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central nervous system
brain and spinal cord
peripheral nervous system
cranial and spinal nerves
somatic nervous system
somatic sensory fibers
somatic motor fibers
voluntary actions
autonomic nervous system
involuntary functions
visceral motor
visceral sensory
dorsal root
sensory root
ventral root
motor root
afferent neuron
carries sensory information to the CNS
convey sensory information into the CNS about stimuli
efferent neuron
carries motor information from the CNS to the muscle
soma
body of cell
execute nerve function
locations of somas
gray matter of spinal cord
ganglia
ganglia definition
bundles of cell bodies
dendrites
receives information from other neurons
axon
transmits action potentials to other neurons or muscle fibers through axon terminal
myeline sheath
an insulated shell (schwann cells) covering the axon
allows electrical impulses transmit quickly
node of ranvier
gap in between schwann cells
synapse
junction between neurons or muscle fibers
allows passing electrical/chemical signals
motor unit
group of muscle fibers + alpha motor neuron
innervation ratio
# of muscle fibers innervated by one neuron
small innervation ratio
fine motor control
ex. eye muscle
large innervation ratio
gross motor control
ex. leg muscle
motor unit size
larger unit = more force
# of motor units recruited
more motor units = more force
size principle
order of motor unit activation
smaller —> larger
size principle smaller units
smaller motor units recruited faster but conduction speed is slow
slow twitch
activated first and remain activated due to fatigue resistance
fast twitch oxidative
activated second
fast twitch glycolytic
activated third and only briefly
firing rate
higher rate = greater force
electromyography (EMG)
measures voluntary muscle activity
measurement of action potentials
records sum of motor unit activity
fine wire/indwelling EMG
individual motor unit activity
invasive
difficult to apply
best used to record small, deep musculature
more stable recordings
surface EMG
overall muscle activity
comfortable
easy to apply
best used to record large superficial muscles
susceptible to movement artifacts
twitch
single action potential results in
electromechanical delay
time delay between muscle activation and force production
chemical events need to occur for contraction
eccentric reaches force at less biceps activity than concentric why?
eccentric muscles have passive tension not measured on EMG, so looks like eccentric isnt using as many motor units to produce the same amoung of force as concentric
factors that affect EMG signal
physiological cross talk of overlapping muscles
external noise
quality of electrode
motor unit firing rate
muscle fiber diameter
# of fibers
# of active motor units
distance of skin surface to msucle fiber
factors that affect how EMG is collected
resistance of skin
correct placement of EMG
correct placement of EMG
muscle belly, not the tendon
parallel to muscle fibers
limitations of EMG
EMG does NOT equal force production
cannot be directly used to make comparisons between subjects
corticospinal tract
direct pathway from the cortex to the spinal cord
right motor cortex controls what side of the body
the left side of the body
when does the control switch from right = left to right = right / cross midline
medulla, pyramidal decussation
premotor cortex
helps plan and coordinate movements
helps with sequencing and planing order of firing
primary motor cortex
controls individual movements or sequences of movements
create and initiate signal
cerebellum
fine tunes movement
helps get optimal signal down to the body
ataxia
abnormal movements appearing as lack of coordination
causes of ataxia
stroke, TBI, degenerative diseases
spinal cord 3 functions
send efferent signals from brain to the body
send afferent signals from the body to the brain
coordinates reflexes
reflexes
involuntary neural response to a sensory stimulus
unique because they don’t involve the brain
cutaneous mechanoreceptors
detect pressure
thermal receptors
detect temperature
nociceptors
detect pain
joint receptors
force in and around the joint
muscle spindles
monitor length and velocity of muscle stretch
location of muscle spindles
primarily in muscle belly
type Ia sensory endings
detect changes in muscle velocity and length
type II sensory endings
detect changes in muscle length
golgi tendon organs
monitors muscle tension (force)
location of golgi tendon organs
primarily on musculotendinous junction
type Ib afferent receptors
detect muscle tension
monosynaptic pathway
direct connection with motor neuron
polysynaptic pathway
connected through interneurons
stretch reflex steps
reflex hammer tap → tendon stretches → muscle stretches fast → muscle spindle detects fast stretch → increase firing rate of Ia afferent fiber in muscle spindle → increase firing rate of alpha motor neuron in muscle → same muscle contracts
agonist
muscle doing the work and motion
antagonist
one doing the opposite motion
antagonist vs agonist in knee flexion
antagonist: quadriceps
agonist: hamstrings
antagonist vs agonist in knee extension
antagonist: hamstrings
agonist: quadriceps
inverse stretch reflex steps
golgi tendon senses excessive tension/force → sensory neuron conducts action potential → sensory neurons synapse with interneurons → alpha motor neuron to quadriceps is inhibited with the alpha motor neuron to hamstring is stimulated → hamstring contracts and quads relax
ways inverse stretch reflex controls muscle tension
inhibit agonist muscle
excite/fire antagonist muscle
stretch reflex type
mono synaptic
inverse stretch reflex and flexion withdrawl (flexor) reflex type
poly synaptic
flexion-withdrawal (flexor) reflex
activated by painful stimulus
excites motor neurons that innervate flexors in affected limb
inhibits motor neurons that innervate extensors in affected limb
myotomes and dermatomes use
used for assessment if affected nerves after injury
myotome
muscle, motor neuron
muscle or group of muscle supplied by a spinal nerve
dermatome
skin, sensory neuron
area of the surface of the skin suppled by a spinal nerve
herniated disc mechanism of injury
constant abnormal stress leading to degeneration or injury from slip/fall/car accident
symptoms of herniated disc
sharp, radiating pain
numbness or tingling
weakness in musculature
how to test dermatomes
look at pain and numbness
sharp/soft test
how to test myotomes
test motor weakness and screening examination of strength