Stretch reflex, muscle spindle physiology | alpha gamma coactivation | CNS physiology

Physiology Open
6 Aug 202323:50

Summary

TLDRThis educational video script delves into the stretch reflex, a fundamental topic in first-year MBBS exams. It explains the reflex's components, including the muscle spindle's sensory role, the types of nuclear back and chain fibers, and their respective static and dynamic functions. The script clarifies the monosynaptic nature of the stretch reflex, its role in maintaining muscle length through negative feedback, and the clinical significance of assessing motor system integrity. It also discusses the importance of alpha-gamma co-activation in voluntary muscle movements and the impact of gamma motor neuron activity on muscle tone and reflex sensitivity.

Takeaways

  • πŸ“š The stretch reflex is a fundamental topic in first-year MBBS exams and is crucial for understanding muscle response mechanisms.
  • πŸ’ͺ The stretch reflex operates within skeletal muscles and involves a complex interaction between sensory and motor components.
  • πŸ” Muscle spindles, containing nuclear bag and nuclear chain fibers, serve as the sensory receptors for the stretch reflex, detecting both static and dynamic stimuli.
  • 🧬 The afferent nerve fibers, classified as Group 1A and Group 2, supply the muscle spindles and convey information about muscle length and velocity of change.
  • 🌟 The stretch reflex is monosynaptic, meaning it involves a single synapse between the afferent nerve fibers and the alpha motor neurons.
  • πŸ‹οΈβ€β™‚οΈ Alpha motor neurons are responsible for contracting the extrafusal muscle fibers, which are the main contractile components of the muscle.
  • πŸ”„ Gamma motor neurons play a key role in adjusting the sensitivity of the stretch reflex by supplying the contractile ends of the intrafusal fibers.
  • ⏱️ The reaction time of the stretch reflex is between 19 to 24 milliseconds, indicating its rapid response to muscle stretch.
  • πŸ”„ Alpha-gamma co-activation is essential for voluntary muscle movement, preventing the stretch reflex from opposing muscle contractions during movement.
  • πŸ₯ Clinical assessment of the stretch reflex, such as the knee-jerk, is important for evaluating the integrity of the motor system in patients with paralysis.
  • πŸš‘ Hyperactive stretch reflexes can indicate upper motor neuron lesions, as the inhibitory control over gamma motor neurons is disrupted, leading to increased sensitivity of the reflex.

Q & A

  • What is the stretch reflex?

    -The stretch reflex, also known as the myotatic reflex, is an involuntary response that occurs when a muscle is stretched. It helps maintain muscle tone and posture by contracting the muscle back to its original length when stretched.

  • What are the components of the stretch reflex?

    -The components of the stretch reflex include a receptor (muscle spindle), an afferent limb (sensory nerve fibers), a central nervous system processing center (spinal cord), and an efferent limb (motor neurons).

  • What are the two types of fibers found in the muscle spindle?

    -The two types of fibers found in the muscle spindle are nuclear bag fibers and nuclear chain fibers. They serve as receptors for the stretch reflex.

  • What is the difference between static and dynamic nuclear back fibers?

    -Static nuclear back fibers are important for detecting a static stimulus, such as maintaining muscle tone. Dynamic nuclear back fibers are important for detecting a dynamic stimulus, such as changes in muscle length during movement.

  • How are the muscle spindle fibers supplied by nerve fibers?

    -Muscle spindle fibers are supplied by efferent nerve fibers classified as Group Ia and Group II fibers. Group Ia fibers supply both static and dynamic components of the muscle spindle, while Group II fibers supply only the static component.

  • What is the role of the alpha motor neuron in the stretch reflex?

    -The alpha motor neuron is responsible for supplying the extrafusal muscle fibers, which are the contractile fibers of the skeletal muscle. When activated by the stretch reflex, these neurons cause the muscle to contract.

  • What is the role of the gamma motor neuron in the stretch reflex?

    -The gamma motor neuron supplies the contractile ends of the intrafusal muscle fibers (muscle spindle). It plays a role in adjusting the sensitivity of the stretch reflex and is involved in maintaining muscle tone and posture.

