Proprioceptors Flashcards

1
Q

What do type Ia and type II afferents do?

A
  • Type Ia - detect rate of change of muscle length
  • Type II - detect changes in muscle length
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2
Q

Describe the basic structure of a muscle spindle.

A
  • Fusiform (spindle-shaped) capsule connected to extrafusal muscle fibres by connective tissue
  • Contains miniature, highly specialised intrafusal fibres which stretch along with the capsule
  • The intrafusal fibres have a stretchy, non-contractile central portion to which the sensory afferents (proprioceptors) attach
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3
Q

Explain what happens when a muscle is passively stretched.

A
  • Extrafusal and intrafusal fibres are stretched
  • Type Ia and II afferents detect the stretch and excite the alpha motor neurons of that muscle and any synergist muscles
  • This causes reflex contraction
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4
Q

Explain the role of gamma motor neurons in coordination of the stretch reflex.

A
  • Gamma motor neurons innervate the contractile poles of the muscle spindle
  • They regulate the sensitivity of the stretch reflex by shortening or relaxing the poles
  • Excitation of gamma motor neurons causes the poles to shorten
  • Simultaneous activation of alpha and gamma motor neurons ensures that the central portion of the muscle spindle remains the same length - no afferents will be activated and the movement will not be opposed by the stretch reflex
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5
Q

What is reciprocal inhibition?

A
  • Type Ia afferents inhibit the alpha motor neurons of antagonist muscles via reciprocal inhibitory interneurons
  • These interneurons release glycine which acts at ligand-gated ion channels on the alpha motor neuron, causing hyperpolarisation
  • Thus reciprocal inhibition produces a rapid but transient effect
  • The motor neuron is less responsive to any input, so this inhibition is non-selective
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6
Q

Explain how presynaptic inhibition by type Ia afferents is controlled and describe its effects.

A
  • Type Ia afferents suppress activity in the alpha motor neurons of the antagonist muscle via GABAergic inhibitory interneurons
  • These presynaptic inhibitory interneurons terminate on the presynaptic boutons of the antagonist muscle’s type Ia afferents and act via GABAB receptors - GPCRs
  • They therefore reduce the release of NT from these afferents, and hence selectively inhibit the type Ia stretch reflex of the antagonist muscle
  • The effect is long-lasting as it is mediated via GPCRs
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7
Q

What treatment is used to relieve type Ia mediated hyper-reflexia (i.e. spasticity and hypertonia)?

A

Local application of GABAB agonists, which damp down the stretch reflex by acting on metabotropic GABAB receptors on the presynaptic boutons of type Ia afferents

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8
Q

When someone performs a controlled, voluntary movement, why doesn’t the stretch reflex oppose it?

A

Upper motor neurons activate reciprocal and presynaptic inhibitory interneurons, which suppresses activity in the alpha motor neurons of the antagonist muscle

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9
Q

Why are the muscle spindle afferents stimulated by unexpected changes in muscle length but not intentional changes?

A
  • During voluntary movements the gamma motor neurons fire at the same time as the alpha motor neurons
  • This shortens the intrafusal fibres in parallel with the shortening of the muscle as a whole
  • The central portions of the spindles will remain taut at the same length, so the afferents will remain sensitive to stretch but will not be activated
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10
Q

Explain how muscle spindles help to correct a movement when there is an unexpected load.

A
  • The extrafusal fibres shorten more slowly than expected
  • However, the intrafusal fibres shorten at the intended rate, meaning there is a mismatch between the spindle length and muscle length
  • The central regions with stretch and activate the type Ia and type II afferents
  • Activity in the alpha motor neurons will be increased until the whole muscle “catches up” with the muscle spindles
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11
Q

Hypertonia, resistance to low-velocity stretch, is mediated primarily by which afferents?

A

Type II afferents

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12
Q

Explain the role of nuclear bag intrafusal fibres.

A
  • Nuclear bag fibres are associated with type Ia afferents
  • When stretched slowly, the poles remain very flexible and the central portion is unaffected
  • When stretched rapidly, the poles will not change length and the central portion will be stretched, strongly activating the Ia afferents
  • This is the monosynaptic stretch reflex, which is velocity-dependent
  • The role of this pathway is to provide feedback regarding rapid unintended changes in muscle length
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13
Q

Explain the role of nuclear chain intrafusal fibres.

A
  • Nuclear chain fibres are associated with type II afferents
  • Type II afferents are activated in proportion to the amount of stretch of the central portion, and hence the length of the intrafusal fibres as a whole
  • The sensitivity of this reponse is modified by the activity in gamma-static motor neurons
  • Type II afferents mediate the disynaptic stretch reflex, which is not velocity-dependent
  • This pathway provides feedback regarding slow unintended changes in muscle length, and is therefore responsible for maintenance of muscle tone and posture
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