Neuromuscular and spinal cord Flashcards

1
Q

Synapses

A

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2
Q

The neuromuscular junction

A

-Specialised synapse between the motor neuron and the motor end plate on the muscle fibre cell membrane

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3
Q

Activation of the neuromuscular junction

A

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4
Q

The alpha motor neuron

A
  • lower motor neurons of the brainstem motor nuclei and the ventral horn of the spinal cord
  • innervate the extrafusal muscle fibres of the skeletal muscles
  • activation causes skeletal muscle contraction (voluntary)
  • the motor neuron pool contains all alpha motor neurons innervating a single muscle
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5
Q

The motor unit

A
  • single motor neuron together with all the muscle fibres that it innervates (one motor neuron activity and multiple muscle fibres)
  • smallest functional unit with which to produce force
  • stimulation of one motor unit causes contraction of all muscle fibres in that unit
  • humans have ~420,000 motor neurons and 250 million skeletal muscle fibres
  • each motor neuron supplies ~600 muscle fibres on average
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6
Q

Type I (types of motor unit, slow, S)

A
  • smallest diameter cell bodies
  • small dendritic trees
  • thinnest axons
  • slowest conduction velocity
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7
Q

Type IIA (types of motor unit, fast, fatigue resistant, FR0

A
  • larger diameter cell bodies than type I
  • larger dendritic trees
  • thicker axons
  • faster conduction velocity
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8
Q

Type IIB (types of motor unit, fast, fatiguable, FF)

A
  • larger diameter cell bodies
  • larger dendritic trees
  • thicker axons
  • faster conduction velocity
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9
Q

Mechanisms by which the brain regulates muscle force produced by a single muscle

A
  • Recruitment

- Rate coding

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10
Q

Recruitment

A
  • motor units are not randomly recruited, instead governed by the ‘size principle’)
  • smaller units are recruited first (generally slow twitch units)
  • as more force is required, more units are recruited
  • allows fine control, under which low force levels are required
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11
Q

Rate coding

A
  • a motor unit can fire at a range of frequencies with slow units firing at a lower frequency
  • as the firing rate increases, the force produced by the unit increases
  • summation occurs when units fire at frequency too fast to allow muscle relaxation between arriving action potentials
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12
Q

Neurotrophic factors

A
  • type of growth factor
  • prevent neuronal death
  • promote growth of neurones after injury
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13
Q

Reflex

A
  • An automated and often inborn response to a stimulus that involves a nerve impulse passing inward from a receptor to a nerve centre and then outward to an effector (muscle or gland) without reaching the level of the consciousness
  • no higher control of action in reflexes so perform action unconsciously
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14
Q

The effect of neurotrophic factors

A

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15
Q

The reflex arc

A

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16
Q

The monosynaptic reflex

A

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17
Q

The Hoffman reflex

A

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18
Q

Polysynaptic reflexes

A

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19
Q

Supraspinal control of reflexes

A

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20
Q

Hyper-reflexia

A

-overactive or over-responsive reflexes

21
Q

Hypo-reflexia

A
  • below normal or absent reflexes

- mostly associated with lower motor neuron lesions

22
Q

Transmission across synapses

A
  • input alters membrane potential of the post synaptic neuron in one of two directions
  • membrane potential can be made less negative (ie: brought closer to threshold for firing)->excitatory post synaptic potential
  • membrane potential can be made more negative (ie: brought further away from threshold for firing)->inhibitory post synaptic potentials
23
Q

Babinksi sign (hyper-reflexia)

A
  • tests for upper motor neuron dysfunction
  • stimulus applied on lateral aspect of foot and along the balls of the toes
  • if dysfunction is present, the big toe flexes and the smaller toes fan out