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207 Cards in this Set

  • Front
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Describe the anatomy of the spinal cord with respect to the bones.

Formed by 33 bones called vertebrae.


-7 cervical


-12 thoracic


-5 lumbar


-5 sacral


-3 to 5 small coccygeal vertebrae

Describe the anatomy of the spinal cord with respect to the meninges

the spinal cord is covered by three layers of connective tissue called meninges.


-pia mater is the innermost layer attached to the outside of the spinal cord.


-arachnoid is outside the pia mater and formed by delicate connective tissue that is connected to the pia mater by tiny filaments


-subarachnoid space is found between the arachnoid and the pia mater and contains CSF


-Dura mater is the outermost layer. It is a sturdy layer of connective tissue that is richly supplied with sensory nerve endings.

Describe the anatomy of the spinal cord with respect to the paired spinal nerves.

30 pairs of spinal nerves that can be grouped into four regions that pass through the intervertebral foramen


-8 spinal cord segments in the cervical region


-12 segments in the thoracic region


-5 segments in the lumbar region


-5 segments in the sacral region

Describe the anatomy of the spinal cord with respect to the cauda equina.
Nerve roots of the lumbar and sacral spinal that run inferiorly inside the spinal cord for up to 6 inches

Describe the grey matter of the spinal cord.


(be able to identify on a diagram)

-the central core


-neuron cell bodies and dendrites


-organized into three regions; dorsal, lateral, and ventral horn

Describe the white matter of the spinal cord.


(be able to identify on a diagram)

-surrounds the grey matter core


-contains axons


-axons run up and down the spinal cord, connecting the body with the brain


-may contain ascending tracts or descending tracts

Describe the dorsal horn of the spinal cord.


(be able to identify on a diagram)

-contains sensory (afferent) nerve fibers
Describe the lateral horn of the spinal cord
-contains the cell bodies of autonomic neurons (sympathetics and parasympathetics)
Describe the ventral horn of the spinal cord

-contains the cell bodies of motor neurons that innervate skeletal muscle (efferent)


-lower motor neurons

Describe ascending tracts

carry action potentials up to the brain


-dorsal columns


-lateral spinothalamic


-anterior spinothalamic


-spinocerebellar

Describe the function of the ascending tract: Dorsal Columns

-located in the posterior (dorsal) white matter


-convey sensations of conscious proprioception, vibration, and two-point discriminative touch to the brain


-information comes from receptors in the skin, muscle, tendons, and joints


-conveyed to the primary sensory cortex where awareness of sensation takes place, including knowledge of its specific location on the body, its duration, and its intensity

Describe the effect of a lesion to the ascending tract: dorsal columns
-ipsilateral loss of two-point discrimination, vibration, and conscious proprioception
Describe the function of the ascending tract: lateral spinalthalamic

-located in the lateral white matter


-carries nerve fibers that convey pain and temperature.


-comes from receptors located in the skin and subcutaneous tissue


-sensations perceived in the primary sensory cortex where perception and localization of the stimulus occur

Describe the effect a lesion has to the ascending tract: lateral spinalthalamic
contralateral loss of pain and temperature
Describe the function of the ascending tract: anterior spinothalamic

-contains axons that convey the sensations of pressure, texture, and light touch


-located in the anterior white matter


-receptors located in the skin and subcutaneous tissue


-perceived in the primary sensory cortex where perception and localization of the stimulus occur

describe the effect of a lesion of the ascending tract: anterior spinothalamic
-contralateral loss of pressure and touch
Describe the function of the ascending tract: spinocerebellar

-conveys unconscious proprioceptive information to the cerebellum from muscles and tendons


-monitor the activity of motor neurons

Describe the effect of a lesion on the ascending tract: spinocerebellar
partial loss of unconscious proprioception
Describe descending tracts

-convey signals down from the brain to the body


-connects the brain to lower motor neurons


-responsible for controlling voluntary muscle contraction and movement


-includes: lateral corticospinal, anterior corticospinal, reticulospinal, vestibulospinal