  • What is the significance of the monosynaptic nature of the stretch reflex?

    -The monosynaptic nature of the stretch reflex means it involves only one synapse between the afferent nerve fibers and the alpha motor neurons. This allows for a rapid response time, which is crucial for the reflex's function in maintaining muscle tone and posture.

  • What is the reaction time of the stretch reflex?

    -The reaction time of the stretch reflex is between 19 to 24 milliseconds, which is the time gap between the stimulus (muscle stretch) and the response (muscle contraction).

  • How is the stretch reflex involved in voluntary muscle movements?

    -During voluntary muscle movements, the stretch reflex is modulated by alpha-gamma co-activation. This co-activation prevents the reflex from opposing the movement and allows for smooth, controlled muscle contractions.

  • What is the clinical significance of the stretch reflex?

    -The stretch reflex is clinically significant as it is used to assess the integrity of the motor system in patients with paralysis or other neurological disorders. Hyperactive stretch reflexes may indicate upper motor neuron lesions.

Outlines

00:00

πŸ“š Introduction to Stretch Reflex in MBBS

The script begins by introducing the topic of stretch reflex, a crucial subject for first-year MBBS students and a favorite for multiple-choice questions (MCQs). The stretch reflex is described as a complex but essential reflex involving the skeletal muscle. The components of the stretch reflex include the muscle spindle, which acts as a sensory component, and the contractile muscle fibers known as extrafusal fibers. The script explains the role of nuclear bag and nuclear chain fibers within the muscle spindle, and how they are innervated by different types of nerve fibers (1A and 2), which are responsible for detecting both static and dynamic stimuli. The explanation also covers the afferent and efferent pathways, culminating in the activation of alpha motor neurons in the spinal cord.

05:03

πŸ” Detailed Anatomy of Stretch Reflex Components

This paragraph delves deeper into the anatomy of the stretch reflex, focusing on the sensory and motor components within the skeletal muscle. It explains the function of the muscle spindle, including the nuclear bag and chain fibers, and their respective roles in detecting muscle stretch. The paragraph also discusses the gamma motor neuron, which supplies the contractile ends of the intrafusal fibers, and the distinction between the sensory and motor roles of these fibers. The summary highlights the importance of the alpha and gamma motor neurons in the reflex arc, emphasizing the monosynaptic nature of the stretch reflex and its rapid response time.

10:03

πŸ”„ Understanding Static and Dynamic Components of Stretch Reflex

The script explains the concepts of static and dynamic components of the stretch reflex. It describes how the muscle spindle responds to changes in muscle length (static) and the rate of change in muscle length (dynamic). The static component is associated with the nuclear chain fibers, while the dynamic component involves the nuclear bag fibers. The paragraph discusses the importance of these components in proprioception and the reflex's role as a negative feedback loop to maintain muscle length. It also touches on the clinical significance of the stretch reflex, including its use in assessing motor function and the impact of gamma motor neuron activity on reflex sensitivity.

15:04

πŸƒβ€β™‚οΈ Alpha Gamma Co-activation and Voluntary Movement

This section of the script explores the concept of alpha gamma co-activation, which is essential for voluntary muscle contraction and maintaining muscle tone. It explains how the activation of both alpha and gamma motor neurons prevents the stretch reflex from opposing voluntary movements. The paragraph also discusses the influence of descending tracts on gamma motor neuron activity and how this influences muscle tone and posture. The summary highlights the clinical relevance of assessing stretch reflexes, such as the knee-jerk, and the use of maneuvers like the Jendrassik technique to enhance reflex response.

20:05

πŸ›‘οΈ Clinical Applications and Impact of Upper Motor Neuron Lesions

The final paragraph discusses the clinical applications of the stretch reflex, particularly in assessing the integrity of the motor system in cases of paralysis. It explains the process of eliciting stretch reflexes and the significance of muscle support during assessment to prevent voluntary contraction. The script also addresses the impact of upper motor neuron lesions, which can result in hyperactive stretch reflexes due to the disruption of inhibitory control over the gamma motor neuron. Additionally, it mentions other factors that can increase gamma motor neuron activity, such as anxiety and unexpected movements, and their effect on tendon reflexes.

