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Phys. Reflexes exam 1
phys exam 1 reflexes
25
Physiology
Graduate
09/12/2010

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Term
spinal cord functions:
Definition
- receives sensory input from receptors
- contains motor neurons
- spinal reflexes
- contains descending fibers that influence activity of spinal nerves
Term
touch and vibration sensed by:
Definition
dcml gracile and cuneate
Term
pain and tempearture sensed by
Definition
spinothalamic tract
Term
proprioception sensed by:
Definition
- intrafusal muscle fibers spindle Ia and II
- golgi tendon organ (I-b)
Term
patella reflex is a ___ reflex aka ___ ___ reflex.
Definition
- myotatic reflex
- deep tendon reflex
Term
Explain a reflex arc:
Definition
1. receptor- site of stimulus
2. sensory neuron- transmits the afferent impulse (DRG)
3. integration region- syaptic region within CNS
4. motor neuron- efferent impulses from integration center to the effector
5. effector- muscle fiber or gland that responds to efferent impulse
Term
flexion reflex aka ___ reflex.
Definition
withdrawal
Term
with the flexion reflex, ___ are stimulated, and ___ activate alpha motor neurons that supply __ muscles and cause flexor contraction. With the reciprocal inhibition, the ___ inhibit the alpha motor neurons that supply the ___ ___ muscles.
Definition
- nociceptors (pain)
- interneurons
- flexor
- interneruons
- antagonist extensor
Term
the inverse myotatic reflex is aka as:
Definition
tendon organ reflex
Term
the inverse myotatic reflex aka golgi tendon reflex is the opposite of the flexion reflex. Explain.
Definition
- golgi tendon reflex causes skeletal muscle to relax and extend during contraction, and antagonist muscles contract instead
- so even though tension is increasing during contraction the alpha motor neuron is inhibited so get relaxation and extension
Term
crossed extension reflex is another name for the ___ reflex. explain.
Definition
withdrawal reflex. On side of stimulus the flexors contract and extensors relax, but the other side the extensors contract and the flexors relax
Term
superficial reflexes are initiated by ___ ___ stimulation.
Definition
- gentle cutaneous
Term
plantar reflex is initiated how?
Definition
- superficial reflex
- stimulate lateral aspect of sole of foot
Term
response to plantar reflex should be:
Definition
toes point down
Term
Babinski'a sign:
Definition
abnormal plantar reflex, indicating upper motor neuron damage
- great toe dorsiflexes and other toes fan laterally
Term
spinal cord ascending tracts:
Definition
- spinothalamic (only tract to cross in spinal cord)
- dorsal column medial lemniscal pathway
- spinocerebellar
Term
spinal cord descending tracts:
Definition
- Corticospinal
- Lateral Rubrospinal tract- goal directed movements
- medial tracts:
- Vestibulospinal: posture/balance (extensors)
- Reticulospinal: posture and muscle tone
- Tectospinal: head movements
Term
renshaw cells:
Definition
inhibitory interneurons found in gray matter of spinal cord
- receive excitatory collateral from alpha motor neurons as they emerge from spinal cord
- they send inhibitory axon to synapse with cell body of initial alpha motor neuron or just another alpha motor neuron of the same pool
Term
Renshaw cells are a method of __ ___ inhibition.
Definition
- direct postsynaptic
Term
poliomyelitis:
Definition
- virus selectively attacks ventral horn cells affecting movement
- LMN lesion
Term
Tabes dorsalis is form of ____, characterized by damage to the ___ columns. Patients exhibit ___ ___. They also have ___ ___.
Definition
- neurosyphilis
- dorsal columns
- sensory ataxia
- Romberg's side: inability to maintain steady posture with feet close together, after the eyes are closed b/c of loss of proprioceptive input
Term
Amyotrophic Lateral Sclerosis is aka ___ ___ ___. This is a ___ degenerative disease affecting the ___ tracts (and other motor desceding pathways) along with __ ___ of cranial nerves and ventral horn motor cells.
Definition
- Lou Gherig's disease
- bilateral
- corticospinal
- motor nuclei
Term
real name for lou gherigs disease:
Definition
amyotrophic lateral sclerosis- bilateral degeneration of corticospinal tracts and motor nuclei of cranial nerves and ventral horn motor roots
Term
Syringomyelia:
Definition
- central cavitation beginning in cervical region with glial reaction (gliosis) adjacent to cavity
- decussation fibers for pain and temperature in the ventral white commissure are interrupted early
- cavitation and gliosis spreads into gray and white matter and longitudinally
- classical symptom= yokelike anesthesia for pain and temperature over shoulder and upper limbs accompanied by LMN weakness and consequent wasting of the muscles of upper limbs
Term
Brown-Sequard Syndrome:
Definition
1. ipsilateral lower motor neuron paralysis in segment of lesion(ventral horn)
2. ipsilateral upper motor neuron paralysis below lesion (corticospinal tract)
- ipsilateral loss of sensation in segment of lesion (dorsal columns)
- ipsilateral loss of proprioception, fine touch below the lesion (dorsal columns)
- contralateral loss of pain below the lesion (dorsal horn)
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