Kinesiology of PE
Chapter 2: Neuromuscular Fundamentals
Chapter 2: Neuromuscular Fundamentals
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Flashcards
Cervical Nerve Root 2:
dermatome afferent (sensory): touch temple, forehead, occiput
myotome efferent (motor): upper neck muscles
Reflexes: None
Functional app: Sensation behind the ear and posterior skull Capital and upper cervical movements
Cervical Nerve Root 3
Dermatome afferent (sensory) Touch entire neck, posterior cheek, temporal area, under mandible
Myotome efferent (motor) trapezius, splenius, capitis
Reflexes: None
Functional App: Scapula retraction and elevation. Sensation to clavicle and upper scapula
Cervical Root 4
Dermatome afferent(sensory) touch shoulder area, clavicular area, upper scapular area
Myotome efferent (motor) trapezius, levator scapulae
Reflexes: None
Functional App: Scapular retration and elevation. Sensation to clavicle and upper scapula
Cervical Nerve Root 5
Dermatome afferent (sensory) Deltoid area, anterior aspects of entire arm to base of thumb
Myotome efferent (motor) Supraspinatus, infraspinatus, deltoid, biceps brachii
Reflexes: None
Functional App: Shoulder abduction. Sensation to lateral side of arm and elbow
Cervical Nerve Root 6
Dermatome afferent (sensory): Anterior arm, radial side of hand to thumb and index finger
Myotome efferent(motor): biceps, supinator, writs extensors
Reflexes: Biceps Brachii, bracioradialis
Functional App: Elbow flexion, wrist extension. Sensation to lateral side of forearm including thumb and index fingers.
Cervical Nerve Root 7
Dermatone afferent (sensory): Lateral arm and forearm to index, long, and ring fingers
Myotome efferent(motor): Triceps brachii, wrist flexors
Reflexes: Triceps brachii
Functional app: elbow extension, wrist flexion, Sensation to middle of anteriro forarm and long finger
Cervical Nerve Root 8
dermatome afferent (sensory): Medial side of forearm to ring and little fingers
myotome efferent(motor): Ulnar deviators, thumb extensors, thumb adductors (rarely triceps)
Reflexes: None
Functional App: Wrist ulnar deviation, thumb extension. Sensation to posterior elbow and medial forarm to little fingers
Thoracic Nerve Root 1
Dermatome afferent (sensory): Medial ar and forarm to wrist
Myotome efferent ( motor): Intrinsic muscles of the hand except for opponen pollicis and abductor pollicis bevis
Reflexes: None
Function app: Abduction and adduction of fingers. Senesation to medial arm and elbow.
Thoracic Nerve Root 2
Dermatome afferent(sensory): medial side of upper arm to medial elbow, pectoral and midscapular areas
Motome efferent (motor) intercostal muscles
Reflexes: None
Functional App: Sensation to medial upper arm, upper chest, and midscapular area.
Thoracic Nerve Root 3-12
DERMATOME AFFERENT (SENSORY): T3-T6: UPPER THORAX, T5-T7 COASTAL MARGIN; T8-T12, ABDOMEN AND LUMBAR REGION
MYOTOME EFFERENT (MOTOR): INTERCOSTAL MUSCLES, ABDOMINAL MUSCLES
REFLEXES NONE
FUNCTION APPLICATION: SENSATION TO CHEST, ABDOMEN, AND LOW BACK
LUMBAR NERVE ROOT 1
DERMATOME AFFERENT: LOWER ABDOMEN, GROIN, LUMBAR REGION FROM 2ND TO 4TH VERTEBRAE, UPPER AND OUTER ASPECT OF BUTTOCKS
MYOTOME EFFERENT (MOTOR): QUADRATUS LUMBORUM
REFLEXES: NONE
FUNCTIONAL APP: SENSATION TO LOW BACK, OVER TROCHANTER AND GROIN
LUMBAR NERVE ROOT 2
DERMATOME AFFERENT (SENSORY): LOWER LUMBAR REGION, UPPER BUTTOCK, ANTERIOR ASPECT OF THIGH
MYOTOME EFFERENT (MOTOR): ILIOPSOAS, QUADRICEPS
REFLEXES: NONE
FUNCTIONAL APP: HIP FLECTION. SENSATION TO BACK, FRONT TO THIGH TO KNEE
LUMBAR NERVE ROOT 3
DERMATOME AFFERENT (SENSORY) MEDIAL ASPECT OF THIGH TO KNEE, ANTERIOR ASPECT OF LOWER 1/3 OF THE THIGH TO JUST BELOW PATELA
MYOTOME EFFERENT (MOTOR) PSOAS, QUADRICEPS
REFLEXES: PATELLA OR KNEE EXTENSORS
FUNCTIONAL APP: HIP FLEXION AND KNEE EXTENSION. SENSATION TO BACK, UPPER BUTTCK, ANTERIOR THIGH AND KNEE, MEDIAL LOWER LEG
Lumbar Nerve Root 4
Dermatome afferent (sensory): medial aspect of lower leg and foot, inner border of foot, great toe
Myotome efferent (motor) tibialis anterior, extensor hallucis and digitorum longus, peroneals
Reflexes: patella or knee extensors
function app: ankle dorsiflexion, transverse tarsal/subtalar inversion. Sensation to medial buttock lateral thigh, medial leg, dorsum of foot, great toe.