Describe the function of the descending tract: lateral corticospinal

-located in the lateral white matter


-responsible for control of voluntary movement

Describe the effect of a lesion on the descending tracat: lateral corticospinal
-ipsilateral spastic paralysis
Describe the function of the descending tract: anterior corticospinal tract

-formed by a small number of corticospinal tract fibers that do not cross in the medulla oblongata


-innervate lower motor neurons supplying upper extremity muscles


-located in the anterior white matter

Describe the effect a lesion has on the descending tract: anterior corticospinal

-ipsilateral spastic paresis

Describe the function of the descending tract: reticulospinal

-originate in the brainstem reticular formation


-control rhythmic gait patterns and muscle tone


-contain the central autonomic fibers that control the autonomic nervous system

Describe the effect a lesion has on the descending tract: reticulospinal

-loss of control, limb flexors


-hypertonicity and muscle spasms

Describe the function of the descending tract: vestibulospinal

-begin in the brainstem vestibular nuclei and descend through the brainstem and spinal cord


-connect to interneurons and lower motor neurons


-controls proximal limb muscles responsible for maintaining balance and posture


-receive input from the inner ear, cerebellum, and other motor areas of the brain

Describe the effect a lesion has on the descending tract: vestibulospinal
loss of control, postural muscles
Describe how to perform a Babinski Test on a patient
Beginning at the heel and progressing up the outside of the foot you then cross toward the base of the big toe
What constitutes a negative response in the Babinski Test?
Flexion of all five toes
What constitutes a positive response in the Babinski Test?
Extension of the big toe
What does a positive Babinski Sign indicate?

Suffering from CNS damage


-indicates upper motor neuron damage

Where does the spinal cord receive blood from?

-three arteries that run vertically along its length


-an anterior spinal artery


-two posterior spinal arteries

How can the spinal cord be injured?

-from motor vehicle accidents


-falls


-sports injuries


-violence


-diseases


-fractured of dislocated


-traumatic bending


-crushed

How is a spinal cord injury classified?

-according to the segmental level of injury


-by the level of intact function


-by the number of limbs affected


-complete or incomplete

Define quadriplegia
complete or partial paralysis of all four limbs
Define paraplegia
paralysis of the lower extremities only
Define hemiplegia
paralysis of one side of the body
Define monoplegia
paralysis of one limb
Define incomplete spinal cord lesion
spinal cord injuries where any motor function or sensation remains

Define complete spinal cord lesion
complete paralysis and a complete loss of sensation below the level of the injury
Define spinal shock

the first several weeks after spinal cord injury


-no sensation or movement below the injured spinal cord segment

Define clonus
a series of rapid, rhythmic alternating movement
Describe the complications that can manifest post a spinal cord injury

-pressure sores


-heterotopic ossifications


-autonomic dysreflexia


-spasticity


-bladder and bowel control


-sexual functioning

Explain autonomic dysreflexia

-a potentially life-threatening condition that can occur in people with spinal cord injuries about the T5 level


-from a noxious stimulus that sends pain signals toward the brain however the signal cannot reach the brain because of the spinal cord injury


-Pain signals communicate with the sympathetic nervous system to produce uncontrolled sympathetic response involving vasoconstriction and continually increasing blood pressure along with decreased heart rate.

Describe the symptoms of autonomic dysreflexia

-pounding headache


-sudden increase in blood pressure


-sweating


-goose-bumps above injury level


-very flushed face

Describe the area of spinal cord injury with respect to Brown-Sequard syndrome
a lesion affecting exactly one-half (right or left) of the spinal cord
Describe the area of spinal cord injury with respect to Central Cord syndrome
caused by damage to the center of the spinal cord
Describe the area of spinal cord injury with respect to Anterior Cord syndrome
results from damage to the anterior part of the spinal cord that spares the posterior white matter
Describe the area of spinal cord injury with respect to Cauda Equina syndrome
injury to the dorsal and ventral nerve roots in the cauda equina that results in loss of sensation, flaccid paralysis, and loss of sympathetic and parasympathetic responses in the pelvis
Explain the difference between a spastic neurogenic bladder and a flaccid neurogenic bladder

