Upload
jennifer-golden
View
216
Download
2
Embed Size (px)
Citation preview
Chapter 13: The Peripheral Nervous System and Reflex Activity
Peripheral Nervous System (PNS)
• Links outside world and CNS• Includes all neural structures outside the brain and spinal
cord– Sensory receptors– Peripheral nerves and their ganglia– Motor endings
• Sensory receptors – respond to changes in environment – stimuli– Activated graded potential nerve impulse
• Sensation – awareness of stimuli• Perception – interpretation of meaning
– Both occur in brain
Figure 13.1
Central nervous system (CNS) Peripheral nervous system (PNS)
Motor (efferent) divisionSensory (afferent)division
Somatic nervoussystem
Autonomic nervoussystem (ANS)
Sympatheticdivision
Parasympatheticdivision
Sensory Receptors
• Classified according to 1. Type of stimulus they detect2. Body location3. Structural complexity
Stimulus Type
1. Mechanoreceptors – mechanical force– Touch pressure (including BP), vibration, and stretch
2. Thermoreceptors – temperature changes3. Photoreceptors – light energy – retina of eye4. Chemoreceptors – chemicals in solution
– Molecules tasted or smelled, changes in blood or intestinal chemistry
5. Nocieptors – potentially damaging stimuli that result in pain – Searing heat, extreme cold, pressure, inflammatory chemicals
Location
1. Exteroceptors – sensitive to stimuli arising outside of the body– Body surface– Touch, pressure, pain, temperature– Senses – vision, hearing, equilibrium, taste, smell
2. Interoceptors – visceroceptors – stimuli with in the body– Internal viscera and blood vessels– Chemical changes, tissue stretch, temp
3. Proprioceptors – internal stimuli – skeletal muscles, tendons, joints, ligaments, and CT coverings– Advise the brain of body movements
Structural Complexity
• Simple Receptors of General Senses – – Receptors respond to several stimuli
• 2 types1. Unencapsualted Dendritic Endings – free or naked
nerve endings– Present nearly everywhere – Abundant in CT and epithelia– Unmyelinated, small diameter C fibers– Distal endings – small knoblike swellings– Respond to temperature and painful stimuli
Simple Receptors
1. Unencapsualted Dendritic Endings (cont)• Temperature outside range – cold – 10-40C and hot –
32-48C – perceived as painful• Also respond to pinch and chemicals released by
damaged tissue• Itch• Tactile (Merkle discs) – free nerve endings associated
with enlarged disc shaped epidermyal cells• Also wrap around hair follicles
Table 13.1
Simple Receptors
2. Encapsulated Dendritic Endings – consist of one or more fiber terminals of sensory neurons enclosed in a CT capsule– Most are mechanoreceptors – vary in size, shape, and
distribution• Meissner’s corpuscles – small receptors surrounded by
Schwann cells and thin CT capsule – touch receptors• Pacinian Corpuscles – lamellated corpuscles –
scattered deep in epidermis – pressure• Ruffini Endings – lie in dermis – flattened capsule –
deep and continuous pressure
Simple Receptors
• 2. Encapsulated Dendritic Endings (cont) – • Muscle spindles – fusiform proprioceptors –
perimysium of skeletal muscle – muscle stretch and reflex that resists stretch
• Golgi tendon organs – proprioceptors in tendons – tendon fibers stretched – nerve endings are activated
• Joint Kinesthetic Receptors – proprioceptors – monitor articular capsules of synovial joints – info on joint position and motion
Table 13.1
Complex Receptors
• Sense organs• Localized collections of cells associated with
the special senses
Sensory Integration
• Sensation – awareness of changes in internal and external environment
• Perception – conscious interpretation of these stimuli
• We depend on both to survive
Somatosensory System
• Part of the sensory system serving the body wall and limbs
• Receives input from exteroceptors, proprioceptors, and interoceptors
