Ganong's Review of Medical Physiology, 23rd Edition

(Chris Devlin) #1
157

CHAPTER

9


Reflexes

OBJECTIVES

After studying this chapter, you should be able to:

Describe the components of a reflex arc.

Describe the muscle spindles and their role in the stretch reflex.

Describe the Golgi tendon organs and analyze their function as part of a feedback
system that maintains muscle force.

Define reciprocal innervation, inverse stretch reflex, clonus, and lengthening reaction.

INTRODUCTION


The basic unit of integrated reflex activity is the
reflex arc.


This arc consists of a sense organ, an afferent neuron, one or


more synapses within a central integrating station, an efferent


neuron, and an effector. In mammals, the connection between


afferent and efferent somatic neurons is generally in the brain


or spinal cord. The afferent neurons enter via the dorsal roots


or cranial nerves and have their cell bodies in the dorsal root


ganglia or in the homologous ganglia on the cranial nerves.


The efferent fibers leave via the ventral roots or correspond-


ing motor cranial nerves. The principle that in the spinal cord


the dorsal roots are sensory and the ventral roots are motor is


known as the
Bell–Magendie law.
Activity in the reflex arc starts in a sensory receptor with a


receptor potential whose magnitude is proportional to the


strength of the stimulus (Figure 9–1). This generates all-or-


none action potentials in the afferent nerve, the number of


action potentials being proportional to the size of the genera-


tor potential. In the central nervous system (CNS), the


responses are again graded in terms of excitatory postsynaptic


potentials (EPSPs) and inhibitory postsynaptic potentials
(IPSPs) at the synaptic junctions. All-or-none responses are
generated in the efferent nerve. When these reach the effector,
they again set up a graded response. When the effector is
smooth muscle, responses summate to produce action poten-
tials in the smooth muscle, but when the effector is skeletal
muscle, the graded response is always adequate to produce
action potentials that bring about muscle contraction. The
connection between the afferent and efferent neurons is usu-
ally in the CNS, and activity in the reflex arc is modified by
the multiple inputs converging on the efferent neurons or at
any synaptic station within the reflex loop.
The simplest reflex arc is one with a single synapse between
the afferent and efferent neurons. Such arcs are
monosynaptic,
and reflexes occurring in them are called
monosynaptic
reflexes.
Reflex arcs in which one or more interneuron is inter-
posed between the afferent and efferent neurons are called
polysynaptic reflexes.
There can be anywhere from two to
hundreds of synapses in a polysynaptic reflex arc.
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