Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Senses
Generalsenses
Pain Temperature Physicaldistortion Chemicaldetection
Receptorsforgeneralsensesscatteredthroughout thebody
Specialsenses
Locatedinspecificsenseorgans Structurallycomplex
SensoryPhysiology
Sensations&Perceptions
sensationisanawarenessofsensorystimuli inbrain perceptionmeaningfulinterpretation orconsciousunderstandingofsensorydata
SensoryReceptorTypes
Receptorispartof neuron: APtriggeredif receptor potentialabove threshold Specializedreceptor cell: AmountofNT released stimulusstrength
5COMPONENTSofSENSORY PHYSIOLOGY
I.Sensorymodalities(receptors) structuresthatdetectchangesin external&internalenvironment
modifiedneuronsorepithelialcellsthat haveevolvedtorespondtostimuli (eye, ear,nose)
5COMPONENTSofSENSORY PHYSIOLOGY
II.Receptionabilityofreceptortoabsorb energyofastimulus III.Transductionconversionofstimulus energyintomembranepotential IV.Transmissionreceptorpotentials transmittedviaAP'stoCNS V.Integrationprocessingoffrequencyof receptorpotentials
4TypesofSensoryReceptors
1. Chemo(specificligands) andOsmo
(conc.ofsolutes)
2. Mechano(touch,pressure,vibration,
stretch)
3. Thermo(temp.change)
n n Coldreceptorslowerthanbodytemp. o o Warmreceptors(3745 C)>45 C?
4. Photo(light)
ClassesofSensoryReceptors
mechanoreceptors: mechanicalforcesstretchingalters membranepermeability
(1)haircells (deflection=depolarization=AP's) (2)stretchreceptorsofmuscles (3)equilibriumreceptorofinnerear (4)receptorsofskin(touch,pain,cold,heat)
chemoreceptors:chemicalssensesolutesinsolvents, taste,smell osmoreceptors:ofhypothalmuswhichmonitorsblood osmoticpressure photoreceptors:lighteye thermoreceptors:radiant(heat)energy phonoreceptors:soundwaves electroreceptors:detectelectriccurrents nocireceptors:painreceptors...nakeddendritesofskin (epidermis)
Thermoceptorsand mechanoceptors
Foundinthedermis Mechanoceptors:sensitivetodistortionof theirmembrane
3types
Tactilereceptors(sixtypes) Baroreceptors Proprioceptors(threegroups)
Musclespindles Golgitendonorgans Receptorsinjointcapsules
TactileReceptorsintheSkin
Touch(pressure) Touch(pressure)
BaroreceptorsandtheRegulationof VisceralFunction
Chemoreceptors
Carotidbodies Aorticbodies
Figure15.5
OrganizationofSensoryPathways
Firstorderneurons
Sensoryneuronsthatdeliversensory informationtotheCNS
Secondorderneurons
Firstorderneuronssynapseontheseinthe brainorspinalcord
Thirdorderneurons
Foundinthethalamus Secondorderneuronssynapseonthese
Intensity&DurationofStimulus
Intensity iscodedby#ofreceptorsactivated andfrequencyofAPcomingfromreceptor DurationiscodedbydurationofAPs in sensoryneurons Sustainedstimulationleadstoadaptation
TonicreceptorsdoNOTadaptoradaptslowly Phasicreceptorsadaptrapidly
Irrespectiveofmodality, allsomatosensory informationfromthe limbsandtrunkis conveyedbydorsal rootganglionneurons Theterminalofthe peripheralbranchofthe axonistheonlyportion ofthedorsalroot ganglioncellthatis sensitivetonatural stimuli.
Theperipheralterminalsof dorsalrootganglion neuronsaretwotypes. Theterminalmaybeabare nerveendingorthenerve endingmaybe encapsulatedbya nonneuralstructure. Dorsalrootganglion neuronswithencapsulated terminalsmediatethe somaticmodalitiesoftouch andproprioception. Incontrast,dorsalroot ganglionneuronswithbare nerveendingsmediate painfulorthermal sensations.
Phasicvs.TonicReceptors
Phasicreceptorsreceptorsthatadapt quicklytostimulimeaningthatthey initiallyfireinthepresenceofastimulus andthenstop
areparticularlyeffectiveatconveying informationaboutchangesinastimulus (dynamicinfo).
SkinReceptors
Thetwoprincipal mechanoreceptorsinthe superficiallayersofthe skinarethe Meissnerscorpuscle
rapidlyadaptingreceptor, coupledmechanicallytothe edgeofthepapillaryridge, arelationshipthatconfers finemechanical sensitivity. enclosesasemirigid structurethattransmits compressingstrainfrom theskintothesensory nerveending,evoking sustained,slowlyadapting response(sensesteady pressureandtexture)
Merkeldiskreceptor
SkinReceptors
Thetwomechanoreceptorsfoundinthedeep subcutaneoustissuearethe Paciniancorpuscle
ThePaciniancorpusclerespondstorapid indentationoftheskinbutnottosteadypressure becauseoftheconnectivetissuelamellaethat surroundthenerveending.(touchingatuningfork (oscillatingat200300)totheskin)
Ruffiniending(corpuscles)
areslowlyadaptingreceptorsrespondtoheavy touch,pressure,stretching,ofskin,jointmovement
(stretchoftheskinorbendingofthefingernails)Mechanical informationsensedby Ruffiniendingcontributestoourperceptionoftheshapeof graspedobjects.
