The Motor System Flashcards

1
Q

where do axons of LMNs exit the spinal cord

A
  • ventral roots or via cranial nerves
  • each ventral root joints a dorsal root to form a mixed spinal nerve that contains senory and motor fibres
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2
Q

spinal enlargements

A
  • there are more motor neurons here, nerves supplying the distal and proximal musculature of arms and legs
  • cervical - C3-T1
  • lumbar - L1-S3
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3
Q

define motor unit

A

all the muscle fibres innervated by a single alpha motor neuron

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4
Q

describe the relationship between muscle control, power and motor units

A
  • Fine control increases as motor unit size decreases
  • Large, powerful muscles that generate high levels of force are usually innervated by large motor units
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5
Q

define motor neurone pool

A

the collection of (alpha)MNs that innervate a single muscle

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6
Q

outline the somatotopic distribution of LMNs in the ventral horn of the spinal cord

A
  • LMNs innervating axial muscles are medial to those innervating distal muscles
  • LMNs innervating flexors are dorsal to those supplying extensors
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7
Q

name 4 muscle strength determinants

A
  • firing rates of LMNs involved
  • number of LMNs that innervate a muscle (eg number of motor units, size of motor neurone pool)
  • coordination of movement - agonist and antagonist muscles
  • muscle fibre size (hypertrophy) and phenotype
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8
Q

muscle fibre twitch summation

A

A single AP in an aMN causes a muscle fibre to twitch. Summation of twitches causes sustained contraction as the number of incoming APs increases

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9
Q

unfused vs fused tetanus

A

Unfused tetanus is where there is some relaxation between stimuli, in fused tetanus there is no relaxation at all between stimuli.

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10
Q

describe the relationship between motor unit size and muscle force

A
  • small muscles that generate low levels of force have small motor units (fewer fibres)
    • fine movement
  • converse for large muscles
    • eg antigravity muscles
    • powerful
  • small motor units are innervated by aMNs with a small diameter
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11
Q

what is a skeletal muscles resistance to fatigue ability dependent on

A

ability to synthesise ATP

  • Transfer of high energy phosphate from creatinine phosphate to ADP as an immediate source of ATP
  • Oxidative phosphorylation (main source when oxygen is present)
  • Glycolysis (main source when oxygen is not present)
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12
Q

what does a skeletal muscles speed of contraction dependent on

A

activity of myosin ATPase - the speed at which enery is made available for cross bridge recycling from splitting ATP

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13
Q

slow oxidative fibre (type I) properties

A
  • ATP derived from oxidative phosphorylation
  • Slow contraction and relaxation, fatigue resistant
  • Small, slow conducting aMNs
  • Red fibres (‘dark meat’) due to high myoglobin content (oxygen carrying pigment of muscle tissues)
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14
Q

properties of fast oxidative (type IIa) fibres

A
  • ATP derived from oxidative phosphorylation
  • Fast contraction and relaxation, fatigue resistant
  • Red and reasonably well vascularised
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15
Q

properties of fast glycolytic (type IIx) fibres

A
  • ATP derived from glycolysis
  • Fast contraction but not fatigue resistant
  • Pale in colour and poorly vascularised (‘white meat’)
  • Large muscle fibres with a large contractile force and rapid contraction time
  • Fatigue fast
  • innervated by large aMN which are highly myelinated
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16
Q

define motor unit threshold

A
  • the threshold required for synaptic activation
  • low threshold units have a low threshold for synaptic activation and so respond to a weak input - tend to be small motor units (with few fibres and small axon diameter) (type I)
  • High threshold units are recruited when there is a higher force and involve larger motor neurons (type IIx)
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17
Q

what is the role of mitochondria in type I fibres

A

they bind to oxygen and speed its diffusion into the muscle fibres

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18
Q

do muscles generally contain one type of motor unit?

A

no, they contain a mixture. the proportions vary depending on the demands placed on the msuscle

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19
Q

Hennemann size principle - motor unit recruitment under load

A
  • Recruited from smallest to largest (low to high threshold)
  • The low threshold type I motor units have a higher excitability, and have a lower threshold for synpatpic activation - respond to weakest input
  • More intense movement recruits larger neurones producing more powerful movements
  • In practice, this means that slow-twitch, low-force, fatigue-resistant muscle fibres are activated before fast-twitch, high-force, less fatigue-resistant muscle fibres
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20
Q

intrafusal muscle fibres

A

muscle spindles - the sensory receptors for the stretch reflex, do not contribute to overall strength of contraction

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21
Q

afferent supply to muscle spindles

A

sensory afferents have a nerve ending called a annulospiral fibre. these are innervated by Ia sensory neurons

22
Q

efferent supply to muscle spindles

A

gamma motor neurons

23
Q

how do muscle spindles respond to stretch

A
  • monosynaptic reflex
  • when the muscle lengthens, the spindle is stretched and nerve activity increases
  • send impulses to posterior root ganglion via Ia afferent fibres
  • these afferent axons synapse on motor neurons in anterior horn which innervate muscle
  • muscle contracts
  • a and gamma MNs are co-activated so extra and intra fusal fibres contract at the same time
24
Q

describe the anatomy of the muscle spindle

A
  • sensory afferents concentrated at the equatorial (non-contractile) region. NMJ is here
  • contactile polar ends receive efferent inputs from gammaMNs with cell bodies in the ventral horn of the spinal cord
25
Q

what are the 2 basic types of intrafusal fibres

A
  • nuclear bag
    • dynamic bag - rate of change of muscle length
    • static bag - signals only change in muscle length
  • nuclear chain - signals only change in muscle length
26
Q

