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176 Cards in this Set

  • Front
  • Back

What type of nerves is the PNS mainly consisting of?

Spinal Nerves: to and from the spinal cord


Cranial Nerves: to and from the brain

What is the function of the nervous system

Sensory input: information gathered by sensory receptors about internal and external changes


Integration: Processing and interpretation of the sensory input


Motor Output: Activation of effector organs (muscles and glands) produces a response

Sensory Division

Afferent


Somatic Sensory Fibers: convey impulses from skin, skeletal muscles, and joints to CNS


Visceral Sensory Fibers: convey impulses from visceral organs to the CNS

Motor Division

Efferent


Transmits impulses from the CNS to effector Organs - muscles and glands


two divisions


Somatic nervous system


autonomic nervous system

Somatic Nervous system

Somatic motor nerve fibers


conducts impulses from CNS to skeletal muscle


Voluntary nervous system


- conscious control of skeletal muscles

Autonomic Nervous System

Visceral motor nerve fibers


regulates smooth muscle, cardiac muscle, and glands


involuntary nervous system


two functional subdivisions


- Sympathetic


- Para sympathetic


- work in opposition of each other

Histology of Nervous Tissue

Highly cellular, little extracellular space (tightly packed)

What are the two principle cell types of the Nervous Tissue

Neuroglia- Small cells that surround and wrap delicate neurons


Neurons (nerve cells)- excitable cells that trasmit electrical signals

Neuroglia of the CNS

CNS


-Astrocytes


-Microglial Cells


-Ependymal Cells


-Oligodendrocytes

Neuroglial of the PNS

Satellite cells


Schwann cells

Astrocytes

Most abundant, versatile, branched glial cell


Cling to neurons, synaptic endings, and capillaries


Blood- Brain Barrier


support and brace neurons


control chemical environment around neurons


respond to nerve impulses and Neurotransmitters


influence neuronal functioning

Microglial Cells

Defense cells in the CNS

Ependymal cells

line the cerebrospinal fluid-filled cavities

Oligodendrocytes

form the myelin sheths around the CNS nerve fibers

Satellite Cells

Surround neuron cell bodies in the PNS


Function similar to Astrocytes of CNS

Schwann Cells

Neurolemmocytes


surround all peripheral nerve fibers and form myelin sheaths in thicker nerve fibers


vital to regeneration of damaged peripheral nerve fibers

Neurons

Structural Units of the nervous system


large, highly specialized cells that conduct impulses


extreme longevity (100+ years)


Amitotic


High metabolic rate- requires continuous supply of oxygen and glucose


all have cell body (soma) and one or more processes (axons and dendrites)

Neuron Cell Body

Perikaryon or soma


Center of neuron


Nuclei- clusters of neuron cell bodies in CNS


Ganglia- groups of neuron cell bodies in the PNS

Neuron Processes

two types of processes


dendrites and axons


Tracts- bundles of neuron processes in CNS


Nerves- Bundles of neuron processes in PNS

Dendrites

Function: receptive (input) region of neuron


convey incoming messages toward cell body as graded potentials (short distance signals)


dendritic spines- collect information

Axon- Structure

axon hillock- cone shaped area of cell body


long axons are called Nerve Fibers


Axon Collaterals- occasional branches


distal endings called axon terminals or terminal boutons

Axon- Function

Conducting region of neuron; generates nerve impulses


transmits them along Axolemma (neuron cell membrane) to axon terminal


neurotransmitters are released from axon ternimal into a synapse


lacks rough ER and golgi apparatus

transport along the axon

molecules and organelles are moved along axons by motor proteins and cytoskeletal elements


movement in both directions


Anterograde- away from cell body


-ex mitochondria, cytoskeleton elements, membrane parts, enzymes


Retrograde- toward cell body


-ex organelles to be degraded, signal molecules, viruses, bacterial toxins

Myelin Sheath

composed of myelin


- whitissh, protein-lipoid substances


segmented sheath around most long or large-diameter axons


-Myelinated Fibers


function:


protects and electrically insulates axon


increases speed of nerve impulse transmission

Myelination in the PNS

plasma membranes of myelinating cells have less proteins


-no channels or carriers


-good electrical insulators


-interlocking proteins bind adjacent myelin membranes


Myelin sheath gaps


-gaps between adjacent Schwann Cells


-sites where axon collaterals can emerge


-called nodes of ranvier


Nonmyelinated fibers


thin fibers not wrapped in myelin, surrounded by schwann cells but no coiling; one cell may surround 15 different fibers

