2. Spinal Cord Lec: 4 Assis.Professor Dr. Farah Nabil Abbas
MBChB, MSc, PhD

3. Golgi Tendon Organs Encapsulated sensory receptors.
Located in tendons near their junction with the muscle.
10-15 muscle fibers are connected in series with each Golgi tendon organ.
Endings of afferent nerve fibers wrapped around collagen bundles in tendon.

5. Golgi Tendon Organs
Contraction of attached extrafusal muscle fibers  pull on the tendon  straightens collagen bundles  distorts receptor endings  activating their afferent neurons
Transmission of APs to CNS via type Ib nerve fibers.
Inhibit via interneurons, of motor neurons to contracting muscle and its synergists.
Stimulate motor neurons of antagonistic muscles.

7. Inverse Stretch Reflex
Golgi tendon organ
Sense Organ
Ib fiber
Afferent Neuron
CNS (spinal cord)
Synapse
Alpha Motor Neuron
Efferent Neuron
Muscle (extrafusal muscle)
Effector

8. Importance
Prevent muscle tearing or tendon avulsion from its attachments to the bone.
Equalize contractile forces of separate muscle fibers (fibers which exert excess tension become inhibited by the reflex  spread muscle load over all fibers  prevent damage in isolated areas of a muscle where small numbers of fibers might be overloaded

9. Polysynaptic Reflexes
Withdrawal reflex
Crossed-extensor reflex.
Abdominal reflex
Cremasteric reflex

10. Withdrawal Reflex
Cutaneous sensory stimuli on a limb  contraction of flexor muscles  withdrawing limb “flexor reflex" or "nociceptive reflex" or "pain reflex".
 Polysynaptic reflex
Contraction of flexor muscles
Inhibition of extensor muscles.

11. Crossed Extensor Reflex
Application of strong stimulus to a limb.
Response includes:
Flexion and withdrawal of that limb
Extension of the opposite limb after second.

14. Abdominal Reflex Superficial reflex Thoracic 7th -12th segments
Polysynaptic
Subject lie down in the supine position.
Gently stroke abdominal skin from lateral to medial aspect in all four quadrant → abdominal muscles contract → umbilicus deviate towards the area stimulated.

16. Absent Abdominal reflex
Physiological (obesity, tolerance, children, multiparous lax abdominal wall).
Pathological:
Multiple Sclerosis
Motor Neuron Disease
Neurogenic Bladder
Brown-Séquard syndrome
Chiari Malformations

17. Cremaasteric Reflex
Area A (orange): area of sensory fibers controlled by the genitofemoral nerve
Area B (green): area of sensory fibers controlled by the ilioinguinal nerve
Arrow C (red): direction and location where the skin must be stroked to elicit this reflex.

18. Functions of Stretch Reflex
Skeletal Muscle Tone:
Maintenance of erect posture against force of gravity, by producing a strong muscle tone in the antigravity muscle.
Damping (smoothing) function:
Signals discharged to a muscle often have varying intensities  irregular movements. However through muscle spindle and alpha-gamma linkage, signal are adjusted to produce smooth movements.

19. Functions of Stretch Reflex
Servo-Assist Function: servo = force regulator:
Stretch reflex assists the brain to produce and regulate force of muscle contraction as follow when the muscle contract:
α and γ motor fibers are activated to same degree.
Extrafusal & intrafusal muscle fibers equally contracted and shortened to same degree.
Central part of intrafusal muscle fibers does not change, and intensity of stretch receptor remains unchanged.

20. Functions of Stretch Reflex
If the muscle tries to left a heavy weight, extrafusal fiber contract isometrically and intrafusal fibers contract at the periphery and lengthen central part.
Potentiates stretch reflex leading to strong muscle contraction to help lifting the weight.
Antigravity Function:
To resist gravity effect which tends to flex muscle of lower limbs and trunk. Stretched muscles respond by reflex contraction to maintain upright position of body and prevent its fall down.

25. Reflex Action Arrival of stimulus and activation of receptor Stimulus
Activation of a
sensory neuron
Effector
REFLEX
ARC
Dorsal
root
Ventral
Sensation
relayed to
the brain by
collateral
motor neuron
Information
processing
in CNS
KEY
Sensory neuron
(stimulated)
Excitatory
interneuron
Motor neuron
Response
by effector
Reflex Action

26. Stretching of muscle tendon
stimulates muscle spindles
Stretch
Contraction
Muscle spindle
(stretch receptor)
REFLEX
ARC
Spinal
cord
Activation of motor
neuron produces reflex
muscle contraction