• 3 main levels of neural integration – – 1. receptor level – sensory receptors– 2. Circuit level – ascending pathways– 3. Perceptual level – neuronal circuits in cerebral
cortex
Figure 13.2
1
2
3
Receptor level(sensory receptionand transmissionto CNS)
Circuit level(processing inascending pathways)
Spinalcord
Cerebellum
Reticularformation
Pons
Musclespindle
Jointkinestheticreceptor
Free nerveendings (pain,cold, warmth)
Medulla
Perceptual level (processing incortical sensory centers)
Motorcortex
Somatosensorycortex
Thalamus
1. Receptor Level
• Sensation – stimulus must excite a receptor and APs must reach the CNS
• For this to happen – stimulus – • energy must match specifically to receptor• must be applied within the receptive field• Energy must be converted into a graded
potential (receptor potential) by transduction• Generator potential in the associated neuron
must reach a threshold
1. Receptor Level
• Adaptation– sensory receptors can change sensitivity in presence of a constant stimulus
• Phasic receptors – fast adapting – bursts of impulses at the begging and end of stimulus
• Tonic Receptors – sustained response – little or no adaptation
2. Circuit Level
• Delivers impulses to the cerebral cortex for stimulus localization and perception
3. Perceptual Level
• Interpretation of Sensory input in cerebral cortex
• Projection – exact point in cortex that is activated is always the same “where” regardless of how it is activated
3. Perceptual Level
• Sensory Perception – • Perceptual detection – ability to detect that a stimulus has
occurred• Magnitude Estimation – ability to detect how intense the
stimulus is• Spatial discrimination – identify the site or pattern of
stimulation• Feature Abstraction – mechanism by which one neuron or
circuit is turned to one feature in the presence of another• Quality discrimination – ability to differentiate submodalities
(qualities) of a sensation• Pattern recognition – ability to take in the scene around us and
recognize a familiar pattern
Perception of Pain
• Receptors activated by extremes of pressure and temperature, as well as, chemicals release by damaged tissue
• Sharp pain – small myelinated A delta fibers• Burning pain – small unmyelinated C fibers• Both release glutamate and substance P
activate 2nd order neurons • Hyperalgesia – pain amplification• Phantom Limb pain – pain in tissue that is no
longer present
Transmission Lines – Nerves & Their Ganglia
• Structure and Classification – • Nerve – cordlike organ • Vary in size• Consists of parallel bundles of peripheral axons
enclosed by CT• Axon – surrounded by endoneurium – CT layer• Groups of fibers (fascicles) bound together by
perineurium• Finally fascicles are enclosed by - epineurium
Figure 13.3b
Bloodvessels
Fascicle
Epineurium
Perineurium
Endoneurium
AxonMyelin sheath
(b)
Nerves & Their Ganglia
• Classified according to the direction which they transmit impulses
• Mixed nerves – both ways• Sensory (afferent) nerves – carry impulses
towards the CNS• Motor (efferent) nerves – carry impulses away
from CNS• Ganglia – collections of neuron cell bodies
associated with nerves in the PNS
Regeneration of Nerve Fibers
• Real mature neurons do not divide• Damage severe or close to cell body – entire
neuron may die• Other neurons attached to that neuron may
also die• Cell body intact – cut or compressed nerves
can regenerate successfully
Regeneration of Nerve Fibers
1. Axon becomes fragmented at the injury site2. Macrophages clean out the dead axon distal
to injury3. Axon sprouts, or filaments, grow through a
regeneration tube formed by Schwann cells4. The axon regenerated and a new myelin
sheath forms
Figure 13.4 (1 of 4)
Endoneurium
Dropletsof myelin
Fragmentedaxon
Schwann cells
Site of nerve damage
The axonbecomesfragmented atthe injury site.
1
Figure 13.4 (2 of 4)
Schwann cell Macrophage Macrophagesclean out thedead axon distalto the injury.
