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peripheral nervous system
provides links from and to the world outside the body and innervates all neural structures outside of the brain. responsible for sensation and perception occurring in the brain
sensory receptors, cranial nerves, peripheral nerves, efferent motor endings
what neural structures outside of the brain are associated with the peripheral nervous system?
type of stimulus, location in body, structural complexity
Sensory receptors are classified based on:
mechanoreceptors
sensory receptors that respond to touch, pressure, vibration, and stretch
thermoreceptors
sensory receptors sensitive to changes in temperature
photoreceptors
sensory receptors that respond to light energy
chemoreceptors
sensory receptors that respond to chemicals
nociceptors
sensory receptors sensitive to pain causing stimuli
exteroceptors
sensory receptors that respond to stimuli arising outside the body; receptors in skin for touch, pressure, pain, temperature, and found in most special sense organs
interoceptors
also called visceroceptors; sensory receptors that respond to stimuli arising in internal viscera and blood vessels; sensitive to chemical changes, tissue stretch, and temperature changes. they sometimes cause discomfort but are usually imperceptible
proprioceptors
sensory receptors responding to stretch in skeletal muscles, tendons, joints, ligaments, and connective tissue coverings of bones and muscles; inform the brain of body movements
Nonencapsulated sensory receptors
sensory receptors without connective tissue sheaths
encapsulated sensory receptors
sensory receptors enclosed in connective tissue sheaths
sensation
the awareness of changes in the internal and external environment
perception
the conscious interpretation of perceived stimuli
receptor level, circuit level, perceptual level
levels of neural integration in sensory systems
circuit level
second level of neural integration in sensory systems which involves processing in ascending pathways
perceptual level
third level of neural integration in sensory systems which involves processing in cortical sensory areas
receptor level
first level of neural integration in sensory systems which involves sensory reception and transmission to CNS
Visceral pain
a consequence of stimulation of visceral organ receptors (by tissue stretching, ischemia, chemicals, or muscle spasms) felt as vague aching, gnawing, or burning
referred pain
pain from one body region perceived from a different body region; visceral and somatic pain fibers travel in the same nerves and the brain assumes stimulus is from a common somatic region
phantom limb pain
sensation of pain that feels like it coming from a limb that has been amputated; due to the spinal cord “learning” the pain of the loss called hyperalgesia
nerves and ganglia
PNS consists of __________________________ outside the central nervous system
nerve
bundle of neuron fibers
endoneurium
connective tissue surrounding each neuron fiber
perineurium
connective tissue covering that bind groups of nerve fibers into fascicles
epineurium
connective tissue covering that binds groups of fascicles together
mixed nerves
nerves containing both sensory and motor fibers
sensory nerves
also called afferent nerves; nerves that carry impulses toward the CNS
motor nerves
also called efferent nerves; nerves carry impulses away from the CNS
somatic afferent, somatic efferent, visceral afferent, visceral efferent
four types of fibers found in mixed nerves
cranial or spinal
peripheral nerves are classified as ____________________ nerves
ganglia
cell bodies associated with nerves in the PNS
cell bodies of sensory neurons
ganglia associated with afferent nerve fibers contain:
autonomic motor neurons
ganglia associated with efferent nerve fibers contain:
vagus nerve
12 pairs of cranial nerves mostly serve head and neck only, except the _______________, which extends to the thoracic and abdominal cavities
spinal cord
spinal nerves are formed by the combination of the ventral and dorsal roots of the:
ramus
branch of a spinal nerve containing both motor and sensory fibers
dorsal rami
branches of spinal nerves that serve the skin and muscles of the posterior trunk
ventral rami
branches of spinal nerves that form a complex of networks called plexuses of the anterior trunk
cervical plexus, brachial plexus, lumbar plexus, sacral plexus
Name the four nerve plexuses of the body
intercostal nerves
ventral rami of T1-T12 that supply muscles of ribs, anterolateral thorax, and abdominal walls
cervical plexus
formed by ventral rami of C1-C4; most of its branches form cutaneous nerves that innervate the skin of neck, ear, back of head, and shoulders
phrenic nerve
major motor and sensory nerve of diaphragm that receives fibers from C3-C5
brachial plexus
formed by ventral rami of C5-C8 and T1; gives rise to nerves that innervate upper limb
roots, trunks, divisions, cord
major branches of brachial plexus
axillary nerve
innervates deltoid, teres minor, and skin and joint capsule of shoulder
musculocutaneous nerve
innervates biceps brachii and brachialis, coracobrachialis, and skin of lateral forearm
median nerve
innervates skin, most flexors, forearm pronators, wrist and finger flexors, thumb opposition muscles
ulnar nerve
supplies flexor carpi ulnaris, part of flexor digitorum profundus, most intrinsic hand muscles, skin of medial aspect of hand, wrist/finger flexion
radial nerve
innvervates essentially all extensor muscles, supinators, and posterior skin of limb
lumbar plexus
arises from L1-L4, innervates thigh, abdominal wall, and psoas muscle
femoral nerve
innervates quadriceps and skin of anterior thigh and medial surface of leg
obturator nerve
passes through obturator foramen to innervate adductor muscles
sacral plexus
arises from L4-S4; serves the buttock, lower limb, pelvic structures, and perineum
sciatic nerve
longest and thickest nerve of the body; innervates hamstring muscles, adductor magnus, and most muscles in leg and foot; composed of the tibial and common fibular nerves
superior gluteal nerve
innervates gluteus medius, minimus, and tensor fascia lata
inferior gluteal nerve
innervates gluteus maximus
dermatome
area of skin innervated by cutaneous branches of single spinal nerve
hilton’s law
any nerve serving a muscle that produces movement at a joint also innervates the joint and skin over the joint
cerebellum and basal nuclei
what structures are the ultimate planners and coordinators of complex motor activities?
