DR NILESH KATE
MBBS,MD
PROFESSOR
ESIC MEDICAL COLLEGE, GULBARGA.
DEPT. OF PHYSIOLOGY
REFLEX
ACTIVITY.
OBJECTIVES.
Skeletal muscle :-the effectororgan
Motor unit
Muscle sensors
Muscle tone
Reflex activity
General considerations
Spinal cord reflexes
Clinical reflexes
Skeletal muscle :-The Effector organ
Motor unit
Muscle sensors
Muscle spindle
Golgi tendon organ
Paciniancorpuscle
Free nerve endings
Muscle tone
Motor unit
Single motor neuron &
the muscle fibre that it
innervates.
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Muscle sensors
Proprioceptors
present in muscles,
tendons, joints,
ligaments, fasciae.
Gives information
about change in
position of different
parts of body in space.
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Muscle Spindle
Stretch receptors in
skeletal muscles
Resposnsible for
proprioceptive
mechanism.
Muscles for precision
movements contains
more muscle spindles
than postural muscles.
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Structure
Contains 3-10 small
intra-fusal fibres
Encapsulated in a capsule
containing fluid.
Present in between &
parallel to extra-fusal
fibers & their ends
attached to endomysium
of extra-fusal fibres.
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Intra-fusal muscle fibre
Contains central non-
contractile portion
without actin, myosin.
2 ends called striated
poles which are
contractile.
Central part is sensory
portion.
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Types.
Nuclear bag fibres
2-5
30 µm in diameter
Length –7 mm
Nuclei present in central
bag like portion
Nuclear chain fibres
6-10
15 µm in diameter
Length –4 mm
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Nerve supply of muscle
spindle
Only receptor in body which has
got motor nerve supply.
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Nerve supply of muscle
spindle
Sensory nerve supply
Receptor–central
non-contractile
protion
Sensory fibres -2 types
GrpIa
Type II
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Group Ia
Primary sensory endings.
Fibres spirally wind round
the intrafusalfibres, these
are also called
Annulospiralendings.
Diameter of about 17μm
and carry impulses at the
rate of 70–120 m/s.
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Group Ia
Stimulated when the
muscle spindle is stretched.
Dynamic responseis
shown by nerve endings
supplying the nuclear bag
fibres
Static responseis shown
by the nerve endings
supplying the nuclear chain
fibres
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Type II
Flower spray endings.
Secondary sensory
endings
Innervate the receptor
portion of mainly
nuclear chain fibres
on one side.
Respond mainly to
sustained stretch, so
measure the muscle
length
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Motor supply γ-fibres
two types
Dynamic γ-fibresprimarily innervate the
striated poles of nuclear bag fibres, where
they end as motor end plate, hence also
called plate endings.
These fibres increase the sensitivity of the Ia
afferent fibres to stretch.
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Static γ-fibres
Primarily innervate the striated poles
of Nuclear chain fibreswhere they end as a
network of branches called trail endings.
They increase the tonic activity in the Ia
afferent fibres at any given muscle
length
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Functions of muscle spindle
Role in stretch reflex
Role in maintaining
muscle tone
Role in maintaining
skeletal muscle at a
certain physiological
length.
Role as a
proprioceptor
Unconscious
proprioceptive
sensations and
Conscious kinaesthetic
sensations
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Golgi tendon organ
High threshold stretch
receptors present in
the tendons.
supplied by Group Ib
afferent fibres and
detect muscle tension
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Pacinian corpuscle
Pressure receptors
situated in fasciae
throughout the
muscles, tendons,
joints and Periosteum.
They are supplied by
group IIafferent fibres
and detect vibration.
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Free nerve endings
Pain receptors situated
in the muscles, tendons,
fasciae and joints.
They are supplied by
group III and IV
afferent fibresand
detect noxious stimuli.
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Muscle tone
Definition
Basis of muscle tone
Anomalies of muscle
tone
Hypotonia
hypertonia
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Definition
Muscle tone is defined
as a resistance offered
to active or passive
stretch.
OR
sustained partial state
of contraction of the
muscle under resting
condition,
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Basis of muscle tone
Purely a function of myotactic(stretch reflex),
occurring due to low frequency and
asynchronous discharge of γ motor neurons.
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Anomalies of muscle tone
Hypotonia
Hypertonia.
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Hypotonia
muscle tone
The hypotonic, flaccid
muscle.
when the rate of γ
efferent discharge is
low, i.e. when
stretch reflex becomes
hypoactive.
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Hypertonia
muscle tone
The hypertonic,
spasticmuscle.
when the rate of γ
efferent discharge is
high, i.e. when
stretch reflex becomes
hyperactive.
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Types of hypertonia:
Spasticity-confined to
only one group of
muscles.
Example-lesions of
internal capsule and
upper motor neuron
lesions produce
spasticity.
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Types of hypertonia:
Rigidity-involves
both groups of
muscles, i.e. extensor
as well as flexors
equally.
Example-lesions of
basal ganglia produce
rigidity
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Reflex activity
General
considerations
Involuntary response
Protective mechanism.
Through involvement
of CNS.
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ANATOMICAL ASPECTS
Reflex arc –Pathway for
reflex activity.
Components are
Afferent limb–Receptor
& Sensory nerve
Center–synapse directly
or by Interneurons.
Efferent limb–Motor
nerve & Effectororgan
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Classification of reflexes
Depending on number of synapse
Anatomical classification
Physiolgical classification
Inborn vs acquired
Clinical classification
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Monosynaptic-e.g.
stretch reflexes (biceps,
triceps or knee jerk).
Disynaptic-e.g. inverse
stretch reflex.
Polysynaptic -e.g.
withdrawal reflex, cross
flexor reflex and cross
extensor reflex
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Depending on number of
synapse
Anatomical classification
Depending upon the locationof reflex arc
centre
Cortical reflexes
Cerebellar reflexes have the centre of reflex arc in
cerebellum
Mid brain reflexes
Bulbar or medullaryreflexes and
Spinal reflexes
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Physiolgical classification
Flexor reflexes-
characterized by
flexion
Also called withdrawl
reflexes.
Extensor reflexes
antigravity reflexes.
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Inborn vs acquired
Inborn or unconditional reflexes –
Reflex salivation when any object is kept in mouth.
Acquired or conditional reflexes
Reflex salivation by the sight,
smell, thought or hearing of a known edible
substance.
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Clinical classification
Superficial
Deep,
Visceral and
Pathological reflexes
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Animal preparation for study
of reflexes
Spinal preparation–reflexes are studies by
transecting spinal cord at different levels
Decerebratepreparation-transectionis
taken in the brain stem between superior
and inferior colliculi
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