midterm 1 Flashcards

1
Q

who was the first person to coin the term motor unit + claim the contraction MU as a *Fundamental functional unit of
contraction

A

Charles Sherrington

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2
Q

Motor unit definition

A

Alpha motor neuron and all skeletal
muscle fibres innervated by its axon
*

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3
Q

What are the two ways force is controlled

A
  1. altering the # of active MUs (RECRUITMENT)
  2. changing the frequency of activation (RATE CODING)
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4
Q

Where do excitatory post synaptic potentials summate to generate an action potential

A

axon hillock

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5
Q

Motor Neuron labeled

A
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6
Q

who is Lugi Galvani

A

Discovered that frog leg muscles twitch when electricity added

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7
Q

saltatory conduction

A

propagation of action potential down an axon

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8
Q

myelination

A

insulates axon, prevents movements of ions (Na+,K+) across the membrane.

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9
Q

Nodes of ranvier

A

gaps in the myelin sheath

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10
Q

Ion movement at the nodes of ranvier causes…

A

an AP at one node to bring the next node to threshold to initiate another AP

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11
Q

Saltatory conduction + Myelination PROS

A
  1. Increase conduction VELOCITY (without a change in axon diameter)
  2. Reduced METABOLIC cost (only small segments of the axon require NA/K+ pump to restore resting membrane potential)
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12
Q

Neuromuscular junction synapse: MN AP + Muscle Fibre AP relationship

A

1:1 relationship

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13
Q

What neurotransmitter is released in the neuromuscular junction

A

ACH (acetylcholine)

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14
Q

Safety factor of neurotransmitter in NMJ

A

3-5x ACH is released, needed for muscle fibre AP

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15
Q

Curare function

A

prevents BINDING ACH to ACH receptor

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16
Q

what happens when curare prevents ACH binding to receptor?

A

muscle fibers cannot generate an action potential

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17
Q

how long does curare last

A

8-30 hours

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18
Q

how was curare used -historically-?

A

used as a medical paralyzing agent + treatment of tetanus

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19
Q

Botox function

A

prevents RELEASE of ACH, causes botulism

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20
Q

what happens when botox prevents release of ACH?

A

Inability for excitation along the sarcolemma

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21
Q

How long does botox last

A

6-8 weeks

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22
Q

what are the two treatments botox is used for?

A
  1. overactive muslces
  2. cosmetic improvements
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23
Q

3 motor unit classification types

A

type 1
type 2a
type 2x

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24
Q

Type 1

A

INNERVATE Slow oxidative muscle fibers, FORM Slow MU

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25
Q

type 2a

A

INNERVATE FOG: fast oxidative-glycolytic, FORM fatigue resistant MU

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26
Q

type 2x

A

INNERVATE: G: glycolytic,
FORM: fast fatiguable MU

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27
Q

twitch

A

physiological response of MU to summation

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28
Q

twitch can cause

A

summation; increased firing rate causing summation to achieve tetanus

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29
Q

how is contraction speed of motor units determined

A

behaviour of 3 types of motor units determined by the neuron and muscle fibre they’re connected with

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30
Q

So, what would be the benefit of:
* Low threshold (type I) motor neurons or small motor
neurons innervate slow oxidative muscle fibres?
* Large motor neurons, high threshold (Type II) motor
neurons innervate fast contracting, fast fatiguable or fast
glycolytic muscle fibers?

A
  • Size principle allows for fatigue resistance. Since smaller motor neuron’s have lowest activation principle they are recruited first. This allows us to save our energy until activity demands
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31
Q

what are the two neurotoxins we learnt about

A

curare and botox

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32
Q

what is a refractory period

A

period after an action potential where the neuron or muscle fibre is temporarily unavailable to generate another action potential

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33
Q

what is a neural strategy to grade force

A
  • firing rate
  • motor unit recruitment
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34
Q

Input resistance definition

A

how easy it is to excite the motor neuron: ex) diameter of hose

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35
Q

what type of input resistance do small MNs (type 1) have

A

High input resistance-greater response, easier to excite

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36
Q

Rheobase

A

direct measure of the current that has to be put into a neuron to get it to fire
ex) flow of water

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37
Q

small MN are __ to excite

A

easier

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38
Q

Rheobase is ___ in small MNs

A

low

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39
Q

Conduction velocity is __ in small MNs

A

slow (because small MN are easy to excite)

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40
Q

Conduction velocity in large MN

A

shorter after-hyperpolarization

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41
Q

what law is the action potential propagation along the axon determined by

A

Ohm’s law (current x resistance= voltage)