Mindmap

Keywords

πŸ’‘Stretch Reflex

The stretch reflex, also known as the myotatic reflex, is an automatic response that occurs when a muscle is stretched. It plays a crucial role in maintaining muscle tone and posture. In the video, the stretch reflex is the central theme, with the script detailing its function as a protective mechanism that prevents muscles from being stretched too far, which could lead to injury.

πŸ’‘Skeletal Muscle

Skeletal muscle is the type of muscle attached to bones by tendons and is responsible for body movement. The script describes the structure of skeletal muscle, emphasizing the contractile muscle fibers and their role in the stretch reflex, where they are the primary site of action for the reflex response.

πŸ’‘Muscle Spindle

A muscle spindle is a sensory organ within skeletal muscles that detects changes in muscle length. The script explains that muscle spindles contain specialized fibers, namely nuclear bag and nuclear chain fibers, which are the receptors for the stretch reflex, responding to both static and dynamic stimuli.

πŸ’‘Nuclear Bag Fibers

Nuclear bag fibers are a type of intrafusal fiber found within muscle spindles. The script distinguishes between static and dynamic nuclear bag fibers, which are responsible for detecting changes in muscle length and velocity, respectively, and are crucial for the stretch reflex's activation.

πŸ’‘Nuclear Chain Fibers

Nuclear chain fibers are another type of intrafusal fiber within muscle spindles that primarily detect static changes in muscle length. The script uses the term to illustrate how these fibers contribute to the stretch reflex by signaling changes in muscle length to the central nervous system.

πŸ’‘Afferent Nerve Fibers

Afferent nerve fibers are responsible for transmitting sensory information from receptors to the central nervous system. In the context of the stretch reflex, the script describes how afferent fibers, specifically Group Ia and II fibers, carry signals from the muscle spindle to the spinal cord.

πŸ’‘Alpha Motor Neuron

Alpha motor neurons are the final common pathway for the stretch reflex, controlling the contraction of skeletal muscles. The script explains that these neurons receive signals from afferent fibers and, upon activation, cause the extrafusal muscle fibers to contract, resulting in the reflex action.

πŸ’‘Gamma Motor Neuron

Gamma motor neurons are responsible for the fine control of muscle spindle sensitivity by innervating the contractile ends of intrafusal fibers. The script discusses the role of gamma motor neurons in adjusting muscle tone and the sensitivity of the stretch reflex, particularly in the context of voluntary movement and posture.

πŸ’‘Alpha Gamma Co-activation

Alpha gamma co-activation refers to the simultaneous activation of alpha and gamma motor neurons during voluntary muscle contraction. The script explains this concept as a mechanism that prevents the stretch reflex from opposing voluntary muscle movements, allowing for smooth and controlled muscle action.

πŸ’‘Monosynaptic Reflex

A monosynaptic reflex is a neural pathway involving only one synapse between the afferent and efferent neurons. The stretch reflex is highlighted in the script as the primary example of a monosynaptic reflex, emphasizing its speed and directness in response to muscle stretch.

πŸ’‘Negative Feedback Loop

A negative feedback loop is a biological control system that maintains stability by counteracting deviations from a set point. The script describes the stretch reflex as functioning as a negative feedback loop, where the reflex action works to restore muscle length to its original state after a stretch.

Highlights

Stretch reflex is a fundamental topic in first-year MBBS exams and a favorite for MCQs.

The stretch reflex is a reflex arc involving a stimulus, receptor, afferent, efferent, and response.

The reflex operates in skeletal muscles, involving contractile muscle fibers and tendons.

Muscle spindles are the sensory component of skeletal muscles, containing nuclear bag and nuclear chain fibers.

Nuclear back fibers are receptors for the stretch reflex, with static and dynamic varieties.

Nuclear chain fibers detect only static stimuli, unlike nuclear back fibers.

Efferent nerve fibers, classified as Group Ia and II, supply the muscle spindles.

