lower motor neurons and motor units Flashcards

1
Q

lower motor neuron (LMN)

A

the cell body (found in the brain stem or spinal cord) and axon that contributes to either the cranial or spinal nerves

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2
Q

neuromuscular junction

A

where the lower motor neuron fiber terminates on a skeletal muscle fiber

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3
Q

motor unit

A

includes the LMN, NMJ and skeletal muscle

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4
Q

upper motor neuron

A
  • originates in the cerebral cortex and brain stem with axons contributing to the corticospinal, rubrospinal, reticulospinal, and vestibulospinal tracts
  • the UMR is confined to the CNS and terminates on the LMN
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5
Q

monosynaptic spinal reflex

patellar reflex

A
  • LMR cell body in ventral horn of spinal cord
  • terminates on skeletal muscle
  • sensory fibers coming in, cell bodies in spinal ganglia
  • synapse on LMN in ventral horn
  • UMN comes down from brain and terminares on LMN
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6
Q

what are the two classifications of LMN

A
  • alpha motor neuron
  • gamma motor neuron
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7
Q

alpha motor neuron

A
  • skeletal muscle fibers
  • reflexes
  • voluntary motor function

lets reflex happen

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8
Q

gamma motor neuron

A
  • muscle spindles (composed of intrafusal fibers)
  • regulate stretch reflex
  • baseline activity in alpha MN
  • proprioception and tone and position
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9
Q

what are the spinal nerves of the front limbs

A
  • radial
  • ulnar
  • musculocutaneous
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10
Q

spinal nerves of the hind limbs

A
  • femoral
  • sciatic (tibial and peroneal)
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11
Q

what are the thoracic limb reflexes

myotatic reflexes

A
  • extensor carpi radialis reflex
  • triceps reflex
  • biceps reflex
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12
Q

what are the pelvic limb reflexes

myotatic reflexes

A
  • patellar reflexes
  • cranial tibial reflex
  • gastrocnemius reflex
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13
Q

what are flexor or withdrawl reflexes

A
  • pelvic limbs
  • thoracic limbs
  • noxious stimulus
  • medial and lateral digits
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14
Q

what nerve is a patellar reflex

A

femoral

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15
Q

what are flexor reflexes

A
  • perineal reflex
  • other (crossed extensor reflex and babinski reflex)
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16
Q

crossed extensor reflex

A

normal

  • noxious stimulus to foot causes flexor contraction and extensor inhibition
  • contralateral extensor inhibition by UMN

lesion

  • noxious stimulus to foot causes big contraction and other leg extends
  • contralateral extension not inhibited by UMN (this would be normal in the walking reflex)
17
Q

what are sensory peripheral neuropathies

A
  • hyperesthesia
  • hypesthesia
  • anethesia
18
Q

what are motor peripheral neuropathies

A
  • muscle atrophy
  • weakness/paresis/paralysis
19
Q

what do LMN disorders cause

A
  • decreased segmental reflexes
  • paresis (flaccid)
  • short strided gait
  • +/- cranial nerve deficits
20
Q

what is the gait of a motor nerve, endplate, muscle problem

A
  • no ataxia
  • flaccid paresis/paralysis
21
Q

what do UMN disorders cause

A
  • increased segmental reflexes
  • paresis (spastic)
  • +/- cranial nerve deficits