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42
Q

conduction velocity ex

A

ex) pressure of water

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43
Q

what is size principle- how are MN recruited

A

from smallest to largest

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44
Q

axon terminal

A

where synapses occur

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45
Q

Neuromuscular junction

A

how the axon connects to muscle

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46
Q

SAG

A

Fast MU have the property of SAG where force decreases over time

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47
Q

what is the MU size principle good for

A

simplifies the task of force modulation:
- ensures smooth increase in force production
- minmizes fatigue

*like a dimmer switch

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48
Q

negative effects of size principle

A

cannot selectively choose which MU to recruit

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49
Q

recruitment threshold

A

amount of force needed to turn a motor unit on

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50
Q

force frequency curve

A

sigmoidal relationship

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51
Q

firing rate matches

A

contractile speed

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52
Q

In MUs, who’s the boss

A

Motor neuron always the boss; the muscle will change properties

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53
Q

how are we able to produce a steady/smooth contraction at low firing MU rates

A

each MU are able to produce partially fused tetanus: because units fire asynchronously with each other, the net force is smooth

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54
Q

surface EMG

A

measures superficial muscle activity non invasive (electrodes placed on skin)

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55
Q

Indwelling EMG

A

somewhat invasive but can observe a single motor unit (needle) unlike regular EMG (can only see summation)

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56
Q

MVC

A

maximal voluntary contraction

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57
Q

how does force modulation/recruitment vary depending on the muscle type

A

-varies between muscles because of their function, fibre composition and control demands. more useful muscles with increase its force to maximal right away whereas less used muscles like the adductor pollicis use more rate coding and low and slow recruitment to get them all recruited

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58
Q

How does EMG work

A

picks up action potentials going across muscle fibre, picks up summation of AP but can’t see individual AP because of summation

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59
Q

how can we hold a steady hand with MU active at the same time

A

they are active asynchronously allowing use to hold a steady hand because force from MU combined

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60
Q

Eric is exercising at Dwight Schrute’s Gym for Muscles and progressively increases the weight that he is
lifting. What neural strategies, in context of a motor unit, will allow him to increase his force?

A
  • motor unit recruitment + size principle
  • rate coding
  • motor unit synchronization
  • increased neuromuscular efficiency
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61
Q

Communication between neuron’s is…

A

1:1

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62
Q

Divergence

A

a single neuron synapses on multiple neuron’s

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63
Q

Convergence

A

multiple neurons converge on fewer neurons

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64
Q

peripheral structures

A

can be extrafusal fibres or intramural fibres

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65
Q

extrafusal fibers

A

skeletal muscle fibers

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66
Q

intrafursal fibers

A

muscle spindles

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67
Q

direction of neural information can be

A

afferent or efferent

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68
Q

afferent

A

to the brain

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69
Q

efferent

A

away from the brain

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70
Q

role of afferent inputs

A

projects CENTRALLY to the spinal cord and more superior REFLEXS

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71
Q

where is the cell body in afferent fibers

A

in the dorsal root ganglion

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72
Q

what type of receptors do afferent fibers have

A

sensory receptors

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73
Q

how are afferents labeled

A

based on cross sectional diameter (1=largest 4=smallest)

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74
Q

conduction velocity depends on….

A

diameter

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75
Q

larger diameter=

A

faster conduction

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76
Q

what type of neurons are the fastest

A

1A

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77
Q

group 1a senses

A

length and velocity

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78
Q

group 2 senses

A

static length

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79
Q

what shape are muscle spindle receptors in

A

fusiform (football) shape: lie in parallel with force-producing muscle

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80
Q

what type of muscles have highest density

A

hang muscles (more distal muscles)

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81
Q

What type of muscles have fewer muscle spindles

A

more proximal muscle

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82
Q

what are the two types of receptors

A
  1. Bag (bag 1=dynamic, bag 2=static)
  2. Chain= static
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83
Q

what are the two types of afferents

A
  1. type 1a (primary)=length & velocity
  2. type 2 (secondary)= length
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84
Q

what do type 1a (primary) afferents innervate

A

bag 1, bag 2, chain

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85
Q

what do type 2 (secondary) afferents innervate

A

bag 2, chain `

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86
Q

how can we record muscle spindle action

A

microneurography

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87
Q

what does a microneurography look at

A

single unit action potentials

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88
Q

type 1as record what?

A

velocity and length

89
Q

type 2s record what?