The stretch reflex involves a direct connection between afferent fibers and alpha motor neurons.

Alpha motor neurons control extrafusal muscle fibers, which are contractile.

Gamma motor neurons supply the contractile ends of intrafusal fibers.

The stretch reflex is monosynaptic, with a single synapse between afferent and alpha motor neurons.

The reflex acts as a negative feedback loop to maintain muscle length.

The reaction time of the stretch reflex is 19 to 24 milliseconds.

Central delay in the stretch reflex is 0.6 to 0.9 milliseconds, indicating a single synapse.

Alpha-gamma co-activation is essential for voluntary muscle contraction.

Gamma motor neuron activation increases the sensitivity of the stretch reflex.

The stretch reflex is clinically used to assess the motor system's integrity.

In upper motor neuron lesions, hyperactive stretch reflexes can be observed due to increased gamma motor neuron activity.

Anxiety and unexpected movements can also increase gamma motor neuron activity.

Transcripts

play00:00

Hello friends today we are going to

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discuss a very important topic comes in

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first year mbbs exams also a very

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favorite topic for mcqs as well but it

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is a bit difficult one that is a stretch

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reflex so let us see the fundamentals of

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stretch reflex and its applications as

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well

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see first as the name suggests it is a

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reflex and like all the reflexes it will

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have a stimulus there will be receptor

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afferent Center efferent and there will

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be a response so what are the components

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of this stretch reflex

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stress reflex operates in a muscle

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skeletal muscle so suppose this is a

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skeletal muscle

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that is the contractile component of the

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skeletal muscle where there will be lot

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of muscle fibers so these are the

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contractile muscle fibers which will

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extend from end to end of a muscle and

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the ends of these muscle fibers will

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continue as a tendon now all skeletal

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muscles have a sensory component as well

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that is the muscle spindle

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so in the center of the skeletal muscle

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there is a sensory component which is

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the muscle spindle and it has two types

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of fibers that is there is a nuclear

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back fibers so this uh first one which I

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drew it is like a back you see central

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part it is like a bag so this is a

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nuclear back fiber and then there is

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nuclear chain fibers okay nuclear back

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fibers and nuclear chain fibers

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so these are the receptors for the

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stretch reflex

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now remember there are two components of

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these nuclear back fibers that is static

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nuclear back fibers

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and dynamic nuclear back fibers so this

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is the receptor for the stretch reflex

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so that means

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this receptor static receptor is

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important for detecting a static

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stimulus and dynamic receptor is

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important for detecting a dynamic

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stimulus and what is the stimulus

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stretch is the stimulus so we'll see

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what is the static and dynamic on the

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other hand nuclear chain is only

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detecting static stimulus okay

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so what I do is a nuclear chain there is

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C so C I make it as s so it becomes a

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static nuclear chain is only static

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nuclear back both static and dynamic

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another way to remember

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this b b becomes d right so nuclear bag

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is static as well as dynamic now these

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nuclear bargain nuclear static fibers

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are supplied by efferent nerve fibers

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and what are these efferent nerve fibers

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there are one a fibers and there are two

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fibers now

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these names come from lieth's

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classification of sensory nerve fibers

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so 1A fibers and two fibers Supply these

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nuclear bag and nuclear chain and which

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one these fibers Supply one is supplies

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all the fibers that is nuclear back

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static Dynamic and nuclear chain static

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one A A is for all right so they Supply

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this central part of these

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um muscle spindle both types of muscle

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spindle and both static as well as

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Dynamic con component on the other hand

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type 2 fiber supplies only the static

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component that is static component of

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both nuclear back as well as nuclear

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chain fibers

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so that I am not going to draw but

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remember here that these fibers are

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actually 1A and two fibers one a fibers

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are supplying all the types of fiber

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static dynamic in nuclear pack as well

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as nuclear chain and two fibers it is

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supplying only static component of

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nuclear back and nuclear chain fibers so

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these are the afferents of the stretch

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reflex then these afferents actually

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make contact in the spinal cord so let

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me just draw a spinal cord here we'll

