Motor systems - Motor control basics Flashcards

1
Q

what is voluntary brain control of muscles via?

A

α motoneurones in the spinal cord

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2
Q

how would you describe Reflex control of muscles?

A

autonomous and hard-wired into motoneurone circuits at each segmental spinal level.

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3
Q

how do Brainstem nuclei control spinal reflexes?
give an example?

A

integrate them into higher order reflexes that control posture and balance

e.g., descending inputs from vestibulospinal and reticulospinal tracts regulate trunk and limb muscle reflexes.

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4
Q

what do brainstem nuclei receive?

A

inputs about voluntary movements from higher centres – from the cerebral cortex (motor, premotor and supplementary motor cortex), the basal ganglia and the cerebellum

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5
Q

what are the four systems that control movement?

A

1) Descending control pathways,
2) Basal ganglia,
3) Cerebellum
4) Local spinal cord/brain stem circuits

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6
Q

The spatial (‘somatotopic’) map of your body musculature in the spinal cord - medio-laterally applies to what?

A

(applies to arms and legs)

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7
Q

The spatial (‘somatotopic’) map of your body musculature in the spinal cord - proximally applies to what?

A

Proximal (shoulder/hip) muscle are mapped to medial motoneurones

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8
Q

The spatial (‘somatotopic’) map of your body musculature in the spinal cord - distally applies to what?

A

Distal (finger/toe) muscles map to more lateral motoneurones

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9
Q

what do muscles do along the long axis of spinal cord?

A

map spatially

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10
Q

how would you describe higher brain centres?

A

functionally interdependent and control different aspects of voluntary movements.

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11
Q

where does the spinal cord receive descending input from?

A

via the brainstem AND direct cortical input via the Corticospinal (Pyramidal) tract.

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12
Q

does sensory input enter at all levels of the spinal cord?

A

Sensory input is crucial and enters at all levels

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13
Q

describe sensory input of the spinal cord?

A

Spinal cord - proprioceptors, touch, pain etc

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14
Q

describe sensory input of the brain stem?

A

vestibular system informs about balance

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15
Q

describe the sensory input of the cortex?

A

movements in response to visual, olfactory, auditory, emotional, intellectual cues.

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16
Q

what does damage to sensory inputs (at spinal level) result in?

A

paralysis as if the motoneurones themselves had been damaged.

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17
Q

what may cause loss of all proprioception?

A

Viral infection
Autoimmune attack on sensory neurones in the dorsal root ganglia (DRG). Lost large myelinated fibres = sensory neuronopathy (very rare).

18
Q

what is the simplest spinal reflex?

A

stretch reflex

19
Q

example of the stretch reflex?

A

patellar tendon (knee-jerk) reflex

20
Q

what is the stretch reflex?

A

knee jerk follows a sharp tap to an inelastic tendon

21
Q

describe the mechanism of the stretch reflex?

A

Tendon transmits force to the muscle fibres (more elastic than tendons) and so are more able to stretch.

Stretch activates 1a afferent sensory nerves in the muscle spindle :

Increases the number of action potentials in 1a afferents projecting through the dorsal horn into the spinal cord.

causing rapid contraction of the AGONIST muscle.

Because muscles use agonists and antagonists to move joints - another spindle branch also connects (indirectly) with the ANTAGONIST muscles.

So, as the AGONIST muscle contracts, ANTAGONIST muscle relaxes (enabling agonist joint movement)

22
Q

how do spindle sensory afferents divide?

A

Spindle sensory afferents divide to make 3 branches/ connections (two in spinal cord, one with the brain)

23
Q

what type of reflex is the stretch reflex?

A

MONOSYNAPTIC REFLEX – one synapse, no interneurones involved

Direct contact to α-motoneurones in the stretched muscle : causing rapid contraction of the AGONIST muscle.

24
Q

what also makes up the spindle afferetn connection?

A

inhibitory interneurons

25
Q

what do inhibitory interneurons allow?

A

↓ activation of α-motoneurones to the antagonist muscle - which then relaxes

this is called RECIPROCAL INHIBITION.

