Anaesthesia & intensive care medicine
Volume 9, Issue 5 , Pages 210-215, May 2008

Reflexes: principles and properties

James Waterhouse, DPhil, DSc, is Professor of Biological Rhythms at the Research Institute for Sport and Exercise Sciences, Liverpool John Moore’s University

Iain Campbell, MD, FRCA, is Consultant Anaesthetist at the University Hospitals of South Manchester NHS Trust and Visiting Professor of Human Physiology at Liverpool John Moore’s University. He qualified from Guy’s Hospital Medical School, London, and trained in anaesthesia in Zimbabwe, Southend, Montreal and Leeds

Abstract 

The body responds to changing circumstances and environmental threats both consciously and subconsciously. The cognitive response to a physical threat normally involves movement mediated by skeletal muscle. There are a number of control mechanisms ‘hardwired’ into the nervous system which enable muscle systems to respond in an integrated fashion without involving a conscious decision, although the subject is usually conscious of what has happened. These include the stretch reflex, the withdrawal reflex and the crossed extensor reflexes. Muscle spindles, Golgi tendon organs and cutaneous nociceptors provide the sensory input to these reflexes, and muscle spindles also play a role in the control of voluntary movement. The autonomic nervous system controls the internal environment in response to environmental change. It consists of the parasympathetic division, which controls basal and vegetative mechanisms, and the sympathetic nervous system, which controls visceral adaptive responses to any sort of environmental change or threat.

Keywords: fight or flight, neurotransmitters, sympathetic and parasympathetic nervous system, synapses, withdrawal and crossed extensor reflexes

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PII: S1472-0299(08)00055-6

doi:10.1016/j.mpaic.2008.03.010

Anaesthesia & intensive care medicine
Volume 9, Issue 5 , Pages 210-215, May 2008