Spinal Cord Circuitry and Reflexes Flashcards

1
Q

Definition of reflexes

A

Stereotyped, involuntary response to a stimulus

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2
Q

Definition of an autonomic reflex

A

Reflexes mediated by the ANS which activates smooth, cardiac muscle and glands

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3
Q

Definition of a somatic reflex

A

Reflexes mediated by the somatic nervous system which activates skeletal muscle

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4
Q

What is a reflex

What characterises an autonomic and somatic reflex

A

Stereotyped involuntary responses to a stimulus

Autonomic

  • Mediated by the ANS
  • Activates smooth, cardiac muscles and glands
  • often bilateral

Somatic reflexes

  • Mediated by the somatic NS
  • Activates skeletal muscle
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5
Q

What are the 4 main properties of any reflex

A

Simplest neural circuit
Fast automatic behaviour
Very old evoluntionary to help us survive
Unconscious

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6
Q

What are the basic steps in any reflex

A
Receptor
Sensory neurone 
Interpretation center
Motor neurone
Effectot
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7
Q

Describe the monosynaptic reflex pathway in the knee jerk reaction
What could go wrong in this pathway

A

Muscle spindle surrounded by extrafusal fibres
Myelinated Aa, large diameter fibre in peripheral nerve
Cell body in DRG

Synapse in ventral horn with myelinated Aa motor
Transduces electrical => chemical energy onto NMJ => muscle

Myelinated fibres can get demyelinated => decreased conduction velocity
Cell body in DRG can get damaged
NT problem
NT receptor problem
Muscle problems
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8
Q

Describe the structure of a peripheral nerve

A

Whole nerve surrounded by epineurium
Nerve fascicles in perineurium
Individual fibres surrounded by endoneurium

Peripheral nerve contains many afferent and efferent fibres

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9
Q

What is the average speed of a Aa fibre

A

120m/s

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10
Q

What is the 2 functions of a monosynaptic reflex

What is an example of a monosynaptic reflex

A

Controls stretch leg muscles
Maintains upright posture

Muscle spindles in the stretch reflex

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11
Q

What are the 3 properties of a polysynaptic reflex

A
Have interneurons
More synapses => 0.5ms synaptic delay => slower reflex
Synapse signals can be changed
-Spatial summation => AP
-Temporal summation => AP
-EPSPs, IPSPs => SP
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12
Q

What are the 2 properties of properioceptors in reflexes

  • where are they found
  • what do they do
A

Found in skeletal muscles, tendons, joint capsules, ligaments
Carry sensory input to CNS

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13
Q

Describe the 3 main properties of muscle spindles

  • location
  • stimulus
  • type of synaptic reflex

-pathway of function

A

-Parallel and inbetween extrafusal muscle fibres
-Respond to stretch, prevent over stretching
Tonically active sensory neurones around intrafusal fibres => CNS
-MONOSYNAPTIC

  • Extrafusal loses tone/stretches too much
  • Intrafusal stretched
  • Sensory afferent from sensory neurone => CNS
  • a motor contracts extrafusal muscle
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14
Q

How is the muscle spindle reflex stopped when you want to move voluntarily

A

Descending pathway coactivates
a motor => extrafusal
y motor => intrafusal

Both contract so length change is not detected by the sensory afferent

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15
Q

Describe the 3 main properties of golgi tendon organs

  • location
  • stimulus
  • type of synaptic reflex

-pathway of function

A
  • Series at musculotendinous junction with collagen fibres
  • Responds to tension
  • POLYSYNAPTIC

-Extrafusal muscle contraction stretches golgi tendon organ
-GTO fires => CNS
Interneurone between afferent and efferent inhibits muscle contraction
-Muscle relaxes, load dropped

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16
Q

What is the withdrawal reflex

3 properties

A

Total flexor pattern => retraction of the whole limb from danger
Hardwired in spinal cord
Many interneurons

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17
Q

Why are interneurons important

A

If both flexors and extensors are excited => both contract => rigidity

Inhibitory interneuron onto antagonist => relaxes => movement

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18
Q

Describe the pathway in the reciprocal innervation reflex to move 1 limb

A

Sensory receptor in muscle spindle
Afferent to SC

Excitatory synapse => contract flexor
Inhibitory interneurone => relax extensor

19
Q

Describe the pathway in cross cord reflexes in order to coordinate 2 limbs when painful stimulus detected

A

Sensory receptor in 1 limb (nociceptor)
Afferent of R leg to CS

4 different effects happen at the same time

  • Excitatory interneuron => contract R flexor
  • Inhibitory interneuron => relax R extensor

Decussation from R dorsal => L ventral

  • Excitatory interneuron => contract L extensor
  • Inhibitory interneuron => relax L flexor
20
Q

How would you coordinate the whole limb in a reflex

A

Ascending and descending fibres in the ventral horn of the SC to innervate different segments of the SC

