Muscle Receptors And Spinal Reflexes Flashcards

1
Q

Where are the cell bodies of lower motor neurones located?

A
Spinal cord (lamina IX)
Cranial nerve nuclei eg facial nucleus
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2
Q

What is the effect of most upper motor neurones? Inhibitory or excitatory?

A
Inhibitory 
Only one (normally inhibitory) can predominate over the lower motor neurones at one time
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3
Q

What controls the lower motor neurones?

A

The upper motor neurones, normally have an inhibitory effect

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4
Q

What allows limb movements to occur?

A

When the cortex gives permission for movements to occur by removing inhibition on a segment of the spinal cord - results in voluntary movement

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5
Q

What allows there to be motor tone in a motionless but conscious individual?

A

They have a large input from the descending inhibitory neurones
But the lower motor neurones still have sufficient output to cause motor tone

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6
Q

During deep sleep, which are the only muscles not to be paralysed by descending inhibition?

A

Breathing muscles

Extra-ocular muscles

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7
Q

What does addition of extra interneurones (to produce disynaptic, trisynaptic etc. reflexes) allow?

A

Greater control to the finer movements of the body

They are also inhibited by the descending tracts

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8
Q

What is a spinal reflex?

A

An involuntary, unlearned, automatic reaction to a specific stimulus that does not require the brain

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9
Q

What are the five components of a reflex arc?

A

A receptor eg muscle stimulus

An afferent fibre eg muscle spindle afferent

An integration centre eg lamina IX of the spinal cord

An efferents fibre eg α-motor neurone

An effector eg muscle

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10
Q

What are the two types of lower motor neurones and what do they innervate?

A

α motorneurones: extrafusal fibres (normal skeletal muscle fibres)

γ motorneurones: intrafusal fibres (found in muscle spindles) - causes contraction of the poles of the intrafusal fibre, stretching the central zone and activating the peripheral process of the afferent neurone

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11
Q

Differences in structure between α and γ motorneurones?

A

α:

  • myelinated
  • large cell bodies
  • α conduction velocity

γ

  • small cell bodies
  • γ conduction velocity
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12
Q

Where are muscle spindles found?

A

In skeletal muscles

More numerous in muscles that control fine movements

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13
Q

What does each muscle spindle consist of?

A

A connective tissue capsule in which there are 8-10 intrafusal fibres - known as a fusical

Efferents innervation provided to polar ends of intrafusal fibres innervated by gamma motorneurones

Therefore, muscle spindles detect changes in length of muscle

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14
Q

Function of muscle spindles?

A

Detect muscle length

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15
Q

Function of Golgi tendons?

A

Detect tension in tendons - activated by contraction or stretching of the muscle

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16
Q

Why do gamma neurones need to innervate muscle spindles?

A

To keep them taut

Allows firing of alpha neurones to continue without descending inhibition allowing muscle tone when at rest

17
Q

What is the structure of the Golgi tendon organ?

A

A large unmyelinated fibre that enters a connective tissue capsule and subdivided into many unmyelinated receptor endings that intermingle and encircle collagenous fascicles

18
Q

What is motor tone produced by?

A

Tonic contraction of lower motor neurones to their muscle fibres

19
Q

What prevents muscle fibres from becoming fatigued in muscle tone?

A

Fibres contract randomly to produce sufficient tone

20
Q

What happens when tone in a muscle needs to be increased?

A

Get an orderly recruitment pattern caused by size principle

  • smaller motor units are recruited first
  • larger ones recruited last
21
Q

What is the reflex when providing muscle tone?

A

Feedback from muscle spindle afferents
Causes reflex contraction of the muscle that that spindle innervates
Allows for muscle tone and an ability to judge passive displacements

22
Q

Do babies have muscle tone?

A

No - if it does not develop, is a sign of brain injury

23
Q

What is the reflex seen in the knee jerk response?

A

Myotatic/stretch reflex

24
Q

What happens in the stretch reflex?

A

Afferent receptor: muscle spindle

Fast-conducting, large, myelinated axons (group 1a afferents) provide the afferent response

Muscle is stretched, action potentials are produced by the muscle spindle due to deformation

They synapse directly with α-motorneurones in the spinal cord

α-motorneurones innervate the extrafusal fibres causing contraction of the homonymous muscle

25
What role does inhibition have in the stretch reflex?
An excitatory synapse is made with an inhibitory interneurone in the spinal cord This makes an inhibitory synapse with the α-motorneurones innervating the antagonist muscle, inhibiting it
26
What happens in the flex ion/withdrawal reflex?
Nociceptors stimulate by a noxious stimulus Causes impulses to be conducted through myelinated afferent fibres (group 3) and unmyelinated afferent fibres (group 4) They synapse directly with the α-motorneurones in the spinal cord (3 or 4 interneurones are normally involved) resulting in contraction of the ipsilateral flexor muscles Causes withdrawal of the limb from noxious stimuli
27
What is the sign that shows an impaired withdrawal reflex?
Babinski - upper motor neurone lesion
28
Difference between cortical efferents and brainstem/bulbar efferents in upper motor neurones?
Cortical efferents have cell bodies in the cerebral cortex, know as pyramidal motor neurones Brainstem/bulbar efferents have cell bodies in the sub-cortical areas, known as extra-pyramidal neurones