Mechanoreceptors(Proprioceptors)
ReceptorField
Theregionwithinwhichatactilestimulus evokesasensoryresponseinthecellorits axon. Receptorfieldsvary:
receptivefieldsofmechanosensoryneuronsare1 2mminthefingertips,vs.510mmonthepalms.This indicatesthattherearemoreencapsulated mechanoreceptorsinthefingertipsthaninthepalm. Receptorfieldscanbemeasuredbytwopoint discrimination,(measuretheminimaldistance requiredbetweentwopointstoperceivetwostimuli asdistinct.)
SensoryModality
Figure103:Twopointdiscrimination
SensoryModalityLateralInhibition
Figure106:Lateralinhibition
TwoPointDiscrimination
Thetwopointthreshold variesfordifferentbody regions itisabout2onthe fingertipbutincreases to10onthepalmand 40onthearm. Thesevariationsare correlatedwiththesize ofsensoryreceptive fieldsandthe innervationdensityof mechanoreceptorsinthe superficiallayersofthe skin.
Adpatation
Whenthefrequencyofreceptorfiringdeclines afterprolongedstimulusexposure Tonicreceptorsadaptslowly andgenerate nerveimpulsesmoresteadily
prorpioceptorsareamongthemostslowly adaptingtonicreceptorbecausethebrainmust alwaysbeawareofbodyposition,muscletensionand jointmotions
Theareaofskin innervatedbyasingle dorsalroot,knownas adermatome, Dermatomalmaps areanimportant diagnostictoolfor locatingthesiteof injurytothespinal cordanddorsalroots.
Proprioceptors
(meaning"receptionforself")
Therearethreelowthresholdproprioceptors: 1)Musclespindles:
locatedinskeletalmuscle,theyareespeciallynumerousin extraocularmusclesandintrinsicmusclesofthehandandneck. signalchangesinmusclelength
2)Golgitendonorgans:
distributedamongcollagenfibersthatformtendons job informCNSaboutchangesinmmtension
3)Jointreceptors
locatedinandaroundjoints gathersinfoaboutlimbpositionandjointmovement(function isnotwellunderstood)
ReferredPain
Figure1013:Referredpain
SomatosensorySystem
Thesesensorymodalitiesarelumpedintothreedifferent pathwaysinthespinalcordandhavedifferenttargetsin thebrain. Discriminativetouchincludestouch,pressure,and vibrationperception,andenablesusto"read"raised letterswithourfingertips,ordescribetheshapeand textureofanobjectwithoutseeingit. Painandtemperature, Proprioception includesreceptorsforwhathappens belowthebodysurface:musclestretch,jointposition, tendontension,etc.
Thismodalityprimarilytargetsthecerebellum,whichneeds minutebyminutefeedbackonwhatthemusclesaredoing.
SomatosensorySystem
Thesemodalitiesdifferintheirreceptors,pathways, andtargets,andalsointhelevelofcrossing. Anysensorysystemgoingtothecerebralcortex willhavetocrossoveratsomepoint,because thecerebralcortexoperatesonacontralateral (oppositeside)basis. Thediscriminativetouchsystemcrosseshigh inthemedulla. Thepainsystemcrosseslowinthespinalcord. Theproprioceptivesystemisgoingtothe cerebellum,which(surprise!)worksipsilaterally (sameside).Thereforethissystemdoesn'tcross.
