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ascending tracts
how sensory info reaches the cortex
signals from most of body first enter SC through spinal nerves
signals from face, mouth, and head use cranial nerves
somatosensory system
touch
temperature
pain
proprioception
vibration
chain of neurons in ascending pathways
first order neurons:
cell bodies in ganglion
conduct to spinal cord or brain stem
second order neurons:
cell bodies in dorsal horn
conduct to thalamus or cerebellum
axons cross to contralateral side
third order neurons:
cell bodies in thalamus
conduct info to somatosensory cortex
spinothalamic pathway
somatic pain, temp, light touch, itch pressure
first order neuron comes in through dorsal horn of spinal cord, synapse with 2nd order neuron
2nd order neuron crosses to contralateral side in the lumbar vertebrae and ascends to thalamus, synapses with 3rd order neuron
3rd order neuron ascends to primary somatosensory cortex
damage causes loss of pain and temp on the contralateral side of the body, from that vertebrae down
spinocerebellar pathway
proprioception
first order neuron comes in through dorsal horn of spinal cord and synapses on the second order neuron
second order neuron ascends on the same side to cerebellum
loss of same side proprioception (balance, coordination) on same side of body (ipsilateral)
dorsal column medial lemniscal pathway
deep touch, visceral pain, vibration
first order neuron comes in through dorsal horn of spinal cord and ascends on the same side to the medulla, synapses with 2nd order neuron, then crosses over
second order neuron ascends on contralateral side to thalamus, synapses with 3rd order neuron
third order neuron ascends from thalamus to primary somatosensory cortex
damage would cause loss of vibration, deep touch, and pain on same side of body because pathway does not cross until the brain
motor areas of the brain
primary motor cortex and brain stem house upper motor neurons, which go through spinal cord and synapse into lower motor neurons which innervate muscles
ventral corticospinal tract
2 neurons
upper motor neuron cell bodies in cerebral cortex (precentral gyrus in the primary motor cortex)
descend on same side until exit (lumbar) and then cross
synapse on lower motor neuron
skeletal muscle (voluntary)
damage causes reduced voluntary skeletal muscle control (especially posture), not total loss: often on both sides, will be slightly higher on the side damaged
lateral corticospinal tract
3 neurons
upper motor neuron cell bodies in cerebral cortex (precentral gyrus in primary motor cortex)
descend on same side until medulla, decussates to other side
spinal cord axons from contralateral cortex
synapse onto interneuron in lumbar
interneuron synapses onto lower motor neuron
skeletal muscle (voluntary)
damage causes loss of voluntary movement on the same side at or below where the damage is located
rubrospinal tract
3 neurons
upper motor neuron cell bodies in midbrain
decussates at the pons to contralateral side
descends and synapses onto interneuron in ventral horn
synapses onto lower motor neuron
skeletal muscle (involuntary)
damage leads to loss of involuntary skeletal muscle movement (coordination and smooth control), on contralateral side
indirect pathways
subcortical region: UMN cell bodies in brainstem nuclei, can be influenced by cortical pathways
regulates: balance/posture, coordination of tracking objects
extrapyrimidal pathways versus pyrimidal pathways
pyramidal: lateral and ventral corticospinal pathways
fask, skilled, voluntary movement
decussate in medulla lateral or SC ventral
originate in primary motor cortex
extrapyramidal: rubrospinal pathway
originate in brainstem
involuntary control, balance/posture
some decussate some donât
damage to dorsal and ventral regions
dorsal: loss of sensation or abnormal sensations, incomplete info about the enviroment around us
ventral: leads to paralysis
flaccid paralysis versus spastic paralysis
flaccid:
lower motor neurons
loss of tone
nerve impulses canât reach muscles, no communication between muscles and SC but there is between SC and brain, leads to atrophy
spastic: uncontrolled contractions
upper motor neurons
no voluntary movement but reflex activity still stimulates muscle
communication between muscles and SC but not SC and brain
