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Sensory neurons
excitatory, respond to sensory stimuli (such as touch, light, odor, sound, etc.)
Motor neurons
excitatory, contact muscles or glands to give “motor instructions”
Relay interneurons
inhibitory, receive input and send input between neurons, they integrate signals (mostly in CNS)
Afferent, efferent
Sensory neurons are _____ , they carry signals TOWARDS the CNS
Motor neurons are ______, they carry signals AWAY from the CNS
Sensorimotor pathway structures
Spinal nerve, Dorsal root, Ventral root, Dorsal root ganglion
Mechanoreceptors
Detect touch, vibration, pressure, stretch
Thermoreceptors
Free nerve endings specialized to detect temperature changes.
Nociceptors
Specialized free sensory nerve endings that detect pain.
Pruriceptors
Specialized free nerve endings that trigger itch
Touch receptor type and relationship with density
The type and density of touch receptors vary throughout the skin, they determines the ability to feel fine details and pinpoint where touch occur
Free nerve endings
can be utilized to detect crude touch, pain, itch, and temperature
Merkel’s discs detect
Fine texture
Meissner’s corpuscles detect
Light touch
Hair follicle receptors detect
Light touch
Pacinian (lamellated) corpuscles detect
deep pressure and vibration
Ruffini corpuscles detect
Skin stretch
C-fibers
slow, unmyelinated, they carry signals from TRPM8 receptors and signal cool temperature
A-delta fibers
larger, myelinated, they carry signals from TRPV2, signaling high noxious heat/pain
Action potential
an all-or-none event (occurs at full amplitude or not at all)
Stimulus intensity encoding
A single neuron can convey stimulus intensity by changing the frequency of its action potentials.
The stronger stimulus = more action potential fired, with multiple neurons be being able to act in parallel
• Stronger stimulus indicates that more neurons are recruited
Range fractionation
Different neurons respond to different stimulus intensity ranges, some respond to weaker stimuli; some respond to stronger (divide and conquer)
Stimulus duration encoding
Information about duration is carried by the pattern of receptor and sensory neuron activity over time, different receptors differ in how their responses change during continued stimulation
Phasic receptors
rapidly adapting
Tonic receptors
slowly adapting
Dorsal column tract
for touch and vibration, ascending, they cross over at the medulla
Spinothalamic tract
for pain, temperature, ascending, Cross over upon entering the spinal cord
Somatosensory homunculus
cortical map of body regions that are prioritized in the somatosensory cortex
Congenital insensitivity to pain
caused by loss-of-function mutation in sodium channels (NaV 7.1) found in pain fibers in dorsal root ganglia leading to the inability to feel pain
Congenital hypersensitivity to pain
gain-of-function mutation in sodium channels (NaV 7.1) found in pain fibers in dorsal root ganglia, leading to the constant feeling of severe burning pain
Nociceptive pain
pain caused by damage to body tissue
Neuropathic pain
pain caused by nerve damage or disease
Nociplastic pain
pain caused by nervous system processing changes
Hypersensitivity to touch
Stimulus avoiders
Distressed by having face/hair washed or nails cut
Picky eater, only eats certain textures
Refuses to walk barefoot on grass or sand; toe walks
Hyposensitivity to touch
Stimulus seekers
Craves touch; touches everything and everyone
Hurts other children or pets while playing
May pinch, bite, or bang own head
Brainstem in motor control
Integrates motor commands from higher brain regions and relays signals to the spinal cord.
Spinal cord in motor control
Sends signals from brain to skeletal muscles (or responds directly to sensory inputs for reflexes)
Prefrontal cortex
Long-term movement planning, decides if or when a movement should occur
Posterior parietal cortex
Integrates sensory information to plan movement
Primary motor cortex
(M1) - initiates and executes motor commands, located in the precentral gyrus
Nonprimary motor cortex
plans motor commands
Premotor cortex
plans movement using external sensory information
Supplementary motor area
plans learned and complex sequences of behavior
Basal ganglia
consists of the caudate nucleus, putamen, globus pallidus, substantia nigra, and subthalamic nucleus
used to modulate motor actions by controlling the amplitude and direction of movement
It is Important for:
Initiating/ending a movement
Fine-tuning for smooth movement (avoid jerks)
Movements performed by memory (biking, tying shoes, etc.)
