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Sensation
detection of stimuli
Perception
interpretation of stimuli
Sensory receptors can be classified by location
exteroceptors vs. interoceptors
Sensory receptors can be classified by stimulus type
Mechanoreceptors, Proprioceptors, Thermoreceptors, Photoreceptors, Chemoreceptors, Nociceptors
mechanoreceptors
respond to touch, pressure, vibration.
Proprioceptors
found in muscle, joints, tendons; detect position and movement
Thermoreceptors
respond to temperature changes
Photoreceptors
detect light (found only in the eyes)
Chemoreceptors
respond to chemical stimuli in solution
Nociceptors
painful stimuli
reflex
rapid, predictable responses
reflex process/arch
receptor to integration center to effector organ
Spinal reflex arc
rapid skeletal muscle reflex
Tendon reflex
tapping a tendon causes contraction
Patellar (knee-jerk) reflex
Tests L2–L4 spinal cord, altered by Jendrassik’s maneuver
abnormal patellar reflex
Abnormal results may indicate neuropathy or lesion
what is function of jendrassik’s maneuver
divert attention
Achilles (ankle-jerk) reflex
Tests S1 nerve root
absence of achilles reflex
Absence may indicate neuropathy or nerve root compression
examples of antagonistic muscles
bicep brachii and tricep brachii
bicep brachii
elbow flexion
triceps brachii ( antagonistic)
elbow extension
Pupillary Reflexes
dilator and sphincter pupillae
pupil
opening in iris controlling light entry
iris does what
type of muscle that controls pupil
Dilator pupillae
widens pupil
Sphincter pupillae
narrows pupil
Consensual reflex
stimulus in one eye causes response in both
Pupil accommodation
pupil adjusts for distance of focus
Lens accommodation
lens changes shape to bend light
Rounder lens
stronger refraction
Flatter lens
weaker refraction
Convergence
Eyes move inward to focus on close objects
convergence uses these muscles
medial/lateral rectus muscles
Plantar Reflex
Protects sole from painful stimuli
Babinski’s reflex
abnormal extension of toes
what does Babinski reflex indicate
indicates CNS damage (ALS, MS, stroke)
Ciliospinal Reflex
Pupil dilation in response to painful stimuli
type of nervous system ciliospinal reflex is affected
sympathetic nervous system
Vision Tests
near point, blind spot, visual acuity/snellen tests
Near Point Test
lens elasticity and accommodation
Blind Spot Test
optic disc has no photoreceptors
Visual Acuity (Snellen Test)
measures clarity of vision
types of clarity of vision
myopia vs. hyperopia
color vision test
Ishihara test
Ishihara test
detects color blindness
common color blindness
red-green
Labyrinthine Reflexes tests what
Balance and Equilibrium
Nystagmus
Reflexive eye movement caused by semicircular canals
Anterior canal
forward/backward head movement
Posterior canal
side head tilt
Lateral canal
spinning motion
phases of nystagmus
slow phase and fast phase
slow phase of nystagmus
eyes drift to follow motion
Fast phase of nystagmus
eyes snap back
Rotary nystagmus
during spinning
Post-rotary nystagmus
after spinning, in opposite direction
Procedures of nystagmus
rotating chair and past pointing test
Rotating chair test
observe post-rotary nystagmus
Past pointing test
coordination errors after rotation
Proprioception and Spatial Orientation
Ability to maintain body posture and position in space
Proprioception and Spatial Orientation relies on
Inner ear, Proprioceptors , Photoreceptors
inner ear
linear and rotational movement
proprioceptors
joints, tendons and muscles
photoreceptors
visual feedback
Procedures for Proprioception and Spatial Orientation
Feet shoulder-width test, Feet together test, Single limb stance, Single limb stance + cervical extension
Feet shoulder-width test
eyes open vs. closed.
Feet together test
sway observed
Single limb stance
balance with eyes open/closed
Single limb stance and cervical extension
balance when looking up
touch receptors
Mechanoreceptors, Two-point threshold, Adaptation
Mechanoreceptors
in skin detect pressure/vibration
Two-point threshold
smallest distance to perceive two touches
Adaptation
receptors stop responding to unchanging stimuli
hearing receptors
weber, and rinne tests
Weber Test
distinguishes conduction vs. sensorineural loss
Rinne Test
compares bone vs air conduction
taste receptors
PTC test
define PTC test
genetic variation in bitterness perception
five categories of taste
sweet, salty, sour, bitter, umami