neuromuscular control Flashcards

1
Q

what is an alpha motor neurone?

A

the lower motor neurones of the brain stem and spinal cord

they occupy the anterior/ventral horn

they innervate the extrafusal (have the contractile elements in them) muscle fibres of the skeletal muscles

activation = contraction

a motor neurone pool - contains all the alpha motor neurones innervating a single muscle

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2
Q

what are extrafusal and intrafusal muscle fibres?

A

extrafusal - contain the contractile elements in them

intrafusal - contain sensory organs that respond to stretch and tension. information that brings about reflex action

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3
Q

what is a motor unit?

A

a single motor neurone together with all the muscle fibres it innervates

humans have about 420,000 motor neurones and 250 million skeletal muscle fibres

stimulation of one motor unit causes contraction of all the muscle fibres in that unit

there is no overlap between motor units!!!! muscle fibres are only innervated by one neurone

this is done by competition during development, so one wins down from potentially many

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4
Q

how is the innervation ratio of a muscle related to its function?

A

innervation ratio - number of muscle fibres supplies by one motor neurone (motor unit)

a smaller innervation ratio in a muscle(fewer fibres) means there will be more precise control in that muscle as there are smaller increments in muscle action

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5
Q

what are the types of motor unit?

A

slow (S, type I)

fast, fatigue resistant (FR, type IIA)

fast fatiguable (FF, Type IIB)

these are fairly evenly distributed through muscles, but depending on the properties of that muscle (eg posture have a high proportion of slow type)

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6
Q

what are type I motor units?

A

slow

smallest diameter cell bodies
small dendritic trees
thinnest axons
slowest conduction velocity

prolonged action but lowest force

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7
Q

wha tare type IIA motor units?

A

fast fatigue resistant

larger diameter cell bodies
larger dendritic trees
thicker axons
faster conduction velocity
dont fatigue

more prolonged action than !!B but less force

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8
Q

what are type IIB motor units?

A

fast fatiguable

larger diameter cell bodies
larger dendritic trees
thicker axons
faster conduction velocity
fatigue

shortest action, most force

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9
Q

what are the properties of motor units?

A

the three different types are classified by:
amount of tension generated
speed of contraction
fatiguability.

length of action (constant stimulation) (high to low):
I, IIA, IIB

force of action (single stimulation):
IIB, IIA, I

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10
Q

what are two mechanisms of regulation of muscle force?

A

recruitment

rate coding

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11
Q

what is recruitment?

A

motor units arent randomly recruited, there is an order

governed by the “size principle” - smaller (usually slow twitch) fibres are recruited first
as more force is required, more units are recruited

this allows for fine control, under which low force is required]

units that are recruited first, stop firing last (the order of recruitment is reversed during de-recruitment)

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12
Q

what is rate coding?

A

altering firing rates of units already firing
motor units can fire at a range of frequencies. slow units fire at lower frequencies

as firing rate increases. the force produced by the unit increases
the firing rates of each unit can increase a certain amount before summation

summation occurs when units fire at a frequency too high to allow the muscle fibres relax between action potentials

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13
Q

what are neurotrophic factors?

A

a muscle with blood supply but no nerve supply will waste

a type of growth factor that prevents neuronal death. promotes growth of neurones after injury

the motor unit and fibre characteristics are dependant on the nerve innervating them

ie. switching the nerve innervating slow and fast twitch motor units makes the originally slow twitch muscle fast and vice versa.
the nerve has some effects on the property of the muscle fibres it innervates!!!

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14
Q

what does the plasticity of motor units and muscle fibres mean with examples?

A

fibre types can change properties under different conditions

most common: type IIB (FF) -> IIA (FR) following training

type I -> II can occur but only in cases of severe deconditioning (eg. microgravity)or spinal cord injury.

ageing is associated with loss of both types of fibres but preferential loss of type II. resulting in a higher proportion of type I fibres

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15
Q

what are reflexes?

A

an automatic response to a stimulus. doesnt reach the level of consciousness. receptor -> effector

involuntary coordinated pattern elicited by peripheral stimuli
once started, cant be stopped (unlike voluntary movement)

eg. tendon hammer triggers stretch receptor in muscle of that tendon. causes reflex contraction of that muscle (may also cause inhibition of the antagonist muscle of a muscle pair)
different reflexes are more or less complex

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16
Q

what is descending (supraspinal) control of reflexes?

A

reflexes: thought of as being automatic (knee jerk) or stereotyped behaviour (sneezing/ coughing), in response to stimulation of peripheral nerves

BUT REFLEXES CAN BE INFLUENCED

clenching teeth, making a fist and pulling against locked fingers EXAGGERATES the patellar tendon reflex
this is the jendrassik manoeuvre. may work by reducing the amount of inhibition on reflexes

17
Q

how do higher levels of the CNS effect reflexes?

A

basically the cerebral cortex has a resting level of inhibition of reflexes

higher centres of the CNS exert inhibitory and excitatory regulation upon the stretch reflex

inhibitory control dominates normally

decerebration reveals the excitatory control from supraspinal areas

brain damage can result in rigidity and spasticity, giving over active or tonic stretch reflexes

18
Q

what do gamma motor neurones do?

A

responsible for altering the sensitivity of sensory organs that are housed within muscles
eg. stretch receptors.

dont produce contraction but sensitises the organ so it remains sensitive to stress when the muscle is at different lengths

19
Q

which neurones are activated during a reflex? (complex)

A
  1. activating alpha neurones
  2. activating inhibitory interneurones
  3. activating propriospinal neurones
  4. activating gamma motor neurones
  5. activating terminals of afferent fibres
20
Q

what is hyper-reflexia?

A

overactive reflexes

loss of descending inhibition

associated with upper motor neurone lesions

21
Q

what is clonus?

A

seen in hyper reflexia

involuntary and rhythmic muscle contractions

loss of descending inhibition

associated with upper motor neurone lesions.

tested in the ankle with dorsiflexion

22
Q

what is the babinski sign?

A

when sole of foot is stimulated from outside to inside with a blunt instrument the big toe:

normally curls downwards

abnormally curls upwards (in adults) (corticospinal system is not developed in infants, so this is normal)

seen in upper motor lesion. corticospinal tract lesion

23
Q

what are some signs of an upper motor neurone lesion (eg. stroke)?

A

hyper-reflexia
clonus
babinski sign

24
Q

what is hypo reflexia?

A

below normal or absent reflexes

associated with lower motor neurone disease