REGULATION OF POSTURE AND EQUILIBRIUM: CEREBELLUM Flashcards
POSTURE IS MAINTAINED BY
- MUSCLE TONE
- POSTURE REFLEX
OTHER REGIONS THAT INVOLVED IN THE REGULATION OF POSTURE ARE:
- SPINAL CORD
- BRAINSTEM
- CEREBELLAR
- BASAL GANGLIA
DEF. OF MUSCLE TONE
DEGREE OF MUSCLE TENSION OR RESISTANCE DURING REST OR IN RESPONSE TO STRETCH.
DEF OF POSTURE.
SUBCONSCIOUS ADJUSTMENT OF TONE OF VARIOUS MUSCLE TO MAINTAIN THE BALANCE DURING REST OR DURING MOVEMENT.
DEF OF EQUILIBRIUM.
MAINTAIN THE CONSTANT LINE OF GRAVITY AT REST OR DURING MOVEMENT.
SPINAL CONTROL IS THE INTERACTION BETWEEN
SPINAL CORD AND MUSCLE SPINDLE AS WELL AS INTERNEURONS.
SUPRASPINAL CONTROL IS THE
REGULATION BY THE FACILITATORY OR INHIBITATORY TRACTS AND CEREBELLUM.
EXAMPLE OF STRETCH REFLEX.
KNEE JERKING
SUPRASPINAL CONTROL IS DIRECTLY MODULATED BY
GAMMA MOTOR NEURON
SUPRASPINAL CONTROL IS REGULATED BY
DESCENDING TRACTS
WHAT IS STRETCH REFLEX.
STRETCH REFLEX IS THE REFLEX CONTRACTION OF A MUSCLE THAT IS STRETCHED.
DESC THE FACILITATORY TRACT.
THE SINGAL IS FROM THE CEREBRAL CORTEX AND CEREBELLUM. THEN, THIS WILL STIMULATE THE FACILITATORY RETICULAR FORMATION.
FACILITATORY RETICULAR FORMATION WILL INCREASE THE GAMMA MOTOR. NEURON CAUSING THE
1. HYPERACTIVE STRETCH REFLEX
2. INCREASED MUSCLE TONE
DESC THE INHIBITORY TRACT.
THE SINGAL IS FROM THE CEREBRAL CORTEX AND CEREBELLAR. THEN, IT WILL STIMULATE THE INHIBITORY RETICULAR FORMATION.
THEREBY, IT CAN LEAD TO LESS ACTIVE DURING THE STRETCH RECEPTOR AND DECREASED MUSCLE TONE.
HYPOTONIA
- ABNORMALLY LOW MUSCLE TONE
- OTHER FEATURES: MUSCLE WEAKNESS, MUSCLE ATROPHY, DECREASE OR ABSENT STRETCH REFLEX.
- USUALLY IN LMNL
- THE RESISTANT TO PASSIVE STRETCH IS ALMOST NON EXISTANT.
CAUSE OF HYPOTONIA
- DESTRUCTION OF FACILITATORY RETICULAR FORMATION
- STIMULATION OF INHIBITORY AREAS IN BRAIN
- DESTRUCTION OF AFFERENT OR EFFERENT PATHWAY IN STRETCH REFLEX
- DESTRUCTION OF CEREBELLUM
- HYPOTHYROIDISM
HYPERTONIA.
- INCREASE IN MUSCLE TONE
- THE RESISTANT TO PASSIVE STRETCH IS HIGH
- USUALLY OCCUR IN UMNL
- INCREASE RELEASE OF A- MOTOR NEURON
- THERE ARE 2 TYPES OF HYPERTONIA WHICH ARE RIGIDITY AND SPASTICITY.
RIGIDITY WILL CAUSE BOTH GRP OF MUSCLES WHICH ARE EXTENSOR AND FLEXOR. - ITS RESISTANCE TO MOVEMENT IS CONSTANT
- THE MUSCLE TONE IN RIGIDITY IS HIGH THROUGHOUT RANGE OF MOVEMENT
- LEAD PIPE RIGIDITY PRESENCE
- SPASTICITY IS ONE GRP OF MUSCLES (EITHER FLEXOR OR EXTENSOR)
- AT FIRST THE RESISTANCE IS HIGH BUT LATER IT WILL BE REDUCED
- CLASP KNIFE EFFECT PRESENCE
CAUSE OF HYPERTONIA
- STIMULATION OF FACILITATORY AREA IN RETICULAR FORMATION
- DESTRUCTION OF INHIBITORY IN THE BRAIN
TYPES OF POSTURAL REFLEX
STATIC REFLEX
STATOKINETIC REFLEX
STATIC REFLEX IS
PRIMARYLY INVOLVED IN ADJUSMENT OF THE DISPLACEMENT PRODUCED BY THE GRAVITY
STATOKINETIC REFLEX IS
ELICITED BY THE ACCELERATED DISPLACEMENT OF THE BODY
STATIC REFLEX IS ELICITED BY
GRAVITIONAL PULL
STATIC REFLEX IS MAINTAINED BY
SUSTAIN MUSCLE CONTRACTION
STATOKINETIC REFLEX IS MAINTAINED BY
STABLE POSTURAL BACKGROUND FOR VOLUNTARY ACTIVITY
FUNCTION OF VESTIBULAR APPARATUS
MAINTAINING THE EQUILIBRIUM AND POSTURE
DETECT HEAD MOVEMENT AND POSITION RELATIVE TO GRAVITY
STATE THE ORGAN THAT CAN BE FOUND IN OTOLITH
UTRCILE
SACCULE
STATE THE ORGAN THAT CAN BE FOUND IN THE SEMICIRCULAR CANA
ANT
POST
LAT
WHAT IS THE CONTENT OF THE ENDOLYMPHATIC SAC?
