Lower motor neurones Flashcards

1
Q

The lower (or efferent) system can be divided into 2 components - what are these?

A
  • Upper Motor Neurones (UMN)
  • Lower Motor Neurones (LMN)
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2
Q

Where are UMN found?

A
  • completely within the CNS
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3
Q

How do the UMN connect to the LMN?

A
  • Connects to LMN directly or via an interneuron
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4
Q

Where are LMN found?

A
  • Cell body in the CNS - within grey matter
  • Axons in the PNS
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5
Q

How do LMN connect to muscles?

A
  • via a neuromuscular junction –e.g. all types of muscle
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6
Q

How do UMN descend?

A
  • down the CNS
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7
Q

Where do LMN start?

A
  • in the spinal cord
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8
Q

What is the definition of lower motor neurons? (there are 2 definitions)

A
  • Neurons whose cell bodies located in the spinal cord (for spinal nerves, ventral horn)
  • or in the motor nuclei within the brain (for cranial nerves), whose axons project into the peripheral nervous system to innervate skeletal (voluntary) or smooth (involuntary) muscles.
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9
Q

The LMN include what types of neurons?

A
  • both somatic (voluntary) and autonomic (involuntary) neurones
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10
Q

What are the LMN sometimes referred to as?

A
  • the common final pathway
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11
Q

When LMN are stimulated what do they induce?

A
  • muscle contraction
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12
Q

What do LMN function in?

A
  • Maintaining posture, voluntary movement and locomotion – somatic
  • Visceral motor function (glandular secretions, smooth muscle contractions in organs, etc)
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13
Q

Even without AP’s what gets continually released?

A
  • ACh continually released at the neuromuscular junction
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14
Q

Due to acetylcholine leakeage what happens?

A
  • Miniature depolarisations of muscle end plate
  • ‘end-plate noise’ seen on EMG even in inactive muscle
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15
Q

What does continual leakage of ACh support?

A
  • supports normal muscle fibre = tone
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16
Q

What can you get if there is damaged to the LMN?

A
  • rapid atrophy as no leakage of ACh = no normal tone
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17
Q

What is atrophy?

A

= muscle fibres getting smaller – degeneration

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18
Q

UMN’s are the managers - what does this mean for their function?

A
  • Receive input from motor planning areas of forebrain, cerebellum (coordination) etc
  • When activated, can stimulate or inhibit LMN
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19
Q

LMN’s are the workers what does this mean for their function?

A
  • Receive input from UMN
  • Also receive sensory input from muscles as part of reflexes – via little interneuron
  • When activated, cause muscle contraction
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20
Q

Sensory nerves that connect directly to LMN are what?

A
  • reflexes
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21
Q

What are muscle spindles?

A
  • sensory organs in muscles
22
Q

What do muscle spindles contain?

A
  • Contain specialised muscle fibre cells (group together in intrafusal fibres)
23
Q

What do muscle spindles detect?

A
  • muscle stretch
24
Q

Sensory neurone from muscle spindle synapses on what?

A
  • LMN’s
25
Q

LMN’s stimulate what and come back out from where?

A
  • LMN stimulates muscle to contract
  • LMN comes back out of ventral horn
26
Q

What does the myostatic (stretch) reflex allow animas to maintain?

A
  • posture
27
Q

During the myostatic reflex what do spindles do?

A
  • send monitoring info to CNS
28
Q

What is the myostatic reflex?

A
  • only monosynaptic reflex as there are no interneurons
29
Q

What does muscle contraction do to muscle spindles?

A
  • Muscle contraction means spindle goes slack… no longer sensitive to stretch
30
Q

But muscles need to be able to detect stretch when they are at different lengths…
Need a mechanism to adjust muscle spindle length and sensitivity - how is this achieved?

A
  • This is achieved with different type of LMN = gamma motor neurons
31
Q

What do gamma motor neurons do?

