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Title: Neuromuscular Jxn & Reflexes

Description: Have you guys ever been to medieval times?

Total Flash Cards: 13

Created: 10/24/2007 12:58:04

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Term
Definition
Term

Alpha Motor Neuron

F(x), Location of Cell Bodies, Altername name 

Definition

Innervates extrafusal muscles fibers, causes contraction

Cell bodies are found in ventral horn of the spinal cord 

For Cranial Nerve innervated muscles (eyes for example) cell bodies are found in th brainstem 

Also may be called LOWER MOTOR NEURONS/LMN 

Term

Upper Motor Neurons (UMN)

Location, F(x) 

Definition

Cell Bodies are located in the

    Cerebral Cortex & Brainstem

Modulate LMNs by either synapsing directly with them or more commonly with interneurons

UMNs tracts have an inhibitory influece on many reflexes 

Term

Nerve Fiber Types  (Descending Size Order)

Definition

Aalpha: proprioceptors of skeletal muscle, highly myelinated

ABeta: Mechanoreceptors of skin, myelinated

Adelta: Pain, temp, lightly myelinated - responsible for sharp or immediate pain

C: Temp,pain, itch, unmyelinated - responsible for dull throbbing pain felt later

Agamma: innervate proprioreceptors (muscle spindles), causes contraction of intrafusal muscle fibers

B: Apparently none of our business

Term

Deep Tendon/Stretch Reflex

Two nerve types involved with the intrafusal fibers 

Definition

Stretching sensed by muscle spindle/intrafusal fibers

Muscle spindle afferent innervation done by Type 1a sensory fibers that work when muscle is stretched - send signal to counteract, contract the muscle

Gamma Motor Neurons: cause contraction of muscle spindle fibers so that the Type 1a fibers can work even if your muscle is contracted.

Essentially, contracted muscle would cause loose intrafusal fibers and would then not be able to stimulate Type 1a nerves in intrafusal fibers, gamma motor neurons keep the area tight (like a tiger) so that the Type 1a sensory neurons are fully functional throughout the whole range of muscular contraction 

Term

Golgi Tendon Organ

Location, F(x) & Innervation Type

 

 

Definition

Located in tendons (fuckin duh) 

Senses changes in muscle tension, can act to protect muscle from developing too much tension

Type 1B innervation, considered proprioceptive

Term
"Who is your Daddy and what does he do?"
Definition
Arnold in Kindergarten Cop
Term
Upper Motor Neuron Lesions
Definition

Hyper reflexia, Increased tone, Spasticity

Clasp knife reflex

    Inverse Myotactic Reflex: relaxes muscles (allows it to be moved by outside force) in response to too much force 

Babinski Reflex: light rub heel to lateral metarpal pad (how alluring), toes & foot should ventriflex, if damaged an adult (like a normal baby) will either not flex does at all or dorsiflex the foot. - This is a signal of UMN lesion. 

Term

Lesions to Spinal Cord or Brainstem

LMN Lesions (damage to ventral horn, alpha Motor Neurons [aMN)])

Definition

Hyporeflexia

Muscle Wasting

Fasiculations (muscle ticks)

    In severe cases enogh to see flaccid paralysis - decreased reflexes to the point of NO voluntary movement 

Term
Axon Reflex
Definition

Only a sensory component

Example: Burning skin

Other chemicals are released: histamine, Substance P 

 

Term

1.Drugs Effecting ACh release at the neuromuscular junction

2. Drugs effecting receptors

3. Ach-esterase inhibitors 

Definition

1. Botulinum toxin: makes old ladies hotter

2. d-tubocurarine: muscle relaxant

3. physostigmine & organophosphates: probably not good recreational drugs

Term
Myasthenia Gravis
Definition

Disease of the neuromuscular junction 

autoimmune disease, antibodies are formed against ACh receptors

Presentation: ptosis (dropping eyelids), Dysanthia (slurred speech), cranial nerve muscles are weakened and fatigued, this gets worse with use and as the day goes on

Cure: AChase inhibitors relieve symptoms to overcome effect of too little receptors 

 

Term
Lambert-Eaton myasthenic syndrome
Definition

NM junction

autoimmune disease, antibodies fromed against presynaptic voltage gated Ca2+ channels at the NMJ.

Presentation: muscle weakness preferentially affecting limbs, however muscle contraction gets better with use

Presentation is similiar to but ultimately different than Myasthenia gravis 



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