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                        CH. 14 - INTEGRATION OF NERVOUS SYSTEM FUNCTIONS

 

I. SENSES

            A. SPECIAL - later, Ch. 15

            B. GENERAL: SOMATIC & VISCERAL (Fig. 14.1 & Tab. 14.1, p. 472 & 473)

            C. SENSATION/PERCEPTION - awareness of stimuli

                        1. STEPS (read p. 473)

                                    a. STIMULUS

                                    b. RECEPTOR

                                    c. PROPAGATION/CONDUCTION/TRANSMISSION

                                    d. TRANSLATION/INTERPRETATION

                                    e. PROCESSEDèAWARENESSè SENSATION PROJECTED

                                                TO site of stimulus

                        2. ACCOMMODATION or ADAPTATION

                                    a. ê sensitivity to continued stimuli

                                    b. wearing clothes, ring on finger, glasses, etc.

            D. RECEPTOR TYPES – GENERAL – named by STIMULUS type

                        1. MECHANORECEPTOR - touch, pressure, proprioception

                        2. THERMORECEPTOR - warm, cool

                        3. NOCICEPTOR - pain/irritation

                                    a. Mechanical, chemical, thermal

            E. 8 TYPES OF SENSORY RECEPTORS (Tab 14.2, p. 474) *KNOW!

3 GROUPS – by LOCATION:

-         Exteroreceptors – skin

-         Visceroreceptors – guts

-         Proprioceptors – joints, tendons     

                        1. FREE - skin, viscera & tendons

                                    a. Pain, tickle & itch, movement & temp.

                                    b. Temp:         i. Cold é A.P.  as you go from 350è120 C

                                                            ii. Warm é  A.P. as you go from 250è470 C

                                                            iii. PAIN if <120 or >470 C

                        2. MERKEL’S DISKS - light touch/pressure

                        3. HAIR FOLLICLE - light touch/bending of hair

                        4. PACINIAN CORPUSCLE - onion shaped

                                    - Deep pressure, vibration & proprioception

                        5. MEISSNER’S CORPUSCLE - 2-point discrimination

                        6. RUFFINI’S END-ORGANS

                                    a. Continuous touch/pressure

                                    b. Stretch/depression of the skin

                        7. GOLGI TENDON ORGANS - muscle contractions

                                    a. Proprioception w/movement

                                    b. In tendons

                        8. MUSCLE SPINDLE - muscle tone

                                    a. stretch in muscle

 

“FREE MEN HELP PAN MISS RUFF’S GOLD MINE”

II. SENSORY NERVE TRACTS = ASCENDING SPINAL PATHWAYS - sensory input (p. 477)

 

            A. ANTEROLATERAL SYSTEM (Fig. 14.8, p. 484)

                        1. SPINOTHALAMIC - Pain & temp., pressure, light touch, tickle & itch

                        2. SPINORETICULAR – Pain, awaken by pain

                        3. SPINOMESENCEPHALIC – SPINOTECTAL – visual/touch & pain reflexes

                        3. 3 neurons:  

                                    -1o Receptor è  dorsal root è dorsal gray horn

                                    -2o Decussates, ascends è thalamus

                                    -3o Thalamus è cortex        

 

            B. DORSAL COLUMN-MEDIAL LEMNISCAL (Fig. 14.9, p. 480)

                        1. FASCICULUS CUNEATUS - above mid-thorax

                        2. FASCICULUS GRACILIS - below mid-thorax

                        3. Proprioception, vibration, 2-point discrimination

                        4. 3 neurons:

                                    -1o Sensor è ascends to medulla

                                    -2o Decussates è medial lemniscus è thalamus

                                    -3o Thalamus è cortex

            C. OTHERS:

                        1. SPINOCEREBELLAR - Proprioception to cerebellum (Fig. 14.10, p. 480)

                        2. SPINO-OLIVARY - Proprioception relating to balance

 