-spastic neurogenic bladder: Voluntary sphincter is lost because patients are unaware of fullness and because control of voluntary sphincter muscles is lost


-Flaccid neurogenic bladder: patients are not aware that the bladder is full and cannot voluntarily inhibit or initiate bladder emptying

Describe the composition of peripheral nerves

Peripheral nerves are made up of axons


-both motor and sensory


-also somatosensory neurons

Describe the function of Motor axons

-leave the central nervous system via ventral roots


-innervate skeletal muscle


-lower motor neurons

Describe the function of sensory axons

-carries sensation from the skin, subcutaneous tissue, muscle, bone, ligaments, and joints


-transmit sensations such as pain, temperature, touch, vibration, and proprioception

Describe the function of autonomic fibers

-all 30 pairs of spinal nerves contain sympathetic autonomic neruons


-innervate smooth muscle located in the blood vessel walls and sweat glands

Describe the dorsal ramus

-curves toward the back


-innervates muscle, skin and other structures of the back

Describe the ventral ramus

-curves anteriorly


-supplies structures of the anterior and lateral body regions as well as the upper and lower extremities

How many segments are in the spinal cord?

-30 individual spinal cord segments


-each gives rise to a pair of spinal nerves

Describe the formation of a plexus

where spinal nerves interweave to form a nerve networkd


-there are four major plexuses

What are the four major plexuses?

-cervical


-brachial


-lumbar


-sacral

Describe the Cervical Plexus spinal nerve composition
-consists of axons from spinal nerves C1-C5
What does the Cervical Plexus innervate?

-structures in the neck


-small muscles involved with swallowing and speech


-innervate the thoracoabdominal diaphram

What are the two largest cervical plexus nerves?

-Ansa Cervicalis nerve


-Phrenic nerve

Describe the Phrenic nerve

-travels down through the neck and thorax


-innervates the thoracoabdominal diaphram


-contains nerve fibers from C3-C5

Describe what happens if the Cervical Plexus was injured
-if injured above C3 the diaphragm will be paralyzed and respiration will stop

What are hiccups
-spasms of the diaphragm
Describe the Brachial Plexus spinal nerve composition

-spinal nerves C5-T1


-located in the lower part of the neck and passes through the armpit (axillary region)

What does the Brachial Plexus innervate
-muscles of the upper extremity

How is the Brachial Plexus organized?

-into five separate regions
What are the five separate regions of the Brachial Plexus?

-Roots


-Trunks


-Divisions


-Cords


-Branches

What makes up the ROOTS in the Brachial Plexus

the five ventral rami


-C5


-C6


-C7


-C8


-T1




-each root combines into a trunk

What makes up the TRUNKS in the Brachial Plexus

-Upper trunk: C5 and C6 combined


-Middle trunk: C7


-Lower trunk: C8 and T1 combined




-each trunk splits into two divisions

What makes up the DIVISIONS of the Brachial Plexus

-Anterior


-Posterior


-both pass behind the clavicle and give rise to the brachial plexus cords

Describe the ANTERIOR DIVISION of the brachial plexus

forms nerves the innervate muscles and skin found in the anterior aspect of the upper extremities
Describe the POSTERIOR DIVISION of the brachial plexus
forms nerves that supply posterior structures
Describe the CORDS of the brachial plexus

-Lateral cord: formed by nerve fibers form the upper and middle trunks


-Medial cord: composed of neurons derived from the lower trunk


-Posterior cord: contains nerve fibers from all three trunks


-in the axilla (armpit) gives rise to five major branches (named nerves)

Describe the BRANCHES of the brachial plexus

-five major branches or named nerves


-supply most of the muscles and all of the sensation of the upper limb

Name the five major nerves (branches) of the brachial plexus

-three large anterior division branches:


