Lecture 5 Flashcards

Focuses on basic spinal cord anatomy, spinal roots and nerves, myotomes, and clinical terms (60 cards)

1
Q

How many spinal segments are there?

A

31

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2
Q

Where does the spinal cord end in comparison to the spine?

A

The cord ends around the level of the L1/L2 vertebrae

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3
Q

What are the roots that hang down below the L2 vertebrae called?

A

Cauda Equina

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4
Q

What anchors the spinal cord at the bottom?

A

filum terminale - an extension of the pia mater

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5
Q

How many cervical segments do we have?

A

8

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6
Q

How many thoracic *segments *do we have?

A

12

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7
Q

How many lumbar segments do we have?

A

5

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8
Q

How many sacral and coccygeal segments do we have?

A

5 sacral, 1 coccygeal

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9
Q

What is the end of the spinal cord called?

A

Conus Medullaris

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10
Q

Where do cervical nerve roots exit the spine?

A

Above the associated cervical vertebrae

exception: C8 exits below C7, between C7/T1

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11
Q

Where do thoracic and lumbar nerve roots exit the spine?

A

Below the associated vertebrae

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12
Q

Where is the cervical enlargement of the spine?

A

Between C5 and T1

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13
Q

Where do nerves from the cervical enlargement primarily project to?

A

Arms

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14
Q

Where is the lumbosacral enlargement of the spine?

A

Between L1 and S3

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15
Q

Where do nerves from the lumbosacral enlargement primarily project to?

A

Legs

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16
Q

What type of matter is highly concentrated in the higher regions of the spinal cord?

A

White matter (descending tracts)

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17
Q

What type of matter is highly concentrated in the lower regions of the spinal cord?

A

Gray matter (ascending tracts)

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18
Q

Define a myotome

A

All of the muscles innervated by a single spinal cord segment

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19
Q

What areas do the cervical nerves project to?

A

Head, neck, arms, diaphragm

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20
Q

What areas do the thoracic nerves project to?

A

Chest and abdominal muscles

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21
Q

What areas do the lumbar nerves project to?

A

the more proximal leg muscles

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22
Q

What areas do the sacral nerves project to?

A

bowel, bladder, distal muscles of the legs

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23
Q

Myotome C5

What muscle(s) is/are implicated?

A

Deltoid

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24
Q

Myotomes C5/C6

What muscle(s) is/are implicated?

A

Elbow Flexors

i.e. biceps brachii, brachialis

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25
Myotome C6 | What muscle(s) is/are implicated?
Wrist Extensors | i.e. ECRL/ECRB
26
Myotome C7 | What muscle(s) is/are implicated?
Elbow Extensors | i.e. triceps
27
Myotome L4 | What muscle(s) is/are implicated?
Knee Extensors | i.e. quads
28
Myotome L5 | What muscle(s) is/are implicated?
Ankle Dorsiflexors | i.e. tib anterior
29
Myotome S1 | What muscle(s) is/are implicated?
Plantarflexors | i.e. gastrocs, soleus
30
What motor neurons are classified as *lower* motor neurons?
All motor neurons that project out from the brainstem or spinal cord to muscle | not based on physical location, based on where they project
31
What motor neurons are classified as *upper* motor neurons?
All motor neurons that sit in the cortex and project down to the lower motor neurons | not based on physical location, based on where they project
32
List the five symptoms of lower motor neuron lesions
1. Muscle weakness 2. Fasciculations 3. Atrophy 4. Hyporeflexia 5. Hypotonia
33
What is the general definition of muscle weakness?
Loss of ability to produce force against resistance
34
Define paresis
weakness
35
Define -plegia/paralysis?
no movement
36
Define palsy
An imprecise term for weakness or no movement
37
Define Hemi-
One side of the body
38
Define Para-
Both legs
39
Define Mono-
One limb
40
Define Di-
Both sides of the body are equally affected
41
Define Quadri- or Tetra-
All four limbs
42
What is a 0 on the muscle strength scale?
No movement
43
What is a 1 on the muscle strength scale?
Slight contraction, no movement
44
What is a 2 on the muscle strength scale?
Movement possible without gravity
45
What is a 3 on the muscle strength scale?
Movement possible with gravity
46
What is a 4 on the muscle strength scale?
Movement possible with some resistance
47
What is a 5 on the muscle strength scale?
Movement possible with full resistance
48
What are some critical steps of testing for muscle strength?
1. Test both sides!! 2. Isolate the joint 3. Ask for voluntary contraction
49
What causes fasciculations?
Denervation hypersensitivity (chronic loss of input causes synapses to become hypersensitive)
50
What are fasciculations?
Uncontrollable muscle twitching
51
What are the two causes of muscle atrophy?
1. Loss of trophic influences 2. Disuse
52
How do we define atrophy?
Reduction in the anatomical cross-sectional area of the muscle
53
What is a 0 on the deep tendon reflex scale?
Absence of reflex
54
What is a 1 on the deep tendon reflex scale?
Decreased but present reflex
55
What is a 2 on the deep tendon reflex scale?
Normal reflex
56
What is a 3 on the deep tendon reflex scale?
Brisk, but excessive
57
What is a 4 on the deep tendon reflex scale?
Non-sustained Clonus
58
What is a 5 on the deep tendon reflex scale?
Sustained Clonus
59
Define Clonus
A repetitive, vibratory contraction of the muscle in response to stretch
60
What is decreased tone sometimes referred to as?
Flaccid paralysis