            D. PRIMARY SOMATIC SENSORY AREAS/CORTEX (Fig. 14.11, p. 481)

                        1. Posterior to central sulcus

                        2. Input from general senses - pressure, pain & temp. (Fig. 14.12, p. 484)

 

            E. ASSOCIATION AREAS - Adjacent to sensory areas (Fig. 14.11, p. 481)

                        1. Sorting & integration of input from sensory areas

                        2. Input compared w/past experience/memory & emotions

 

III. CONTROL OF SKELETAL MUSCLES (Fig 14.11, p. 481 & Fig. 14.13, p. 485)

 

            A. PRIMARY MOTOR AREA/CORTEX - Anterior to central sulcus

                        1. PREFRONTAL AREA - Foresight, motivation & aggression, AP initiated

                        2. PREMOTOR AREA - complex, skilled & learned movements staged

                        3. PRIMARY MOTOR CORTEX - AP out to control voluntary muscle movements

 

            B. DESCENDING - motor output (Fig. 14.14, p. 487; Tab. 14.4, p. 486 - 487)

                                     - UPPER neurons:  -Cortex/cerebellumèspinal cord

                                                                        -Modulate lower neurons

                                    - LOWER neurons:  C.N.S. gray matter (anterior horn)èmuscle

                        1. DIRECT/PYRAMIDAL - tract through pyramids on medulla oblong.

            (Fig. 14.16, p. 488)   - CONSCIOUS movements & muscle tone

                                                - DECUSSATE in brainstem or spinal cord

                                    a. CORTICOSPINAL - innervates all but head, especially hands

                                    b. CORTICOBULBAR - innervates head

                        2. INDIRECT/EXTRAPYRAMIDAL - miss pyramids (Fig. 14.17, p. 489)

                                                - UNCONSCIOUS movements

                                                - DECUSSATE in brainstem

                                    a. RUBROSPINAL – movement coordination

                                    b. VESTIBULOSPINAL - postural muscles

                                    c. RETICULOSPINAL - gross trunk & limb movements

                                                                            - control of heart & respiration

                                    d. TECTOSPINAL - head & neck response to visual & auditory reflexes

 

            C. FINE TUNING (Fig. 14.15, p. 488)

1.    BASAL NUCLEI

2.    CEREBELLUM (Fig. 14.18, p. 491)

 

IV. OTHER BRAIN FUNCTIONS

 

            A. SPEECH - left cortex (Fig. 14.20, p. 495)

                        1. WERNICKE AREA - sensory speech è ARCUATE FASCICULUS è

                                    a. Comprehension & formulation             (pathway to Broca area)

                        2. BROCA AREA - motor speech

                                    a. Input from Wernicke, output to Premotor area è Primary motor area

                                    è Primary motor cortex è muscles of speech è word spoken!

 

            B. BRAIN WAVES - via EEG (Fig. 14.21, p. 497)

                        1. ALPHA - low frequency, resting

                        2. BETA - hi frequency, intense mental activity

                        3. THETA - é in children, frustration in adults

                        4. DELTA - é in infants, deep sleep, brain disorders in adults

 

            C. MEMORY (Fig. 14.22, p. 498)

                        1. WORKING/SENSORY –few secs è 1min, transient RMP changes

                                    a. look up phone number & dial

                        2. SHORT-TERM - minutesèdays

                                    a. perhaps due to é in synaptic transmissions

                        3. LONG-TERM – permanent; HIPPOCAMPUS & AMYGDALA

                                    a. change in shape of neuron using CALMODULIN

                                    b. change in synapses/pathways

                                    c. 2 types:

                                                i. EXPLICIT/DECLARATIVE - facts, dates, names & places

                                                    -in TEMPORAL lobe-HIPPOCAMPUS & AMYGDALOID

                                                ii. IMPLICIT/PROCEDURAL - skill development: piano playing

- in CEREBELLUM

 

Last modified at 6/7/2010 10:29 AM  by Fitch, Rob