Myelin Sheaths in the CNS

formed by multiple, flat processes of oligodendrocytes, not whole cells


can wrap up to 60 axons at once


myelin sheath gap is present


no outer collar of perinuclear cytoplasm


thinnest fibers are unmyelinated


white matter and gray matter



White Matter

regions of brain and spinal cord with dense collections of mylinated fibers

Gray Matter

Mostly neuron cell bodies and nonmyelinated fibers

Functional Classification of Neurons

Grouped by direction in which nerve impulse travels relative to CNS


Three Types


Sensory (afferent)


Motor (efferent)


Interneurons

Sensory

Transmit impulses from sensory receptors towards CNS


almost all are unipolar


Cell Bodies in ganglia in PNS

Motor

Carry impulses from CNS to effectors


multipolar


most cell bodies in CNS (except some autonomic neurons)

Interneurons (association neurons)

Lie between motor and sensory neurons


Shuttle signals through CNS pathways; most are entirely within CNS


99% of body's neurons most confined in CNS

Membranes Potentials

Neurons (and muscle fibers) are highly excitable


respond to adequate stimulas by generating an action potential (nerve impulse)

Basic Principles of Electricity

Opposite charges attract each other


Energy is required to separate opposite charges across a membrane


Energy is liberated when the charges move toward one another


If opposite charges are separated, the system has potential energy

Voltage

is a measure of potential energy generated by separated charge


measured between two points in volts


Called potential difference or potential


greater charge difference between points = higher voltage

Current

is the flow electricalcharge (ions) between two points


-can be used to do work

Resistence

hindrance to charge flow


insulator- substance with high electrical resistance


conductor- substance with low electrical resistance

Ohms Law

Current (I) = Voltage (V) / resistance (R)


current and voltage is directly proportional


no net current flow between points with same potential


current inversely related to resistance

Role of Membrane Ion Channels

Large transmembrane proteins serve as selective membrane ion channels


Two main types of ion channels


Leakage (nongated) channels- always open


Gated- part of protein changes shape to open/close channel

Role of Membrane Ion Channels: gated channels

Three Types


Chemically Gated (ligand-gated) channels


- open with binding of a specific neurotransmitter


Voltage-Gated channels


- Open and close in response to changes in membrane potential

Mechanically gated channels

Open and close in response to physical deformation of receptors, as in sensory receptors

Gated Channels

When gated channels are open


-ions diffuse quickly across membrane along electrochemical gradients


Ion flow creates an electrical current and voltage changes across membrane

Resting Membrane Potential

Potential difference across membrane of resting cell


Generated by


differences in ionic makeup of ICF and ECF


differential permeability of the plasma membrane


ECF has higher [] of Na+ than ICF- balanced by Cl-


ICF has higher [] of K+ than ECF- balanced by - charged proteins


Depolarization

decrease in membrane potential (towards zero and above)


Inside of membrane becomes less negative than resting membrane potential


Increases probability of producing a nerve impulse

Hyperpolarization

An increase in membrane potential (away from zero)


Inside of cell more negative than resting membrane potential


Reduces probability of producing a nerve impulse

Graded Potential

SAhort-lived, localized changes in membrane potential


either depolarized or hyperpolarization


triggered by stimulus that opens gated ion channels


Current flows but dissipates quickly and decays

Action Potential

Principle way neurons send signals


principle means of long-distance neural communication


occur only in muscle cells and axons of neurons


brief reversal of membrane potential with change of ~100 mV


do not decay over distance as graded potentials do

Properties of Gated Channels

Each Na+ channel has two voltage- sensitive gates


Activation gates


- closed at rest; open with depolarizion allowing Na+ to enter cell


Inactivation gates


- open at rest; block channel once it is open to prevent more Na+ from entering cell


Each K+ channel has one voltage-sensitive gate


closed at rest


opens slowly with depolarization

Generation of action potential: resting site

All gated Na+ and K+ channels are closed


only leakage channels for Na+ and K+ are open


- this maintains the resting membrane potential

Generation of an action potential: Depolarizing Phase

Depolarizing local currents open voltage-gated Na+ channels


- Na+ rushes into cells


Na+ influx causes more depolarization which opens more voltage-gated Na+ channels -> ICF