26
Q

where does the spindle afferent branch travel to tell the brain about muscle legnth?

A

Spindle afferent branch also travels up the dorsal columns to thalamus and somatosensory cortex

27
Q

where does the stretch reflex also exist?

A

exists in arms as well as legs

Muscle stretch - stimulates muscle spindles
Causes reflex muscle contraction – muscle shortens to previous length

28
Q

describe the mechanism of the inverse stretch reflex?

A

Caused by 1b afferent nerves from the Golgi tendon organs (GTO) – which monitor muscle tension. (Golgi = anatomist who discovered them).

Muscle contracts and shortens – pulls on tendon and (sensory) 1b afferent nerves from the GTOs ↑ firing (higher AP frequency).

Causes 3 things :

Activation of inhibitory interneurones to the agonist muscle = decrease in contraction strength.

Activation of excitatory interneurones to antagonist muscles.

As for spindles, information about muscle tension ascends spinal dorsal columns to somatosensory cortex.

29
Q

why is inverse stretch reflex also known as the clasp knife reflex?

A

It is like an automatic knife action (clasp knife, USA)

Greatly increasing tension in tendon leads to a collapse of resistance

So, like a spring-loaded knife opening up, joint extends

  • Protective mechanism to prevent muscle damage
30
Q

describe the mechanism of the golgi tendon organ reflex?

A

Weightlifting - agonist quadriceps contracted - pulls hard on the tendon - GTO afferents (blue) ↑ firing - synapse with inhibitory interneurone - reduces motoneurone firing (red) – agonist muscle inhibited, so relaxes rapidly

GTO afferents (blue) – also synapse with excitatory interneurone - ↑ activation of antagonist motor neurone (purple axons) – antagonist contracts rapidly

Avoids muscle contracting so hard tendon is ripped from the bone

Reflex is polysynaptic and protective

31
Q

describe the mechanism of the flexor/withdrawal reflex?

A
32
Q

what is the circuitry if the flexor reflex?

A

if you only withdrew your limb from a tack and nothing else, you fall over (NOT protective!!).
to prevent this, contralateral limb extends via:-
CROSSED EXTENSOR REFLEX (contralateral extension to prevent falling over).
3) excitatory interneurones cross the spinal cord, excite contralateral extensors
4) Other interneurones cross the spinal cord, synapse with inhibitory neurones and inhibit contralateral flexors
Helps maintain upright posture by extending the limb opposite the flexed one - to bear the shift in body weight.
5) Sensory information ascends to the brain in the contralateral spinothalamic tract.
Basic circuitry is similar to that used for walking
Hardwired at spinal cord level.

33
Q

Spinal cord circuitry for
Flexor & Crossed Extensor reflex

A
34
Q

holding an ever increasing load?

A
35
Q

holding excessive load?

A
36
Q

how is the GTO reflex overridden?

A

Each α motoneurone receives >10,000 synapses (red below)
Many are from the thalamus and cortex. Cause excitatory and inhibitory postsynaptic potentials (EPSPs and IPSPs).
Some make direct contact, most via interneurones

Each α motoneurone integrates these signals. i.e. Net effect at cell body is summed (total excitation minus total inhibition).
Also, membrane potentials at synapses in distant dendrites have less effect than those nearer/on the cell body
So: when holding something heavy but very important, you think -
“I don’t want to drop this” - Descending voluntary excitation of α motoneurones overrides the inhibition from the GTOs and maintains muscle contraction
Blocks the GTO reflex

37
Q

how can you override the stretch reflex?

A
38
Q

how can you override the withdrawal reflex?

A
39
Q

what is the clinical relevance of reflexes?

A

important for assessing integrity of the whole spinal cord circuit :
- afferent nerves, balance of synaptic inputs to the motoneurones, the motoneurones, neuromuscular junctions and muscles.

Can help localisation of spinal level of a problem
- Evoked above, but NOT below a spinal level may localise a problem, e.g. segmental trauma to the spine.

- Stretch reflex: spindle input is highly localised and affects only  α motoneurones at same or adjacent spinal segments
40
Q
A