segmental level
lowest level of motor control; involves the spinal cord and contains central pattern generators
projection level
middle level of motor control involving the motor cortex and brain stem nuclei; conveys instructions to spinal cord motor neurons and sends a copy of that information to higher levels
precommand level
highest level of motor control involving cerebellum and basal nuclei; programs and instructs based on feedback
intrinsic reflex
rapid, involuntary, predictable motor response to stimulus
acquired reflexes
reflexes resulting from practice or repetition (ex: driving")
receptor, sensory neuron, integration center, motor neuron, effector
components of all simple human reflex arcs
neural crest cells
cranial nerves and spinal nerves come from:
flaccid paralysis
damage to lower motor neurons that leads to muscle atrophy
spastic paralysis
damage to upper motor neurons that leads to irregular stimulation due to reflex action
sciatica
pain caused by irritation, compression, or trauma to the sciatic nerve; causes tingling pain, weakness, numbness in the lower back, buttock, and down leg
autonomic nervous system
two neuron system consisting of preganglionic and postganglionic neurons; activates/regulates smooth muscle, cardiac muscle, and glands; divided into two subdivisions, sympathetic and parasympathetic
parasympathetic division
this division of ANS promotes maintenance activities and conserves body energy; controls digestion, diuresis, defecation, blood pressure; AKA “rest and digest” division
sympathetic division
this division of ANS mobilizing the body during activity; also known as the “fight or flight'“ system; manages exercise, excitement, emergency, embarrassment; increases heart rate, sweat, dilates pupils, etc
cephalization
the evolutionary development of the rostral (anterior) portion of CNS; embryonic brain differentiates from initial neural tube into adult brain structures with age
cerebral hemispheres, diencephalon, brain stem, cerebellum
name the four adult brain regions
brain and spinal cord
the central nervous system is composed of the:
spinal cord
central cavity surrounded by gray matter and external white matter composed of myelinated fiber tracts
brain
contains similar pattern of gray and white matter as spinal cord; includes cerebral hemispheres and cerebellum, scattered gray matter nuclei amid white matter called the basal nuclei and outer gray matter called cortex
ependymal cells
ventricles of the brain are lined by _______________, which secrete cerebrospinal fluid from choroid plexuses
interventricular foramen
the lateral ventricles of the brain connect to the third ventricle via the:
cerebral aqueduct
the third ventricle of the brain connects to the central canal of the spinal cord via the:
septum pellucidum
the paired, c-shaped lateral ventricles of the brain are separated anteriorly by a membrane called the:
diencephalon
the third ventricle of the brain is located in the
hindbrain
the fourth ventricle of the brain is located in the:
lateral apertures and median aperture
the fourth ventricle of the hindbrain contains three openings; two__________________ within the side walls, and one ________________ in the roof
subarachnoid space
the lateral and median apertures connect the fourth ventricle to the:
longitudinal fissure
cerebral hemispheres are separated by the:
corpus callosum
connects the right and left cerebral hemispheres to allow communication between the two
transverse cerebral fissure
deep groove separating the cerebrum and cerebellum
central sulcus
groove separating the precentral gyrus of the frontal lobe and the postcentral gyrus of the parietal lobe
parieto-occipital sulcus
groove separating the occipital and parietal lobes
lateral sulcus
groove outlining the temporal lobes
frontal, parietal, occipital, temporal
name the four surface lobes of the cerebrum
cerebral cortex
thin superficial layer of gray matter forming 40% of the brain’s mass; site of the conscious mind, responsible for awareness, sensory perception, voluntary motor initiation, communication, memory storage, and understanding
motor, sensory, association
name the three types of functional areas of the cerebral cortex
voluntary movement
motor areas of the cerebral cortex control:
conscious awareness of sensation
sensory areas of the cerebral cortex control:
integrate diverse information
association areas of the cerebral cortex:
contralateral
each hemisphere of the brain is concerned with the ________________ side of the body, meaning the left hemisphere controls the right side of the body while the right hemisphere controls the left