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get another neater diagram later so they

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just go into the spinal cord and from

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here they actually climb these form the

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dorsal column of the ascending track but

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one branch of these fibers goes and

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makes contact with the Alpha motor

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neurons right so motor neuron that is

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the Bell imaginary law motor neuron

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arises from the ventral root of the

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spinal cord so that is why we are

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bringing it to the ventral side and this

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Alpha motor neuron supplies the external

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fibers which are contractile right so

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remember I told you before that there

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are contractile muscle fibers which run

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from end to end these contractile muscle

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fibers are known as extra fusal muscle

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fibers okay and this sensory component

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that is the spindle shaped sensory

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component that is known as intrafusal

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muscle fibers so you see the sulfur

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motor neuron is supplying the

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contractile fibers it is not supplying

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the sensory fibers

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so sensory component is within and the

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motor component the efferent is outside

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to the extra fuser fibers however there

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is another motor component

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that is the gamma motor neuron so here

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only there is roots for the gamma motor

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neuron which Supply the ends of these

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introfusal fibers understanding ends of

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the introfusal fibers are supplied by

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the gamma motor neuron so this

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intrafusal fiber it is sensory in the

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central part but there is motor

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component it has contractile ends which

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are supplied by the gamma motor neuron

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so this is the basic structure of

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stretch reflex let's see a neater

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diagram now

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so here we are showing the muscle

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spindle containing nuclear back and

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nuclear chain fibers and there are one a

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fibers which are supplying both right

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and two fibers which are supplying only

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the static component

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and these are going to the spinal cord

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then there is Alpha motor neuron which

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is supplying to extra fusel fibers which

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are basically contractile and there is

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gamma motor neuron which is supplying

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the ends of these muscle spindles so

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these muscle spindle ends are actually

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contractile so these two are the

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efferents

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so with this basic structure now let us

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move on to the actual stretch reflects

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what is stretch reflex

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as the name suggests stretch reflects

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basically stretch is the stimulus right

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then there are efferents what is the

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center it is the spinal cord which go to

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the spinal cord and there is activation

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of the difference that is the Alpha

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motor neuron only we are talking about

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simple stretch reflex there is

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activation of Alpha motor neuron because

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as I told you afferents are making

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direct contact with the Alpha motor

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neuron and this is stretch causes the

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activation of the Alpha motor neurons

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and there is contraction

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so whenever the muscle is stretched it

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is leading to contraction of the muscle

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so this is the simple diagram for a

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stretch reflex suppose the muscle is

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stretched then when the muscle is

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stretched you see what will happen these

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intrafusal fibers will also be stretched

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along with the muscle because they they

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are passive okay so with the stretch of

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the muscle spindle there will be

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increase in efferent activity in these

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1A and two fibers and they are going to

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make contact with the Alpha motor neuron

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so here you see it is a single synapse

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that is why stretch reflex is

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monosynaptic and it is the only example

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of monosynaptic reflex in body

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so it directly makes contact with the

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Alpha motor neuron which supplies the

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extra fusel fibers and there is

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contraction

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so this is the simple stretch reflex

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but remember we talked about the dynamic

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and static components so what is that

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actually what are these 1A and two

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fibers carrying

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see what is a static component to

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suppose this is your arm okay somebody's

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arm very line diagram we will draw and

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it is at 90 degrees so there is a

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particular length of the muscle right

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suppose this arm is a stretched to this

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position then the length of the muscle

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is increased suppose the arm is flexed

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in that case suppose it is in this

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position then length of the arm is

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decreased okay now when the muscle is

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stretched

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right suppose this position this muscle

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spindle will stretch and it will carry

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the information to the Alpha motor

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neuron and the muscle will contract back

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again to its original length

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similarly when the muscle is flexed okay

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that means for flexing there will be

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shortening of the muscle then this

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afferent activity is going to decrease

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why it is going to decrease because when

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the muscle is shortening

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along with that this introfusal fiber

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length is also going to shorten here we

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are talking about

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whenever the muscle length is decreasing

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the interfucer fiber is shortening we