90
Q

what does a tendon tap do

A

stretches intrafusal muscle spindles

91
Q

what responds to tendon taps

A

Primaries (1a) are very sensitive to taps and vibrations, can stop firing on release (unloading)

92
Q

efferent system consists of

A

fusimotor or gamma system

93
Q

Describe the efferent systesm

A
  • only receptor to have it’s own efferent motor system
  • consists of dynamic and static MN
  • skeletalmotor vs fusimotor
94
Q

alpha motor neurons sends info to

A

skeletal muscle fibers

95
Q

Gamma motor neurons sends info to

A

muscle spindles

96
Q

dynamic gamma sends info to

97
Q

static gamma sends info to

A

bag 2 and chain

98
Q

Importance of gamma system

A

Muscles stretched and contracts muscles with NO AP (uses its own motor system to shorten)

99
Q

Turning on the gamma system does what?

A

prevents the spindle from becoming unloaded during shortening contractions: keeping it sensitive to stretch

100
Q

gamma dynamic makes the spindle?

A

more velocity sensitive

101
Q

gamma static makes the spindle more?

A

length sensitive

102
Q

activating the gamma (mn) STATIC efferent causes

A

decreased dynamic response

103
Q

activating the gamma (mn) DYNAMIC efferent causes

A

increased dynamic response

104
Q

co-activation of the alpha-gamma systems causes

A

the muscle spindle to maintain it’s sensitivity, be more easily excited

105
Q

why does the soleus have lower motor unit firing rates (less rate coding) then a bigger muscles

A
  • they rely on recruitment rather then rate coding
106
Q

smaller muscles rely on

A

recruitment

107
Q

Rate coding

A

used when all motor units are already recruited for force production

108
Q

recruitment

A

used for gradual force increase

109
Q

what can we do to maintain a steady/smooth contraction

A

Summation of twitches, motor units firing ASYNCHRONOUSLY

110
Q

how does the size of the action potential threshold change depending on fast or slow contractions

A

action potential threshold remains the same

111
Q

what is the function of a muscle spindle

A
  • detect stretch, velocity, and length
112
Q

what is alpha gamma co-activation

A

when both alpha and gamma MN activate together, the muscle spindle can remain it’s sensitivity during shortening and not have to be reactivated again

113
Q

why does the tendon tap cause a reflexive kick

A

when you hit the tendon, you get a stretch of the muscle, 1a spindles are sensitive to stretch and activate MN due to Monosynaptic relfex

114
Q

monosynaptic reflex

A

muscle stretch reflex that facilitates communication between sensory neurone and innervating the muscle

115
Q

why are gamma motor neurone so important

A

allow spindles to maintain their sensitivity, tightness, and prevents muscle spindles from becoming unloaded

116
Q

GTOs

A

Golgi tendon organs

117
Q

where are GTOs located

A

tendon junction

118
Q

where do GTO spindles lie

A

In bundles within a capsule including nerve endings and collagen fibres in parallel with the muscle fibres, they are spread throughout muscle belly

119
Q

GTO main goal

A

to sense force: and the amount of force being produced,

120
Q

Nerve endings interdigitate among?

A

collagen ( this allows them to fire AP )

121
Q

the afferent finer that innervates the Golgi tendon organ is

A

the 1B afferent

122
Q

Golgi tendon organs are bundles within a capsule including

A

nerve endings and collage fibers

123
Q

Whats the role of the muscle spindle receptors

A

sense length and velocity of muscle

124
Q

what is the function of the Golgi tendon organ receptors

A
  • provide feedback to the CNS about muscle force/tension
  • primarily active force/tension
125
Q

what technique allows you to record action potentials from sensory afferents in awake humans

A

Electromyography (from muscle activity) and Microneurography (from sensory afferents)

126
Q

How are GTOs excited

A

Muscle tension (by level of force)

127
Q

how much force can excite GTOs and activate AP

A

30-90 millinewtons

128
Q

what type of forces are GTOs sensitive to

A

actively generate forces rather than passive stretch

129
Q

A _____________ is the force output of a muscle
in response to one stimulus

130
Q

how do GTOs respond to contract

A

respond to increased muscle tension during a twitch

131
Q

What is the muscle function of the GTO

A

INHIBITS the AGONIST muscle

132
Q

how do GTOS provide motor feedback

A

through the 1B afferent

133
Q

How does the 1B inhibitory interneuron connect

A

it has a disynaptic connection to the motor neurons

134
Q

Disynaptic connection to motor is called

A

autogenic inhibition reflex

135
Q

autogenic inhibition

A

inhibits the muscle that’s doing the contraction inhibiting the agonist muscle

136
Q

Golgi tendon organs Inhibitory agonist reflex is for 2 aspects

A

protective mechanisms and force modulation

137
Q

where are joint receptors located

A

within joint capsule: joint ligaments + loose tissue

138
Q

Where are there no receptors

A

in the cartilage of joint and in synovial membrane

139
Q

role of joint receptors

A
  1. respond at limits of joint movements
  2. respond to joint pressure
  3. code ambiguously for joint movement
  4. Protective role
140
Q

what does coding ambiguously mean

A

it responds the same way for all joint movements because it can’t tell the difference between movements