21
Q

What are spinal pattern generators

How is their input changed/stopped

A

Allows for walking via the crossed extensor reflex
No sensory/descending inputs
Precise temporal sequences of muscle contraction => coordinated mv

Can change timing via rhythm generators
Stopped by descending input from cortex

22
Q

What are the 2 types of complex movement and what areas of the nervous system do they involve

A

Walking, intersegmental at SC

Turning, intersegmental with the brainstem

23
Q

Describe how cortical control can interfere with reflexes

How can you override this cortical control

A

From cortex =long tracts=> conscious descending inhibition to override reflex

To override this, clench teeth

  • Increases ion movement in CSF
  • Increases membrane excitability => easier to reach AP
24
Q

What is recurrent inhibition
What cell is involved
How does it work

A

Motor neurone is excited, acts on muscle and Renshaw cell

Renshaw cell (inhibitory interneuron) inhibits further excitation of same motor neurone

Allows for self regulation of effectors within SC

25
What are the 2 pyramidal reflexes | Where do they act
Corticospinal -cortex => SC Corticobulbar -cortec => brainstem
26
What are the 4 extrapyramidal reflexes | Where do they act
Vestibulospinal (maintains balance) -vestibular nuclei => SC Tectospinal -sup colliculus (visual mv) => cervical spine Reticulospinal -pons => midbrain Rubrospinal -red nucleus in midbrain => SC
27
What are the 2 tracts in the vestibulospinal system What do they do when you fall What do they positively and negatively innervate?
Lateral VS - ipsilateral action - controls balance and posture - innervates antigravity muscles When falling +ve ipsilateral leg extensors (monosynaptic) -ve ipsilateral leg flexors (monosynaptic) +ve ipsilateral upper arm flexors (polysynaptic) Medial VS - bilateral action - only in the neck and shoulder When falling +ve bilateral neck muscles
28
What is the function of the tectospinal tract
Coordinates head movements in relation to visual stimuli
29
What is the function of the reticulospinal tract | How does the medial RS and the lateral RS differ
Medial RST => increases muscle tone in limbs, excites voluntary movement Lateral RST => decreases muscle tone in limbs, inhibits voluntary movement
30
What is the function of the rubrospinal tract
Output for cerebellum Contralateral Role in fine movement
31
Describe the pathway involved in vestibular reflexes when you fall
Inner ear receives orientation info via vertical vestibular apparatus Vestibular nuclei in pons Spinal motor neurones Postural reflex body movement
32
Describe the pathway involved in visual reflexes when you fall
``` Eye sees movement Lateral geniculate nucleus Pretectal area in pons Descending to SC Spinal motor neurones act to maintain balance ```
33
Describe pressure receptors in relation to posture What happens if you damage the peripheral nerves connected to the Pacinian corpuscles in your feet and close your eyes
Monitor weight distribution in posture If you damage peripheral nerves connected to the Pacinian corpuscles in the feet and close your eyes => fall
34
What are the 4 functions of cerebellar reflexes | What tracts do they operate with
Integrates sensory info Body position Complex movement coordination Maintains posture Acts via VST and RST
35
What happens when the reflex response goes wrong Why are they lost What can happen as a consequence
- Absent - Distorted - Exaggerated - Change of symmetry Lost due to - degeneration - demyelination - synaptic problems Reflexes are lost before weakness
36
What are the 4 potential causes of a weak/absent reflex
Damage to nerves outside SC -Peripheral neuropathy Damage to motor neurones -Motor neurone disease Problems with the NMJ -Myasthenia gravis Muscle disease -Myopathy
37
What are the 2 potential causes of an excessive reflex
Spinal cord damage above the level controlling the hyperactive response Higher CNS damage
38
What are the 2 potential causes of an asymmetric response
Early sign of a progressive disease Localised nerve trauma
39
How would you test for spinal cord injurioes
Reflex tests determine area injures - Motor neurones above injury => unaffected - Motor neurones below injury => absent
40
How would you test for closed head injuries | Why do this test
Increased pressure in skull and on the oculomotor nerve | -Changed eye reflex response with the light (oculomotor reflex)
41
Describe the Babinsky reflex in the foot What is normal What is patholoigcal/normal for neonates
Normal reaction when lateral plantar stroked -toes curl down In hemi/paraplegic patients (lost upper motor neurone control) and neonates -toes curl up
42
What controls the 3 flexor reflexes found in neonates and young infants when they - stand - walk - develop
Stand -flexor reflex controlled by RST Walk -flexor synergy with cortex and pattern generator As they develop, Babinsky reflex is lost
43
Describe how reflexes develop as you develop - at birth - as CNS matures
At birth - no voluntary control - primitive and developmental reflexes only As CNS matures - higher brain areas override primitive reflexes - allows development of mature responses (postural reflex) Any disinhibitiom is pathological
44
Describe reflexes in patients with cerebral palsy
Movements are random and uncontrolled Higher control development failure -retain primitive reflexes -affects sensory mv perception