Physio: Motor Function and Reflexes (21)

Jun 25, 2024

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.