reflexes and reflex arc:
reflexes- fast, involuntary, stereotypes reactions of muscles to stimulation
basic reflex arc: sensation integration, motor output
in many spinal reflexes the brain is not directly involved
inputs to brain make you aware of stimulus and movement
components of a reflex arc
monosynaptic: 1. receptor 2. sensory neuron 3. motor neuron 4. effector
only one synapse between sensory and motor neurons
polysynaptic: 1. receptor 3. sensory neuron 3. interneuron 4. motor neuron 5. effector
muscle spindle
for proprioception
information is constantly sent to brain (muscle status) via sensory neurons for tone, coordinated movement, balance
components of muscle spindle
extrafusal fibers: contract; innervated by alpha motor neurons
intrafusal fibers: no sarcomeres in the middle, only on ends so donât usually contract; are innervated by gama motor neurons
primary afferent: monitor degree, length, and rate of stretch
secondary afferent: monitor degree of stretch
stretch reflex monosynaptic and reciprocal inhibition (polysynaptic)
monosynaptic:
receptor: intrafusal muscle fibers
primary afferent: sends signal to spinal cord and synapses with lower motor neuron
stimulate alpha motor neuron
alpha motor neuron synapses with extrafusal fibers and stimulates quadriceps to contract
reciprocal inhibition (polysynaptic):
primary afferent also stimulates interneurons
interneuron neuron synapses with alpha motor neuron on antagonistic side (hamstrings)
inhibit alpha motor neuron
alpha motor neuron inhibited=hamstring stays relaxed
muscle spindle length
when stretched more APâs in muscle spindle
coactivation: in voluntary muscle contraction both alpha and gamma fibers are activated together
if only alpha MNâs were activated the , muscle spindle would become more slack not firing APâs
ensures muscle spindle can still detect length changes
prevents muscle spindle from being useless as a receptor
muscle status
state of stretch or contraction
conveyed via AP frequency
AP frequency decreases when muscle shortens
tendon organs
proprioceptor for tendon reflex
protective and prevents damage to muscle, respond to excessive tension
neuron from golgi tendon organ fires
motor neuron is inhibited
muscle relaxes
load is dropped
tendon reflex is opposite of stretch
quadriceps contract, tendon organs activated
afferent fibers synapse with interneurons in the spinal cord
efferent impulses to muscle are dampened due to stretched tendon, muscle relaxes decreasing tension
efferent impulses to antagonist muscle cause it to contract
muscle spindle sensitivity
can be modified
brain increases gamma motor output: more sensitive, for balance reflexes
ex: bean routine
brain suppresses gamma motor output: less sensitive, for greater range of motion
ex: pitching a ball
flexor and crossed extensor reflexes
flexor(ipsilateral):
stimulus at receptor
sensory afferent, synapses at interneuron
a- interneuron to LMN flexors
b- interneuron IPSP to LMN extensors
a- motor neuron to flexors is stimulated
b- motor neuron to extensors is inhibited
a- alpha motor neuron synapses with extrafusal fibers of hamstring
b- alpha motor neuron synapses with extensors, signal is not sent because there is an IPSP, quads stay relaxed
extensor (contralateral):
same sensory afferent signal to contralateral side through interneuron
a-interneuron IPSP to LMN flexors
b- interneuron EPSP to LMN extensors
a- motor neuron to flexors is inhibited
b- motor neuron to extensors is stimulated
a- alpha motor neuron synapses with flexors, signal not sent bc of IPSP, hamstrings stay relaxed
b- alpha motor neuron synapses with extrafusal fibers of quads to contract
comparison of autonomic versus somatic NS
effectors:
somatic: skeletal muscles
ANS: Cardiac, smooth muscles and glands
efferent pathways and ganglia:
single lower motor neuron to effector
two-neuron chain pre ganglionic vs post ganglionic
somatic=no ganglia (cell bodies in ventral horn)
ANS=ganglia
neurotransmitters:
somatic=Ach (always EPSP)
ANS= Ach (sympathetic and parasympathetic) and norepinephrine (sympathetic)
NT release somatic versus ANS
ANS: broad release of NT to bloodstream (organs have receptors)
somatic: targeted release of NT to skeletal muscle
somatic nervous system
EPSP
cell body: ventral horn of SN
heavily myelinated