A
  • Innervate intrafusal muscle fibres in the spindle- they detect stretch
32
Q

How do gamma motor neurons help detect stretch?

A
  • When muscles contract, γ-LMNs stimulate intrafusal fibres to shorten too at the same rate as normal muscle fibres
  • Central sensory part of spindle stays taut
  • muscle can still sense stretching
33
Q

What are ordinary (extrafusal) muscle fibres are innervated by?

A
  • alpha motor neurons
34
Q

What happens when there’s co-activation of alpha and gamma LMN’s?

A
  • make spindle fibres contract at the same time
35
Q

What is a Golgi tendon organ?

A
  • sensory organ within the tendon
36
Q

What does the Golgi tendon organ contain?

A
  • Sensory nerve endings between collagen fibres bundles
37
Q

what does the Golgi tendon organ detect?

A
  • Detects tendon tension within the tendon
38
Q

Where do Golgi tendon organ neurons synapse?

A
  • in the spinal cord
39
Q

How does a muscle automatically relax?

A
  • Sensory neurone from golgi tendon organ on inhibitory interneurone to LMN
  • LMN inhibits, muscle automatically relaxes
40
Q

Why do tendons have reverse myostatic reflexes?

A
  • prevent excessive force through tissues
  • provide monitoring info to CNS
  • Relax tendon and prevents injury
41
Q

What is a good what to test reflexes and localise a problem?

A
  • testing patella reflex
42
Q

How do you test the patella reflex?

A
  1. Hit patellar ligament which…
  2. Stretches the quadriceps (knee extensor muscle)
43
Q

What happens during the patella reflex?

A
  1. Muscle spindle in extensor (quadriceps) detects stretch
  2. Sensory neurone synapses directly with α LMN of extensor – the same muscle
  3. Reflex contraction of extensor to restore muscle length

at the same time …

  • Sensory neurone synapses with inhibitory interneurone (ipsilaterally) – the same side of the body within the spinal cord
  • LMN of flexor muscles inhibited
44
Q

Describe the withdrawal reflex using the example “when you step on fire, you want to withdraw limb quickly”:

A
  • Sensory neurones from skin detect pain
  • Synapse with LMN (via interneurone) in the spinal cord via interneuron
  • Reflex contraction of flexor muscles
  • at the same time there is Ipsilateral relaxation of extensor muscles
  • (Maybe some ascending neurones – tell your brain “ow”)
45
Q

During the withdrawal reflex how do you stop yourself from falling over?

A
  • Synapses with an interneuron which crosses over with other side of body – get contraction which = maintained posture
    – extensors contraction and at the same time there is relaxation of flexors = prevents falling over
46
Q

In the crossed extensor reflex interneurons use both what fibres?

A
  • uses both ipsilateral and contralateral (commissural) fibres
47
Q

In the crossed extensor reflex what happens on the ipsilateral side?

A
  • extensor muscles relax and flexor contract
48
Q

In the crossed extensor reflex what happens on the contralateral side?

A
  • extensor muscles contract and flexors relax
49
Q

If there is a UMN lesion - what happens to:
- reflexes
- atrophy
- tone

A

R - normal/ increase = not directly involved
A- mild, generalised from disuse
T - normal/ increased

50
Q

If there is a LMN lesion - what happens to:
- reflexes
- atrophy
- tone

A

R - decreased/absent
A - severe, rapid, specific muscles
T- decreased/absent

51
Q

What disease can happen in relation to LMN’s?
and describe this:

A
  • Polyradiculoneuritis
    = Idiopathic (or associated with racoon saliva)
    = Inflammatory disorder affecting ventral spinal nerve roots
    = Usually resolves with time, nursing, physical therapy
52
Q

What is myasthenia gravis?

A
  • Auto-immune disease, where antibodies are made against the ACh receptors at the NMJ
  • The antibodies result in decreased numbers of ACh receptors
  • It can be treated with AChE (acetylcholinesterase) inhibitors