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Physio: Motor Function and Reflexes (21)
Jun 25, 2024
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Neurophysiology Lecture: Motor Function and Reflexes
Introduction
Lecturer discussed motor and neuromuscular topics.
Emphasis on spinal control of muscles and reflex pathways.
Questions encouraged as the next lecture will be pre-recorded.
Spinal Control of Motor Function
Overview
Sensory fibers from skeletal muscles connect to motor neurons sent to muscles.
Communication occurs through the anterior aspect of the spinal cord.
Gray matter of the spinal cord integrates sensory input and CNS signals, determining output.
Sensory and Motor Pathways
Sensory signals enter via the posterior/dorsal root.
Some signals branch to higher nervous centers; others terminate in the gray matter for reflexive actions.
Reflexes allow for instantaneous muscle responses without brain involvement.
Interneurons
Communication intermediaries between sensory nerves and motor neurons.
Provide modulatory functions for overall signal before reaching motor neurons.
Renshaw Cells & Lateral Inhibition
Renshaw cells enable lateral inhibition, increasing fine motor control by focusing signal.
Propriospinal fibers allow communication between different cord segments.
Muscle Spindle and Golgi Tendon Organs
Function and Role
Muscle spindle detects muscle stretch and contributes to muscle tone and reflexes.
Golgi tendon organs located in tendons sense stretch and help prevent excess tension, thus vetoing contraction.
Motor Neurons
Alpha motor neurons: stimulate muscle contraction at motor end plate.
Gamma motor neurons: control muscle spindle tone, allowing for muscle tone regulation.
Key Reflexes
Dynamic vs. static responses described.
Reflex actions oppose sudden muscle length changes.
Coactivation of alpha and gamma motor neurons helps stabilize muscle movements under load.
Brainstem and Cortical Control
Brainstem Functions
Brainstem areas like the medulla, pons, and mesencephalon control involuntary functions (cardiovascular, GI, equilibrium, etc.).
Sensory Feedback
Feedback from muscle spindles and Golgi tendons integrated for motor control.
Red Nucleus
A pathway for detailed control of specific muscles (hands, fingers).
Cerebellum and Basal Ganglia
Cerebellum Functions
Coordinates sequential movements and corrects motor errors.
Subdivided into the vermis, intermediate zone, and lateral zone for trunk and limb movement coordination.
Basal Ganglia Functions
Manages complex motor activities (e.g., writing, hammering).
Involves circuits like the putamen and caudate nucleus.
Parkinson's Disease
Associated with basal ganglia dysfunction, particularly the loss of dopamine-producing neurons in the substantia nigra.
Symptoms include rigidity, tremors, and difficulty initiating movement.
Vestibular Apparatus and Equilibrium
Function and Structure
Semicircular canals detect rotational acceleration.
Utricle and saccule detect linear acceleration (horizontal and vertical).
Otoliths in utricle and saccule aid motion detection.
Signal Transmission
Sensory hair cells in semicircular canals convert endolymphatic fluid movement into nerve signals.
Vestibular nerve transmits signals to brain areas for equilibrium control.
Motion Sickness and Vertigo
Mismatch between vestibular and visual inputs can cause vertigo and nausea.
Example: seasickness, becoming disoriented with VR headsets.
Summary
The lecture highlighted spinal and brainstem roles in motor function and reflexes.
Described muscle spindles and Golgi tendon organs' role in muscle control.
Introduced vestibular apparatus for maintaining balance and equilibrium.
Emphasized the cerebellum and basal ganglia in coordinated movement.
Questions and Review
Encouraged students to ask questions or review difficult topics with examples.
Provided summaries and engaged in interactive Q&A to clarify concepts.
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