141
Q

Stretch reflex is called the monosynaptic reflex because the 1a afferent synapses onto the 1a interneuron prior to synapsing onto the alpha motor neuron (t/f)

A

False two neurons so we need two synapses

142
Q

two types of sensory receptors within the inner ear

A

semicircular canals
otolith organs

143
Q

3 types of semicircular canals

A
  • anterior
  • posterior
  • horizontal
144
Q

2 types of otolith organs

A
  • utricle
  • saccule
145
Q

what are mechanoreceptors

A

hair cells (stereocillia and kinocilium)

146
Q

what do hair cells do

A

transform mechanical energy into neural energy

147
Q

Kinocilium

A

apex of hair cell (tallest point)

148
Q

Stereocilium

A

linked stair like structure (shorter)

149
Q

what happens when sterocillia are pushed towards the kinocilium

A

the hair cell depolarizes (increased firing rates)

150
Q

what happens when the sterocillia are pushed away from the kinocilium

A

the hair cell hyperpolarizes (decreased firing rates)

151
Q

mechanoreceptors respond to

A

acceleration or gravity in line with hair cells

152
Q

at rest, what happens with hair cells

A

they have a baseline firing rate (due to leaky channels)

153
Q

what is the name of fluid within canals

154
Q

whats a cupula

A

house the hair cells in the crista

155
Q

semi circular canal detects

A

angular acceleration

156
Q

acceleration of the canals lead to

A

increased firing rates

157
Q

during periods of constant velocity, hair cells return to

A

normal leakiness, baseline firing rates

158
Q

Horizontal canal

A

yaw, Z: spins around top of head

159
Q

Anterior canal

A

pitch, Y: spins around ear

160
Q

Posterior canal

A

roll, x: spins around nose

161
Q

Balance of left and right excitation and inhibition leads to

A

sensation of head rotation

162
Q

sensation of head rotation is caused by

A

balance of left and right excitation and inhibition

163
Q

How does head rotation effect endolymph

A

causes opposite endolyphm fluid

164
Q

sterocillia pushed towards kinocillum (to left) in semicircular canal=

A

excitation

165
Q

steriocillia pushed to left =

A

pushed towards kinocillium

166
Q

sterocillia pushed away from kinocillum (to right) in semicircular canal=

A

inhibition

167
Q

whats the difference between semicircular canals and otolith organs?

A
  • semicircular canals have a cupula surrounded by endolyphm fluid (detect angular acceleration)
  • otolith organs have an otolith membrane (with gel like substance) and crystals (detect linear acceleration)
168
Q

Otolith organs detect

A

liner acceleration

169
Q

semi circular canals detect

A

angular acceleration

170
Q

otoliths or otoconia contain

A
  • small calcium carbonate crystals ebbed into gelatinous material
  • hair cells with cilia projecting up into overlying membrane
171
Q

utricle

A

otolith organ, detects linear acceleration

172
Q

saccule

A

otolith organ detects linear acceleration

173
Q

what causes cilia to move in the otolithic membrane

A

shearing of the membrane

174
Q

what happens to the otolith organs when the head tilts or accelerates

A

gravity causes the otoliths to slide, pulling on steriocilia (cause depolarization and in turn acceleration)

175
Q

what type of acceleration are otoliths sensitive to

A

linear acceleration

176
Q

explain how the spins occur

A

alcohol lowers the density of the blood , the cupula has a supply of blood flow, alcohol seeps into the cupula allowing it to be less dense then the endolyphm (the balance is disrupted), lesser density in the cupula causes it to float and the hair cells to move artificially (hair cells deflected falsely), causing a spinning sensation

177
Q

describe the process of the spins leaving and coming back

A

when alcohol seeps into the endolymph the spins go away but come back because the alcohol is removed from cupula and now there’s another imbalance. This time the endolyphm is less dense, hair cells are deflected artificially again

178
Q

why does drinking more alcohol help the spins

A

it allows alcohol to seep back into the cupula and rebalance the density of fluid (doesn’t work in the long term,)

179
Q

what is BPPV

A

Benign Paroxysmal Position Vertigo
- non life threatening
- sudden, brief
- symptoms triggered by a certain position
- dizziness: false sense of rotation

