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11 Cards in this Set

  • Front
  • Back

Fiber types by diameter/conduction velocity

Motor: , , B, C


[Erlanger-Gasser classification]




Sensory: Ia, Ib, II, III, IV


[Lloyd classification]

Motor n. distribution in spinal cord

Interneurons (IN's): intermediate gray


-> activate α motor n.'s (MN's)


- cluster in ventral horn: motor pools


-> all these MN's go to 1 muscle


- spread over several spinal segments




- distal mm. ~ lateral ventral horn [x proximal]


- extensor mm. ~ anterior ventral horn [x flexor]

Motor unit

= 1 MN -> branches -> multiple m. fibers


=> synchronized contraction




(Motor unit = all of the muscle fibers innervated by a single motor neuron)




- contraction -> successive ↑ in firing rate & motor unit recruitment

Muscle fiber classification

Type I (myoglobin -> red)


- small, slow, weak; high aerobic metabolism; endurance


[Intermediate, white, fast, fatigue-resistant]


Type II (white)


- large, fast, strong; anaerobic metabolism; fast fatigue


-- Type phenotype is determined by innervation!

Classic spinal cord reflexes

Myotatic/deep tendon:


muscle stretch -> contraction (reflex hammer)




Inverse myotatic (Golgi tendon organ reflex):


muscle stretch (to pt of dmg) -> relaxation




Flexion reflex: pain stimulus -> withdrawal

Muscle receptors

Muscle spindle:


Annulo-spiral endings around intrafusal muscle fibers (in capsule, sensory) -> Spindle afferent 1A


<- γ MN




Golgi tendon organ:


Capsule b/w m. fibers/tendon -> Afferent n. (1B)


<-

Stretch reflex circuitry


& gamma loop

Passive m. stretch / γ MN-activated stretch


-> intrafusal fibers (sensory fxn, contractile terminal elements to keep tension) stretched


-> annulospiral endings activated -> spindle afferent (1A) -> dorsal root, SC ->


- flexor m. MN (extrafusal fibers)


- IN --| antagonist m. MN

Golgi tendon organs

- in CT b/w m. fiber & tendon


- contraction -> tension -> 1B afferent fiber activation


- most activation when the CT is about to tear


=> IN's -> relaxation (protective)


[+ antagonist activation]

Spasticity

- overactivity of γ MN's -> excessively sensitive stretch reflex


=> resistance to passive movement (greater w/ faster movement)


(- usually due to dmg to descending inhibitory projections from brainstem)


- also excessively active GTO's ("clasp-knife")

Withdrawal reflex circuitry

Polysynaptic physiological flexion:


- flexion in the limb (ipsilateral to pain)


- extension in the contralateral limb


- reciprocal connections in other limbs


- Babinski response = overactive withdrawal r.

Complex IN reflexes

- IN's responsible for complex pattern-generating movements


- some are larger networks of IN's in brain stem (reticular formation) or intermediate gray matter of SC


- ex.: gait, cough, sneeze, bling/corneal