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Reflex and Reflex Arc

*Reflexus*

For medical students3 min readUpdated 2026-10-10

Reflex is an involuntary response of the organism to changes in the external or internal environment, mediated strictly through the nervous system. The structural and functional basis of this response is the reflex arc, which integrates receptors, pathways, and effector tissues into a single functional chain.

TermIntroduced by the French physician Jean Astruc in 1743
Arc ComponentsConsists of 5 obligatory components
CNS NeuronsApproximately 10 billion cells in the human spinal cord and brain
ExcitationSignal transmission mechanisms are explained by electrical and chemical theories

Anatomy of the Reflex Arc

The reflex arc is the structural and functional foundation of any reflex response, no matter how complex. For a specific response to a stimulus to occur, the nerve impulse must travel a precise pathway. The arc comprises five elements:

  1. Receptor — sensory nerve endings that first perceive the stimulus.
  2. Afferent pathway — sensory nerve fibers transmitting the signal from the periphery to the central nervous system.
  3. Nerve center — a region of the CNS where integration and processing of information take place.
  4. Efferent pathway — motor nerve fibers carrying the impulse to the periphery.
  5. Effector — the target organ. This can be muscle tissue (responding with contraction) or secretory glandular tissue (responding with secretion).

A critically important rule: a reflex is possible only if all five links are intact. If the chain is interrupted at any stage, the response will not occur.

Classification of Reflex Responses

All reflex activity is broadly divided into two main categories.

The Neuron as the Foundation of the Nervous System

The activity of the central nervous system is rooted in processes occurring within neurons. A neuron consists of a cell body (soma), numerous dendritic branches (which bear a high density of synapses), and a single axon that may give off collateral branches.

According to the principles of neuronal organization formulated by Santiago Ramón y Cajal, the cell represents a morphological, genetic, and functional unit. A fundamental law is the law of dynamic polarization: excitation propagates through a neuron in strictly one direction (from dendrites to axon). There is also strict trophic interdependence: if the cell body of a neuron is destroyed, the axon degenerates, and the ligation of an axon leads to the death of the entire cell.

Functionally, neurons are divided into:

Signal Generation and Transmission

The mechanisms of neuronal excitation are explained by two complementary theories.

The electrical theory relies on membrane heterogeneity. Integrator synapses (accounting for 75% of the surface area) are located on dendrites, which possess voltage-gated conductivity via calcium channels. Synaptic excitation creates a potential difference between the cell body and the axon hillock (the origin of the axon). The hillock is positively charged and devoid of synapses. When the potential difference rapidly increases, spike activity (action potential) is generated specifically at this site.

The chemical theory attributes excitation to the release of neurotransmitters:

Neuromodulators — such as oligopeptides (opioids, substance P, angiotensin II, vasopressin, oxytocin) — can modulate transmission efficiency.

Integrative Activity according to P.K. Anokhin

A neuron does not merely relay a signal. Its integrative activity involves three stages:

  1. Convergence of diverse excitatory inputs onto the cell's synapses.
  2. Generation of an integrative state within the cytoplasm (information processing).
  3. Formation of a specific impulse pattern along the axon.

This process is accompanied by the expression of specific proteins by the neuronal genome, which establishes a distinct membrane response. Consequently, the neuron selectively responds only to those excitations that contribute to satisfying the initial physiological need of the organism.

Mnemonic

To easily remember the 5 components of the reflex arc, use the sequence: Receptor, Afferent pathway, Center, Efferent pathway, Effector (R-A-C-E-E).

Frequently asked questions

By what criteria are reflexes classified in normal physiology besides their origin (conditioned/unconditioned)?

In normal physiology, reflexes are classified according to several criteria:

  • By localization of centers — spinal, bulbar, brainstem, cortical.
  • By relationship to regulated organs — somatic, autonomic.
  • By effector type — motor (muscle), secretory.
  • By central synapse number — monosynaptic, polysynaptic.
  • By functional significance — flexor and extensor, static and statokinetic, single and chain, tendon and myotatic.
  • By biological significance — protective (defensive), orienting.

Classifications based on the interaction between the somatic and autonomic nervous systems are also applied.

What types of central inhibition exist within reflex arcs?

Central inhibition is classified by electrophysiological mechanism and anatomical localization. Based on electrophysiological properties:

  • Hyperpolarizing inhibition — decrease in tissue excitability due to hyperpolarization.
  • Persistent depolarizing inhibition — prevention of membrane potential recovery to resting state due to high-frequency excitation.
  • Stabilizing inhibition — blockade of membrane sodium permeability without altering the resting potential.

Based on localization:

  • Presynaptic inhibition — occurs in axo-axonal synapses, blocking impulse propagation before reaching the main neuron.
  • Postsynaptic inhibition — occurs in axosomatic synapses, directly inhibiting the postsynaptic neuron.

Additionally, reciprocal (coupled) inhibition is recognized.

What happens if one of the components of the reflex arc is damaged?

The reflex will completely disappear. The primary requirement for any reflex response is the absolute integrity of all five components of the arc.

Where exactly in the neuron is the nerve impulse generated?

Action potential generation occurs at the initial segment, known as the axon hillock. This region is positively charged and lacks synapses.

How are conditioned and unconditioned reflexes related?

The establishment of a conditioned reflex is based on reinforcement — the interaction between the new (conditioned) excitation arc and the arc of a strong unconditioned reflex that satisfies essential survival needs.

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