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will talk about voluntary contraction

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little later that why we are able to

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voluntary Flex the muscle why it doesn't

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happen okay

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anyways so when there is decrease in the

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length of the muscle this will shorten

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the muscle spindle and this efferent

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activity in these fibers is going to

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decrease okay and when this decreases

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what will happen here the activation of

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the Alpha motor neuron is also going to

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decrease

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thus causing decreased activation of

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this extra fusel muscle fibers so there

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will be relaxation and hence the muscle

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will come back to its original position

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so stretch reflexes working both ways

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increase in the stretch is causing

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contraction decrease in the stretch is

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causing relaxation okay

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so this is very simple you should

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remember so basically this stretch

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reflex is acting as a negative feedback

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loop where it is maintaining the length

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of the muscle Okay negative feedback

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loop

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but till now we are talking about static

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stretch only see I told you that suppose

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this is the muscle position but I never

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talked about the dynamic component what

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is dynamic component Dynamic component

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is rate of the movement how fast the

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muscle length is being changed from this

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particular length through this

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particular length so how fast the muscle

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is being moved similarly here how fast

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the muscle is being moved that is the

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dynamic component and that information

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is being carried by our 1A fibers

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so basically two fibers are mainly for

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the static length that currently what is

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the length of the muscle and 1A fibers

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is talking about the velocity of change

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in the length of the muscle from one

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position to other when it is going how

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fast it is going so that information is

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also very important because it kind of

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tells the brain an anticipatory

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information that how fast the correction

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should be done also so that is the

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meaning of static and dynamic component

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now we have talked about the static and

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dynamic component of the afference but

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uh one thing more you remember here that

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even the gamma motor neuron which are

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supplying the contractile ends of these

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introfusal fibers they are also of two

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types that is the static and dynamic

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okay so there also because this

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information is going to the Alpha motor

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neuron also to the top to the brain also

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it is going so to make Corrections

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later we will see that how voluntary

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contraction this gamma motor neuron is

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also activated so for that also we need

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a static and dynamic component

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so with this let us see certain facts

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about stretch reflex one that this

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stretch of the muscle when it causes a

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stretch of the muscle spindle that is

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known as loading of the spindle so

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sometimes you should remember a loading

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of the spindle stretch of the spindle is

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known as loading of the spindle because

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it is increasing the efferent activity

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on the other hand the decrease in length

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of the muscle

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unloads the spindle so that is known as

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unloading of spindle so that is one

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second

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the reaction panel for this stretch

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reflex is 19 to 24 milliseconds what is

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the reaction time meaning of reaction

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time reaction time is basically time gap

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between the stimulus and the response

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right so from the time the muscle is a

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stretched till the time the muscle is

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contracted by the Alpha motor neuron

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that is the total time taken for the

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reflex so that is known as reaction time

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and it is 19 to 24 milliseconds

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now what is the importance of this 19 to

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24 milliseconds when you see for any

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negative feedback loop there is some

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time involved why because there will be

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some time in the activation of the

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reference then carrying of this

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information to the spinal cord some

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conduction velocity this fiber will be

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having so sometime it will take to

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travel from one portion to the spinal

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cord then

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there will be some component involved in

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this release of the neurotransmitters

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activation of the Alpha motor neuron and

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then there will be again velocity of

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this Alpha motor neuron for getting the

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information reaching the information to

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the extra extra fusel a muscle fibers

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right

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so this is the entire time required for

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the reflex but if we subtract the time

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taken for traveling of the impulse then

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we can get to know that how much time

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this particular reflex is taking at the

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level of the spinal cord and that is

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known as Central delay and this Central

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delay is found to be 0.6 to 0.9

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milliseconds that means out of this 19

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to 24 milliseconds only 0.6 to 0.9

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millisecond time

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is within the spinal cord rest all the

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time is taken for conduction of the

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impulse from the muscle spindle to the

play14:52

spinal cord and again bringing the

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impulse from the Alpha motor neuron to

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the muscle

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so this is the central delay again what

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is the importance of this C

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minimum time for synaptic delay what is

