Mod 9 V2 - Lower Motor Neurons Flashcards

1
Q

What are the 2 brain regions contained in the lowest level of the motor system hierarchy?

A

Spinal cord (laminai VIII & IX) and brainstem (CN somatic motor nuclei).

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2
Q

Which CN (cranial nerve) somatic motor nuclei are involved in the brainstem?

A
  1. Oculomotor (CN III)
  2. Trochlear (CN IV)
  3. Trigeminal (CN V)
  4. Abducens (CN VI)
  5. Facial (CN VII)
  6. Nucleus ambigus
  7. Spinal accessory (CN XI)
  8. Hypoglossal (CN XII)
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3
Q

What are the 2 locations of LMN?

A
  1. Spinal (cord) anterior horn (laminae VIII & IX)
  2. Brainstem (CN somatic motor nuclei)
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4
Q

LMNs are modulated by what 2 sources?

A
  1. Descending control
  2. Peripheral sensory input
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5
Q

Explain what neuromuscular junction (aka motor end plate) is.

A

The site where axons of LMN contact skeletal muscle.

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6
Q

What are 2 types of LMNs and their functions?

A
  1. Alpha motor neurons
    Role: Innervate extrafusal fibers: tension-generating fibers of skeletal muscle.
  2. Gamma motor neurons
    Role: Innervate intrafusal fibers (contractile ends of the muscle fiber): special type of skeletal muscle fiber found within the muscle spindle; smaller in size.
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7
Q

What are intermotor neurons?

A

Axons distributed locally in the spinal gray matter regulate the activity of alpha and gamma motor neurons; they can excite or inhibit these motor neurons.

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8
Q

Explain what neuromuscular junction (motor end plate) is.

A
  • The site where axons of LMNs synapse with skeletal muscle fibers.
  • It is a 1-to-1 relationship between the firing of the motor
    neuron action potential and the activation of the muscle fiber
    unique chemical synapse - AKA ENDPLATE POTENTIAL
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9
Q

What are the 6 steps that occur in the neuromuscular junction?

A
  1. Alpha motor neuron & the motor end plate
  2. Synaptic cleft
  3. Active zones: contain large numbers of docking proteins
    located in close proximity to voltage gated Ca2+ channels
    & large numbers of neurotransmitter (Acetylcholine
    ACh )) filled
  4. Subjunctional folds: contain clusters of nicotinic
    acetylcholine receptors ( AChRs ) which are ionotropic
    receptors selective for cations.
  5. Activation of the receptor causes influx on NA+
    (predominantly) which depolarizes the muscle
    membrane
  6. Ach is removed from synaptic space by enzymatic breakdown:
    acetylcholinesterase.
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10
Q

What is a motor unit?

A

A single alpha motor neuron and the muscle fiber it innervates.

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11
Q

What 3 factors determine the motor unit size?

A
  1. Size of muscle mass
  2. Speed of contraction needed
  3. Type of control
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12
Q

What are the 2 types of motor units?

A

Type I
SLOW twitch: generate LOWER levels of TENSION but for LONGER PERIOD of time (fatigue resistant) - postural control muscles.

Type II
FAST twitch: generate HIGHER levels of FORCE but for SHORTER PERIODS of time IIa : Fast twitch oxidative; IIb : Fast twitch glycolytic

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13
Q

What are the 2 ypes of TYPE II motor units?

A

IIa : Fast twitch oxidative
IIb : Fast twitch glycoly

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14
Q

Regarding grading force of muscle contractions, what is the SIZE PRINCIPLE?

A

Smaller motor units are recruited first followed by larger units.

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15
Q

Regarding grading force of muscle contractions, what is RATE CODE?

A

as the need for greater force and speed increases, synaptic input increases and the firing rate of the neurons increases.

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16
Q

Lecture Question 1
Lower motor neurons are the final motor pathway, allowing a neural signal to be converted into a mechanical event.

A. True
B. False

A

A. True

Explanation:
This statement is true: lower motor neurons are the final motor pathway. The action potential of a motor neuron will cause a muscle fiber to depolarize setting off cross bridge cycling.

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17
Q

Lecture Question 2
Where are lower motor neurons that innervate limb muscles located?

A. Anterior horn of the spinal cord
B. Trigeminal motor nucleus
C. Facial motor nucleus

A

A. Anterior horn of the spinal cord

Explanation:
Motor neurons that innervate the muscles of the trunk and limbs are located in the anterior horn of the spinal cord. Motor neurons that innervate muscles of the head and neck are located in the cranial nerve somatic motor nuclei (like the trigeminal and facial motor nuclei).

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18
Q

Lecture Question 3
Which of the following neurons innervates the contractile ends of the muscle spindle?

A. alpha motor neurons
B. gamma motor neurons
C. interneurons

A

B. gamma motor neurons

Explanation:
Gamma motor neurons will innervate the infrafusal fiber (contractile poles of the muscle spindle) and will be important in maintaining the tension in the muscle spindle. Alpha motor neurons innervate the extrafusal fibers which are the tension generating fibers of skeletal muscle. Interneurons (local circuit) neurons will integrate sensory information from the periphery and descending control signals from higher brain regions and they will use this information to regulate the activity of the lower motor neurons.

19
Q

Lecture Question 4
Which neurotransmitter is released at the neuromuscular junction?

A. Acetylcholine
B. Glutamate
C. Glycin

A

A. Acetylcholine

Explanation:
Acetylcholine is the neurotransmitter released at the neuromuscular junction. It will bind the nicotinic acetylcholine receptors allowing Na+ to enter the cell resulting in the depolarization of the muscle fiber.

20
Q

What is the topographical arrangement of LMN?

A

The longitudinal arrangement between LMN pools and the muscles they supply in the spinal cord.