2
Figure 13.4 (3 of 4)
Fine axon sproutsor filaments
Aligning Schwann cellsform regeneration tube
3 Axon sprouts,or filaments,grow through aregeneration tubeformed bySchwann cells.
Figure 13.4 (4 of 4)
Schwann cell Site of newmyelin sheathformation
4 The axonregenerates anda new myelinsheath forms.
Single enlargingaxon filament
Cranial Nerves
• 12 pairs associated with brain• 1st – forebrain• Rest – brain stem• Only head and neck structures
Figure 13.5 (a)
Frontal lobe
Temporal lobe
InfundibulumFacialnerve (VII)Vestibulo-cochlearnerve (VIII)Glossopharyngealnerve (IX)Vagus nerve (X)Accessory nerve (XI)
Hypoglossal nerve (XII)
(a)
Filaments ofolfactory nerve (I)
Olfactory bulb
Olfactory tract
Optic chiasma
Optic nerve(II)
Optic tractOculomotornerve (III)Trochlearnerve (IV) Trigeminalnerve (V) Abducensnerve (VI)CerebellumMedullaoblongata
Figure 13.5 (b)
*PS = parasympathetic(b)
Cranial nervesI – VI
I
II
III
IV
V
VI
Olfactory
Optic
Oculomotor
Trochlear
Trigeminal
Abducens
Yes (smell)
Yes (vision)
No
No
Yes (generalsensation)
No
No
No
Yes
Yes
Yes
Yes
No
No
Yes
No
No
No
Cranial nervesVII – XII
Sensoryfunction
Motorfunction
PS*fibers
Sensoryfunction
Motorfunction
PS*fibers
VII
VIII
IX
X
XI
XII
Facial
Vestibulocochlear
Glossopharyngeal
Vagus
Accessory
Hypoglossal
Yes (taste)
Yes (hearingand balance)
Yes (taste)
Yes (taste)
No
No
Yes
Some
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
No
No
Cranial Nerves
I. Olfactory – tiny sensory nerves of smell• Run from nasal mucosa to synapse with the
olfactory bulbII. Optic – sensory nerve of vision – brain tractIII. Oculomotor – “eye mover” – 6 extrinsic
muscles that move the eyeIV. Trochlear – “pulley” innervates extrinsic eye
muscle through a pully shaped ligament
Table 13.2
Table 13.2
Table 13.2
Table 13.2
Cranial Nerves
V. Trigeminal – 3 branches, sensory fibers to the face and motor fibers to the chewing muscles
VI. Abducens – controls extrinsic eye muscle that abducts the eyeball
VII. Facial – large nerve – innervates muscles of facial expression
VIII. Vestibulocochlear – auditory nerve – hearing and balance
Table 13.2
Table 13.2
Table 13.2
Table 13.2
Table 13.2
Table 13.2
Cranial Nerves
IX. Glossopharyngeal – tongue and PharynxX. Vagus – only cranial nerve that extends
beyond the head into the thorax and abdomen
XI. Accessory – accessory part of the vagus nerve
XII. Hypoglossal – under the tongue, innervates the tongue muscles
Table 13.2
Table 13.2
Table 13.2
Table 13.2
Cranial Nerves
• Mixed nerves• Cell bodies located in cranial sensory ganglia
except – olfactory and optic• Somatic and autonomic motor fibers• Serve skeletal muscle and visceral organs• Primary functions: Sensory, Motor or both
Spinal Nerves
• 31 pairs • Each 1000s of nerve fibers• Named according to their point of issue • 8 pairs cranial spinal nerves – C1 –C8 only 7
vertebrae – C8 emerges inferior to 7th vertebrae• 12 pairs of thoracic – T1- T12• 5 pairs of lumbar – L1-L5• 5 pairs of sacral – S1-S5• 1 pair of coccygeal - Co1
Figure 13.6
CervicalnervesC1 – C8
ThoracicnervesT1 – T12
LumbarnervesL1 – L5
Sacral nervesS1 – S5
Coccygeal nerve Co1
Cervical plexus
Intercostalnerves
Cervicalenlargement
Lumbarenlargement
Cauda equina
Brachial plexus
Lumbar plexus
Sacral plexus
Spinal Nerves
• Connect to spinal cord by a dorsal root and a ventral root
• Each root forms a series of rootlets that attach along the length of spinal cord segment
• Ventral Roots – motor (efferent) fibers – arise from ventral horn motor neurons – impulses to CNS
• Dorsal Roots – sensory (afferents) fibers – arise from the sensory neurons in dorsal root ganglia – impulse to spinal cord
Figure 13.7 (a)
Dorsal rootganglion
Gray matterWhite matterVentral rootDorsal root
Dorsal andventral rootlets of spinal nerve
Dorsal ramusof spinal nerveVentral ramusof spinal nerve
Sympathetic trunkganglion
Spinal nerve
Rami communicantes
Anterior view showing spinal cord, associated nerves, and vertebrae. The dorsal and ventral roots arise medially as rootlets and join laterally to form the spinal nerve.
