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52 Cards in this Set

  • Front
  • Back
What are the four motor systems?
1) Higher centers
2) Brainstem
3) Spinal Cord
4) Motor unit
What is the function of the motor unit in terms of motor activity?
muscle contraction
What is the function of the spinal cord in terms of motor activity?
spinal reflexes
What is the function of the brainstem in terms of motor activity?
control of posture
What is the function of the higher centers in terms of motor activity?
voluntary movement planning and execution
What structures are considered part of the upper motor neurons? (4)
1)motor cortex
2)basal ganglia
3)cerebellum
4)brainstem
What structures are considered part of the lower motor neurons?
1) spinal reflexes
2) motor neurons
What structures are the common final pathway?
motor unit
In the spinal cord what is the topigraphical distribution for the proximal/axial muscles?
medial
In the spinal cord what is the topigraphical distribution for the distal/extremity muscles?
lateral
In the spinal cord what is the topographical distribution of the flexor muscles?
dorsal
In the spinal cord what is the topographical distribution of the extensor muscles?
ventral
What are the components of the motor unit?
1) single motor neuron
2) motor neuron axon fibers
3) muscle fibers that the motor neuron innervates
hat is the motor neuron pool?
group of motor neurons that innervate muscle fibers within th same muscle
What is the innervation ratio?
muscle fibers per neuron
Which muscles have the highest innervation ratio?
large motor neurons
Which muscles have the lowest innervation ratio?
small motor neurons
What are the three different types of motor units?
1) slow motor units
2) fast fatigue resistant motor units
3) fast fatigable motor units
What is the size principle of recruitment order?
1) slow motor units
2) fast fatigue resistant motor units
3) fast fatigable motor units
Are smaller or larger motor units more likely to fire first or last?
small motor units are more likely to fire first
Which of the motor unit sizes has a lower threshold smaller or bigger motor units?
smaller
Which of the motor units generates the most amount of force, smaller or larger?
larger
What type of neuron is associated with an intrafusal muscle fiber/spindle?
alpha motor neuron
What type of neuron is associated with a nuclear chain fiber?
gamma motor neuron
What type of interfusal fiber neuron is associated with a dynamic response?
group 1a
What type of interfusal neuron is associated with a static response?
group ii
What is the muscle stretch reflex?
1) stretch on muscle spindle
2) Ia afferents bring in the signal in the spinal cord
3) alpha motor neurons act on muscle
What is recipical innervation?
antagonist muscle is inhibited by an interneuron
is the stretch reflex monosynaptic?
yes
What is the effect of stretch or contraction on the Ia afferents?
stretch - activates them
contraction - inhibits them so you will stop contracting
What is the Jendrassik manuever?
you increase gamma stimulation to the muscle this increases sensitivity of muscle spindle at different lengths
What is the role of gamma motor neurons?
you get a sensitivity of muscle at different lengths like even while you are contracted
What is the principle of coactivation?
Alpha motor neuron stimulation causes gamma motor neuron costimulation which allows muscle spindles to maintain sensitivity during muscle contraction
What is the best activator of the golgi tendon orgal?
active contraction of extrafusal muscle fibers
What is the different intrafusal vs extrafusal for which type of sensory receptor in muscle? what about type of motor neuron fiber?
intrafusal - nuclear chain and bag/muscle spindle (gamma)
extrafusal - golgi tendon organ (alpha)
Does the golgi tendon organ respond well to passive stretch? What does?
no, the extrafusal/golgi tendon organ does not respond. it responds best to active contraction. well but the intrafusal/spindle afferent does
Does the muscle spindle respond well to active stretch? what does?
intrafusal organ responds well to passive stretch
What is the Golgi Tendon/inverse motatic reflex?
1) Golgi tendon organ senses force
2) Ib afferents relay that force to spinal cord
3) inhibition of homonymous (same muscle fiber) by interneurons
4) activation of antagonists by interneurons
Is the golgi tendon/inverse myotatic or the myotactic disynaptic? Which one is monosynaptic which one is disynaptic?
golgi tendon - disynpatic
muscle spindle - monosynaptic
Which sensory fibers are associated with the Golgi tendon organ?
1b
What stimuli is the flexor withdrawal reflex associated with?
touch, temperature, pain
What is the flexor withdrawal reflex?
1) touch, temperature and pain afferents go to interneurons in spinal cord
2) ipsilateral flexion is activated
3) ipsilateral extension is inhibited
What is crossed extension in the flexor-withdrawal reflex?
contralateral extension is activated
contralateral flexion is inhibited
What is the after discharge in the flexor withdrawal reflex?
residual ipsilateral extensor inhibition and flexor activation so you are in that position for a bit longer
What are the sensory fibers that do the afferents of the flexor withdrawl reflex?
1)group II
2) group III (a delta)
3) group IV/C fibers
What is the purpose of the crossed extension?
ipsilateral flexion/withdrawal and contralateral extension to help you maintain balance
What is the stimulus/sensory organ, afferent, synapse and response for the stretch reflex?
Stimulus- Muscle Spindle
Afferent - Ia
Synapse - One/Monosynaptic
Response- Contraction
What is the stimulus/sensory organ, afferent synapse and response for the golgi tendon reflex?
Stimulus- Golgi tendon
afferent - Ib
Synapses- Disynaptic
Response - Relaxation
What is the stimulus/sensory organ, afferent synapse and response for the flexor withdrawal reflex?
stimulus - touch, temperature and pain
afferent - II, III, IV
synapse - polysynaptic
response - ipsilateral flexion
What is lower motor neuron syndrome?
1)paralysis/loss of movement or weakness (paresis)
2) loss of reflexes
3) loss of muscle tone
4) muscle atrophy
5) fasiculations (spontaenous muscle twitches)
What is the cause of Amyotrophic lateral sclerosis (ALS)?
1)slow degeneration of motor neurons in spinal cord (LMNs) and motor cortex (UMNs)
What are the symptoms of ALS?
1) progressive weakness, atrophy and muscle twitching
2) sensory function is unaffected 3)mental status/intellect remains intact