Test 3 - Ch 13 Flashcards

1
Q

What are the steps of the motor system to move?

A
decision - frontal
plan - frontal
speed and project - BG and cerebellum
motor tracts
motor neurons
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2
Q

What are all the parts of a muscle fiber

A
myofibril
sarcomeres-  contractile
-z-line : ends of sarcomere
-m-line : what myosin hangs on
- titin : rubber band that keeps muscle from overstretching and becoming damaged (goes from one end of sarcomere to other
myofilaments
-actin : @ end of myosin and climbs when contraction
-myosin : attached to m-line
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3
Q

How does a M contract?

A

A-alpha brings ACL to t-tubule- EPSP - depolarizes

Mm only relax when gas pedal is not pushed

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4
Q

What is occurring when a contracture is present?

A

Titin does not slack

cross bridges when actin grabs myosin

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5
Q

Total M resistance to stretch?

A
  1. Titin - reached elastic limit
  2. Active contraction - cross-bridges being formed
  3. Weak actin-myosin bonds - lightly stuck velcro
  4. Proprioceptive information - m spindles - depolarize motor neurons
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6
Q

Where does a LMN/motor neuron cell bodies lie and where does it synapse?

A

cell bodies- ventral horn of SC

synapses in M

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7
Q

How are the motor neurons oriented horizontally in the ventral horn?

A

medial - core and proximal Mm
Lateral- distal Mm
anterior- extensors
posterior - flexors

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8
Q

How are the motor neurons oriented vertically in the ventral horn?

A

all of cell bodies that contribute to a particular M
cluster into a vertical pool

every spinal level contributes to more than one M

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9
Q

What motor neuron makes Mm contract?

A

A-Alpha

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10
Q

What motor neuron makes intrafusal fibers maintain sensitivity?

A

a-gamma

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11
Q

What axon is afferent from M spindle?

A

1a

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12
Q

What does a motor unit consist of?

A

A motor neuron and all m fibers it connects to

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13
Q
Describe a slow twitch M fiber.
size 
metabolism
tension
fatigue
A

smaller
oxidative
less tension
fatigue resistant

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14
Q
Describe a fast twitch M fiber.
size 
metabolism
tension
fatigue
A

large
glycolytic
high tension
easy fatigue

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15
Q

What is fiber placement in gross movement muscles?

A

many fibers per axon

increase strength, decrease control

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16
Q

What is fiber placement in fine movement muscles?

A

few m fibers/axon

decrease strength, increase control

17
Q

What can any 1 Alpha neuron receive convergent information from?

A

brain and sensory receptor

deep tendon pressure inhibits alpha motor neuron

18
Q

What is proprioceptive body schema?

A

self-perpetuation in walking, only need to initiate

need input from GTO

19
Q

What afferents inhibit the alpha efferent to antagonist?

A

1a

20
Q

Fasiculations

A
quick twitch
spontaneous depolarization of a motor neuron (and all fibers)
benign - no co-morbidities
pathologic - w/co-morbidities 
quick twitch
21
Q

myoclonus

A

whole body jerk

22
Q

fibrillations

A

one m fiber spontaneous depolarization
always pathologic
denervated

23
Q

Tremors

A

oscillating movements

24
Q

Signs of LMN lesions - damage to A-Alpha

A

trauma -sharp
infection - polio - kills cell body in horn
degenerative disorder - ALS - glutamate excitotoxicity
vascular - compromise of Vv supply
tumor (trauma) - peripheral tumors grow on and press N

25
Q

hypotonic

A

loss of some a-alpha - spinal N

26
Q

flaccidity

A

loss of all m tone -peripheral N

27
Q

“flaccid paralysis”

A

loss of m tone and inability to contract