Spinal Nerves
• Short• Immediately after emerging from spinal cord –
divides into dorsal ramus, ventral ramus, and a meningeal branch
• Meningral branch reenters the canal to innervate the meninges
• Based to the ventral rami – special rami communicantes – autonomic (visceral) nerve fibers
Figure 13.7 (b)
Dorsal ramus
Ventral ramus
Intercostal nerve
Spinal nerve
Rami communicantes
Dorsal rootganglion Dorsal rootVentral root
Sympathetic trunkganglion
Sternum
(b) Cross section of thorax showing the main roots and branches of a spinal nerve.
Branches of intercostalnerve
• Lateral cutaneous• Anterior cutaneous
Innervation of Body Regions
• Supply entire somatic region of body• Dorsal rami – posterior trunk• Ventral rami – rest of trunk and limbs• Nerve Plexuses – complicated interlacing networks
formed by ventral rami• Fibers from the various rami crisscross one another
and become redistributed so that – each branch contains fibers from several spinal nerves and fibers travel via several roots – damage to one segment cannot completely paralyze any muscle limb
Innervation of Body Regions
• Back – segmented plan• Each dorsal ramus innervates a narrow strip of
muscle and skin in line with which it emerges from the spinal column
• Anterolateral thorax and Abdominal Wall – T1 – T12 – course anteriorly – deep to each rib – intercostal nerves
• T12 – subcostal nerve
Innervation of Body Regions
• Cervical Plexus and Neck – cervical plexus – formed by ventral rami of the 1st 4 cervical nerves
• Cutaneous nerves supply the skin• Phernic nerve - diaphragm
Figure 13.8
Hypoglossalnerve (XII)
C1
C2
C3
C4
C5
Segmentalbranches
Lesser occipitalnerveGreater auricularnerve
Ansa cervicalis
Phrenic nerve
Supraclavicularnerves
Accessory nerve (XI)
Transversecervical nerve
Ventralrami:
Ventral rami
Innervation of Body Regions
• Brachial Plexus and Upper Limb – situated partially in the next – gives rise to all nerves in upper limb
• 4 major branches –1. ventral rami2. Trunks3. Divisions4. Cords
Figure 13.9 (a)
Upper
Middle Trunks
Lower
Roots (ventral rami):
Upper subscapular
Lower subscapular
Thoracodorsal
Medial cutaneousnerves of the armand forearm
Long thoracic
Medial pectoral
Lateral pectoral
Nerve tosubclaviusSuprascapular
Dorsal scapular
Posteriordivisions
Anteriordivisions
Lateral
PosteriorCords
Medial
Axillary
Musculo-cutaneousRadial
Median
Ulnar
Posteriordivisions
Trunks Roots
C4
C5
C6
C7
C8
T1
(a) Roots (rami C5 – T1), trunks, divisions, and cords
Innervation of Body Regions- Auxiliary nerve – innervates deltoid, teres minor, skin
and joint capsule- Musculocutaneous nerve – biceps brachial, brachialis
muscle -lateral forearm- Median nerve – anterior forearm – skin and flexor
muscles- Ulnar nerve – flexors not supported by median nerve- Radial nerve – continuation of posterior cord, posterior
skin of limb, extensor muscles – elbow extension, forearm supination. Wrist and finger extension, and thumb abduction
Figure 13.9 (c)
Median nerve
Musculocutaneous nerve
Radial nerveHumerus
Ulna
Ulnar nerveMedian nerve
Radius
Radial nerve (superficial branch)
Superficial branch of ulnar nerveDorsal branch of ulnar nerve
