Local Functions of the Spinal Cord Segmental Spinal Reflexes Flashcards

1
Q

what is an alpha efferent neuron

A

with its cell body in the ventral grey horn of the spinal cord, innervates the extrafusal muscle fibre

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2
Q

what is the gamma efferent neuron

A

its cell body in the ventral grey horn of the spinal cord, innervates the polar region of the intrafusal muscle fibre

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3
Q

what is a lower motor neuron

A

neurons associated with motor function that have their cell body in the CNS and their axon leaves the CNS in a cranial or spinal nerve to synapse via a neuromuscular junction with striated, smooth or cardiac muscle

could be considered to be peripheral motor neurons

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4
Q

what is the reflex arc

A

involves both the peripheral nervous system and the CNS

sensory/afferent nerve brings information into the CNS where the input is linked to a motor/efferent nerve that connects back to a muscle

hard-wired into nervous system

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5
Q

what is a response/reaction

A

cortically mediated

sensory/afferent info is integrated and interpreted in the cerebral cortex and a motor/efferent response is initiated as consequence

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6
Q

what is the upper motor neuron

A

neurons confined to CNS that are associated with motor function

could be considered to be central motor neurons

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7
Q

what is the anatomical pattern of UMN and LMN in the spinal cord

A
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8
Q

what are the common structures of a reflex arc

A
  1. receptor system
  2. afferent (sensory) nerve
  3. efferent (motor) nerve
  4. effector system - muscle
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9
Q
A
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10
Q

what is a muscle spindle and stretch reflex

A

fight gravity

muscle spindle –> when muscle stretches –> 1a afferent neurons carry information all the way up to the dorsal nerve root –> dorsal horn of spinal cord –> synapse on ventral gray column in gray matter –> alpha efferent neuron to extrafusal muscle fibres

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11
Q

what is the function of interneurons in the stretch reflex

A

inhibit efferent neurons that innervate antagonist muscle

inhibited alpha motor neuron to muscle fibres –> so they don’t counteract stregnth of muscle contracting

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12
Q

what happens when arc is interrupted

A

interruption with any of components –> decreased function

diminished/absent reflex

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13
Q

how can afferent/efferent sides of reflex arc be differentiated

A
  1. resting muscle tone –> decreased = efferent side

–> normal = afferent side

  1. resistance to forced extension/flexion –> decreased = either side
  2. sensation –> decreased = afferent side
  3. muscle bulk –> decreased, rapid, severe = efferent side
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14
Q

what reflexes are affected by spinal cord dysfunction

A
  1. thoracic limb
  2. pelvic limb
  3. sphincter
  4. cutaneous trunci
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15
Q

what nerves do the flexor (withdrawal) reflex test

A

sciatic nerve

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16
Q

what nerves do the patellar reflex test

17
Q

what nerves do the perineal reflex test

18
Q

how is the patellar reflex performed

A

hold limb such that stifle is semi-flexed

percussion of patellar tendon (muscle stretch receptors)

reflex –> brisk, controlled extension of stifle

19
Q

what nerve is responsible for patellar reflex and what spinal cord segment

A

femoral nerve

spinal cord segments L4-6 (cranial aspect lumbar intumescence)

20
Q

what ist he patellar reflex pathway

A
  1. 1a afferent fibre in muscle (annulospiral receptor)
  2. efferent ventral gray column to quadriceps muscle
  3. extension of stifle
21
Q

how is the pelvic limb withdrawal performed

A

lateral recumbency

pinch digit with fingers (sensory)

varying degree of stimulus

reflex –> flexion of hip, stifle, tarsus

22
Q

what nerve is involved in the pelvic limb withdrawal and what segments of the cord

A

sciatic nerve

L6, 7, S1

23
Q

how is the perineal reflex done

A

pinch perineum on both sides

sensory receptors perineum

reflex –> contracting of the anus and clamping of tail (pudendal nerve –> anus, caudal nerves –> tail)

24
Q

what is the nerve of the perineal reflex and the spinal cord segment

A

pudendal nerve

S1-Cd5 spinal cord segments

25
what is the perineal reflex pathway
1. afferent sensory receptors of perineum 2. efferent ventral gray column to anal sphincter muscle
26
what is the pelvic limb withdrawal pathway
1. afferent sensory from skin pinch 2. interneuron 1: dorsal gray column to ventral gray column 3. efferent: ventral gray column to flexor muscles
27
what are the test reflexes associated with the cervical intumescence
1. flexor (withdrawal): sensory --\> varies with area stimulated. motor --\> musculocutaneous, axillary, median, ulnar, radial 2. biceps reflex: sensrory & motor: musculocutaneous 3. triceps reflex: sensory & motor: radial 4. cutaneous trunci reflex: sensory --\> skin dorsal trunk (T2-L4), motor --\> lateral thoracic nerve
28
how is the thoracic limb reflex performed
lateral recumbency pinch digit with fingers (sensory) reflex --\> flexion of carpus, elbow and shoulder
29
what nerves and what segments are involved in the thoracic limb withdrawal
axillary, musculocutaneous, median, ulnar, radial C6, 7, 8, T1, 2 segments
30
what is the thoracic limb reflex pathway
1. afferent sensory from skin on dorsal aspect of paw 2. interneuron 1: C7-T1 dorsal to ventral horn 3. interneuron 2: C6 to T2 dorsolateral funiculus 4. efferent motor to flexor muscles of shoulder
31
how is the cutaneous trunci reflex performed
pinch skin over dorsum 1 inch off midline from level of ileal wing to T2 reflex --\> bilateral contraction of the cutaneous trunci muscle
32
what nerve and what spinal segments are involved in the cutaneous trunci reflex
C8-T1 spinal cord segments lateral thoracic nerve
33
what is the cutaneous trunci reflex pathway
1. afferent neurons from dermatomes --\> neuron 1 from ipsilateral dorsal gray column 2. neuron 2 (contralateral) dorsal gray column to contralateral dorsal gray column of T2 3. neuron 3 dorsal gray column to ventral gray column of T1 4. efferent: neuron 4 ventral gray column to cunatenous trunci muscles
34
what occurs if segmental spinal limb reflexes are intact
upper motor neurom lesion
35
what occurs if segmental spinal limb reflexes are affected
lower motor neuron lesion
36
what is hyper-reflexia
real --\> release of inhibition from UMNs pseudo --\> reduction in action of antagonistic pair
37
what is clonus
oscilation of stifle UMN lesion affecting pelvic limb
38
what is exaggerated patellar reflex
unopposed reflex LMN sciatic dysfunction disproportionately large and uncontrolled stifle extension due to failure of antagonistic pair