Lower Motor control Flashcards

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1
Q

Explain the following picture:

A
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2
Q

Explain the following diagram (motor structure):

A
  • Pay attention to thickness of the arrows
  • Basal Ganglia and Cerebellum are not considered upper motor n. since they don’t influence them directly
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3
Q

Describe the inner structure of the spinal cord? Which horn and columns are relevant for you now?

A
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4
Q

Explain the research in the picture:

A

A dye substance was injected to parallel muscles (names in the picture) in an animal model -> substance absorbed by neuromascular junction and transported back to its cell bodies -> slices of the spinal cord

Results:
- For each muscle there is a column of cells distributed in the ventral horn
- organization may NOT overlap - but there could be some order from medial to lateral aspect of the ventral horn

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5
Q

What is the somatotopy of the ventral horn? What white matter projections supply each part (+their general purpose)?

A
  1. Medial part = muscles in more proximal positions e.g.trunk
    • descending projections connect via the anterior aspect of the spinal cord = posture
  2. Lateral = distal e.g. hands
    • descending to the lateral column (lateral cortico-spinal tract) = skill, behavior
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6
Q

What is a motor unit? How does it work?

A

Leaving the spinal cord -> spinal nerve supplying a particular muscle divides into multiple branches -> innervates set of muscle fibers within the muscle

Motor unit = alpha motor neuron + muscle fibers

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7
Q

What types of motor units do we have?

A

Depending on which fibers are innervated (aka diff motor n.):
1. Slow motor unit
- small force, slow
- smallest size (small number of fibers)
2. Fast fatigue-resistant m.u.
- rapid, doesn’t fade as much (will at some point)
3. Fast fatigable
- the largest MU (greatest number of fibers innervated + biochemical specialization)

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8
Q

How do motor units act if we repeatedly stimulate them for a prolonged duration?

A

Slow
- each contraction takes some time -> builds up until hits constant

Fast fatigue-resistant
- quickly generates the force

Fast fatigable
- greatest amount of force
- very rapid -> BUT it decreases slightly over time

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9
Q

What is the principle that maps MU onto specific movements? How does it work?

A

To maintain posture - slow MU
- don’t need much force, has to be constant, no changes in velocity

-> more explosive - need for fast fatigable MU (but most be strategic

= Size principle = principle through which we recruit MU of different sizes

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10
Q

What is the myotatic reflex? What organ does the job?

A

= a system that monitors and maintains the length of a muscle
- Muscle spindle = collection of muscle fibers found within a capsule (= inrafusal muscle fibers)

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11
Q

What types of intrafusal fibers do we have? What is the morphological and function difference?

A
  1. Nuclear bag fibers = more boulbus collection of nucleui in the center
    • n. fire for changes in muscle length (e.g. suddently stretched)
  2. Nuclear chain fibers = a single row od nuclei (picture)
    • n. fire for stable states (e.g. maintans the stretched version)
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12
Q

What neurons are innervating the intrafusal fibers? How do they differ?

A
  • Sensory axons
    - Ia = center, close to nucleui of fibers, wraps around
    - II = contractile portion, create flower spray ending (terminals look like petals)
    • Gamma motor neuron
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13
Q

How does the myotatic (stretch) reflex work (in a clinical setting)?

A

Clinically we may elicit it with a hammer

-> hammer hits a tendon underneath the knee bone -> stretches extensor muscle -> activation of Ia axons (dynamic stretch regostered by nuclear bag fibers) -> enter dorsal column region (some travels up)
-> EXCITES alpha motor neuron via
monosynaptic connection e.g. glutamite =>
contraction of the extensor
-> INHIBITES alpha motor neuron via interneuron => releases the flexor muscle

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14
Q

How would it work in real life scenerio e.g. someone pours us a beverage?

A
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15
Q

What is happening in this experiment of gain adjustments? What issue do you see? How can we solve it?

A

The extrafusal fibers are stimulated -> activates the motor n. -> contraction of the muscle
-> BUT due to contraction muscle spindle becomes loose -> no longer sends out info (becomes insensitive)

=> BUT adding gamma motor n. to the mix fixes the issue (sensitivity restored)
- can be part of the reflex loop or modulated by the descending pathways

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16
Q

Define muscle tone. What determines it? How is it called when it gets “damaged”?

A

= resting level of tension in a skeletal muscle
- depends on the excitation of the alpha motor n.
- impacted by afferent n. <- by gamma adjustments
- Hypotonia = having “flaced muscles”, loss of muscle tone (can be due to damage in both dorsal - sensory or ventral - motor)

17
Q

Look at the anatomy of the Golgi Tendon Organ

A

Found in tendons (insensitive to muscle stretches since most of that energy gets absorbed by the muscle fibers)

  • Ib afferent n. innervates its nerve endings throughout collagen fibrils
18
Q

How does the GTO get activated? (up until spine circuitry)

A

Muscle contracts -> tags the GTO -> deformation of the strech sensitive channels in Ib -> opening for cations -> depolarization -> propagates into the spinal cord

19
Q

What happens to the GOP info in the spinal cord?

A

Negative feedback system - helps protect the muscle

GOT sends afferent input -> dorsal root
1. Ib inhibitory interneuron -> makes connections to alpha motor n. of the corresponding muscle -> diminishing the force from the motor n.
e.g. release of flexor muscle
2. Disynaptic excitation of the “opposite muscle” alpha motor n.
e.g. activation of extensor muscle

20
Q

Why do we have some descending pathways in the schema as well?

A

Important in some activities e.g. weight resistence training
- helps to combat the inputs of the GOT

21
Q

How do Muscle Spindles and Golgi Tendon Organ work together (what happens during passive muscle stretching X active muscle contraction)

A

Passive muscle stretching
- force applied -> muscle stretches -> afferent n. is firing like crazy
- Nothings happening in GOT

Active muscle contraction
- activating motor n. -> muscle contraction -> muscle spindle loosens up -> firing lost
- GOT gets stretched -> activation

22
Q

What are central pattern generators? What are its main elements/features (4)?

A

= a neuronal system capable of producing a rhythmic movement

  1. Network of alpha motor n. and excitatory or inhibitory interneurons
    • some connections cross the midline, some ascend up
  2. Descending input e.g. brainstem
    • initiates the rhythm or modulate it
  3. Sensory signals
    • sometimes could be removed without affecting the circuit
  4. Can produce different movement patterns
    • e.g. walk, run
23
Q

Do we always need the descending input?

A

Experiment: a transection was made in the spinal cord of a cat -> put on a treadmill -> rhythmical activity in extensors and flexors didn’t change
- Pattern is intrinsic to the circuitry, no need for descending input (BUT for us seems to be more important

24
Q

What is the lower motor neuron syndrom?

A

= a condition marked by loss of voluntary movement due to inactivity of the alpha motor neurons:
- Muscle atrophy
- Fibrillations = contraction of individual muscle fiber
- Fasciculations = contrations of the muscle fibers of a motor unit
- signals disrupted inputs

Muscle paralysis = loss of volitional control
Muscle paresis = profound weakness
Areflexia = loss of myotactic reflexes

25
Q

Define following terms - muscle paralysis, musle paresis, areflexia.

A

Muscle paralysis = loss of volitional control
Muscle paresis = profound weakness
Areflexia = loss of myotactic reflexes