Digital branch of ulnar nerveMuscular branchDigital branch
(c) The major nerves of the upper limb
Axillarynerve
Anteriordivisions
Posteriordivisions
Trunks Roots
Table 13.4
Innervation of Body Regions
• Lumbosacral and Lower Limb – lumbosacral plexus
• Lumbar plexus – L1-L4 – anterior and medial thigh –
• femoral nerve – quads, thigh flexors and knee extensors
• Obturator nerve – adductor muscles
Innervation of Body Regions
• Lumbosacral and Lower Limb –• Sacral Plexus – L4 –S4 – buttock and lower
limb• Sciatic nerve – entire lower limb• Tibial nerve – posterior compartments of leg• Superior and inferior gluteal nerves – buttock
and tensor fascia lata
Figure 13.10
(a) Ventral rami and major branches of the lumbar plexus
Iliohypogastric
L1
L2
L3
L4
L5
Ilioinguinal
Genitofemoral
Lateral femoralcutaneous
Obturator
Femoral
Lumbosacraltrunk
Lateral femoralcutaneous
Anterior femoralcutaneousSaphenous
Obturator
IliohypogastricIlioinguinalFemoral
Ventral rami Ventralrami:
(b) Distribution of the major nerves from the lumbar plexus to the lower limb
Table 13.5
Innervation of Skin: Dermatomes
• Dermatome – area of skin innervated by cutaneous branches of single spinal cord
• Uniform in width, almost horizontal, and in a direct line with their spinal nerves
Figure 13.12
C2C3
C4
C5T1
T2
T2T3T4T5
C6
C8C7 C7
C6
T6T7T8T9
T10
T11
T12L1
S2S3
L1
L2
L3
L4
L5
L2
L3
L4
L5
S1
C5
C6
C8
T2
C5
C6
S1
Anterior view
C2
C3
C4C5C6C7C8
C8 C8
C7 C7
T1T2T3T4T5T6T7T8T9
T10
T11T12
L1L2 L3
S1(b) Posterior view
L5S2
S1
S1
S3
S2 S1S2
S4S5
L5L5
L4L5L5
L4
C6 C6
C5
L4
L3
L2
L1
L4
Innervation of Joints
• Hilton’s law – any nerve serving a muscle that produces a movement at the joint also innervates the joint and the skin over the joint
Motor Endings and Motor Activity
• Motor Endings – PNS elements that activate effectors by releasing neurotransmitters
Innervations of Skeletal Muscle
• Neuromuscular junction- axon reaches target – single muscle fiber
• Ending splits into axon terminals that branch over folds of sarcolemma
• Terminal – acetylcholine – diffuses across synaptic cleft
• ACh – binds – opens ion channels propagation of AP
Figure 9.8
Nucleus
Actionpotential (AP)
Myelinated axonof motor neuron
Axon terminal of neuromuscular junction
Sarcolemma ofthe muscle fiber
Ca2+Ca2+
Axon terminalof motor neuron
Synaptic vesiclecontaining ACh
Mitochondrion
Synaptic cleft
Junctionalfolds of sarcolemma
Fusing synaptic vesicles
ACh
Sarcoplasm ofmuscle fiber
Postsynaptic membraneion channel opens;ions pass.
Na+ K+
AChNa+
K+
Degraded ACh
Acetylcholinesterase
Postsynaptic membraneion channel closed;ions cannot pass.
Action potential arrives at axon terminal of motor neuron.
Voltage-gated Ca2+
channels open and Ca2+
enters the axon terminal.
Ca2+ entry causes some synaptic vesicles to release their contents (acetylcholine)by exocytosis.
Acetylcholine, a neurotransmitter, diffuses across the synaptic cleft and binds to receptors in the sarcolemma.
ACh binding opens ion channels that allow simultaneous passage of Na+ into the muscle fiber and K+ out of the muscle fiber.
ACh effects are terminated by its enzymatic breakdown in the synaptic cleft by acetylcholinesterase.