*musculocutaneous


*median


*ulnar


-two large nerves from the posterior cord:


*axillary


*radial

Describe the MUSCULOCUTANEOUS nerve

-comprised of C5, C6, and C7


-supplies motor innervation to the anterior arm muscles (biceps brachii, coracobrachialis, and brachialis)

Describe the MEDIAN nerve

-comprised of C6-T1


-innervates muscles located in the anterior compartment of the forearm and supplies muscles of the thumb and sensory innervation to the lateral part of the hand

Describe the ULNAR nerve

-comprised of C8 and T1


-innervates muscles of the ulnar aspect of the forearm and most of the intrinsic hand muscles


-provided sensation to the medial third of the hand

Describe the AXILLARY nerve

-comprised of C5 and C6


-innervates the shoulder (deltoid and teres minor)

Describe the RADIAL nerve

-comprised of C6-T1


-innervates all posterior muscles of the arm and forearm


-sensory innervation of parts of the posterior arm, forearm, and hand

Describe the path of a thoracic spinal nerve

-do not form plexus


-divide into dorsal and ventral rami


-ventral rami runs laterally beneath the ribs to form intercostal nerves

What does the DORSAL RAMI of the thorax spinal nerve innervate?
-structures on the back, including the intrinsic back muscles and overlying skin
What does the VENTRAL RAMI of the thorax spinal nerve innervate?
-supply intercostal muscles and skin of the thoracic region
Name the virus that causes shingles
-Herpes Zoster

What is the childhood disease associated with the virus Herpes Zoster?
-chicken pox
What is the spinal nerve composition of the LUMBARSACRAL PLEXUS?
-comprised of L1-S4
Describe the Lumbar Plexus

-compose of nerve fibers from spinal segments L1-L4


-two major nerves:


*obturator nerve


*femoral nerve

Describe the OBTURATOR NERVE of the Lumbar Plexus

-comprised of L2-L4


-provides sensation to the medial thigh


-provides motor function to the hip adductor muscles

Describe the FEMORAL NERVE of the Lumbar Plexus

-comprised of L2-L4


-innervates structures in the anterior thigh and hip

Describe the Sacral Plexus

-comprised of nerve fibers from L4-L5 and S1-S4


-Three major nerves:


*Sciatic nerve


*Tibial Nerve


*Common Peroneal nerve

Describe the SCIATIC NERVE of the Sacral Plexus

-comprised of L4-L5 and S1-S3


-Largest nerve in body


-innervates the posterior thigh

Describe the TIBIAL NERVE of the Sacral Plexus

-comprised of L4-L5 and S1-S3


-innervates the posterior and lateral leg

Describe the COMMON PERONEAL nerve of the Sacral Plexus

-comprised of L4-L5 and S1-S2


-innervates the anterior and lateral aspect of the lower leg

Define Sciatica
clinical condition that describes injury to inflammation of the sciatic nerve
Describe how SCIATICA is associated with pirifomis syndrome

the sciatic nerve is compressed by the pififormis muscle when it becomes inflamed or excessively tight.


-causes radiating pain or numbness down the entire lower extremity

What are the layers covering each peripheral nerve?

--epineurium


--perineurium


--endoneurium

Describe the EPINEURIUM

-outermost covering


-continuous with the dura mater around the spinal cord


-dense, fibrous and tough

Describe the PERINEURIUM

-internal to the epineurium


-groups individual nerve fibers into bundles


-helps create the blood-nerve barrier

Describe Fascicles
-bundles of individual nerve fibers surrounded by perineurium
Describe the ENDONEURIUM

-innermost connective tissue sheath


-wraps each individual nerve fiber (axon) with a coat of delicate, loose connective tissue

How can peripheral nerves be classified?

