neuro lab reflexes Flashcards

1
Q

where are muscle spindles located

A

located deep w/in the muscle belly

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2
Q

what do muscle spindles detect

A

sensitive to stretch or change in muscle length

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3
Q

what is the significance of muscle spindles in the jerk response

A

when muscle is stretched the muscles spindles are also stretched hence activating Ia fibers in the spindle

these fibers synapse directly with the efferent motor neuron in SC there by eliciting a contraction in response to stretch stimulus

stretch in muscle spindle = contraction of same muscle

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4
Q

what do GTO detect

A

degree of tension or the contraction of a muscle

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5
Q

what is the significance of GTO

A

if tension is too high it will trigger Ib fibers of the GTO to send signal received by the inhibitory interneuron in the SC which synapses c efferent motor neuron causing the muscle to relax

tension in muscle = relaxation of muscle

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6
Q

what is the structure of an intrafusal m fiber

A

central (dilated) - non contractile portion

polar ends - contractile portion

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7
Q

what is the structure of the central portion

A

has 2 large myelinated afferent nerve fibers

Ia - annulospiral
II - flowerspray

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8
Q

what does the Ia fibers detect

A

static and dynamic stretch bcs present in both nuclear bag and nuclear chain

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9
Q

what does the II fibers detect

A

static stretch only bcs connected lang sha c nuclear chain

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10
Q

what is the significance of nuclear bag and chain

A

NB - for dynamic response

NC - static response

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11
Q

what is the structure of the polar ends

A

may gamma motor efferent fibers

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12
Q

in what fiber is dynamic stretch present

A

Ia only bcs NB

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13
Q

in what fiber is static stretch present

A

Ia and II bcs NC

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14
Q

compare intra and extra fusal m fibers in terms of nuerons present

A

intra - gamma

extra - alpha

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15
Q

examples of dynamic stretch

A

DTR and sudden stretch

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16
Q

stretching used if there are contractures

A

positional stretching

16
Q

examples of static stretch

A

usual na stretching; slow

17
Q

explain the process of stretch reflex

A

lengthened muscle = excites NB and NC - type Ia and II to signal SC

signal goes to SC and synapse c DRG = coactivation of gamma and alpha motor neuron

gamma - gives efferent signal to polar end if IMF
alpha - stimulate EMF

= muscle contracts

18
Q

explain the process of inverse stretch reflex

A

when muscle contracts = tension = GTO stretch on both sides = Ib fibers stimulated

Ib fibers synapse c DRG = alpha motor neuron will be inhibited = no signal to extrafusal

= muscle does not contract = relax

19
Q

explain autogenic inhibition

A

GTO - relax of agonist; contraction of antagonist

20
Q

explain reciprocal inhibition

A

muscle spindle - contraction of agonist; relax antagonist

21
Q

what is monoreflex and give an example

A

one pathway lng daan gang spinal cord lang - knee jerk

22
Q

what is polyreflex and give an example

A

aakyat pa reflex sa brain ma pprocess gannun may multiple pathways - withdrawal reflex

23
Q

what is arreflexia

A

pure absence of DTR - cut both efferent and afferent pathways

24
Q

what is hyporeflexia

A

diminished reflex - may blockage lng sa conduction

25
Q

what is hyperreflexia

A

very brisk or conus reflex - UMN lesion maaffect corticospinal tract so ma sstop conductio of renshaw cells that will inhibit or control the reflex

26
Q

explain conus reflex

A

rhythmic involuntary contraction - spasticity usually seen in stroke patients

27
Q

significance of jendrassik maneuver

A

will elicit true reflex kase mappunta renshaw sa upper half ng body

28
Q

what are primitive reflexes

A

survival reflex and can be seen sa bata or sa stroke pt

29
Q

what are physiological reflex

A

survival reflex of adults

30
Q

what is palmomental reflex

A

primitive reflex - twitch yung chin when stroked thenar eminence of palm