Proprioception Flashcards

1
Q

what are proprioceptors?

A

Somatosensory receptors in muscles and joints.

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2
Q

What are the two type of muscle spindle afferent proprioceptors? And what do they respond too?

A

Type 1a - velocity dependant and type II - stretch dependant

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3
Q

Type Ia and type II are enclosed in what?

A

The fusiform (they are intrafusal fibres)

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4
Q

Give a general structure of intrafusal fibres.

A

Central stretchy, not contractile portion, with contractile poles.

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5
Q

What happens to intrafusal fibres when the muscle is passively stretched?

A

Afferents from type 1a and type II send signals proportional to stretch to alpha motor neurones on synergist muscles. This triggers a reflex contraction - returns muscles to original length. stretch reflex contraction.

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6
Q

Function of this stretch reflex contraction?

A

ensures legs contract enough to support your weight. ‘simple reflex arc’ which helps maintain muscles at a set length.

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7
Q

What mechanisms prevent this stretch reflex contraction from occurring with every movement? (3)

A

Gamma motor neurones, reciprocal inhibition and pre synaptic inhibition.

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8
Q

Outline how gamma motor neurones work?

A

During intentional movement, both gamma and alpha motor neurones fire at the same time. Alpha motor neurones act on extrafusal muscle, gamma act on intrafusal fibres, contracting the length of the poles, leaving the central elastic portion (with the neurones) unchanged therefore no afferents fire, meaning there is no stretch reflex contraction.

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9
Q

How can gamma motor neurones fine tune motor control?

A

By increasing pole tension, they can increase sensitivity of contraction.

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10
Q

What inputs on spindle afferents?

A

BOTH local and descending pathways. from upper motor neurones

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11
Q

What is the role of inhibitory fibres and how do they achieve this (type 1a afferents)?

A

To prevent antagonist muscle contraction by surpassing the 1a afferents to alpha motor neurones on the antagonist.

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12
Q

How do reciprocal inhibitory neurones work?

A

use NT glycine to act on fast ligand gates channels to hyper polarise the Alpha motor neurone to make it less responsive to input (non selective, rapid and transient)

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13
Q

How do pre synaptic inhibitory interneurones work?

A

Local application of GABAb agonists on the same metabotropic pre synaptic receptors - reduce transmission release. This stops type 1a mediated hyper reflex.
Selective and longer lasting.

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14
Q

How are the inhibitory neurones activated?

A

By upper motor neurones

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15
Q

When are inhibitory neurones activated?

A

When free movement is needed. and by local circuits during cyclical or rhythmic movement.

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16
Q

How do these stretch receptors (intrafusal fibres) correct voluntary movement if it is not following the intended trajectory?

A

If intrafusal contraction is faster than extrafusal contraction - if a load is being applied, then the central portion of the intrafusal fibres will fire afferents, as the poles of the intrafusal will shorted more than the extrafusal- stretching the central portion. This boosts alpha motor neurone activity- recruiting more muscles and the extrafusal fibres will catch up.

17
Q

how can the sensitivity of the stretch reflex be modulated?

A

By changing background activity levels of gamma motor neurones.

18
Q

What is resistance to low velocity stretch known as?

A

Hypertonia

19
Q

What are the mechanical properties of Type 1a nuclear bag intrafusal muscle.

A

Two poles which are flexible in response to low velocity stretch, therefore stretch with passive stretch, Rapid extension stiffens the poles meaning no extension, and the central ‘bag’ of nuclei have to stretch instead- firing type 1a afferents

20
Q

How is the monosynaptic stretch reflex (type 1a afferent reflex) tested?

A

Tendon tap. - loss of descending inhibition and followed by upper motor neurone lesion- this causes hyper reflexia. With monosynaptic reflexes this causes spasticity.

21
Q

How are Type II nuclear chain intrafusal fibres arranges and what is their role?

A

Arranged in neat rows of nuclei through the central portion, they are activated in proportion to the amount of stretch of the intrafusal muscle fibre.

22
Q

How is the disynaptic stretch reflex (type II afferent reflex) tested?

A

Flexing and extending a joint- loss of descending inhibition and upper Motor neurone causes hyper refelxia, in disynaptic neurones this causes hypertonia.

23
Q

What are Golgi tendon organs?

A

sensitive nerve endings of type 1 afferents which bind between collagen bundles in muscle

24
Q

What is the role of Golgi tendon organs?

A

monitor tension generated by muscle contraction and activate afferents- both positive and negative.

25
Q

What neurones do type 1b Golgi tendon afferents excite?

A

non reciprocal inhibitory and excitatory interneurons.

26
Q

Outline type 1b afferents excitation of non reciprocal inhibitory interneurons

A

Suppress activity of their own muscles alpha motor neurones. This is present in antigravity muscles - the fusiform spindles ensure the muscle contracts enough to maintain posture, whilst the Golgi tendon ensures ther is not too much muscle tension.

27
Q

Outline type 1b afferents excitation of excitatory interneurones.

A

1b afferents from leg extensors excite excitatory neurones- this increases alpha motor neurone activity mainly of the anti gravity muscles. this is an active reflex and works under dynamic condition such as walking