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REFLEX
ACTIVITY.
DR NILESH KATE
MBBS,MD
PROFESSOR
ESIC MEDICAL COLLEGE, GULBARGA.
DEPT. OF PHYSIOLOGY
OBJECTIVES.

Skeletal muscle :- the effector organ




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
Pacinian corpuscle
Free nerve endings
Muscle tone
Motor unit

Single motor neuron &
the muscle fibre that it
innervates.
Tuesday, February 4, 2020
Muscle sensors


Proprioceptors
present in muscles,
tendons, joints,
ligaments, fasciae.
Gives information
about change in
position of different
parts of body in space.
Tuesday, February 4, 2020
Muscle Spindle



Stretch receptors in
skeletal muscles
Resposnsible for
proprioceptive
mechanism.
Muscles for precision
movements contains
more muscle spindles
than postural muscles.
Tuesday, February 4, 2020
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.
Tuesday, February 4, 2020
Intra-fusal muscle fibre



Contains central noncontractile portion
without actin, myosin.
2 ends called striated
poles which are
contractile.
Central part is sensory
portion.
Tuesday, February 4, 2020
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
Tuesday, February 4, 2020
Nerve supply of muscle
spindle
Only receptor in body which has
got motor nerve supply.
Tuesday, February 4, 2020
Nerve supply of muscle
spindle





Sensory nerve supply
Receptor – central
non-contractile
protion
Sensory fibres -2 types
Grp Ia
Type II
Tuesday, February 4, 2020
Group Ia



Primary sensory endings.
Fibres spirally wind round
the intrafusal fibres, these
are also called
Annulospiral endings.
Diameter of about 17μm
and carry impulses at the
rate of 70–120 m/s.
Tuesday, February 4, 2020
Group Ia



Stimulated when the
muscle spindle is stretched.
Dynamic response is
shown by nerve endings
supplying the nuclear bag
fibres
Static response is shown
by the nerve endings
supplying the nuclear chain
fibres
Tuesday, February 4, 2020
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
Tuesday, February 4, 2020
Motor supply γ-fibres
two types


Dynamic γ-fibres primarily 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.
Tuesday, February 4, 2020
Static γ-fibres


Primarily innervate the striated poles
of Nuclear chain fibres where 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
Tuesday, February 4, 2020
Functions of muscle spindle
Role in stretch reflex
 Role in maintaining
muscle tone
 Role in maintaining
skeletal muscle at a
certain physiological
length.

Tuesday, February 4, 2020

Role as a
proprioceptor


Unconscious
proprioceptive
sensations and
Conscious kinaesthetic
sensations
Golgi tendon organ


High threshold stretch
receptors present in
the tendons.
supplied by Group Ib
afferent fibres and
detect muscle tension
Tuesday, February 4, 2020
Pacinian corpuscle


Pressure receptors
situated in fasciae
throughout the
muscles, tendons,
joints and Periosteum.
They are supplied by
group II afferent fibres
and detect vibration.
Tuesday, February 4, 2020
Free nerve endings


Pain receptors situated
in the muscles, tendons,
fasciae and joints.
They are supplied by
group III and IV
afferent fibres and
detect noxious stimuli.
Tuesday, February 4, 2020
Muscle tone





Definition
Basis of muscle tone
Anomalies of muscle
tone
Hypotonia
hypertonia
Tuesday, February 4, 2020
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,
Tuesday, February 4, 2020
Basis of muscle tone

Purely a function of myotactic (stretch reflex),
occurring due to low frequency and
asynchronous discharge of γ motor neurons.
Tuesday, February 4, 2020
Anomalies of muscle tone

Hypotonia

Hypertonia.
Tuesday, February 4, 2020
Hypotonia



muscle tone
The hypotonic, flaccid
muscle.
when the rate of γ
efferent discharge is
low, i.e. when
stretch reflex becomes
hypoactive.
Tuesday, February 4, 2020
Hypertonia



muscle tone
The hypertonic,
spastic muscle.
when the rate of γ
efferent discharge is
high, i.e. when
stretch reflex becomes
hyperactive.
Tuesday, February 4, 2020
Types of hypertonia:


Spasticity - confined to
only one group of
muscles.
Example - lesions of
internal capsule and
upper motor neuron
lesions produce
spasticity.
Tuesday, February 4, 2020
Types of hypertonia:


Rigidity - involves
both groups of
muscles, i.e. extensor
as well as flexors
equally.
Example- lesions of
basal ganglia produce
rigidity
Tuesday, February 4, 2020
Reflex activity




General
considerations
Involuntary response
Protective mechanism.
Through involvement
of CNS.
Tuesday, February 4, 2020
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 & Effector organ
Tuesday, February 4, 2020
Classification of reflexes

Depending on number of synapse

Anatomical classification

Physiolgical classification

Inborn vs acquired

Clinical classification
Tuesday, February 4, 2020
Depending on number of
synapse



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
Tuesday, February 4, 2020
Anatomical classification

Depending upon the location of reflex arc
centre





Cortical reflexes
Cerebellar reflexes have the centre of reflex arc in
cerebellum
Mid brain reflexes
Bulbar or medullary reflexes and
Spinal reflexes
Tuesday, February 4, 2020
Physiolgical classification

Flexor reflexes characterized by
flexion


Also called withdrawl
reflexes.
Extensor reflexes

antigravity reflexes.
Tuesday, February 4, 2020
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.
Tuesday, February 4, 2020
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

Decerebrate preparation - transection is
taken in the brain stem between superior
and inferior colliculi
Tuesday, February 4, 2020
Tuesday, February 4, 2020
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