week 5 Flashcards
what cord segments does the pudendal nerve come from
S1-3
what are the branches of the pudendal nerve?
dorsal n. of penis (sensory) caudal rectal (motor) nerve to urethralis sphincter perineal nerves (sensory to rectum)
what can you see when the pudendal nerve is damaged
fecal and urinary incontinence; perineal reflex absent; in large animals can see exposure of penis due to flaccid paralysis of retractor penis muscle
what is the definiton of the spinal reflex
man made instaneous motor response to a man made afferent stimulates;
spinal reflexes are automatic and only require
afferent neuron
3 or more spinal cord segmetns
efferent neuron
are we concerned with the afferent neuron in spinal reflex
no; not true with cn reflex
patellar reflex involves what spinal cord segments
L4, L5, L6
Will reflexes work without umn? without brain?
yes! wont be normal; but will be there
what occurs during a reflex
Afferent neuron, spinal cord, ascending projection, then descending projecting neuron;
we look for a _______ response mediated by the lmn, the efferent neuron in the reflex
motor
what are the two important questions to ask during a reflex?
does it work?
is it normal?
it works,
LMN intact
if it does not work
lmn damaged
if it is normal
lmn intact
if it is not normal and depressed/absent
some Lmn damage
if it is not normal and exaggerated
umn dammage
grading reflexes +0
Absent; lmn problem (areflexia)
grading relfexes +1
depressed; lmn problem (hyporeflexia)
grading reflexes +2
normal; normoreflexia
grading reflexes +3
exaggerated; umn problem (hyperreflexia)
grading reflexes +4
clonus; UMN problem;
what are the components of a reflex (except tendon reflexes- no interneurons)
receptor, afferent neuron (all excitatory), interneuron (excitatory or inhibitory); efferent neuron (excitatory); effector organ
multisynaptic reflexes
internurons involved
monosynpatic relfexes
tendon relfexes; no interneurons
withdrawal reflex is what kind of reflex
multisynaptic, but reliable!