At threshold (-55 to -50 mV) positive feedback causes opening of all voltage-gated Na+ channels to open -> a reversal of membrane polarity of +30mV

Generation of an Action Potential: Repolarizing Phase

Na+ channel slow inactivation gates close


Membrane permeability to Na+ declines to resting states


- action potential spike stops rising


Slow voltage-gated K+ channels open


- K+ exits the cell and internal negativity is restored

Generation of Action Potential: Hyperpolarization

Some K+channels remain open, allowing excessive K+ efflux


- Inside of membrane more negative than resting state


This causes hyperpolarization of the membrane (slight dip below below resting voltage)


Na+ channels begin to reset

Role of the Sodium-Potassium Pump

Repolarization resets electrical conditions not ionic conditions


After repolarization Na+/K+ pumps (thousands of them in an axon) restore ionic conditions


-3 Na+ pumped out of cell


- 2 K+ pumped into cell

Threshold

Not all depolarization events produce APs


For axon to "fire," depolarization must reach threshold


- that voltage at which the AP is triggered


At threshold:


- membrane has been depolarized by 15-20 mV


- Na+ permeability increases


- Na+ influx exceeds K+ efflux


- the positive feedback cycle begins

All of None Phenomenon

An AP either happens completely, or it does not happen at all

Propagation of an Action Potential

Propagation allow AP to serve as a signaling device


Na+ influx causes local currents


- local currents cause depolarization of adjacent membrane areas in direction away from AP origin (toward axon's terminals)


- Local currents trigger an AP there


- This causes the AP to propagate AWAY from the AP origin


Since Na+ channels closer to AP origin are inactivated no new AP is generated there

Absolute Refractory Period

When voltage-gated Na+ channels open neuron cannot respond to another stimulus


Absolute Refractory Period


- Time from opening the Na+ channels until resetting of the channels


- Ensure that each AP is an all-or-none event


- Enforces one-way transmission of nerve impulses

Relative Refractory Period

Follows absolute refractory period


- Most Na+ channels have returned to their resting state


- Some K+ channels still open


- Repolarization is occuring


Threshold for AP generation is elevated


- inside of membrane more negative than resting state


Only exceptionally strong stimulus could stimulate an AP

Conduction Velocity

Conduction velocities of neurons vary widelt


Rate of AP propagation depends on-


- Axon Diameter


- Large diameter fibers have less resistance to local current flow so faster impulse conduction


-Degree of Myelination


- Continuous Conduction in nonmyelinated axons is slower than saltatory conduction in myelinated axons

Conduction Velocity: Effects of Myelination

Myelin sheaths insulate and prevent leakage of charge


saltatory conduction (possible only in myelinated axons) is about 30 times faster


- Voltage-gated Na+ channels are located at myelin sheath gaps


- APs generated only at gaps


- Electrical signal appears to jump rapidly from gap to gap

Conduction Velocity: Effects of Myelination

Myelin Sheaths insulate and prevent leakage of charge


Saltatory conduction (possible only in myelinated axons) is about 30 times faster


- Voltage-gated Na+ channels are located at myelin sheath gaps


- APs generated only at gaps


- Electrical signal appears to jump rapidly from gap to gap

Nerve Fiber Classification

Nerve Fibers classified according to:


-Diameter


-Degree of Myelination


-Speed of conduction

Nerve Fiber Classification: Groups

Group A fibers


- large diameter, myelinated somatic sensory motor fibers of skin, skeletal muscles, joints


Group B Fibers


- Intermediate diameter, lightly myelinated fibers


Group C Fibers


- Smallest diameter, unmyelinated ANS fibers

The Synapse

Nervous System works because information flows from neuron to neuron


Neurons functionally connected by synapses

Synapse Classifications

Axodendritic- btw axon terminals of one neuron and dendrites of others


Axosomatic- btw axon terminals of one neuron and soma of others


less common types


Axoaxanal (axon to axon)


dendrodendritic (Dendrite to dendrite)


somatodendritic (dendrite to soma)