1
2
3
4
5
6
Innervation of Visceral Muscle and Glands
• Autonomic motor axons – branch – forming synapse en passant
• Series of varicosities – knoblike swellings – mitochondria and synaptic vessels
• ACh or norepinephrine
Figure 9.27
Smoothmusclecell
Varicosities releasetheir neurotransmittersinto a wide synaptic cleft (a diffuse junction).
Synapticvesicles
Mitochondrion
Autonomicnerve fibersinnervatemost smoothmuscle fibers.
Varicosities
Levels of Motor Control
• Segmental level• Projection level• Precommand level
Figure 13.13a
Feedback
Reflex activity Motoroutput
Sensoryinput
(a) Levels of motor control and their interactions
Precommand Level(highest)• Cerebellum and basal nuclei• Programs and instructions (modified by 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)
Internalfeedback
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
Projection Level
• Consists of:– Upper motor neurons that direct the direct
(pyramidal) system to produce voluntary skeletal muscle movements
– Brain stem motor areas that oversee the indirect (extrapyramidal) system to control reflex and CPG-controlled motor actions
• Projection motor pathways keep higher command levels informed of what is happening
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
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
Figure 13.13a
Feedback
Reflex activity Motoroutput
Sensoryinput
(a) Levels of motor control and their interactions
Precommand Level(highest)• Cerebellum and basal nuclei• Programs and instructions (modified by 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)
Internalfeedback
Figure 13.13b
(b) Structures involved
Precommand level • Cerebellum• Basal nuclei
Projection level • Primary motor cortex• Brain stem nuclei
Segmental level • Spinal cord
Reflexes
• Inborn (intrinsic) reflex: a rapid, involuntary, predictable motor response to a stimulus
• Learned (acquired) reflexes result from practice or repetition, – Example: driving skills
Reflex Arc
• Components of a reflex arc (neural path)1. Receptor—site of stimulus action2. Sensory neuron—transmits afferent impulses to the CNS3. Integration center—either monosynaptic or polysynaptic
region within the CNS4. Motor neuron—conducts efferent impulses from the
integration center to an effector organ5. Effector—muscle fiber or gland cell that responds to the
efferent impulses by contracting or secreting
Figure 13.14
Receptor
Sensory neuron
Integration center
Motor neuron
Effector
Spinal cord(in cross section)
Interneuron
Stimulus
Skin
1
2
3
4
5
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
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
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
Muscle Spindles
• Contractile end regions are innervated by gamma () efferent fibers that maintain spindle sensitivity
• Note: extrafusal fibers (contractile muscle fibers) are innervated by alpha () efferent fibers
Figure 13.15
Secondary sensoryendings (type II fiber)
Efferent (motor)fiber to muscle spindle
Primary sensoryendings (type Iafiber)
Connectivetissue capsule
Muscle spindle
Tendon
Sensory fiber
Golgi tendonorgan
Efferent (motor)fiber to extrafusalmuscle fibers
Extrafusal musclefiber
Intrafusal musclefibers
Muscle Spindles
• Excited in two ways:1. External stretch of muscle and muscle spindle2. 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
Figure 13.16a, b
(a) Unstretched muscle. Action potentials (APs) are generated at a constant rate in the associated sensory (la) fiber.
Musclespindle
Intrafusalmuscle fiber
Primarysensory (la)nerve fiberExtrafusalmuscle fiber
Time
(b) Stretched muscle. Stretching activates the muscle spindle, increasing the rate of APs.
Time
Muscle Spindles
• Contracting the muscle reduces tension on the muscle spindle
• Sensitivity would be lost unless the muscle spindle is shortened by impulses in the motor neurons
• – coactivation maintains the tension and sensitivity of the spindle during muscle contraction
Figure 13.16c, d
(d) - Coactivation. Both extrafusal and intrafusal muscle fibers contract. Muscle spindle tension is main- tained and it can still signal changes in length.
Time
(c) Only motor neurons activated. Only the extrafusal muscle fibers contract. The muscle spindle becomes slack and no APs are fired. It is unable to signal further length changes.
Time
Stretch Reflexes
• Maintain muscle tone in large postural muscles
• Cause muscle contraction in response to increased muscle length (stretch)
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
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
Figure 13.17 (1 of 2)
Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist.