-according to size (diameter) and the amount of myelin covering them


-according to their conduction velocity

Define ALPHA MOTOR NEURON

-innervate muscle to create muscle tension and produce movement


-about 12 to 20 um in diameter


-fast conducting and have thick myelin sheaths

Define GAMMA MOTOR NEURONS

-innervate muscle spindles


-involved in maintenance and alteration of muscle tone and do not produce movement


- 6 to 12 um in diameter


-slower conducting

How can a peripheral nerve be damaged?

-trauma or disease


-excessive stretching


-compression


-lacerations


-infections (shingles & leprosy)


-ischemia


-metabolic conditions (diabetes mellitus)


-autoimmune disorders (Guillain-Barre syndrome)

Describe what deficits may be observed if a peripheral nerve is damaged

-damage to peripheral nerves causes neuropathy: impairment of both motor and sensory functions


-sensation is decreased, lost or abnormal


-Parethesia: abnormal sensation described as prickling, tingling, or pins-and-needles


-glove and stocking sensory loss


-weakness


-paralysis


-hypertonia


-tendon reflexes are depressed/lost


-loss of sweating


-bowel and bladder incontinence


-sexual impotence


-blurred vision


-dry eyes and mouth


-vomiting

What does the autonomic system control>
-cardiac muscle and smooth muscle throughout the body
What are the sections of the autonomic system?

-sympathetic


-parasympathetic

What is the general function of the sympathetic system?
-prepares the body to cope with emergency situations
What is the general function of the parasympathetic system?
-responsible for maintaining homeostasis
What are the various functions of the sympathetic system?

-regulation of blood flow by vasoconstriction and vasodilation


-increase in systemic blood pressure


-dilation of pupils


-production of thick saliva


-dilation of the trachea and bronchi


-increase contraction strength and heart rate

Where are the sympathetic neurons have their cell bodies?
-in the spinal cord at levels T1-L2
Explain what the sympathetic chain ganglia is
-20 to 25 linked sympathetic ganglia that lies along the posterior body wall
What does the sympathetic axons innervate?
-smooth muscle in the skin, subcutaneous tissues, and muscle
What is released when there is sympathetic stimulation of the adrenal gland by splanchnic nerves?
-adrenalin (epinephrine)
What neurotransmitters are used in the sympathetic nervous system?

-acetylcholine


-norepinephrine

What are the synapses containing acetylcholine called?
-cholinergic
What are the synapses containing norepinephrine called?
-adrenergic
Where are cholinergic synapses found?

-sweat glands all over the body


-arterioles that supply skeletal muscle

What does stimulation of cholinergic synapses produce?

-sweating


-vasodilation of arterioles supplying skeletal muscle (increased blood flow)

Where are adrenergic synapses located?
-walls of arterioles and small veins
What does stimulation of adrenergic synapses produce?

-vasoconstriction (increase blood pressure)


-decrease saliva production


-dilates pupil


-tightens sphincters (slowing passage of food in digestive tract)

What is the function of acetylcholine?

-vasodilation and increased blood flow to skeletal muscle


-sweating and cooling of the body

What is the function of norepinephrine?

-general vasoconstriction and increased systemic blood pressure


-increased heart rate and contraction strength


-relaxation of airways


-decreased digestion and urinary function

What does the parasympathetic system innervate?
-internal organs
Where does the parasympathetic neurons have their cell bodies?
-in the brainstem and the sacral spinal cord
What does the parasympathetic axons regulate?

-digestion


-reproduction


-urinary function


-heart rate


-bronchial diameter

What are the various functions of the parasympathetic nervous system?

-pupillary constriction


-lens shape


-secretion of tears and saliva


-slow the heartbeat


-decrease heart contraction strength


-constrict trachea and bronchi


-stimulate activity of liver, gallbladder, and pancrease


-stimulate bladder emptying

What neurotransmitter does the parasympathetic system release?
-Acetycholine
What is the control center in the brain for autonomic regulation?
-hypothalamus
What is the relationship between the autonomic nervous system and the limbic system?