Presynaptic neuron

Neuron conducting impulses toward synapse


sends the information

Postsynaptic neuron

in PNS may be a neuron, muscle cell, or gland cell


- neuron transmitting electrical signal away from synapse


- receives the information

Chemical Synapses

Specialized for release and reception of chemical neurotransmitters


typically composed of two parts


Two parts separated by Synaptic cleft


Electrical impulse changed to chemical across synapse, then back into electrical

Synaptic Cleft

Fluid- filled space


Prevents nerve impulses from directly passing from one neuron to next


Transmission across synaptic cleft


- clemical event


- depends on release, diffusion, and receptor binding of neurotransmitters


- ensures unidirectional communication between neurons


Information transfer across Chemical synapsis

AP arrives at axon terminal of presynaptic neuron


Causes voltage-gated Ca2+ channels to open


Synaptotagmin- protein binds Ca2+ and promotes fusion of synaptic vesicles with axon membrane


Exocytosis of neurotransmitter into synaptic cleft occurs

Termination of Neurotransmitter effects

Reuptake- by astrocytes or axon terminal


Degradation- by enzymes


Diffusion- away from synaptic cleft

Synaptic delay

rate-limiting step of neural transmission

Postsynaptic Potentials

Neurotansmitter receptors cause graded potentials that vary in strength with:


- amount of neurotransmitter released


- time neurotransmitter stays in area


Types of postsynaptic potentials


- EPSP- excitatory postsynaptic potentials


- ISPS- inhibitory postsynaptic potentials

Excitatory Synapses and ESPSs

Neurotransmitter binding opens chemically gated channels


- allows simultaneous flow of Na+ and K+ in opposite directions


Na+ influx greater than K+ efflux -> net depolarization called EPSP (not AP)


EPSP help trigger AP if EPSP is of threshold strength


- can spread to axon hillock trigger opening of voltage-gated channels, and cause AP to be generated

Inhibitory Synapses and IPSP

reduces postsynaptic neuron's ability to produce an action potential


- makes membrane more permeable to K+or Cl-


- if K+ channels open, it moves out of the cell


- if Cl- channels open, it moves into cell


therefore neurotransmitter hyperpolarizes cell


- inner surface of membrane becomes more negative


-AP less likely to be generated

Synaptic Integration: Summation

A single EPSP cannot induce an AP


EPSPs can summate to influence postsynaptic neuron


IPSPs can also summate


Most neurons receive both excitatory and inhibitory from thousands of other neurons


- only if EPSPs predominate and bring to threshold -> AP

Types of Summation

Temporal Summation


- one or more presynaptic neurons transmit impulses in rapid-fire order


Spatial Summation


- Postsynaptic neuron stimulated simultaneously by large number of terminals at the same time

Integration: Presynaptic Inhibition

Excitatory neurotransmitter release by one neuron inhibited by another neuron via an axoaxonal synapse


less neurotransmitter released


smaller EPSPs formed

Integration: Synaptic Potential

repeated use of synapse increases ability of presynaptic cell to excite postsynaptic neuron


- Ca2+ [] increases in presynaptic terminal and post synaptic neuron


Brief high-frequency stimulation partially depolarizes postsynaptic neuron


- chemically gated channels (NMDA receptors) allow Ca2+ entry


- Ca2+ activated kinase enzymes that promote more effective responses to subsequent stimuli

Neurotransmitters

Language of nervous system


50 or more neurotransmitters


most neurons make two or more neurotransmitters


- usually released at different stimulation frequencies


Neurotransmitters are classified by chemical structure and by function

Classification of Neurotransmitters: function

Can classify by


-Effects


- excitatory versus inhibitory


-Actions


- direct versus indirect

Classification of Neurotransmitters: Functions: Effects

Neurotransmitter effects can be


-excitatory (depolarizing)


-inhibitory (hyperpolarizing)


Effects determined by the neurotransmitter receptor to which it binds. Examples:


-GABA and glycine usually inhibitory


-Glutamate usually excitatory


-ACh binds to at least two receptor types with opposite effects


-ACh excitatory at neuromusclar junctions


-ACh inhibitory in cardiac muscle

Classification of Neurotransmitters: Direct versus Indirect Actions


Direct Action

Direct Action- (ex. ACh)


Neurotransmitter binds to and opens ligand/chemically-gated ion channel


Promotes rapid responses by altering membrane potential

Channel-Linked (Ionotropic) neurotransmitter Receptors: Mechanism of Action

Ligand/chemically-gated ion channels


Neurotransmitter is the ligand


Action is direct, immediate and brief


Excitatory receptors are channels for small cations


Inhibitory receptors allow Cl- influx that causes hyperpolarization

Classification of Neurotransmitters: Direct versus Indirect Action


Indirect Action

Indirect Action


Neurotransmitter acts though intracellular second messengers, usually G protein signal transduction pathways