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synaptic delay synaptic delay is

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basically the time taken for the

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neurotransmission in one synapse the

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vesicles have to be released the

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neurotransmitter has to act on the nerve

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terminal so it is a chemical response

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and because of this there is some

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synaptic delay and that minimum delay is

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0.5 milliseconds so if we know that this

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is the minimum delay that means in this

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stretch reflex there can be only one

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synapse if there are two synapse how

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much will be the delay it will be

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greater than at least one millisecond

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isn't it here we are talking that the

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central delay is only 0.6 to 0.9

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millisecond Which is less than one

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millisecond so the number of synapses

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involved in stretch reflexes single only

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so that is why it is a monosynaptic

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reflex I mean that's how we found out

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that a stretch reflexes a monosynaptic

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reflex by determining the total time

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required for a stretch reflex and the

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central delay

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okay now let's move on to the next

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component of stretch reflex that is

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Alpha Gamma co-activation

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now you see I gave you that example that

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suppose this is the muscle length and if

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it is changed to a different uh length

play16:23

or different position

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see when the muscle position is changed

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when the arm is moved what will happen

play16:31

the muscle length will also change so

play16:33

basically lengthen the position are kind

play16:35

of synonymous that is why these 1A and

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two fibers are important for

play16:39

proprioception they give the information

play16:41

about the position of the arm anyways so

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I told you that as the muscle length

play16:47

will change this stretch reflex will

play16:49

tend to bring the muscle back to its

play16:51

original length right so if this happens

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every time we move our arm we will never

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be able to move because there is a

play16:57

reflex operating it will always bring

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the arm back to its original position

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so how to move voluntarily well this is

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because of Alpha Gamma co-activation

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every time we wish to contract the

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muscle there is Alpha Gamma

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co-activation and every time we have to

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relax the muscle there is Alpha Gamma

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co-inhibition

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so we use the word co-activation for the

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contraction which is happening so what

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is that I will just to redraw the

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diagram quickly

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so this is suppose extra fusel muscle

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fiber and this is the intra-fuzer muscle

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fiber and it is having the contractile

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ends right so when we want to contract

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the muscle

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what we do from the spinal cord there is

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basically information to both Alpha

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motor neuron

play17:49

and also to gamma motor neuron so both

play17:53

get excited together that is the term

play17:55

Alpha Gamma co-activation so what

play17:57

happens because of this

play17:59

see when the Alpha motor neuron will be

play18:02

activated there will be shortening of

play18:04

the muscle right now as I told you

play18:07

before if the muscle shortens there will

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be passive shortening of the introfusal

play18:11

muscle fiber also stretch reflex will be

play18:14

activated no with Alpha Gamma

play18:16

co-activation it doesn't happen like

play18:18

that because when gamma motor neuron

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gets excited and it contracts the ends

play18:25

of these introfusal fibers what happens

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if the contractile ends contract right

play18:31

then there will be stretch of this

play18:34

intrafusal muscle fiber so it will

play18:37

become something like this so instead of

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Contracting because of the ends

play18:42

Contracting there will be stretch of the

play18:45

intrafusal muscle fiber so it is like

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when the extra fusel muscle fibers

play18:50

shorten or contract the intrafusal

play18:53

muscle fibers are kept stretched they

play18:55

are not allowed to shorten by activation

play18:59

of the karma motor neuron so that is why

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for voluntary contraction there is Alpha

play19:04

Gamma co-activation

play19:06

so that is one application of Alpha

play19:08

Gamma co-activation in body there is

play19:11

another one also

play19:12

see there are many top fibers which are

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affecting the activity of gamma motor

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neuron

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like there is a pontine reticulospinal

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tract which is stimulating this gamma

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motor neuron and there is medullary

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reticular spinal tract which is

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inhibiting this gamma motor neuron

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now suppose if the muscle is stretched

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and also there is I mean suppose if the

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muscle is stretched there is a

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particular position in which it is

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maintained suppose somebody is standing

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the length of the

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um leg muscles will be

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some value right so length of the muscle

