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1. 13 The Peripheral Nervous System and Reflex Activity: Part D

2. Motor Endings • PNS elements that activate effectors by releasing neurotransmitters

3. Review of Innervation of Skeletal Muscle • Takes place at a neuromusclular junction • Acetylcholine (ACh) is the neurotransmitter • ACh binds to receptors, resulting in: • Movement of Na+ and K+ across the membrane • Depolarization of the muscle cell • An end plate potential, which triggers an action potential

4. Review of Innervation of Visceral Muscle and Glands • Autonomic motor endings and visceral effectors are simpler than somatic junctions • Branches form synapses en passant via varicosities • Acetylcholine and norepinephrine act indirectly via second messengers • Visceral motor responses are slower than somatic responses

5. Precommand Level (highest) • Cerebellum and basal nuclei • Programs and instructions (modified by feedback) Internal feedback Feedback Projection Level (middle) • Motor cortex (pyramidal system) and brain stem nuclei (vestibular, red, reticular formation, etc.) • Convey instructions to spinal cord motor neurons and send a copy of that information to higher levels Segmental Level (lowest) • Spinal cord • Contains central pattern generators (CPGs) Sensory input Motor output Reflex activity (a) Levels of motor control and their interactions Figure 13.13a

6. Segmental Level • The lowest level of the motor hierarchy • Central pattern generators (CPGs): segmental circuits that activate networks of ventral horn neurons to stimulate specific groups of muscles • Controls locomotion and specific, oft-repeated motor activity

7. Projection Level • Consists of: • Upper motor neurons that direct the (pyramidal) system to produce voluntary skeletal muscle movements • Brain stem motor areas that oversee the indirect (extra pyramidal) system to control reflex and CPG-controlled motor actions • Projection motor pathways keep higher command levels informed of what is happening

8. Precommand Level • Neurons in the cerebellum and basal nuclei • Regulate motor activity • Precisely start or stop movements • Coordinate movements with posture • Block unwanted movements • Monitor muscle tone • Perform unconscious planning and discharge in advance of willed movements

9. Precommand Level • Cerebellum • Acts on motor pathways through projection areas of the brain stem • Acts on the motor cortex via the thalamus • Basal nuclei • Inhibit various motor centers under resting conditions

10. Precommand Level (highest) • Cerebellum and basal nuclei • Programs and instructions (modified by feedback) Internal feedback Feedback Projection Level (middle) • Motor cortex (pyramidal system) and brain stem nuclei (vestibular, red, reticular formation, etc.) • Convey instructions to spinal cord motor neurons and send a copy of that information to higher levels Segmental Level (lowest) • Spinal cord • Contains central pattern generators (CPGs) Sensory input Motor output Reflex activity (a) Levels of motor control and their interactions Figure 13.13a

11. Reflexes • Inborn (intrinsic) reflex: a rapid, involuntary, predictable motor response to a stimulus • Learned (acquired) reflexes result from practice or repetition, • Example: driving skills

12. Reflex Arc • Components of a reflex arc (neural path) • Receptor — site of stimulus action • Sensory neuron — transmits afferent impulses to the CNS • Integration center — either monosynaptic or polysynaptic region within the CNS • Motor neuron — conducts efferent impulses from the integration center to an effector organ • Effector — muscle fiber or gland cell that responds to the efferent impulses by contracting or secreting

13. Stimulus Skin Interneuron 1 Receptor 2 Sensory neuron 3 Integration center 4 Motor neuron 5 Effector Spinal cord (in cross section) Figure 13.14

14. Spinal Reflexes • Spinal somatic reflexes • Integration center is in the spinal cord • Effectors are skeletal muscle • Testing of somatic reflexes is important clinically to assess the condition of the nervous system

15. Stretch and Golgi Tendon Reflexes • For skeletal muscle activity to be smoothly coordinated, proprioceptor input is necessary • Muscle spindles inform the nervous system of the length of the muscle • Golgi tendon organs inform the brain as to the amount of tension in the muscle and tendons