When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord.
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.
The events by which muscle stretch is damped
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).
Initial stimulus(muscle stretch)
Cell body ofsensory neuron
Sensoryneuron
Muscle spindleAntagonist muscle
Spinal cord
12
3a 3b
Figure 13.17 (1 of 2), step1
Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist.
When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord.
The events by which muscle stretch is damped
Initial stimulus(muscle stretch)
Cell body ofsensory neuron
Sensoryneuron
Muscle spindleAntagonist muscle
Spinal cord
1
Figure 13.17 (1 of 2), step 2
Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist.
When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord.
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.
The events by which muscle stretch is damped
Initial stimulus(muscle stretch)
Cell body ofsensory neuron
Sensoryneuron
Muscle spindleAntagonist muscle
Spinal cord
12
Figure 13.17 (1 of 2), step 3a
Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist.
When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord.
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.
The events by which muscle stretch is damped
Efferent impulses of alpha motor neuronscause the stretched muscle to contract,which resists or reverses the stretch.
Initial stimulus(muscle stretch)
Cell body ofsensory neuron
Sensoryneuron
Muscle spindleAntagonist muscle
Spinal cord
12
3a
Figure 13.17 (1 of 2), step 3b
Stretched muscle spindles initiate a stretch reflex,causing contraction of the stretched muscle andinhibition of its antagonist.
When muscle spindles are activatedby stretch, the associated sensoryneurons (blue) transmit afferent impulsesat higher frequency to the spinal cord.
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.
The events by which muscle stretch is damped
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).
Initial stimulus(muscle stretch)
Cell body ofsensory neuron
Sensoryneuron
Muscle spindleAntagonist muscle
Spinal cord
12
3a 3b
Figure 13.17 (2 of 2)
The patellar (knee-jerk) reflex—a specific example of a stretch reflex
Musclespindle
Quadriceps(extensors)
Hamstrings(flexors)
Patella
Patellarligament
Spinal cord(L2–L4)
Tapping the patellar ligament excitesmuscle spindles in the quadriceps.
The motor neurons (red) sendactivating impulses to the quadricepscausing it to contract, extending theknee.
Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons.
The interneurons (green) makeinhibitory synapses with ventral horn neurons (purple) that prevent theantagonist muscles (hamstrings) fromresisting the contraction of thequadriceps.
Excitatory synapseInhibitory synapse
+
–
1
2
3a
3b
1
2
3a3b 3b
Figure 13.17 (2 of 2), step 1
The patellar (knee-jerk) reflex—a specific example of a stretch reflex
Musclespindle
Quadriceps(extensors)
Hamstrings(flexors)
Patella
Patellarligament
Spinal cord(L2–L4)
Tapping the patellar ligament excitesmuscle spindles in the quadriceps.
Excitatory synapseInhibitory synapse
+
–
1
1
Figure 13.17 (2 of 2), step 2
The patellar (knee-jerk) reflex—a specific example of a stretch reflex
Musclespindle
Quadriceps(extensors)
Hamstrings(flexors)
Patella
Patellarligament
Spinal cord(L2–L4)
Tapping the patellar ligament excitesmuscle spindles in the quadriceps.
Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons.
Excitatory synapseInhibitory synapse
+
–
1
2
1
2
Figure 13.17 (2 of 2), step 3a
The patellar (knee-jerk) reflex—a specific example of a stretch reflex
Musclespindle
Quadriceps(extensors)
Hamstrings(flexors)
Patella
Patellarligament
Spinal cord(L2–L4)
Tapping the patellar ligament excitesmuscle spindles in the quadriceps.
The motor neurons (red) sendactivating impulses to the quadricepscausing it to contract, extending theknee.
Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons.
Excitatory synapseInhibitory synapse
+
–
1
2
3a
1
2
3a
Figure 13.17 (2 of 2), step 3b
The patellar (knee-jerk) reflex—a specific example of a stretch reflex
Musclespindle
Quadriceps(extensors)
Hamstrings(flexors)
Patella
Patellarligament
Spinal cord(L2–L4)
Tapping the patellar ligament excitesmuscle spindles in the quadriceps.