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or the position of the muscle is some

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value now if during that time the

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spontane reticular spinal tract

play19:54

stimulates this gamma motor neuron what

play19:56

will happen

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in that particular length only there

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will be increased stretch of the

play20:02

centrifugal muscle fiber and with that

play20:04

stretch what will happen that there will

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be increased activation of the Alpha

play20:09

motor neuron and there will be increased

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contraction of the extra Fusion muscle

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fibers understanding

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so basically it is increasing the tone

play20:20

of the muscle in a particular length

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only so this gamma motor neuron

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activation what we say is increasing the

play20:29

sensitivity of stretch reflex okay

play20:32

increasing the sensitivity of stretch

play20:35

reflex for a particular position also so

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that is how the various descending

play20:41

tracks actually influence the activity

play20:43

of gamma motor neuron to maintain muscle

play20:46

tone and posture

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so that is the second application of

play20:51

this Kama motor neuron

play20:53

third

play20:54

see this stretch reflex basically is

play20:57

used clinically

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in assessing the motor system so suppose

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in a patient of paralysis we need to

play21:04

assess the Integrity of this reflex arc

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and that is done by assessing various

play21:10

jerks in body jerks means this stretch

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reflex that is the knee-jerk biceps drug

play21:16

triceps so all these reflexes we assess

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at the level of the muscle and what we

play21:22

say in that it has to be supported the

play21:25

muscle has to be supported why we say

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because we don't want the voluntary

play21:29

contraction there we don't want that

play21:31

Alpha Gamma co-activation to be together

play21:33

there right because we are assessing

play21:36

only the stretch reflex

play21:38

so that that time we hit actually the

play21:41

muscle on the tendon and by hitting the

play21:44

muscle on the tendon we are actually

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stretching this intra-fugal muscle fiber

play21:49

now sometimes it becomes difficult to

play21:51

elicit this stretch reflect in that case

play21:54

we ask the subject to do Chandra 6

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maneuver so General six man over what

play22:00

happens that there is increased

play22:02

activation of this gamma motor neuron

play22:04

thus increasing the sensitivity of the

play22:07

stretch reflex and then only we are able

play22:09

to elicit this stretch reflex

play22:12

so that is another importance of only

play22:14

gamma motor neuron Alpha Gamma

play22:16

co-activation for voluntary

play22:18

contraction of the muscle then gamma

play22:21

motor neuron activation increases

play22:23

sensitivity of stretch reflex generous 6

play22:25

manova again increases gamma motor

play22:27

neuron activity so that increased

play22:30

sensitivity of the stretch reflex occurs

play22:32

then there is another effect on this

play22:34

gamma motor neuron suppose in case of

play22:37

upper motor neuron lesions in upper

play22:39

motor neuron lesions what we get we get

play22:42

hyperactive stretch reflex

play22:44

why is it happening because the negative

play22:47

influences on the gamma motor neuron get

play22:50

disrupted so this gamma motor neuron

play22:53

which is generally under more inhibitory

play22:55

control from the upper motor neuron that

play22:58

gets interrupted and that releases the

play23:00

gamma motor neuron activity and it

play23:03

becomes more active causing increased

play23:05

sensitivity of the stretch reflex that

play23:07

is why we get hyperactive

play23:09

stretch reflexes in case of upper motor

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neuron lesion

play23:13

then there are some other factors which

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also increases gamma motor neuron

play23:17

activity and these are like anxiety

play23:20

unexpected movements all these also

play23:23

increase gamma motor neuron activity

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that is why an anxiety also we get

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hyperactive tendon reflexes tendon

play23:30

reflexes again another term for stretch

play23:33

reflex jerks okay

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so that was all about the stretch reflex

play23:38

hope you have understood the concept

play23:40

thoroughly thanks for watching the video

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if you liked it do press the like button

play23:43

share the video with others and don't

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play23:46

physiology open thank you

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Related Tags
Stretch ReflexMBBS ExamsMuscle ControlPhysiologyNeurologyMotor NeuronsSensory FibersMuscle SpindleAlpha GammaClinical Assessment