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What does proprioception include?
static limb position
kinesthesia (ability to detect movement)
What mediates proprioception?
receptors in joints, muscles, and skin
where are muscle spindles located and how are they arranged
located within muscle belly and are “in parallel” with skeletal muscle fibers
What do muscle spindles do?
provide CNS with info about length and rate of change in muscles
Do muscle spindles vary in # and density?
yes - fine motor is required
How many fibers are in a spindle?
2-12 of modified striated muscle
difference between infrafusal and extrafusal muscle fibers
intra = buried in muscle, afferent receptors for stretch
extrafusal = bulk of muscle, force generating
Name 2 different intrafusal fiber types
nuclear bag: longest and largest
nuclear chain: shorter and thinner
what are the 2 innervations for a muscle spindle and what are they composed of?
afferent: sensory; Ia and II nerve fibers
efferent: motor; gamme motor neurons
Ia fibers (annulospiral) - what do they do
respond to phasic (mov’t initiation) and tonic (position)
Ia fibers - phasic
max output during quick stretch (tendon tap)
Ia fibers - tonic
sustained during constant stretch
II fibers - end where and what response
end on nuclear chain fibers
ONLY tonic response (position)
What is the afferent response to a stretch
initiating passive mov’t of joint
during movement (dynamic) = Ia fibers active
at position (tonic) = BOTH Ia and II fibers active
Alpha MN are _____ and innervate _____ muscle fibrs
largest; extrafusal
List what can stimulate Alpha MN (3 things)
Ia and II mm spindles (reflex)
corticospinal tract fibers (voluntary)
brain stem motor reflex
Gamma MN innervate _____ muscle fibers
intrafusal
What do gamma MN NOT innervate?
extrafusal mm fibers
What go gamma MN receive input from?
reticular formation, vestibular system, cerebellum, basal ganglia
contraction causes _____ of both extrafusal and intrafusal mm
shortening
Why are Gamma MN activated?
keep mm spindles same length as the extrafusal mm fibers
(prevent slack in receptors)
Voluntary movements are typically activated by what of alpha and gamma MN?
co-activation
What does co-activation do?
prevent “unloading” of mm spindle fibers, allow mm to provide info to CNS
Phasic stretch reflex
FAST and QUICK
tendon-jerk, deep tendon reflex
Stimulus (phasic stretch reflex)
quick stretch to muscle (usually tendon tap)
sensory afferent (phasic stretch reflex)
muscle spindle, group Ia (and II) sensory axons
synaptic connection (phasic stretch reflex)
monosynpatic, excitatory (very fast)
motor (phasic stretch reflex)
alpha MN to same muscle
What is activated at the same time stimulus hits Ia sensory afferent?
Ia inhibitory neuron — cause inhibition of antagonist muscle (relax)
Tonic stretch reflex stimulus does what?
maintained muscle stretch (static length)
where do tonic stretch reflexes synapse to
II axons synapse on alpha MN that innervate same muscle which spindle is located
synapse to synergist
inhibit antagonist
What does a tonic stretch reflex create resistance to
muscle stretch
Where are GTO located?
musculotendinous junctionho
How are GTO arranged?
in series
What are GTO sensitive to?
change in muscle contraction
Autogenic inhibition - what is the stimulus?
muscle contraction (weak or strong) OR muscle stretch (ROM extreme only)
Autogenic inhibition - what is the receptor?
GTO
Is Autogenic inhibition afferent or efferent?
afferent - group Ib axon
what is the response of Autogenic inhibition
inhibition of homonymous muscle and its synergists
facilitation of antagonist
**fires IPSP in same muscle fiber info came from
Does articular hyaline cartilage in joint receptors have innervation?
NO - anneural
Where are golgi ligament endings located
ligament/bone junction
found in ALL joints (except C spine)W
What do golgi ligament endings sense?
extreme stretch tension on ligament (ROM)
Where are ruffini endings located
fibrous capsule found in proximal joints (few distal)
What do ruffini endings sense?
maintained stretch tension on joint capsule at extreme ROM
direction and amount of joint stretch
rate/speed of joint stretch
sensitive to swelling of capsule
Pacinian corpuscle are located where?
in fibrous joint capsule @ synovium/fibrous interface and bone periostium
present more in distal joints than prox
What do pacinian corpuscle sense?
movement onset and termination
low firing threshold, respond to very small deformation
Where are golgi-mazzoni corpuscles located
fibrous joint capsule, perpendicular to capsule surface
What do golgi-mazzoni sense?
compression - NOT stretch of capsule
very sensitive
Where are free nerve endings located?
in ligaments - high concentration
also in fibrous capsule, synovium, intra-articular fat pads
found in ALL joints
what do free nerve endings sense?
mechanical deformations (mov’t —> capsule stretch)
chemicals released from injured tissues
pain
Proprioception integrates info from where?
muscle, joint, cutaneous receptors w
What does prorioception dependent on?
activation of muscle receptors
muscle contraction (in mid range) is reliant on
GTO
GTO is activated through ____ on a tendon
stretch
If a muscle is passively stretch, what is activated
muscle spindles and GTO
GTO at extreme ROM
What informs CNS of exceeding normal ROM of a joint?
joint receptors
The dorsal column medial lemniscus tract mediates what? for conscious proprioception
limb position
motion (active and passive)
muscle tension
effort
lower extremities and trunk are what tracts?
ventral spinocerebellar tract
dorsal spinocerebellar tract
upper extremity are what tracts?
cuneocerebellar tract
rostral spinocerebellar tract
motor control
projected up to cerebellum (site for coordination)
motor learning
cerebellum also responsible for motor learning
stores motor memory “feels right”
posture and balance control
cerebellum controls these via reflexes
balance-correcting movements