afferent innervation of intrafusal fibres

A
  • Primary afferents: Ia afferents form a primary annulospiral nerve winding around the centre of all intrafusal fibres. Code the event and the rate of stretch
  • Secondary afferents: II fibres, which are more slowly conducting, form flowerspray endings on all intrafusal fibres except the bag 1 dynamic type. They code only the event (change in muscle length), not the rate of the stretch
27
Q

efferent innervation of intrafusal fibres

A
  • there are dynamic and static gamma MNs for dynamic and static fibres
28
Q

during which activities are static and dynamic gamma MNs active

A
  • static gamma MNs are active in activities where muscle length changes slowly and predictably
  • dynamic are active when muscle length changes rapidly and unpredictably
29
Q

where is the golgi tendon organ located

A

junction between muscle and tendon

30
Q

golgi tendon organ

A
  • forms the reverse myotactic reflex - does the opposite to the muscle spindle
  • they are mechanoreceptors, when force is applied the Ib sensory afferents fire and form excitatory synapses withb interneurons in the spinal cord. these in turn inhibit aMNs that innervated the assoicated muscle
  • acts to protect muscle from overload, proper executionof fine motor acts (steady but not too powerful grip)
31
Q

where do pyramidal tracts originate

A

cerebral cortex - voluntary control

32
Q

where do extrapydamidal tracts originate

A

brainstem, involuntary and automatic control

33
Q

outline the corticospinal tract

A
  • Originate in the cerebral cortex, neurons converge and descend through internal capsule
  • Pass through midbrain, pons and medulla
  • Divide into two at the most inferior point of medulla:
    • Fibres within lateral corticospinal tract decussate at the pyramids and descend into the spinal cord, terminating in the ventral horn. From here lower motor neurons go on to supply the muscles of the body
    • Fibres in anterior (ventral) corticospinal tract remain ipsilateral and descend. Decussate in the ventral horn of the cervical and upper thoracic segmental levels
  • Connect to alpha MN (LMN)
34
Q

corticobulbar tract

A

provides motor to cranial nerves

35
Q

how does the facial motor nucleus distribute to different parts of the face

A
  • bilaterally to upper face (forehead and around eyes) and unilaterally to contralateral lower
  • eg if paralysis to left side of face (sparing forehead) - right UMN lesion
  • eg paralysis to whole left side of face - left LMN (CNVII) lesion
36
Q

which of the extrapyramidal tracts provide contra and ipsi lateral innervation

A

The rubrospinal and tectospinal tracts decussate, and therefore provide contralateral innervation.

(vestib and retic = ipsilateral)

37
Q

vestibulospinal tract

A
  • lateral and medical tracts that receive input from CNVIII
  • this pathway controls balance and posture by innervating the anti-gravity muscles via LMNs
38
Q

medial vestibulospinal tract

A
  • axons originate in the medial and inferior vestibular nuclei
  • descend bilaterally into the spinal cord as aprt of the medial longitudinal fasciculus
  • the medial VT stops at the cervickal/upper thoracic levels and influences motor neurons controlling the neck musculature
39
Q

lateral VT

A
  • made up of axons that originate in the lateral vestibular nucleus
  • descend ipsilaterally through the anterior portion of the brain stem
  • extend throughout the lenght of the spinal cord
  • facilitate MN of the antigravity muscles
40
Q

tectospinal tract

A
  • –> coordinates head movements in relation to visual stimuli
  • cell bodies reside in superior colliculus in midbrain - this recieves direct input from retina and visual cortex
  • axons decussate in dorsal tegmental decussation
  • descend close to midline to the cervical spinal cord influencing muscles of the neck, upper trunk and shoulders
41
Q

reticulospinal tract

A
  • arise from the reticular formation
42
Q

rubrospinal tract

A

unclear exact function, has a role in the fine control of hand movements

43
Q

what is the role of interneurons in the myotactic reflex

A
  • the Ia afferent from the muscle spindle makes an excitatory monosynaptic contact with the aMN innervating the homonymous muscle
  • the Ia fibres supplying the aMN of the opposing muscle has a polysynatpic pathway involving an inhibitory interneuron (must relax when other muscle to contract)
44
Q
A
45
Q
A
46
Q

role of interneurons in the voluntary contraction of a muscle

A
  • normally, the voluntary contraction of an extensor muscle would stretch the antagonist flexor muscle and intiate the myotactic reflex
  • inhibitory interneurons inhibit said muscle
47
Q

what is the flexor reflex

A
  • reflex initiated by cutaneous input from nociceptors that is an attempt to protect the body by removing it from a source of injury
48
Q

interneurons and the flexor reflex

A
  • Afferents enter the spinal gray and form excitatory synaptic contacts with ascending tracts and both excitatory and inhibitory interneurons
  • While ascending tracts relay information to higher levels:
    • Contraction of ipsilateral flexor muscles via excitatory interneurons and withdrawal of e.g. foot
    • This action is enhanced by simultaneous relaxation of extensor muscles via excitatory and inhibitory interneurons
49
Q

what is the function of teh crossed extensor reflex

A

to prevent the person from falling if the flexor reflex ocurs whilst standing or walking, involves contralateral musculature

50
Q

crossed extensor reflex

A
  • if the flexor reflex occurs whilst standing or walking the opposite leg must participate in the response to prevent the person from falling
  • The same nociceptive input that resulted in withdrawal on the ipsilateral side is conveyed to interneurons that project to the contralateral anterior horn
  • Contraction of extensor muscles via excitatory interneurons and relaxation of the flexor muscles via excitatory and inhibitory interneurons
  • –> ipsilateral flexion and withdrawal from stimulus accompanied by an extension of the contralateral leg to support the body