-myosin bonds exist

(Think about when you exercise and feel your muscles, and how you feel stiff in the morning getting out of bed)

60
Q

How are sarcomeres affected when patients are immobilized in a shortened position vs a lengthened positioned for a long time?

A

in a shortened position - lose sarcomeres

lengthened position - gain sarcomeres

61
Q

What 3 things in your body can restrict movement?

A

joint capsules, noncontractile tissue and antagonist muscles (co-contraction)

62
Q

T/F Cocontraction is a normal part of stabilizing a joint in function

A

T

63
Q

Reflexive movements make up a __ (small or large) percentage of our movements. Define reflexive movements

A

small

involuntary motor response to an external stimulus

64
Q

Spinal reflexes occur without what?

A

brain input

65
Q

T/F: patients with SCI can have spinal reflexes after time

A

T

66
Q

Describe the phasic stretch reflex

A

fast muscle stretch activates signals from the muscle spindles to alpha MNs for the same muscle causing a contraction

monosynaptic

67
Q

Describe the cutaneous withdrawal reflex

A

monosynaptic reflex in the SC that occurs in response to pain/noxious stimuli before conscious awareness of pain

68
Q

The following are examples of what?

  • muscle cramps
  • fasciculations
  • myoclonus
  • abnormal movements generated by dysfunctional basal ganglia
  • fibrillations
  • tremors
A

spontaneous involuntary muscle contractions

69
Q

What causes muscle cramps?

A

high frequency discharges of MNs overstimulated by sensory and motor input

healthy or pathologic

70
Q

What are fasciculations?

A

VISIBLE fast twitches of all muscle fibers in one motor unit

healthy or pathologic

71
Q

What is myoclonus?

A

brief involuntary contraction - muscle jerks when falling asleep, hiccups

healthy or pathologic

72
Q

what are fibrillations

A

NONVISIBLE, random, brief contraction so single muscle fibers

PATHOLOGIC

FIBRILation sounds like FIBER, single fiber

73
Q

What are tremors? List the three types

A

involuntary rhythmic movement that can occur at rest or with movement

postural - body part maintained against gravity (usually upper limb)
orthostatic - standing, (usually lower limbs)
intention - absent at rest, worsen when target is approached

74
Q

Conditions affecting the ___ ____ and ______ (what two brain structures) also present with tremor?

A

basal ganglia and cerebellum

75
Q

List common signs of lower motor neuron lesions

A

hypoflexia or areflexia

paresis or paralysis

muscle atrophy

decrease or loss of muscle tone (hypotonia/flaccidity)

fibrillations

76
Q

What do motor nerve conduction velocities/studies measure?

A

measure the speed and strength of electrical signals traveling through MNs to muscles

77
Q

Why might an EMG be done for a patient with motor issues?

A

diagnostically differentiate between denervated muscle or myopathy

“muscle not working does not mean the neuron is not working”

78
Q

What part of the nervous system does polio attack?

A

LMNs (at the ventral horn)

79
Q

What are the affects of the polio virus and how does it lead to PPS? (post-polio syndrome)

A

polio causes death of selected MNs, your body then forms giant motor units from remaining MNs (neuroplasticity effect)

PPS - over time the giant MNs die off due to their excessive oxygen needs, causing fatigue, weakness and pain