180
Q

BPPV occurs in

A

Older adults

181
Q

BPPV is

A

idiopathic (not one source of cause)

182
Q

what happens when BPPV occurs

A
  • otolith crystals dislodged into semi-circular canals
183
Q

when is BPPV most likely to occur

A

when lying down (canals become more sensitive)

184
Q

what is the treatment for BPPV

A

Epley maneuver

185
Q

how does the epley maneuver work

A

it consists of moving the head and mimicking positions of the canals to move the hair cells , directing the crystal out of canal

186
Q

saccule movement

A

VERTICAL linear acceleration

187
Q

Utricle movement

A

HORIZONTAL linear acceleration

188
Q

Ménière’s disease

A

*presented unilaterally
- excess fluid in the labyrinth (canals) which causes
- Increase in edolymphatic pressure
- results in decreased firing in affected side and increased firing on the intact side
- sensation of spinning

189
Q

Menieres disease cause

A

idiopathic

190
Q

Menieres diseases causes __ to happen

A
  • swelling causes distortion of information
  • decreased and increased firing rate
191
Q

types of sensory receptors

A
  • chemoreceptors
  • thermoreceptors
  • nociceptors
  • mechanoreceptors
192
Q

types of nociceptor fibers

A
  • A fibers: sense sharp localized pain
  • C fibers: sense dull, burning, delayed pain
193
Q

types of mechanoreceptors

A
  • cutaneous
  • baroreceptors
  • proprioceptors
194
Q

types of cutaneous receptors

A

merkel, meissner, pacininan, ruffini

195
Q

how do cutaneous receptors work

A
  1. receptor potential
  2. integration at trigger zone
  3. action potential
  4. neurotransmitter released
196
Q

tonic receptors

A

slowly adapt to continual stimulation

197
Q

phasic receptors

A

rapidly to continual stimulation, reactivated when stimulus ends

198
Q

Cutaneous receptors details

A
  • small myelinated and unmyelinated
  • sense pain and itch
  • pain and temperature
199
Q

what is a hot spot

A

the most sensitive spot in a sensory neuron, encompasses the spatial extent of the receptor surface

200
Q

type 1 receptors

A

superficial receptors
- smaller receptive fields
- multiple points of maximal sensitivity

201
Q

type 2 receptors

A
  • deep receptors
  • only one point of sensitivity
202
Q

polysynaptic pathway

A

mediate flexion and cross extension reflexes
- excites muscle on contralateral limb : aid in withdrawal from the nociceptor afferent from the side in pain

203
Q

slowly adapting sensory afferents

A

detect constant stimuli
- fire continuously when stimulus is present, never stops firing completely
- provides constant awareness

204
Q

rapidly adapting afferents

A

detects changes in stimuli
- stops firing if stimulus stops or changes
- detects quick changes

205
Q

Merkel cells

A
  • superficial SA1
  • highly sensitive to curvature and edges
  • cells wedged along the border of dermis
206
Q

Merkel cells receptive fields and sensitivity

A
  • small receptive fields with multiple hotspots
    (25% of hand receptors)
  • moderately low threshold
  • most sensitive to 5Hz
  • irregular discharge when stimulated
207
Q

Meissner corpuscle

A
  • superficial FA1
  • stroking, velocity, or motion across skin
208
Q

where are the meissners located

A

stacked of flattened disks in the dermis just below the epidermis

209
Q

meissners receptive and sensitivity

A
  • small receptive fields with multiple hotspots
  • 40% of innervation of the hand
210
Q

meissner threshold to indentation

A

6um
- sensitive to low frequency and vibration

211
Q

merkel threshold to indentation

212
Q

Ruffini

A
  • Deep (SA2)
  • sense skin stretch
  • branched fibres in cylindrical capsule
213
Q

Ruffini sensitivity

A
  • large receptive fields, only one hot spot
  • 20% of hand innervation
  • high threshold to indentation
214
Q

Pacinian corpuscle

A
  • deep
  • FA2
  • onion like capsule located deep in the skin
  • vibration through an object
215
Q

Pacinian corpuscle receptive fields

A
  • large receptive fields only one hotspot
  • 15% of innervation in the hand
  • extremely low threshold (0.08)
216
Q

What do the pacinian corpuscles sense

A

vibration: these receptors are very sensitive to alternating inputs such as those seen during mechanical vibration
- high frequency complex vibrations are elicited in the skin when scanning textures

  • allow us to distinguish microscopic difference in texture
217
Q

How are pacinian corpuscles helpful to blind people

A

allow them to distinguish microscopic differences in texture: ie. reading brail in between two fabrics