-connection between emotional states and bodily responses


-ex: blush when embarrassed

Explain the impact on function to the ANS when there is a spinal cord injury above T4

-most of the ANS is disconnected from its hypothalamic control center


-cannot sweat in response to heat


-unable to regulate blood pressure


- lose control of sacral parasympathetics

What is autonomic dysreflexia?
-painful stimulus that the patient is unaware of
What is the connection between the ANS and autonomic dysreflexia?

-autonomic dysreflexia causes are large sympathetic response


-constriction of arteries


-piloerection


-increased heart contractility


-increased heart rate

What is Complex Regional Pain Syndrome?
-abnormal response of the sympathetic nervous system to injury
What are the divisions of the sensory system?

-somatosensory (general)


-special sensory

Where are the sensations for somatosensory located?

-skin


-subcutaneous tissue


-muscle


-tendons


-bones


-joints

What are the somatosensory sensations?

-pain


-temperature


-pressure


-touch


-vibration


-position sense (proprioception)

Define sensory receptors
-tiny receptors located all over the body that convert stimuli into action potentials (nerve impulses)
What does the receptor Pacinian Corpuscles detect?
-vibration and deep pressure
What does the receptor Meissner's Corpuscles detect?
-two point discriminative touch
What does the receptor Merkel's Cells detect?
-texture
What does the receptor Hair Follicle Receptors detect?
-light touch
What does the receptor Ruffini Corpuscles detect?
-stretching of the skin
Define stereognosis
ability to determine the identity or meaning of an object by touch
What do thermal receptors detect?
-changes in temperature
what do nociceptors detect?
-pain
What stimuli doe nociceptors respond to ?
-stimuli that either do damage to tissue or that could damage tissue
What are the types of nociceptors?

-mechanical nociceptor


-thermal hot nociceptor


-thermal cold nociceptor


-polymodal pain receptor

What do proprioceptors detect?

-body position and movement


-muscle length, muscle tension, position and movement of joints

What are muscle spindles?
-stretch receptors that detect changes in muscle length
Explain Gamma Motor Neurons

-synapse onto spindle muscle fibers


-control how sensitive the muscle spindles are to muscle stretch


-controlled by motor centers in the spinal cord and brain

What do Golgi Tendon Organs detect?
-muscle and tendon tension
What do Joint Receptors detect?
-joint position, movement, pain and inflammation within the joint
What is the purpose of pain?
-motivates us to avoid harmful stimuli
What can cause pain?

-when cells are injured or when a stimulus is strong enough to potentially damage cells


-mechanical stimuli (crushing, pinching)


-chemicals (acid)


-temperature extremes


-ischemia (lack of blood flow)

Describe Acute Pain

-results from direct injury to tissue and from the resulting inflammation


-short duration, lasting until injury is healed


-protective purpose

Describe Long-Term Pain
-can be classified as either nociceptive or neuropathic pain
Define Nociceptive pain
-caused by a long-lasting stimulus that activates nociceptors
Define Neuropathic pain
-from direct injury to peripheral nerve fibers
Describe Chronic pain

-persists even when the initial injury has healed


-pain occurs b/c injured axons become overexcited and generate action potentials spontaneously

What sensations are included in special sensory

-vision


-hearing


-balance


-taste


-smell

Explain the physical mechanisms of sight
-visual receptors convert light into action potentials that are transmitted from the eyes to the rain, where we perceive and interpret the world
Where are the visual receptors located?
-retina
What happens when light strikes the retina?
-photoreceptors convert the light into action potentials
What are the types of photoreceptors?