Broader, longer-lasting effects similar to hormones


Biogenic amines, neuropeptides,and dissolvedd gases

G Protein-Linked (Metabotropic) Neurotransmitter Receptors: MEchanism of Action

Responses are indirect, complex, slow, and often prolonged


Transmembrane protein complexes


Cause widespread metabolic changes


ex. Muscarinic ACh receptors, receptors that bind biogenic amines and neuropeptides

Acetylcholine (ACh)

Released at


-Neuromuscular junctions


-by some ANS neurons


-by some CNS neurons


Degraded by the enzyme acetylcholinesterase (AChE)


ACh pharmacology and toxicology


-AChE blocked by nerve gas, causing tetanic muscle spasms


-Botox inhibits ACh release

Acetylcholine receptors

Nicotinic ACh receptor


-excitatory


-direct action


-located on


-skeletal muscles, ANS ganglia, CNS neurons


-inhibited by the drug curare, causing muscle paralysis


Muscarinic ACh Receptor


-excitatory or inhibitory depending on receptor subtype


-indirect action


-located on parasympathetic postganglionic fibers in ANS

Biogenic Amines

Catecholamines


- dopamine, norepinephrine, and epinephrine


- synthesized from amino acid tyrosine


Indolamines


- serotonin, sythesized from amino and tryptophan


- histamine, sythesized from amino acid histidine


Broadly distributed in brain


imbalances associated with menth illness


(depression, anxiety, schizophrenia)

Classification of Neurotransmitters: Chemical Structure: Peptides

Peptides (neuropeptides)


-Substance P


- Mediator of pain signals


- Endorphins


- beta endorphins, dynorphin and enkephalins


- act as natural opiates; reduce pain perception


-Gut-Brain Peptides


- Somatostatin and Cholecystokinin

Classification of Neurotransmitters: Chemical Structure: Purines

ATP


Adenosine


- Potent inhibitor in brain


- caffeine blocks adenosine receptors


act in both CNS and PNS


produce fast or slow responses


induce Ca2+ influx in astrocytes

Classification of Neurotransmitters: Chemical Structure: Gases and Lipids

Nitric Oxide (NO), Carbon monoxide (CO), Hydrogen sulfide gases (H2S)


Bind with G protein- coupled receptors in the brain


Lipid soluble


Synthesized on demand


No involved in learning and formation of new memories; brain damage in stroke patients, smooth muscles relaxation in intestines

Classification of Neurotransmitters: Chemical Structure: Endocannabinoids

Act at same receptors as THC (active ingredient in marijuana)


Lipid soluble


Synthesized on demand


Believed involved in learning and memory


May be involved in neuronal development, controlling appetite, and suppressing nausea

Types of Circuits

Circuits


- patterns of synaptic connections in neuronal pools


four types of circuits


- diverging


- converging


- reverberating


- parallel after-discharge

Diverging

One input, many outputs

Converging

Many inputs, one outputs

Reverberating

signal travels through a chain of neurons, each feeding back to previous neurons

Parallel

Signal stimulates neurons arranged in parallel arrays that eventually converge on a single output cell


Endoneurium

loose connective tissue that encloses axons and their myelin sheaths

Perineurium

Coarse connective tissues that bundles fibers into fascicles

Epineurium

tough fibrous sheath around a nerve

Sensation versus perception

Sensation- Conscious awareness of stimuli


Perception- Interpretation of meaning of stimulus

Classification of Sensory Receptors

Based on-


- type of stimulus they detect


- Location in body


- Structural complexity

Mechanoreceptors

respond to touch, pressure, vibration, and stretch

Thermoreceptors

sensitive to changes in temperature

Photoreceptors

respond to light energy

Chemoreceptors

respond to chemistry


-smell, taste, changes in blood chemistry

Nociceptors

sensitive to pain-causing stimuli


- extreme heat or cold, excessive pressure, inflammatory chemicals


player in detection- vanilloid receptor


- ion channel opened by heat, low pH, chemicals


respond to:


- pinching, chemicals from damaged tissue, capsaicin

Exteroceptors

respond to stimuli arising outside body


receptors in skin for touch, pressure, pain, and temperature


Most special sense organs


- photoreceptors for visions, mechanoreceptors for hearing, chemoreceptors for smell and taste

Interoceptors (visceroceptors)

Respond to stimuli arising in internal viscera and blood vessels


sensitive to chemical changes, tissue stretch, and temperature changes


Sometimes cause discomfort but we are usually unaware of their workings

Proprioceptors

Respond to stretch in skeletal muscles, tendons, joints, ligaments, and connective tissue coverings of bones and muscles


inform brain of one's movements

Classification by receptor structure

simple receptors for general senses


- tactile sensations (touch, pressure, stretch, vibrations), temperature, pain, and muscle sense


receptors for special senses


- vision, hearing, equilibrium, smell, and taste

Nonencapsulated nerve ending

abundant in epithelia and connective tissues


most nonmyelinated, small-diameter group C fibers; distal endings have knoblike swellings


Respond mostly to temperature and pain; some to pressure-induced tissue movement; itch

Encapsulated Dendritic Endings

Tactile corpuscles- discriminative touch


Lamellar corpuscles- deep pressure and vibration


Bulbous corpuscles- deep continuous pressure


Muscle spindles- muscles stretch


Tendon organs- stretch in tendons


Joint Kinesthetic receptors- joint position and motion

Phasic Receptors

Fast acting


signal beginning or end of stimulus


Examples:


- receptors for pressure, touch, and smell

Tonic Receptors

adapt slowly or not at all


Examples


- nociceptors and most propioceptors

Processing at the Circuit Level

Pathways of three neurons conduct sensory impulses upward to appropriate cortical regions


First Order sensory neurons


-conduct impulses from receptor level to spinal reflexes or second order neurons in CNS


Second Order sensory neurons


-transmit impulses to 3rd order sensory neurons


Third Order sensory neurons


-conduct impulses from thalamus to somatosensory cortex (perceptual level) in brain

Processing at the Perceptual Level

Interpretation of sensory input depends on specific location of target neurons in sensory cortex


Perceptual detection


-ability to detect a stimulus


Magnitude estimation


-intensity coded in frequency of impulses


Spatial discrimination


-identifying site or pattern of stimulus

Main Aspects of Sensory Perception

Feature Abstraction


-identification of more complex aspects and several stimulus properties


Quality Discrimination


-ability to identify submodalities of sensation


Pattern recognition


-recognition of familiar or significant patterns in stimuli

Perception of Pain

Pain warns of actual or impending tissues damage-> protective action


Painful stimuli include extreme pressure and temperature, histamine, K+, ATP, acids, and bradykinin


impulses travel on fibers that release neurotransmitters glutamate and substance P


Some pain impulses are blockedby inhibitory endogenous opioiods

Pain Tolerance

All people perceive pain at same stimulus intensity


pain tolerances varies


"sensitive to pain"means low pain tolerance, not low pain threshold


genes help determine pain tolerance,response to pain medications

Visceral and Referred Pain

Stimulation of visceral organ receptors


-felt as vague aching, gnawing, burning


-activated by tissue stretching, ischemia, chemicals, muscle spasms


Referred pain


-pain from one body region perceived from different region


-visceral and somatic pin fibers travel in same nerves; brain assumes stimulus from common region

Reflexes

Inborn (intrinsic) reflex- rapid, involuntary, predictable motor response to stimulus


Learned (acquired) reflex- result from practice or repetition


Somatic- activate skeletal muscle


Autonomic- activate visceral effectors (smooth or cardiac muscle or glands)

Receptor

Site of Stimulus action

Sensory Neuron

transmits afferent impulses to CNS

Integration Center

either monosynaptic or polysynaptic region within CNS

Motor neuron

conducts efferent impulses from integration center to effector organ

Effector

muscle fiber or gland cell that responds to efferent impulses by contracting or secreting

Spinal Reflexes

spinal somatic reflexes


-integration center in spinal cord


- effectors are skeletal muscle


Testing of somatic reflexes important clinically to assess condition of nervous system


- if exaggerated, distorted, or absent-> degenerageration/pathology of specific nervous system regions

Stretch and Tendon Reflexes

to smoothly coordinate skeletal muscle nervous system must receive proprioceptor input regarding:


-length of muscle


- from muscle spindles


-Amount of tension in muscles


- from tendon origins

The stretch Reflex

Maintains muscle tone in large postural muscles, and adjusts it reflexively


- causes muscle contraction in response to increased muscle length (stretch)


How they work:


stretch activates muscle spindles

The stretch reflex: Positive reflex

Indicate:


- sensory and motor connections between muscle and spinal cord intact


- Strength of response indicated degree of spinal cord excitability


Hypoactive or absent if peripheral nerve damage or ventral horn injury


Hyperactive if lesions of corticospinal tract

The Tendon Reflex

Postsynaptic reflexes


Helps Prevent damage due to excessive stretch


important for smooth onset andtermination of muscle contraction


Produces muscle relaxation (lengthening) in response to tension


- Contraction or passive stretch activates tendon reflex


- afferent impulses transmitted to spinal cord


- contracting muscle relaxes; antagonist contracts (reciprocal Activation)


- Information transmitted simultaneously to cerebellum and used to adjust muscle tension

The Flexor Reflex

Initiated by painful stimulus


causes automatic withdrawal of threatened body part


Ipsilateral and polysynaptic


Protective; important


Brain can override


Crossed

Crossed Extensor Reflex

Occurs with flexor reflexes in weight-bearing limbs to maintain balance


Consists of ipsilateral withdrawal reflex and contralateral extensor reflex


- stimulated side withdrawn (flexed)


- Contralateral side extended

Superficial Reflexes

Elicited by gentle cutaneous stimulation


depends on upper motor pathways and cord-level reflex arcs


Best Known:


- Plantar Reflex


- Abdominal Reflex

Plantar Reflex

Stimulus - stroke of lateral aspect of sole of foot


Response - downward flexion of toes


Damageto motor cortex or corticospinal tracts -> abnormal response = Babinski's sign


- Hallux dorsiflexes; only digits fan laterally


- normal in infant to ~1 year due to imcomplete myelination

Abdominal Reflexes

Cause contraction of abdominal muscles and movement of umbilicus in response to stroking of skin


Vary in intensity from one person to another


Absent when corticospinal tract lesions present

Spinal Nerves

Only 7 cervical vertebrae, yet 8 pairs of cervical spinal nerves


- 7 exit vertebral canal superior to vertebrae for which named


- 1 exits canal inferior to C7


Other vertebrae exit inferior to vertebra for which named

Ventral and Dorsal Roots

Each spinal nerve connects to the spinal cord via two roots


Ventral Roots:


- contain motor (efferent) fibers from ventral horn motor neurons


- fibers innervate skeletal muscles


Dorsal Roots


- contains sensory (afferent) fibers from sensory neurons in dorsal root ganglia and conduct impulses from peripheral receptors


Dorsal and ventral roots unite toform spinal nerves, which emerge from vertebral column

Rami

Each spinal nerve branches into mixed rami


Dorsal Ramus


Ventral Ramus- larger


Rami communicantes (autonomic pathways) join ventral rami in thoracic region


Contain: Nerve plexuses- interlacing nerve network


Lumbar and sacral roots extend as cauda equina

Plexuses

Within plexus fibers criss-cross


- each branch contains fibers from several spinal nerves


- fibers from ventral ramus go to body periphery via several routes


- each limb muscle innervated by more than one spinal nerve

Cervical Plexus and the neck

Most branches form cutaneous nerves


- innervate skin of neck, ear, back of head, and shoulders


- other branches innervate neck muscles


Phrenic Nerve


- major motor and sensory nerve of diaphragm (receives fibers from C3-C5)


- must be functional for respiration


- irritation -> hiccups

Branchial Plexus: Five Important Nerves

Axillary


Musculocutaneous


Median


Ulnar


Radial

Axillar

Innervates deltoid, teres minor, and skin and joint capsule of shoulder

Musculocutaneous

innervates biceps brachii and brachialis, coracobrachialis, and skin of lateral forearm

Median

Innervates skin, most flexors, forearm pronators, wrist and finger flexors, thumb opposition muscles

Ulnar

Supplies flexor carpi ulnaris, part of flexor digitorum profundus, most intrinsic hand muscles, skin of medial aspect of hand, wrist/finger flexion

Radial

Innervates essentially all extensor muscles, supinators, and posterior skin of limb

Lumbar Plexus

Innervates thigh, abdominal wall, and psoas muscle


Femoral Nerve- innervates quadriceps and skin of anterior thigh and medial surface of leg


