Neurophysiology - spinal reflexes Flashcards
What is a reflex?
- A basic functional unit of the nervous system.
- It is a cognitive independent response of the nervous system to a stimulus and the reaction of the organism to receptor stimulation mediated by the CNS.
What is a stimulus?
refers to any alteration in the environment that has some impact on neurons and is characterized by it’s quality, quantity and adequacy.
What is a threshold?
The threshold refers to the intensity of the stimulus necessary to evoke a response
How are reflexes differentiated?
- Receptors: exteroreceptive, interoreceptive, proprioreceptive
- The centre: extracentral (axonal, ganglial), central (brain, spinal cord)
- Effectors: somatic, autonomic
- conditions: conditioned, unconditioned
Which axis is a reflex arc formed by?
receptor(sensoric neuron) –> afferent pathway–> the centre–>efferent pathway –> effector (motoric neuron)
What is the difference between monosynaptic reflex arcand polysynaptic reflex arc?
Mono –> one synapse between neurons
Poly –> include interneurons
What does a neurological examination involve?
A set of investigative methods which should be performed in a logical order
How is a neurological examination performed?
- observation –> behaviour, posture, movement, cognition
- palpation–> of muscle tonus
- examination of spinal reflexes–> reaction testing, brain, nerves, perception
Name 4 most common myotatic reflexes and their centre.
- Tibialis cranialis ( L6-S2)
- Flexor reflex (L4-S3 hind limbs)(C6-Th2 front limbs)
- Extensor carpi radialis reflex (C7-Th1)
- Triceps reflex (C6-Th1)
What is proprioreception?
The cerebellum is largely responsible for coordinating the unconscious aspects of proprioception.
Proprioception, is the sense of the relative position of one’s own parts of the body and strength of effort being employed in movement.
In humans, it is provided by proprioceptors in skeletal striated muscles (muscle spindles) and tendons (Golgi tendon organ) and the fibrous membrane in joint capsules.
What is hyporeflexia?
low levels of reflex action
What is areflexia?
No reflex action
What can be used to distinguish between hyporeflexia and areflexia?
Enhancing maneouvers –> crossed knee on a seat, closed eyes, kneeling on a chair.
They Decrease muscle tension and enable a more distinguishable reflex reaction
Name 5 reflexes that can be used in proprioreception?
- Nasopalpebral reflex (nn. V,VII)
- Triceps reflex (C7)
- Biceps reflex (C5)
- Achilles tendon reflex (L2-S2)
- Patelar reflex
What is myotatic reflex?
is a muscle contraction in response to stretching within the muscle. It is a monosynaptic reflex which provides automatic regulation of skeletal muscle length.