LMN- axon, single neuron from CNS to effector
NT(ACh): always excitatory, nicotinic receptor
target organ: skeletal muscle
sympathetic NS
EPSP or IPSP depending on receptor
cell bodies: lateral horns of SC or thorocolumbar
pre ganglionic neuron is short, post ganglionic neuron is long to reach target organ
light myselination in preganglionic neuron, no myelin in postganglionic neuron
ganglion is between pre and post ganglion
NT (norepinephrine)
effector: smooth muscle, cardiac muscle, glands
for neuron to blood vessel:
pre ganglionic neuron has light muselination, goes to adrenal gland, then blood vessel
NT: norepinephrine and epinephrine which go to alpha 1,2 and beta 1,2,3 receptors
if they are released into bloodstream, slower, longer response
parasympathetic NS
cell bodies; CNS craniosacral
preganglionic neuron: light myselination, long axon
post ganglionic neuron: short axon, no myelination
ganglion in middle with Ach released which is excitatory and goes to nicotinic receptor(+) which excited muscle fibers or postganglionic cells, has Na+ channels or ionotropic receptors
Ach released from post ganglionic neuron and goes to muscarinic receptors(+/-) goes to neuromuscular or neuroglandular junctions and metabotropic receptors like G proteins using secondary messangers
stimulatory: M1 M3 M5
inhibitory M2 M4
parasympathetic functions
relaxation
energy absorption
food processing (digestion/absorption)
parasympathetic (craniosacral) division
preganglionic fibers from cranial nerves and sacral regions of SC
long preganglionic fibers
all fibers release Ach
preganglionic cell bodies: brainstem, sacral segment of SC
postganglionic cell bodies: walls of organs
parasympathetic activation
constriction of pupils
secretion of digestive enzymes
promotion of absorption
changes in blood flow associated with sexual arousal
increase in motility of GI tract
contraction of urinary bladder during urination
constriction of respiratory passageways
reduction in HR
sacral versus cranial outflow of parasympathetic NS
sacral:
s2-s4: half of large intestine, bladder, reproductive organs
Cranial:
CN3: oculomotor: constrict pupils, lens rounding
C7: facial nerve: salivary glands, tear glands
c9: glossopharyngeal: salivary glands
c10: vagus: slow HR, increase blood supply to viscera, bronchoconstriction
sympathetic NS functions
heightened mental alertness
increased metabolic rate
reduced digestive and urinary function
activation of energy reserves
uncreased respiratory rate and dilation of respiratory pathways
increased HR and BP
activation of sweat glands
types of ganglia in sympathetic NS
sympathetic chain ganglia:
lateral sides of vertebral column
neurons originating here innervate body wall
collateral ganglia:
anterior to vertebral column
innervate abdominopelvic contents
preganglionic fibers pass through sympathetic chain
form splanchnic nerves that pass to collateral ganglia
adrenal medullae:
center of adrenal glands
cause release of NT into circulation
sympathetic chain pre vertebral (2 pathways)
first option:
pre ganglionic neuron axons go to sympathetic chain lateral horn, then ventral root, then spinal nerve, then ventral ramus, then gray ramus communicans
postganglionic neuron synapses at same level of sympathetic chainâ gray ramus communicans
synapses at effectorâ releases NT
second option:
pregangionic neuron ascends or descends then synapses at lateral horn, goes to ventral root, then spinal nerve, then ventral ramus, then gray ramus communicans, then sympathetic chain where it ascends or descends
postsympathetic neuron is at different level of sympathetic chainâ gray ramus communicans
synapse at effectorâ NT release
collateral ganglia (postvertebral)
preganglionic neuron axons go through sympathetic chain lateral horn, go to ventral root, then spinal cord, then ventral ramus, then gray ramus communicans, then passes through sympathetic chain
post ganglionic neuron synapses at same level of sympathetic chainâ collateral ganglion
synapses at effectorâ NT release
adrenal medulla
some preganglionic fibers directly synapse on it
secretes NE and E hormones into blood
lengthens the effects
sympathetic vs parasympathetic
location of CNS visceral motor neurons
S: thoracolumbar
PS: CNS craniosacra;
location of PNS ganglion:
S: sympathetic chain or collateral ganglion
PS: at effector