-rod


-cones

Describe the photoreceptor Rods

-125 million rods


-all over the retina


-work in dim light


-responsible for black and white vision

Describe the photoreceptor Cones

-7 million cones


-concentrated inn the middle of the retina (macula)


-important for clear, sharp vision perception


-need bright light to work


-responsible for color vision


-3 kinds of cones (blue light, green light, red light)

Describe Color Blindness
-person is missing one or more of the three types of cones (blue, green, red light)
Explain Cataract
-eye becomes cloudy and impacts both clarity and color
Explain the Optic Nerve

-Cranial nerve II


-Each eyeball is connected to


-contains 1 million neurons


-runs from the back of eyeball into the skull through the optic canal

Explain Detached Retina
occurs when the retina comes loose and pulls away from the back of the eyeball
Explain Macular Degeneration
causes death of photoreceptors in the macula and can cause decreased vision or blindness
Explain Retinopathy of Prematurity
results from supplemental oxygen given to babies born too early
What is the Optic Chiasm
-where the two optic nerves meet on the undersurface of the brain and form an "X"
Explain the Primary Visual Cortex

-when action potentials reach we are able to consciously perceive the visual information


-visual perception takes place here

Explain Hemianopsia
-damage to one optic tract or to the primary visual cortex on one side of the brain causes loss of vision in the opposite visual field
Explain the auditory system
-allows us to perceive sound, locate it in space, and to understand the meaning, important for understanding language
What are the parts of the ear?

-external


-middle


-inner

What does the external ear do?
-collects sound waves and funnels them into the middle ear

Explain the Ear Drum

-thin sheet of tissue between the external and middle ear


-vibrates and transmits the vibrations into the middle ear

Explain what happens in the middle ear

-contains three tiny bones called auditory ossicles (the hammer, anvil, stirrup)


-when eardrum vibrates the malleus (hammer) moves and transmits the vibration to the anvil (incus) and sends it to the stirrup (stapes).


-transmits the vibration by sound waves into the inner ear

What are the two parts of the inner ear?

-cochlea


-vestibular apparatus

What is the Organ of Corti

where the receptor cells responsible for hearing are


-18,000 receptor cells called Hair Cells

Explain the Vestibulocochlear Nerve

-cochlear hair cells in the inner ear form synapses with neurons in the cochlear part


-VIII nerve

Explain the Primary Auditor Cortex

-in the temporal lobe


-where perception of sound takes place


-important for locating sounds in space

What is the purpose of the vestibular system?

-concerned with detecting the position and movement of the head


-maintaining balance


-works together with proprioceptors located in muscles, tendons, and joints

Where is the vestibular system located?
-within the inner ear
Explain the Vestibular Apparatus

-located in the inner ear


-detects liner and rotational movement of head


-consists of two parts

What are the two parts of the vestibular apparatus?

-otolithic organs (utricle and saccule)


-semicircular canals

Explain Utricle
-detects horizontal plane motion
Explain Saccule
-detects vertical (up and down) movement
Explain Otoliths

-small calcium carbonate crystals

Explain Semicircular Canals

-three pairs of semicircular canals


-each pair is responsible for detecting a different direction of head movement

Explain Vertigo
a sensation of extreme dizziness
Explain Meniere's Disease
condition in which excess endolymph causes swelling inside the vestibular apparatus and cochlea
Explain BPPV

-benign paroxysmal positional vertigo


-episodes of dizziness or vertigo that lasts from 5 to 30 seconds


-rapid change in head movement


-caused by otoconia that have come dislodged from the utricle and fall into the posterior semicircular canal

Explain Dix-Hallpike Test

-involves moving a person from sitting to supine while rotating and extending the head


-conformation test for BPPV

Explain Nystagmus

-clinical sign of vertigo


-jumping of the eyes

Explain Eply Maneuvers
-treatments involve a sequence of head movements that help to re-position the dislodged otoconia back into the utricle
What sources in the body contribute to a persons sense of balance?

-inner ear vestibular apparatus


-the visual system


-peripheral structures including muscles, tendons, and joints

What is the interrelationship between the sensation of smell and taste?

-essential for making sure that we do not eat spoiled food and that we avoid substances that can be harmful


-provide a rich sensory experience


-a great deal of flavor of food is by its smell

Explain the Primary Olfactory Cortex

-in the temporal lobe


-for conscious awareness of the odor

Explain Anosmia
-loss of ones sense of smell
Where are taste receptors located?
-on the tongue
What are the types of taste receptors?

-salty


-sweet


-sour


-bitter


-umami