ENDOLYMPH
VESTIBULAR RECEPTOR IN OTOLITH ORGAN LOCATED AT
MACULA
HAIR CELLS IN SEMICIRCULAR CANAL LOCATED AT
CRISTA AMPULLARIS
WHEN STEREOCILIA BEND TOWARDS KINOCILIUM, IT INDICATES
DEPOLARISATION
WHEN STEREOCILIA BEND AWAY KINOCILIUM, IT INDICATES
HYPERPOLARISATION
UTRICLE IS
A HORIZONTAL PLANE AND IT DETECT LINEAR ACCELERATION
SACCULE DETECT
VERTICLE ACCELERATION
UTRICLE DETECT
LINEAR ACCELERATION
SEMICIRCULAR CANAL DETECT
ROTATIONAL MOVEMENT
WHEN ENDOLYMPH IS PUSHED AWAY FROM THE CAPULA, WHAT HAPPENED TO THE STEREOCILIA?
THE STEREOCILIA IS PUSHED AWAY FROM THE KINOCILIUM INDICATING HYPERPOLARISATION
WHEN THE DIRECTION OF THE HEAD IS TO THE RIGHT, WHAT HAPPEN TO THE DIRECTION OF THE ENDOLYMPH?
THE ENDOLYMPH WILL MOVE TOWARDS THE LEFT (TOWARDS THE AMPULLE)
WHEN THE ENDOLYMPH IS PUSHED TOWARDS THE CAPULA, WHAT HAPPENED TO THE DIRECTION OF THE STEREOCILIA?
THE STEREOCILIA MOVE TOWARDS THE KINOCILIUM INDICATING DEPOLARISATION
WHEN THE HEAD MOVEMENT IS CONSTANT AT A CONSTANT SPEED, WHAT HAPPENED TO THE MOVEMENT OF THE ENDOLYMPH?
THE MOVEMENT OF THE ENDOLYMPH IS IN THE DIRECTION OF THE HEAD WITH THE SAME SPEED AS WELL. THE AMPULLA IS NOT AFFECTED.
DURING CESSATION OF MOVEMENT OF HEAD, HE ENDOLYMPH WILL
CONTINUE TO MOVE AND CAUSE MOVEMENT OF CAPULA AWAY FROM AMPULLA IN RIGHT AND TOWARDS IN THE LEFT.
STATE THE NEURAL PATHWAY FOR EQUILIBRIUM AND BALANCE.
DETECTION OF MOTION BY THE HAIR CELL -> AXONS OF 1ST ORDER NEURON TO TRAVEL IN THE VESTIBULAR NERVE TO THE MEDULLA -> SYNAPSE WITH THE VESTIBULAR NUCLEI -> PROJECT TO THE SPINAL CORD, EXTRAOCULAR MOTOR NUCLEI, CEREBELLUM AND THALAMUS
STATE THE FUNCTION OF THE SPINAL CORD VIA VESTIBULOSPINAL PATHWAY.
CONTROL HEAD AND BODY MOVEMENT, MAINTAIN HEAD IN UPRIGHT POSITION
STATE THE FUNCTION OF CN 3,4,6
CONTROL THE EYE MOVEMENT TO COMPENSATE THE HEAD MOVEMENT
STATE THE FUNCTION OF THE THALAMUS AND CEREBRAL CORTEX
PERCEPTION OF HEAD AND BODY POSITION IN RELATION TO GRAVITY
STATE THE FUNCTION OF THE CEREBELLUM
FOR AWARENESS OF BALANCE, THEN BACK TO VESTIBULAR NUCLEI TO MODULATE MOVEMENT.
STATE THE FUNCTION OF THE VESTIBULAR APPARATUS
TGK NOTES
STATE THE 2 COMPONENTS OF NYSTAGMUS
- SLOW
- FAST
*** EXPLAINATION TGK NOTES
WHAT IS NYSTAGMUS
INVOLUNTARY, RHYTHMIC, OSCILLATORY MOVEMENT OF THE EYE
STATE THE FUNCTIONAL SUBDIVISION OF CEREBELLUM
- SPINOCEREBELLUM (VERMIS AND PARAVERMIS)
- VESTIBULOCEREBELLUM (FLOCCULONODULAR LOBE)
- CEREBROCEREBELLUM (LATERAL CEREBELLAR HEMISPHERE)
*** FUNCTION TGK NOTE
STATE THE CAUSE OF CEREBELLAR DISORDER
MULTIPLE SCLEROSIS
CEREBROVASCULAR DISORDER
ALCOHOL
ENCEPHALITIS
DRUGS
POSTERIOR FOSSA TUMOUR
- CHILDREN PRIMARY MALIGNANT TUMOUR
- ADULT ACOUSTIC NEUROMA, MENINGIOMA
STATE THE FEATURES OF CEREBELLAR DISORDERS.
- NYSTAGMUS
- DRUNKEN GAIT
- DYSMETRIA
- INTENTION TREMOR
- HYPOTONIA
- DYSARTHRIA
- DYSDIADOCHOKINESIA
- ATAXIA
- DECOMPOSITION OF MOVEMENT
- PENDULAR REFLEX