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PhD MD MBBS Faculty of Medicine Al Maarefa Colleges of Science & Technology Faculty of Medicine Al Maarefa Colleges of Science & Technology Lecture – 2:

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Presentation on theme: "PhD MD MBBS Faculty of Medicine Al Maarefa Colleges of Science & Technology Faculty of Medicine Al Maarefa Colleges of Science & Technology Lecture – 2:"— Presentation transcript:

1 PhD MD MBBS Faculty of Medicine Al Maarefa Colleges of Science & Technology Faculty of Medicine Al Maarefa Colleges of Science & Technology Lecture – 2: Spinal Cord Reflexes Nervous System Physiology By Dr. SHAHAB SHAIKH PhD MD MBBS Faculty of Medicine Al Maarefa Colleges of Science & Technology Faculty of Medicine Al Maarefa Colleges of Science & Technology

2 It is the elongated part of the Central nervous system Begins as Continuation of Medulla Oblongata at Foramen Magnum and extends up to upper border of L2 vertebra It contains white matter on the outside mainly and grey matter in the central region Many Interneurons in the grey matter of spinal cord are Centers for spinal reflexes Function: –Conduit for Information passage To & fro Brain –Center for some reflexes 2 SPINAL CORD

3 3 TRANSVERS SECTION OF SPINAL CORD

4 Reflex : It is an automatic response to a stimuli that occurs without conscious effort Reflexes in the body may be … –Simple or Basic –Conditioned or Acquired Reflexes Important in maintaining homeotsasis Examples a.Reflexes carry out the automatic actions of swallowing, sneezing, coughing, vomiting. b.Reflexes maintain balance and posture; e.g., spinal reflexes control trunk and limb muscles. c.Brain reflexes involve reflex center in brainstem; e.g., reflexes for eye movement. 4 REFLEXES

5 Reflex : It is an automatic response to a stimuli that occurs without conscious effort Components of reflex arc are: –Sensory Receptor –Afferent pathway –Center –Efferent pathway –Effector organ 5 SPINAL REFLEX

6 REFLEX Receptor responds to the stimulus and produces action potential (AP)↓ AP is taken by afferent pathway to the integrating center (usually CNS)↓ Integrating center processes all the information and makes the decision about the response↓ Instruction from integrated center are sent via efferent pathway to the Effector organ (muscle or gland) 6

7 Classification of reflexes  Monosynaptic reflex  Also called as stretch reflex or tendon jerk  e.g. Bicep jerk,triceps jerk, knee jerk, ankle jerk  Polysynaptic reflex  e.g. Withdrawal reflex, Abdominal reflex, Plantar reflex  Visceral reflex  e.g. Micturation, defecation reflex Jendressik Phenomenon 7

8 Stretch Reflex [monosynaptic]  Sudden stretch to a muscle leads to contraction of that muscle is known as stretch reflex.  Stretch Reflex is a basic spinal reflex. Example Knee jerk The 5 components of Stretch Reflex –Sensory receptor – Muscle Spindle in skeletal muscle –Afferent pathway – 1a fibers –Center – spinal cord –Efferent fibers – α-motor neuron –Effector organ – skeletal muscle contraction 8

9 Types of muscle fibers I.Extrafusal muscle fibers –Takes part in muscle contraction –Supplied by α - motor neuron II.Intrafusal muscle fibers –Also called as Muscle Spindle –Receptors for stretch reflex –supplied by γ - motor neuron 9

10 Muscle spindle These are the receptors of the muscles Consist of two types of fibers –Nuclear bag fiber –Nuclear chain fiber Sensory innervations of muscle spindle –Ia – nuclear bag & nuclear chain fibers –II – nuclear chain fibers Motor supply – γ motor neuron Detect both dynamic and static changes in muscles 10

11 11 Muscle spindle

12 12 Types of Nerve Fibers

13 Types of motor neuron α - motor neuron – Supply Extrafusal fibers γ - motor neuron – Supply Intrafusal fibers 13

14 Stretch Reflex (Knee Jerk) 14 KNEE JERK – MONOSYNAPTIC REFLEX

15 15 Stretch Reflex (Knee Jerk)

16 Polysynaptic Reflex In polysynaptic reflex, there are many synapses between inter-neurons in the reflex pathway Eg. Withdrawal reflex: –When a person touches a hot stove or pin prick, a withdrawal reflex occurs from the painful stimulus –Receptor- pain and Temperature Receptors stimulated –Afferent impulse travels via Sensory nerves –Efferent fibers to Biceps to contract ( flexion of arm ) and inhibitory neuron stimulated to inhibit contraction of Triceps. –This type of connection causing stimulation of nerve supply to one muscle and simultaneous inhibition of the nerve to its Antagonistic muscle is known as RECIPROCAL INNERVATION. 16

17 Withdrawal reflex – Polysynaptic reflex 17

18 Poly synaptic reflex Important  Afferent neuron stimulate also interneuron that carry signals to the Brain ( Ascending tracts in the spinal cord )  Therefore Brain can modify the with drawl reflex. How?  By sending impulses via descending pathways to the efferent motor neuron supplying the involved muscles and prevent contracting of biceps inspite of painful stimulus e.g. pin prick 18

19 REFLEXES 19 Jendressik Phenomenon (Reinforcement)

20 20

21 21 Jendressik Phenomenon (Reinforcement) Superficial Reflexes

22 22 Plantar Reflex

23 23 Dermatomes of Spinal roots and divisions of trigeminal nerve (V1,V2, V3)

24 24 Spinal Cord Reflexes Cranial Nerve

25 Polysynaptic Reflexes 1.Golgi tendon Reflex 2.Crossed Extensor Reflex 25

26 Golgi Tendon Organs Golgi tendon organ is present in the tendon and is Composed of Nerve fiber endings that wind between collagen fibers inside connective tissue capsule that make up the tendon. 26

27 Golgi Tendon Reflex If muscle is stretched by striking the tendon Free nerve endings are pinched in the tendon and they fire Activation of Golgi tendon organs Inhibits alpha motor neurons and decreases muscle contraction 27

28 Fig 13.6 – Muscle reflexesSilverthorn 2 nd Ed 28

29 Crossed Extensor Reflex Extension of opposite limb Flexion & withdrawal of stimulated limb Painful Stimuli 29

30 30 Crossed Extensor Reflex

31 31 Crossed Extensor Reflex

32 Clinical Importance of reflexes To test the integrity of reflex arc. Localization of neurological lesion. –Deep tendon reflexes are absent in lower motor neuron lesion. –They become exaggerated in upper motor neuron lesions. –Pendular jerks are observed in cerebellar lesions. Identifying the type of lesion. Monitoring the progress of neurological deficit. 32

33 References Human physiology by Lauralee Sherwood, 8 th edition Text Book Of Physiology by Guyton & Hall, 11 th edition

34 34 THANK YOU


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