The motor neurons (red) sendactivating impulses to the quadricepscausing it to contract, extending theknee.
Afferent impulses (blue) travel to thespinal cord, where synapses occur withmotor neurons and interneurons.
The interneurons (green) makeinhibitory synapses with ventral horn neurons (purple) that prevent theantagonist muscles (hamstrings) fromresisting the contraction of thequadriceps.
Excitatory synapseInhibitory synapse
+
–
1
2
3a
3b
1
2
3a3b 3b
Golgi Tendon Reflexes
• Polysynaptic reflexes• Help to prevent damage due to excessive
stretch • Important for smooth onset and termination
of muscle contraction
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
Figure 13.18
+ Excitatory synapse– Inhibitory synapse
Quadriceps strongly contracts. Golgi tendon organs are activated.
Afferent fibers synapse with interneurons in the spinal cord.
Efferent impulses to muscle with stretched tendon are damped. Muscle relaxes, reducing tension.
Efferent impulses to antagonist muscle cause it to contract.
Interneurons
Spinal cord
Quadriceps(extensors)
Golgitendon
organHamstrings
(flexors)
1 2
3a 3b
Figure 13.18, step 1
+ Excitatory synapse– Inhibitory synapse
Quadriceps strongly contracts. Golgi tendon organs are activated.
Interneurons
Spinal cord
Quadriceps(extensors)
Golgitendon
organHamstrings
(flexors)
1
Figure 13.18, step 2
+ Excitatory synapse– Inhibitory synapse
Quadriceps strongly contracts. Golgi tendon organs are activated.
Afferent fibers synapse with interneurons in the spinal cord.
Interneurons
Spinal cord
Quadriceps(extensors)
Golgitendon
organHamstrings
(flexors)
1 2
Figure 13.18, step 3a
+ Excitatory synapse– Inhibitory synapse
Quadriceps strongly contracts. Golgi tendon organs are activated.
Afferent fibers synapse with interneurons in the spinal cord.
Efferent impulses to muscle with stretched tendon are damped. Muscle relaxes, reducing tension.
Interneurons
Spinal cord
Quadriceps(extensors)
Golgitendon
organHamstrings
(flexors)
1 2
3a
Figure 13.18, step 3b
+ Excitatory synapse– Inhibitory synapse
Quadriceps strongly contracts. Golgi tendon organs are activated.
Afferent fibers synapse with interneurons in the spinal cord.
Efferent impulses to muscle with stretched tendon are damped. Muscle relaxes, reducing tension.
Efferent impulses to antagonist muscle cause it to contract.
Interneurons
Spinal cord
Quadriceps(extensors)
Golgitendon
organHamstrings
(flexors)
1 2
3a 3b
Flexor and Crossed-Extensor Reflexes
• Flexor (withdrawal) reflex– Initiated by a painful stimulus– Causes automatic withdrawal of the threatened
body part– Ipsilateral and polysynaptic
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
Figure 13.19
Afferentfiber
Efferentfibers
Extensorinhibited
Flexorstimulated
Site of stimulus: a noxiousstimulus causes a flexorreflex on the same side,withdrawing that limb.
Site of reciprocalactivation: At thesame time, theextensor muscleson the oppositeside are activated.
Armmovements
Interneurons
Efferentfibers
FlexorinhibitedExtensorstimulated
+ Excitatory synapse– Inhibitory synapse
Superficial Reflexes
• Elicited by gentle cutaneous stimulation• Depend on upper motor pathways and cord-
level reflex arcs
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
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
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
Developmental Aspects of the PNS
• Spinal nerves branch from the developing spinal cord and neural crest cells– Supply both motor and sensory fibers to
developing muscles to help direct their maturation– Cranial nerves innervate muscles of the head
Developmental Aspects of the PNS
• Distribution and growth of spinal nerves correlate with the segmented body plan
• Sensory receptors atrophy with age and muscle tone lessens due to loss of neurons, decreased numbers of synapses per neuron, and slower central processing
• Peripheral nerves remain viable throughout life unless subjected to trauma