Reflexes Flashcards
what are somatic reflexes?
automatic stereotypic motor responses by voluntary muscles to adequate sensory stimuli
what classifies a somatic reflex?
1: # of synapses:
- monosynaptic
- polysynaptic
2: Level of neuraxis involved:
- intra segmental (1 level of SC (few segments))
- inter segmental (many spinal segments)
- supra segmental (above SC - reflex has to go up to the brain and then all the way back down again before the body reacts)
what is the 1 monosynaptic reflex?
stretch reflex
what triggers a stretch reflex?
by any stretching of the tendon (manually moving the joint or using a reflex hammer)
what is the stretch reflex also known as?
myotatic reflex
what is a stretch reflex & reciprocal inhibition?
a segmental reflex
stretching a single muscle spindle induces contraction limited to the part of the muscle containing the spindle (inhibitory interneuron–> alpha motor neuron to antagonist muscle)
explain stretching the biceps as a stretch reflex?
stretch biceps tendon; impulse goes up Ia afferent
Ia goes to motor neuron to biceps to excite muscle
collateral comes off Ia afferent in SC to Ia inhibitory interneuron
alpha motor neuron goes to triceps inhibited (Ia reciprocal inhibition)
describe spasticity during stretch reflex
increase in tonic reflex
**when working with a patient with spasticity– move slowly!!!
tonic vibration reflex:
put vibrator on bicep; vibraion causes ms to contract within 15-20 seconds. remove vibrator, ms relaxes after a few seconds
what is the flexor reflex?
mainly a cutaneous reflex
Polysynaptic
Intersegmental
protects from noxious stimuli- “withdrawal reflex”
the stronger the stimulus the more motor neurons recruited (more muscles) to withdraw limb from stimulus (usually a flexion motion); antagonist is also inhibited (mostly extensors)
pain receptor sends up stimulus (group III afferents) to dorsalateral fasiculus (lamina 1-3), goes to interneuron (all excitatory) then to alpha motor neuron of flexor muscles
II, III and IV sensory fibers (III and IV- pain)
what is the crossed extensor reflex?
contralateral system during flexor/withdrawal reflex
(so we don’t fall)
works for both upper and lower body; but we can modulate the stimulus especially for the upper body (in a SC injury, you would always see the flexor and crossed extensor reflexes bc they can’t modulate the signal)
inhibitory interneuron at end of chain to inhibit alpha motor neuron of antagonist
Intersegmental reflex
goes up and down SC to respective level
Crosses over through the anterior white commissure
what is the alpha-gamma loop?
?
what is an example of a stretch reflex?
deep tendon reflex
what is a DTR?
a fractional manifestation of the stretch reflex
tested by tapping the tendon of a muscle
this stretching stimulates the sensory endings on the intrafusal fibers, particularly the primary afferents (Ia). –> Ia monosynaptically stimuate the alpha motoneurons that innervate that muscle and polysynaptically inhibit the alpha motoneurons of the antagonist muscle –> consequently the agoinst muscle suddenly contracts and the antagonist relax
what are other names for autogenic inhibition?
GTO reflex
non-reciprocal inhibition