Neuromuscular: Reflexes Flashcards

1
Q

Reflexes

A

Involuntary responses to stimuli

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2
Q

Reflexes: Upper Motor Neuron Lesions

A
  • Hyper-reflexic

- Pathologic Reflexes

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3
Q

Reflexes: Lower Motor Neuron Lesions

A
  • Hyporeflexia

- Low Tone

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4
Q

Reflexes: Stretch Reflex: Stimulus

A
  • Muscle stretch
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5
Q

Reflexes: Stretch Reflex: Reflex Arc

A
  • Afferent Ia fiber from muscle spindle to alpha motor neurons, that project back to the muscle of origin.
  • Monosynaptic
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6
Q

Reflexes: Stretch Reflex: Function

A
  • Maintenance of muscle tone
  • Support agonist muscle contraction
  • Feedback about muscle length
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7
Q

Reflexes: Stretch Reflex: Clinical Testing

A
  • Apply a tap to the deep tendons eliciting a muscle stretch reflex called a deep tendon reflex.
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8
Q

Reflexes: Stretch Reflex: Reason for clinical testing

A
  • Sensitivity of the DTR

- Intactness of the spinal cord

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9
Q

Reflexes: Stretch Reflex: Reciprocal Inhibition

A
  • Via inhibitory interneuron

- The stretch reflex inhibits the antagonist muscle

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10
Q

Reflexes: Stretch Reflex: Reciprocal Innervation

A
  • Describes the effects of a stretch stimulus on an:
  • Agonist: Autongenic facilitation
  • Antagonist: Reciprocal Inhibition
  • Synergistic Muscles: Facilitation
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11
Q

Reflexes: Inverse Stretch Reflex: Stimulus

A
  • Muscle contraction
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12
Q

Reflexes: Inverse Stretch Reflex: Reflex Arc

A
  • Multiple sensory receptors activate inhibitory neuron rtf muscle of origin.
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13
Q

Reflexes: Inverse Stretch Reflex: Function

A
  • Provides agonist inhibition.
  • Diminution of force of agonist contraction.
  • Stretch protection reflex.
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14
Q

Reflexes: Gamma Reflex Loop

A
  • Stretch reflex forms part of this loop.

- Allows for muscle tension to come under controls of descending pathways.

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15
Q

Reflexes: Gamma Reflex Loop: Function

A
  • Descending pathways excite gamma motor neurons. causing contraction of muscle spindle.
  • Contraction of the muscle spindle causes increased stretch sensitivity and increased rate of firing from spindle afferents.
  • Impulses then conveyed to alpha motor neurons.
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16
Q

Reflexes: Flexor withdrawal Reflex: Stimulus

A
  • Cutaneous sensory nerve.
17
Q

Reflexes: Flexor Withdrawal Reflex: Reflex Arc

A
  • Cutaneous receptors via interneurons to largely flexor muscles.
  • Polysynaptic
18
Q

Reflexes: Flexor Withdrawal Reflex: Function

A
  • Protective withdrawal mechanism to remove body part from harmful stimuli.
19
Q

Reflexes: Crossed Extension Reflex: Stimulus

A
  • Noxious stimuli and reciprocal action of antagonists.
  • Flexors on one side are excited causing inhibition of extensors.
  • Opposite reaction on the other limb.
20
Q

Reflexes: Crossed Extension: Reflex Arc

A
  • Cutaneous and muscle receptors diverging to many spinal cord motor neurons on same and opposite side.
  • Polysynaptic
21
Q

Reflexes: Crossed Extension Reflex: Function

A
  • Coordinates reciprocal limb activities such as gait.