Cerebellum
contains Purkinje cells, which only send inhibitory messages, letting it modulates motor actions through inhibition
It is important for:
Fine-tuning and error correction of movements
Motor learning (“muscle memory”)
Pyramidal tract
for voluntary movement, originating from the primary motor cortex
it has 2 tracts:
• Corticospinal tract – for skeletal muscle movement
• Corticobulbar tract – for face, head, neck movement
Extrapyramidal tract
for involuntary movement, originating from the brainstem (pons, medulla, midbrain)
It has 4 tracts:
• Rubrospinal tract – for fine movement
• Reticulospinal tract – for tone control and automate breathing
• Vestibulospinal tract – for balance and posture
• Tectospinal tract – for head-eye-body coordination, saccades
Corticospinal tract
For skeletal muscle voluntary movement
Cortex → Spinal cord → Spinal nerves → Muscles
Corticobulbar tract
For face, head, neck voluntary movement
Cortex → Brain stem → Cranial nerves → Muscles
Upper motor neurons
Originate in the cortex, they travel down to brain stem or spinal cord, where it synapses onto lower motor neurons.
Use glutamate as their primary neurotransmitter
Lower motor neurons
Originate in the brainstem or spinal cord (ventral horn), where they project directly to muscles or glands
• Use acetylcholine as their primary neurotransmitter
• 3 subtypes: alpha, gamma, beta
Skeletal muscles
type of muscle that move bones and enable voluntary body movements, composed bundles of muscle fibers (individual muscle cells)
Motor neuron innervation
A single motor neuron branches to control many muscle fibers, with 1 motor neuron being able to innervate 10s to 1000s of muscle fibers.
• 1 neuron innervating few muscle fibers – precise, fine movement
• 1 neuron innervating many muscle fibers – large and powerful movement
Neuromuscular junction
Synapse between a motor neuron and a muscle fiber
Muscle contraction
Depolarization of the muscle cell membrane triggers an action potential that causes the release of Ca2+ ions needed for protein filaments within the muscle to slide and contract
Proprioceptors
There are sensory receptors in muscles that detect muscle changes
Muscle spindles
detect changes in muscle length (stretching!)
Golgi tendon organs
detect muscle tension
Pain withdrawal reflex
polysynaptic, Pain receptors in skin detect heat, a sensory neuron carries the information to interneurons in the spinal cord, bypassing the brain, leading to interneurons trigger reflex by instructing motor neurons to contract flexors and relax extensors
The brain receives information about pain afterward
Patellar reflex
also known as the knee-jerk reflex, monosynaptic: A tap on the patellar tendon stretches the quadriceps muscles; muscle spindles detect the stretch, A sensory neuron carries the information directly to motor neurons in the spinal cord, causing muscles to contract
At the same time, a branch of the sensory neuron stimulates an interneuron in the spinal cord, that blocks the motor neurons controlling the opposite muscle, thereby relaxing hamstrings
Amyotrophic lateral sclerosis (ALS)
also known as Lou Gehrigs’s disease, characterized by the degeneration of motor neurons, and consequently, loss of control of target muscles
Symptoms:
• Limb weakness
• Muscle twitching or stiffness
• Loss of motor controls
• Respiratory issues
• Swallowing issues
• Eventually, death from respiratory failure 2-5 years after diagnosis
Motor cortex damage
Can be due to: Stroke, traumatic injury, tumors
Symptoms:
• Hemiparesis – weakness on one (opposite) side of the body
• Loss of fine motor skills – trouble writing, buttoning a shirt, etc.
• Overactive reflexes
clonus (rapid involuntary muscle contractions)
spasticity (prolonged involuntary muscle contractions)
• Speech issues
Parkinson’s disease
Caused by degeneration of dopamine cells in the substantia nigra, which project to the basal ganglia
Symptoms:
• Tremors
• Bradykinesia
• Shuffling gait
• Postural instability
Cerebellar ataxia
Caused by damage to the cerebellum caused by stroke, tumors, head injuries, or inherited factors
Symptoms:
• Unsteady fair, clumsy walking
• Poor coordination
• Tremors
• Speech issued
• Eye movement issues (nystagmus)
Spinal cord injury
can result in flaccid paralysis where reflexes, sensation, and muscle strength below the level of injury are lost
Myasthenia gravis
Autoimmune disorder where patient develops antibodies against their own ACh receptors
Symptoms:
• Weakness of the eye muscles
• Drooping of one or both eyelids
• Blurred or double vision
• Changes in facial expressions
• Difficulty swallowing
• Shortness of breath
• Impaired speech
• Weakness in the arms, hands, fingers, legs, and neck
Outer ear
captures sound and transfer them inward
Pinnae
Visible out flaps of ear; captures sound waves
Ear canal
Guides sound waves deeper toward eardrum
Middle ear
concentrates and amplifies sound waves
Eardrum
also known as the tympanic membrane, a thin membrane that vibrates when incoming sound waves hit it
Ossicles
includes the malleus, incus, and stapes, the 3 smallest bones of the body.