16. Muscle Spindles • Composed of 3–10 short intrafusal muscle fibers in a connective tissue capsule • Intrafusal fibers • Noncontractile in their central regions (lack myofilaments) • Wrapped with two types of afferent endings: primary sensory endings of type Ia fibers and secondary sensory endings of type II fibers

17. Secondary sensory endings (type II fiber) Efferent (motor) fiber to muscle spindle  Efferent (motor) fiber to extrafusal muscle fibers Primary sensory endings (type Ia fiber) Extrafusal muscle fiber Muscle spindle Intrafusal muscle fibers Connective tissue capsule Sensory fiber Golgi tendon organ Tendon Figure 13.15

18. Muscle Spindles • Excited in two ways: • External stretch of muscle and muscle spindle • Internal stretch of muscle spindle: • Activating the  motor neurons stimulates the ends to contract, thereby stretching the spindle • Stretch causes an increased rate of impulses in Ia fibers

19. Stretch Reflexes • Maintain muscle tone in large postural muscles • Cause muscle contraction in response to increased muscle length (stretch)

20. Stretch Reflexes • How a stretch reflex works: • Stretch activates the muscle spindle • IIa sensory neurons synapse directly with  motor neurons in the spinal cord •  motor neurons cause the stretched muscle to contract • All stretch reflexes are monosynaptic and ipsilateral

21. Stretch Reflexes • Reciprocal inhibition also occurs—IIa fibers synapse with interneurons that inhibit the  motor neurons of antagonistic muscles • Example: In the patellar reflex, the stretched muscle (quadriceps) contracts and the antagonists (hamstrings) relax

22. Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist. The events by which muscle stretch is damped When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord. 1 Sensoryneuron Cell body ofsensory neuron Initial stimulus(muscle stretch) Spinal cord Muscle spindle Antagonist muscle Figure 13.17 (1 of 2), step1

23. Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist. The events by which muscle stretch is damped The sensory neurons synapse directly with alphamotor neurons (red), which excite extrafusal fibersof the stretched muscle. Afferent fibers alsosynapse with interneurons (green) that inhibit motorneurons (purple) controlling antagonistic muscles. 2 When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord. 1 Sensoryneuron Cell body ofsensory neuron Initial stimulus(muscle stretch) Spinal cord Muscle spindle Antagonist muscle Figure 13.17 (1 of 2), step 2

24. Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist. The events by which muscle stretch is damped The sensory neurons synapse directly with alphamotor neurons (red), which excite extrafusal fibersof the stretched muscle. Afferent fibers alsosynapse with interneurons (green) that inhibit motorneurons (purple) controlling antagonistic muscles. 2 When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord. 1 Sensoryneuron Cell body ofsensory neuron Initial stimulus(muscle stretch) Spinal cord Muscle spindle Antagonist muscle 3a Efferent impulses of alpha motor neuronscause the stretched muscle to contract,which resists or reverses the stretch. Figure 13.17 (1 of 2), step 3a

25. Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist. The events by which muscle stretch is damped The sensory neurons synapse directly with alphamotor neurons (red), which excite extrafusal fibersof the stretched muscle. Afferent fibers alsosynapse with interneurons (green) that inhibit motorneurons (purple) controlling antagonistic muscles. 2 When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord. 1 Sensoryneuron Cell body ofsensory neuron Initial stimulus(muscle stretch) Spinal cord Muscle spindle Antagonist muscle 3a 3b Efferent impulses of alpha motor neuronscause the stretched muscle to contract,which resists or reverses the stretch. Efferent impulses of alpha motorneurons to antagonist muscles arereduced (reciprocal inhibition). Figure 13.17 (1 of 2), step 3b

26. The patellar (knee-jerk) reflex—a specific example of a stretch reflex Quadriceps(extensors) 1 Patella Musclespindle Spinal cord(L2–L4) Tapping the patellar ligament excitesmuscle spindles in the quadriceps. 1 Hamstrings(flexors) Patellarligament +– Excitatory synapseInhibitory synapse Figure 13.17 (2 of 2), step 1

