Motor Nervous System Flashcards

1
Q

Upper motor neurons are also known as what cells?

A

Betz cells

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2
Q

How are muscle action potentials generated at the neuromuscular junction?

A

1) AP arrives at motor nerve terminal
2) AP triggers opening of voltage gated calcium channels and lets in Ca2+
3) Ca2+ releases acetylcholine (ACh) by exocytosis
4) ACh travels across synaptic cleft to bind to its receptor which is a ligand gated ion channel
5) the ion channel opens and allows a large amount of sodium in and a small amount of potassium out of the muscle cell
6) depolarisation occurs
7) depol causes voltage gated Na+ channels to open in the adjacent membrane
8) Na+ entering causes the membrane potential to rise allowing the generation of an AP
9) ACh is destroyed by acetylcholinesterase in the synaptic cleft

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3
Q

Total failure of neuromuscular synapses results in what? What are some examples of diseases where this occurs?

A

leads to death as respiratory muscles need innervation from lower motor neurons to work

i.e. motor neuron disease & spinal muscular atrophy (SMA) disease

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4
Q

Partial failure of neuromuscular synapses leas to what? What are some examples of diseases that result in this?

A

muscle weakness due to a failure to recruit successively large motor units for strong muscle contractions

i.e. Lambert-Eaton syndrome (defects in motor nerve terminal) or Myasthenia Gravis (defects in muscles post synaptic region)

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5
Q

Muscle weakness can also be caused by diseases of skeletal muscle i.e. Duchenne’s Muscular dystrophies. What causes this disease?

A

due to a mutation in the dystrophin gene, during eccentric contraction muscle damage occurs because the muscle membrane is sheared as dystrophin is not present to hold it together

over time more and more muscle cells die

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6
Q

What is rate modulation in terms of muscle action potentials?

A

the frequency at which action potentials are delivered in order to increase muscle tension (i.e. the closer together AP’s are delivered the more likely to cause twitch summation or even tetanus)

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7
Q

Henneman’s size principle states what?

A

smallest motor units are activated first followed by larger motor units

slow twitch fibres are activated before fast twitch fibres

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8
Q

What is the latent period (in terms of AP and muscle force generation)?

A

the time between an muscle AP and that muscle fibre actually producing force

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9
Q

What is fibre type grouping?

A

chronic denervation re-innervation events lead to type 1 fibre predominance

basically type 2 fibres start acting like type 1 fibres due to re-innervation by type 1 neurons

occurs in motor neuron disease and also as we age as fast twitch neurons may be more vulnerable with age

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10
Q

True or false… neuron activity is the main driver for muscle fibre type (i.e. whether a muscle fibre is fast or slow twitch)

A

true

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11
Q

What are the 3 levels of input control for motor neuron output?

A

1) afferent information i.e. reflexes
2) primary motor cortex i.e. pyramidal
3) multi-neuronal motor system i.e. extra pyramidal

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12
Q

Where does afferent (sensory) input come from?

A

muscle spindles which gain information from muscle length and velocity of contraction

golgi tendon organs which gain information from muscle tension

free nerve endings in joints/joint receptors which gain information from joint position

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13
Q

What are the two types of muscle spindles?

A

1) muscle spindle chain which is sensitive to muscle length

2) muscle spindle bag which is sensitive to velocity of muscle length

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14
Q

True or false… muscle spindles have both an afferent and efferent nerve. Why?

A

true

muscle spindles must have motor innervation to maintain length the same as the muscle to give accurate readings of length and velocity of length

in other words the gamma motor neuron is responsible for maintaining sensitivity of the muscle spindles

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15
Q

True or false… golgi tendon organs have both afferent and efferent neurons

A

false, only afferent

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16
Q

How many types of joint receptors are there? Why?

A

4

different locations and functions

1) mechanoreceptors which are constantly active in the joint capsule
2) mechanoreceptors which are only active during movement in the joint capsule
3) found in the surrounding ligaments
4) nociceptive

17
Q

Where in the spinal cord is the lateral motor column present and why?

A

cervical-brachial spinal cord
lumbar spinal cord

it houses the motor nuclei for distal muscles/limb muscles

18
Q

Where are the motor nuclei housed within the spinal cord for proximal/axial muscles?

A

in the medial motor column

19
Q

What is the role of interneurons in the spinal cord?

A

to connect afferent inputs and allow for reflexes to occur

20
Q

Describe post-synaptic gating, also known as reciprocal inhibition (which occurs during a spinal reflex like the knee jerk reaction)

A

a muscle receives excitatory information, an interneuron sends inhibitory signals to the muscle’s antagonist to allow it to relax as the primary muscle contracts