Obturator Nerve- passes through obturator foramen to innervate adductor muscles

Sacral Plexus

Longest and thickest nerve of body


innervates hamstring muscles, adductor magnus, and most muscles in leg and foot


composed of two nerves; tibial and common fibular

Innervation of skin: Deratomes

Area of skin innervated by cutaneous branches of single spinal nerve


all spinal nerves except C1 participate in dermatomes


extent of spinal cord injuries ascertained by affected dermatomes


most dermatomes overlap, so destruction of a single spinal nerve will not cause complete numbness

Cranial Nerves

Olfactory Optic Oculomotor


Trochlear Trigemial Abducens


Facial Vestibulocochlear Glossophsaryngeal


Vagus Accessory Hypoglossal



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Olfactory

Purely sensory; carry afferent impulses for sense of smell

Optic Nerve

Purely sensory; carry afferent impulses for vision

Oculomotor Nerve

Chiefly motor nerve; contain a few proprioceptive afferents.

Trochlear Nerves

Primarily motor nerves; supply somatic motor fibers to (and carry proprioceptor fibers from) one of the extrinsic eye muscles, the superior oblique muscle, which passes through the pulley-shaped trochlea

Trigeminal Nerves

Ophthalmic Divisions


- convey sensory impulses from skin of anterior scalp, upper eyelids, and nose


Maxillary Division


- Convey sensory impulses from nasal cavity mucosa, palate, upper teeth, skin of cheek


Mandibular Division


- Convey sensory impulses from anterior tongue, lower teeth, skin of chin

Abducens Nerves

Primarily motor; supply somatic motor fibers to lateral rectus muscle, an extrinsic muscle of the eye. Convey proprioceptorimpulses from same muscle to brain

Facial Nerves

Mixed nerves that are the chief motor nerves of face. five branches: temporal, zygomatic, buccal, mandibular, and cervical

Vestibulocochlear Nerves

Mostly sensory. Vestibular branch transmits afferent impulses fromsense of equilibrium, and sensory nerve cell bodies are located in vestibular ganglia. Cochlear branch transmits afferent impulses for sense of hearing, and sensory nerve cell bodies are located in spiral ganglia within cochlea

Glossopharyngeal Nerves

Mixed nerves that innervate part of the tongue and pharynx. proxide somatic motorfibers to, and carry proprioceptorsfibers from, a superior pharyngeal muscle called the stylopharyngeus, which elevates the pharynx in swallowing

Vagus Nerve

Mixed nerves.Nearly all motor fibers are parasympathetic efferents, except those serving skeletal muscles of pharynx and larynx.Parasympathetic motor fibers supply heart, lungs, and abdominal viscera and are involved in regulating heart rate, breathing, and digestive system activity

Accessory Nerves

Mixed nerves, but primarily motor in function. Supply motor fibers to trapezius and sternocleidomastoid muscles, which together move head and neck, and convey proprioceptor impulses from same muscles

Hypoglossal Nerves

Mixed nerves, but primarily motor in function. Carry somatic motor fibers to intrinsic and extrinsic muscles of tongue, and proprioceptor fibers from same muscles to brain stem. Hypoglossal nerve control allows tongue movements that mix and manipulate food during chewing, and contribute to swallowing and speech

Primary Mover

Agonist


Major responsibility for producing specific movement

Antagonist

Opposes or reverses particular movement


prime mover and antagonist on opposite sides of joint across which they act

Synergist

Help prime movers


- adds extra force to same movement


- reduces undesirable or unnecessary movement

Fixator

synergist that immobilizes bone or muscle's origin


gives prime mover stable base on which to act

Naming Skeletal Muscles

Location


Shape


Size


Direction of fibers


Number of origins


Location of attachments


Muscle action

Lever System

Lever - Rigid bar (bone) that moves on a fixed point called fulcrum (joint)


Effort - Force (supplied by muscle contraction) applied to lever to move resistance (load)


Load - resistance (bone+tissues+any added weight) moved by the effort

The Muscles of facial expression insert on

Dermis

Which is not a muscle of mastication

Glossus Muscles

Accessory muscles of respiration include the________ and the _________________

Sternocleidomastoids, scalenes

The pectoralis major muscle inserts on the

Humerous

Which is not an intrinsic muscle of the hand

Adductor pollicis longus