27. The patellar (knee-jerk) reflex—a specific example of a stretch reflex 2 Quadriceps(extensors) 1 Patella Musclespindle Spinal cord(L2–L4) Tapping the patellar ligament excitesmuscle spindles in the quadriceps. 1 Hamstrings(flexors) Patellarligament 2 Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons. +– Excitatory synapseInhibitory synapse Figure 13.17 (2 of 2), step 2

28. The patellar (knee-jerk) reflex—a specific example of a stretch reflex 2 Quadriceps(extensors) 3a 1 Patella Musclespindle Spinal cord(L2–L4) Tapping the patellar ligament excitesmuscle spindles in the quadriceps. 1 Hamstrings(flexors) Patellarligament 2 Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons. 3a The motor neurons (red) sendactivating impulses to the quadricepscausing it to contract, extending theknee. +– Excitatory synapseInhibitory synapse Figure 13.17 (2 of 2), step 3a

29. The patellar (knee-jerk) reflex—a specific example of a stretch reflex 2 Quadriceps(extensors) 3a 3b 3b 1 Patella Musclespindle Spinal cord(L2–L4) Tapping the patellar ligament excitesmuscle spindles in the quadriceps. 1 Hamstrings(flexors) Patellarligament 2 Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons. 3a The motor neurons (red) sendactivating impulses to the quadricepscausing it to contract, extending theknee. +– Excitatory synapseInhibitory synapse 3b The interneurons (green) makeinhibitory synapses with ventral horn neurons (purple) that prevent theantagonist muscles (hamstrings) fromresisting the contraction of thequadriceps. Figure 13.17 (2 of 2), step 3b

30. Golgi Tendon Reflexes • Polysynaptic reflexes • Help to prevent damage due to excessive stretch • Important for smooth onset and termination of muscle contraction

31. Golgi Tendon Reflexes • Produce muscle relaxation (lengthening) in response to tension • Contraction or passive stretch activates Golgi tendon organs • Afferent impulses are transmitted to spinal cord • Contracting muscle relaxes and the antagonist contracts (reciprocal activation) • Information transmitted simultaneously to the cerebellum is used to adjust muscle tension

32. 2 1 Afferent fibers synapse with interneurons in the spinal cord. Quadriceps strongly contracts. Golgi tendon organs are activated. Interneurons Quadriceps (extensors) Spinal cord Golgi tendon organ Hamstrings (flexors) 3b 3a Efferent impulses to antagonist muscle cause it to contract. Efferent impulses to muscle with stretched tendon are damped. Muscle relaxes, reducing tension. + Excitatory synapse – Inhibitory synapse Figure 13.18

33. Flexor and Crossed-Extensor Reflexes • Flexor (withdrawal) reflex • Initiated by a painful stimulus • Causes automatic withdrawal of the threatened body part • Ipsilateral and polysynaptic

34. Flexor and Crossed-Extensor Reflexes • Crossed extensor reflex • Occurs with flexor reflexes in weight-bearing limbs to maintain balance • Consists of an ipsilateral flexor reflex and a contralateral extensor reflex • The stimulated side is withdrawn (flexed) • The contralateral side is extended

35. + Excitatory synapse – Inhibitory synapse Interneurons Efferent fibers Afferent fiber Efferent fibers Extensor inhibited Flexor inhibited Arm movements Flexor stimulated Extensor stimulated Site of reciprocal activation:At the same time, the extensor muscles on the opposite side are activated. Site of stimulus: a noxious stimulus causes a flexor reflex on the same side, withdrawing that limb. Figure 13.19

36. Superficial Reflexes • Elicited by gentle cutaneous stimulation • Depend on upper motor pathways and cord-level reflex arcs

37. Superficial Reflexes • Plantar reflex • Stimulus: stroking lateral aspect of the sole of the foot • Response: downward flexion of the toes • Tests for function of corticospinal tracts

38. Superficial Reflexes • Babinski’s sign • Stimulus: as above • Response: dorsiflexion of hallux and fanning of toes • Present in infants due to incomplete myelination • In adults, indicates corticospinal or motor cortex damage

39. Superficial Reflexes • Abdominal reflexes • Cause contraction of abdominal muscles and movement of the umbilicus in response to stroking of the skin • Vary in intensity from one person to another • Absent when corticospinal tract lesions are present