21
Q

What are the three regions of the spinal cord in which LMN pools are arranged, and what areas of the body do they innervate?

A

Cervical Region - innervate the UL (upper limbs/extremities).

Thoracic Region - innervate the trunk.

Lumbar Region - innervate LL (lower limbs/extremities)

22
Q

Regarding the organization of LMN in the spinal gray matter schematic, what is the Flexor-Extensor Rule?

A

FLEXOR LMNs are located posteriorly

EXTENSOR LMNs are located anteriorly

23
Q

Regarding the organization of LMN in the spinal gray matter schematic, what is the Proximal-Distal Rule?

A

LMNs innervating PROXIMAL muscles are
located MEDIALLY (ie. axial muscles)

LMNs innervating DISTAL muscles are
located LATERALLY (ie. limb muscles)

24
Q

Local circuit neurons are organized _______.

A

somatotopically

25
Q

What is (1) the difference in how medially and laterally located local circuit neurons are projected in the spinal cord, and (2) what are their roles?

A

Medially located LCN (local circuit neurons)
Projected to MULTIPLE spinal segments and BILATERAL projections and communicate with medially located LMN.
Role: postural control

Laterally located LCN
Projected to FEWER spinal segments and most are IPSILATERAL projections and communicate with laterally located LMN.
Role: Control of skilled limb movement.

26
Q

What is the role of sensory input at the higher centers?

A

Sensory input conveyed to higher centers is used to PLAN and
MONITOR MOVEMENTS INDIRECTLY impacting the activity of LMNs -
think VOLUNTARY movements!

27
Q

What is the role of sensory input at the spinal cord and brainstem?

A

Sensory input at the level of the spinal cord or brainstem can
DIRECTLY influence the activity of LMNs - think REFLEXIVE
movements and LOCALIZED control!

28
Q

What is the role of the muscle spindle?

A

Monitor muscle length and mediate monosynaptic stretch reflexes.

29
Q

What is the role of the golgi tendon organ?

A

Monitor muscle tension and mediate autogenic inhibitory reflexes.

30
Q

What is the role of nociceptors?

A

Transmit information about pain and mediate withdrawal reflexes.

31
Q

All reflexive circuits have an _______ (sensory) limb and an _______ (motor) limb.

A

afferent (sensory); efferent (motor)

32
Q

FYI for Reflexive Movements
Spinal & brainstem somatic motor reflex pathways
target α motor neurons or interneurons, and they can produce complex coordinated activity at multiple joints.

A

Review information.

33
Q

FYI for Reflexive Movements
Reflexive movements are involuntary, but descending input (higher centers) can alter (modulate) the threshold for their activation or their gain (strength of response).

A

Review information.

34
Q

What are the 2 structures of the muscle spindle, and what are there components?

A
  1. Intrafusal fibers
    Components: nuclear bag and chain fiber innervated by gamma motor neurons.
  2. Sensory endings
    Components:
    - Group Ia afferents: responsive to small phasic stretches; velocity dependent.
    - Group II afferents: responsive to sustained stretch.
35
Q

What is a monosynaptic stretch reflex?

A

A sensory response to muscle stretch (ie. muscle stretch (MS) reflex, tendon reflex).

36
Q

Regarding monosynaptic stretch reflex, in the circuit the afferent limb is _______ and the efferent limb is _______.

A. Muscle stretch (MS)
B. alpha motor neuron

A

afferent limb = muscle stretch afferent
efferent limb = alpha motor neuron

37
Q
A
38
Q

What is the function of the monosynaptic stretch reflex?

A

Maintenance of posture and ensures coordination of agonist and antagonist muscle activity in response to changing conditions.

Also important to test this reflex for neurological damage.

39
Q

Fill in the blank for “Alpha-Gamma Co-Activation”

  1. During voluntary movement both alpha & gamma motor neurons will be _______.
  2. Activation of the alpha motor neuron results in _______.
  3. Activation of the gamma motor neuron maintains the _______ during ongoing movement.
  4. Which allows the system to provide feedback regarding _______ during movement.

A. sensitivity of the muscle spindle.
B. muscle length
C. activated simultaneously
D. muscle fiber contraction

A
  1. C
    During voluntary movement, both alpha & gamma motor neurons will be ACTIVATED SIMULTANEOUSLY.
  2. D
    Activation of the alpha motor neuron results in MUSCLE FIBER CONTRACTION.
  3. A
    Activation of the gamma motor neuron
    maintains the SENSITIVITY OF THE MUSCLE SPINDLE during ongoing movement.
  4. B
    Allows the system to provide feedback regarding MUSCLE LENGTH during movement.
40
Q

Define GAMMA LOOP.

A

Activation of gamma motor neurons can
1. INDIRECTLY cause ACTIVATION of an ALPHA MOTOR NEURONS…
2. thereby MEDIATING MUSCLE CONTTRACTION.

41
Q

Define GAMMA BIAS (gain).

A

Amount of force generated in response to a muscle fiber stretch.

42
Q

Regarding gamma bias, what is HIGH GAIN and provide an example of when it is used?

A

SMALL AMOUNT OF STRETCH produces
> LARGE INCREASE IN # OF MOTOR UNITS recruited
> & increased INCREASED FIRING RATES
> resulting in LARGE INCREASE IN TENSION.
(ie. when in the subway and it is moving or abruptly stopping)

43
Q

Regarding gamma bias, what is LOW GAIN?

A

GREATER STRETCH needed to produce the SAME LEVEL OF TENSION.
(ie. when stretching for yoga or before exercise)

44
Q

Regarding gamma bias, how is gain modulated, and for what purpose?

A

Gain is modulated by descending control (UMN) to meet the demands of functional situations.