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Afferent peripheral fibers
convey neural impulses to the CNS from the sense organs (ex: the eyes) and from sensory receptors in various parts of the body (ex: skin)
Efferent motor fibers
convey neural impulses from the CNS to effector organs (muscles and glands)
describe the formation of spinal nerve roots
rootlet, roots, spinal nerve root
what fibers are found in roots?
only motor OR sensory
what fibers are found in spinal nerve roots?
both motor and sensory
what do spinal nerves arise from the spinal cord as?
rootlets
rootlets converge to form ___ or ___ roots
anterior (ventral/motor) and posterior (dorsal/posterior)
roots converge to form ___
spinal nerves (aka spinal nerve roots)
when existing the vertebral canal, spinal nerves immediately split into ___ or___
anterior primary rami and posterior primary rami
Why are terms motor nerve and sensory nerve relative to majority of fiber types?
Nerves that supply muscle and sensory information also contain the other fiber that contribute to relating proprioceptive information, pain and serve smooth muscle
posterior primary rami
no plexuses form and innervate the deep muscles of the back and overlying skin in a segmental pattern
posterior primary rami are ___ of motor and sensory fibers
mixed
why are posterior primary rami mixed with sensory and motor fibers?
it comes directly from the spinal cord
why does the posterior primary rami not merge to form nerve plexuses?
the ribs are blocking the formation
anterior primary rami
forms plexuses to innervate anteriorly including limbs
where is a plexus not found in regards to anterior primary rami?
in the thoracic spine because of the ribs
limb innervation
formed from somatic nerve plexuses that form new multi segmental peripheral nerves
plexuses and rami directly innervate skin and musculature as ___
peripheral nerves
conus medullaris
end of spinal cord
cauda equina
collection of lumboscaral nerve roots that extend inferior to the end of the spinal cord
filum terminale
continuation of the dura, pia and glia connecting the end of there spinal cord with the coccyx
segmental innervation
spinal nerve roots that exit the spinal cord (ex: C1, C2, C2...)
peripheral nerve innervation
peripheral nerves are comprised of nerve roots and have names (ex: Femora;, obturator, sciatic...)
peripheral nerve root lesion
multiple spinal segments are affected
spinal nerve root lesion
single spinal segment is affected
ASIA scale indicates ___
somatic innervation
T or F, ASIA scale is used for peripheral innervation
FALSE
2 types of spinal cord injury
complete or incomplete
everything below the level of injury is ___ or ___
incomplete and complete
spinal nerve root injury
damage to a specific spinal segment
if a specific spinal cord segment is damaged ___
everything innervated is impaired/gone
peripheral nerve injury
damage is on the peripheral nervous system
___ peripheral nerves are damaged
specific
if peripheral nerve is damaged ___
everything the nerve innervates is impaired/gone below the level of the lesion
to test nerve roots, use ___
dermatomes, myotomes and deep tendon reflexes
to test peripheral nerves, use:
peripheral cutaneous map and MMT innervated solely by the suspected peripheral nerve