they connect eardrum to the oval window (of the cochlea), concentrating and amplifying signals to the inner ear
Eustachian tube
A small passage connecting the middle ear to the back of the throat to balance air pressure
Inner ear
converts sound vibrations into electrical signals and detect head movements to maintain balance
Cochlea
snail-shaped, fluid-filled chamber that receives the mechanical sound vibrations
Cochlear hair cells
Tiny sensory cells inside the cochlea; bend from fluid waves and turn movement into electrical signals, they synapse with auditory nerve endings
Auditory nerve
also known as CN8, or the vestibulocochlear nerve, carries the electrical signals to the brain for interpretation
Vestibular system
also known as semicircular canals, detect head rotation and maintain balance
Spiral ganglion neurons
synapse with hair cells – a type of sensory neuron that transmit auditory signals to the brain (via the auditory nerve)
Stereocilia movement toward the kinocilium
Tip links pull MET channels OPEN → K+ ions flow into hair cell, depolarizing membrane → Membrane depolarization leads to opening of voltage-gated Ca2+ channels → Influx of Ca2+ leads to synaptic release of neurotransmitters (glutamate) → Neurotransmitters are detected by receptors on auditory sensory neuron
Stereocilia movement away from the kinocilium
All tension in tip links is gone; results in closure of any MET channels that were open at rest → K+ ions stop flowing into hair cell; membrane hyperpolarizes → No opening of voltage-gated Ca2+ channels, no neurotransmitter release
Semicircular canals
3 fluid-filled tubes, these canals are oriented in 3 planes of head movement
Ampulla
enlarged chamber at the base of the canal, contains specialized sensory receptors that detect rotation and angular acceleration
Utricle and saccule
2 bulbs, specialized receptors in the bulbs provide acceleration and deceleration signals
Vestibular signaling
Head movement initiates fluid movement in the semicircular canal, which deflects stereocilia in the ampulla, this excites CN8, or the vestibulocochlear nerve, which transmits the signal to the vestibular nuclei in the brainstem (most) or directly to the cerebellum
Vestibulo-ocular reflex
movement sensation causes eyes to move in opposite direction to stabilize images
Primary auditory cortex
A1, processes basic sound detection
Secondary auditory cortex
processes complex sounds (speech, music, spatial location, etc.)
Place coding
Different frequencies maximally activate different locations along the cochlea (cochlear tonotopy) – the auditory cortex encodes pitch based on where activity is occurring
• Low pitch sound – highest activity near apex
• High pitch sound – highest activity near base
Temporal coding
For lower frequencies, neurons can synchronize their firing to the timing of the sound wave (phase-locking)
Volley principle
For higher frequencies that are too high for any single neuron to fire every cycle, each neuron only fires at a certain point in the cycle, though it does not respond to each cycle
Interaural intensity differences
different loudness at the two ears
Interaural timing differences
different arrival times for sound at the ears
Auditory ventral stream
Identifies what the sound is, which is important for sound intensity, speech recognition, meaning. It projects to anterior temporal regions
Auditory dorsal stream
Identifies where the sound and how to interact with it which is Important for sound localization, spatial processing, and sensorimotor integration. It Projects toward posterior temporal and parietal regions.
Conduction deafness
disorders of outer or middle ear that prevent sounds from reaching the cochlea
Sensorineural deafness
from cochlea or auditory nerve lesions
Central deafness
caused by brain lesions
Papillae
bumps on the tongue that contain taste buds
Fungiform papillae
Near the tip and sides
Circumvallate papillae
Large, arranged in a V-shaped row near the back