Lumbar Nerve Root 5
Dermatome afferent (sensory): lateral border of leg, anterior surface of lower leg, top of foot to middle three toes
Myotome efferent (motor): extensor hallucis and digitorum longus,peroneals, gluteus maximus and medius, dorsiflexors
REflexes None
Functional app: Great toe extension, transverse tarsal/ subtalar eversion. Sensation to upper lateral leg, anterior surface of the lower leg, middle three toes
S1
Dermatome afferent (sensry): posterior aspect of the lower 1/4 of the leg, posterior aspect of the foot including the heel, lateral border of the foot and sole
Myotome efferent(motor): gastrocnemius, soleus, gluteus maximus and medius, hamstrings, peroneals
Reflexes: Achilles reflec
Functional App: Ankle plantar flexion, knee flexion, transverse tarsal/subtalar eversion. Sensation to lateral lef, lateral foot, lateral two toes, plantar aspect of foot
S2
Dermatome afferent (sensory): posterior central strip of the leg from below the gluteal fold to 3/4 of the way down the leg
Myotome efferent (motor): gastrocnemius, soleus, gluteus maximus, hamstrings
Reflexes: None
Functional app: Ankle plantar flexion and toe flexion. Sensation to posterior thigh and upper posterior leg
S3
Dermatome afferent (sensory): groin, medial thigh to knee
Myotome efferent (motor): intrinsic foot muscles
Reflexes: None
Functional app: Sensation to groin and adductor region
S4
Dermatome afferent(sensory): Perineum, genitals, lower sacrum
Myotome efferent (motor): bladder, rectum
Reflexes: None
Functional App: Urinary and bowel control. Sensation to saddle area, genitals, anus
Proprioceptors
Internal receptors located in skin, joints, muscles, & tendons that provide feedback relative to tension, length, & contraction state of muscle, the position of the body & limbs, & joint movement.
Muscle spindles & Golgi tendon organs specific to muscles
Meissner’s corpuscles, Ruffini’s corpuscles, Pacinian corpuscles, & Krause’s end-bulbs specific to joints & skin
Kinesthesis
conscious awareness of the position & movement of the body in space.
Proprioception
unconscious awareness of the body’s position in space.
Stretch Reflex
1. Impulse sent to the CNS
2. CNS activates motor neurons of muscle to contract
All muscles possess this stretch reflex
Examples:
Hammer reflex to the quadriceps
Quick jerk of cervical spine when falling asleep
Golgi Tendon Organs (GTO)
Located close to muscle-tendon junction
Are much less sensitive to stretch than muscle spindles requiring a greater stretch reflex to be activated
GTO protects us from excessive contraction by causing the muscle to relax & antagonist to contract
Example- when a weightlifter attempts a heavy resistance during a biceps curl & reaches the point of extreme overload, the GTO is activated, the biceps relaxes & the triceps contract
Pacinian corpuscles
Around joint capsules, ligaments, tendon sheaths, & under skin
Activated by rapid changes in joint angle & by pressure changes affecting joint capsule
Are helpful in providing feedback regarding location of a body part in space during quick movements such as running & jumping
Ruffini’s corpuscles
Located in deep layers of skin & joint capsule
Activated by strong & sudden joint motion & pressure changes
Their reaction to pressure changes is slower than of Pacinian corpuscles
Are essential in providing info as to exact joint angle
Meissner's corpuscles & Krause's end-bulbs
Located in skin & subcutaneous tissues
Important in receiving stimuli from touch
All or none principle
The individual muscle fibers within a motor unit will fire & contract maximally or not at all
Muscle Fiber Types
Type1: Slow twitch, Produce less force; fatigue slower
Type 2: Fast twitch, produces greater forces, fatigue faster
neuromuscular concepts
Number of muscle fibers recruited
Frequency of motor unit activation
recruitment of motor units containing fast twitch fibers
muscle fibers that are at optimal length
action potential-electrical signal needed for motor unit to fire
subthreshold stimulus-when stimulus is not strong enough to cause action
Threshold stimulus-when stimulus is strong enough to cause action
Phases of a single muscle contraction/twitch
1. stimulus is received
2. Latent period-few milliseconds
3. Contraction phase- lasts about 40 milliseconds
4. Relaxation phase- lasts 50 milliseconds
Muscle length-tension relationship
´A “pulling” force
´Tension either passive by external forces or active by internal forces
´Passive tension
´As muscle is stretched beyond normal resting length
´Active tension
Dependent on number of motor units & fibers recruitment
Dependent on length of the muscle
Greatest amount of AT is developed when muscle is stretched between 100%-130% of resting length
Decrease in AT when muscle is 50%-60% of resting length
Muscle force-velocity relationship
Rate of length change is related to amount of force
With low resistance, muscle contracts at high velocity
With high resistance, muscle contracts at low velocity
With max resistance, muscle velocity is zero (isometric contraction)
As resistance increases more, the muscle begins to lengthen slowly; resistance/gravity wins
As resistance is at max, muscle will result in uncontrollable lengthening, or dropping of the load