SomaticPathways SomaticPathways
Somaticsensorypathways
Threemajorpathwayscarrysensory information
Posteriorcolumnpathway Anterolateralpathway Spinocerebellarpathway
Posteriorcolumnpathway
Carriesfinetouch,pressureand proprioceptivesensations Axonsascendwithinthefasciculusgracilis andfasciculuscuneatus Relayinformationtothethalamusviathe mediallemniscus
Decussation
Anterolateralpathway
Carriespoorlylocalizedsensationsof touch,pressure,pain,andtemperature Axonsdecussateinthespinalcordand ascendwithintheanteriorandlateral spinothalamictracts Headedtowardtheventralnucleiofthe thalamus
Spinocerebellarpathway
Includestheposteriorandanterior spinocerebellartracts Carriessensationtothecerebellum concerningpositionofmuscles,tendons andjoints
Visceralsensorypathways
Carryinformationcollectedbyinteroceptors InformationfromcranialnervesV,VII,IXand Xdeliveredtosolitarynucleusinmedulla oblongata DorsalrootsofspinalnervesT1L2carry visceralsensoryinformationfromorgans betweenthediaphragmandpelvis DorsalrootsofspinalnervesS2S4carry sensoryinformationbelowthisarea
TheSomaticNervousSystem
Uppermotorneuron:CellbodyliesinaCNS processingcenter Lowermotorneuron:Cellbodylocatedina motornucleusofthebrainorspinalcord
Thecorticospinalpathway
medialandlateralpathways
Issuemotorcommandsasaresultof subconsciousprocessing Medialpathway
Primarilycontrolsgrossmovementsofthetrunk andproximallimbs Includesthevestibulospinaltracts,tectospinal tractsandreticulospinaltracts
Lateralpathway
Controlsmuscletoneandmovementsofthedistal musclesoftheupperlimbs Rubrospinaltracts
Thebasalnucleiand cerebellum
Basalnucleiadjustmotorcommandsissued inotherprocessingcenters Providebackgroundpatternsofmovement involvedinvoluntarymotormovements Cerebellummonitorsproprioceptive information,visualinformationandvestibular sensations
controlandresponses
Levelsofprocessingandmotorcontrol
Spinalandcranialreflexesproviderapid, involuntary,preprogrammedresponses
Voluntaryresponses
Morecomplex Requiremoretimetoprepareandexecute
CentersofSomaticMotorControl
Duringdevelopment
Spinalandcranialreflexesarefirsttoappear ComplexreflexesdevelopasCNSmatures andbraingrows
SomaticReflexes
CutaneousInnervationand Dermatomes
eachspinalnerveexceptC1receives sensoryinputfromaspecificareaofskin calledadermatome dermoatomesoverlapintheiredgesbyas muchas50%,thereforeseveranceofonw sensorynerverootdoesnotentirely deadensensationfromadermatome. Spinalnervedamageisassessedby testingthedermatomeswithpinpricksand notingareasinwhichthepatienthasno sensation
SomaticReflexes
Reflexesarequick,involuntary,stereotyped reactionsofglandsormusclestostimulation Fourimportantpropertiesofreflexes
reflexesrequirestimulationtheyarenot spontaneous reflexesarequickinvolvefewifanyinterneurons andmiminumsynapticdelay reflexesareinvoluntarytheyoccurwithoutintent, orawareness,andaredifficulttosuppress reflexesarestereotypedtheyoccurinessentially thesamewayeverytime.
SomaticReflexes
Somaticreflexemployareflexarc somaticreceptorsintheskin,muscleora tendon afferentnervefiberscarryinformationfrom receptorsintothedorsalhornofthecord interneuronsintegrateinformation(lackingin somereflexes) efferentnervefiberscarrymotorimpulsesto theskeletalmuscle skeletalmusclethesomaticeffectorsthatcarry outtheresponse
SomaticReceptor:MuscleSpindle
arestretchreceptorsin themuscle
atypeofproprioceptor senseorgansthatmonitor thepositionand movementsofbodyparts
MuscleSpindle
consistofmodifiedmusclefibers (intrafusalfiberstodistinguishthemfrom extrafusalfibers,i.e.therestofthe muscle) onlythetwoendsofanintrafusalfiber havesarcomeresandareabletocontract middleportionactsasastretchreceptor
MuscleSpindle
Twotypesofintrafusal musclefibersbased anatomicallyonthe locationoftheirnuclei Nuclearbagthenuclei arelocatedinthecenter ofthefiber,whichbulges outintoabag. Nuclearchainthenuclei spreadoutalongthefiber likeachain. Onlytheendsofthe intrafusalfiberscontain sarcomeresandareable tocontract
Havethreetypesofnervefibers
Bothcontainprimaryafferentnervefibers(Ia)whichendin annulospiralfibersthatcoilaroundmiddlethatrespondmainlyto musclestretch secondaryafferentnervefiberswrapprimarilyaroundtheendsof nuclearchainfibersthatrespondmainlytoprolongedstrecth gammamotorneuronsfiberswhichinnervatetheendsofthe intrafusalfibers(constitutesabout1/3offibersinaspinalnerve)
AdjustmentofLengthofintrafusal fibersbyGammafibers
StretchReflex
Stretch(myotatic)reflexWhenamuscleis stretched,itfightsbackitcontracts,maintains increasedtonus,andfeelsstifferthanwhen unstretched. oftenfeedsbacktoasetofsynergistsand antagonistmusclesthereby
stabilizingjointsbybalancingthetensionofthe extensorsandflexors dampen(smooth)muscleaction
StretchReflex
stretchreflexismediatedprimarilybythebrain, therefore,isnotstrictlyaspinalreflex aweakcomponentofthespinalreflexisspinal andoccursevenifthespinalcordissevered fromthebrain. thespinalcomponentcanbemorepronounced ifamuscleisstretchedverysuddenlyandisthe basesofthetendonreflex
ex.kneejerk(patellar)reflex
PatellarReflex
StretchReflex
WithdrawalReflex
amorecomplexactinvolvingapolysynaptic reflexarcwithmoresynapses
FlexorandCrossedExtensorReflex
Golgitendonorganstretchreceptorslocated withinthetendons,detectingtheamountof stretchexertedbythemusclesonthebonesto whichtheyareattachedencodedegreeof stretchbytherateoffiringdontrespondto length,buttohowharditispulling synapseontoaninterneuroninthespinalcord graymatterwhichthensynapseontothe relevantalphamotorneuron,producing inhibitory(glycine)potentials
decreasesmuscularcontraction,preventsinjury