Neurons Involved in Sensory and Motor Function
- Three Neuron Types: Sensory, Upper Motor, and Lower Motor
- Sensory neurons transmit information from receptors to the central nervous system (CNS).
- Upper Motor Neurons (UMN): Originate in the primary motor cortex and influence lower motor neurons.
- Lower Motor Neurons (LMN): Located in the spinal cord, they directly innervate muscles.
Pathways of Motor Control
- Motor Pathway Composition: Comprised of two main neurons (UMN and LMN) for motor function.
- Tracts:
- Lateral corticospinal tract primarily crosses at the medulla oblongata (90% of fibers).
- Ventral corticospinal tract crosses over at lower spinal cord levels.
- Cortical Control: Cerebral cortex sends motor commands via these tracts to muscle fibers.
Spinal Cord Trauma and Paralysis Types
- Trauma Effects: Damage cuts through the spinal cord, leading to loss of motor and sensory function below the injury level.
- Types of Paralysis:
- Flaccid Paralysis: Loss of muscle tone; associated with lower motor neuron damage (e.g., ventral root damage).
- Spastic Paralysis: Muscle tone increased, reflexes intact; results from upper motor neuron damage (e.g., stroke).
Muscle Atrophy and Reflex Action
- Muscle atrophy refers to the shrinkage of muscle cells due to lack of stimulation.
- Atrophy occurs significantly in LMN damage, while UMN damage leads to preserved reflexes but potentially spastic movements.
- Reflex Actions: Intact reflexes in UMN damage due to retained spinal reflex arcs.
Symptoms of Spinal Cord Damage
- Quadriplegia: Loss of use in all four limbs due to cervical injury.
- Paraplegia: Loss of use in the lower limbs due to thoracic/lumbar injury.
- Risk associated with vertebral fractures includes respiratory failure if cervical vertebrae are damaged.
Spinal Shock
- Transient Condition: Mimics complete spinal cord transection; may recover function as inflammation subsides.
- Rehabilitation Focus: Physical therapy to stimulate remaining functional muscles and maintain mobility.
Neurological Conditions:
- Amyotrophic Lateral Sclerosis (ALS): Affects the ventral horn, leading to loss of motor control and eventual respiratory failure as diaphragm muscles weaken.
Receptors and Sensory Processes
- Function of Receptors: Structures that convert environmental stimuli into electrical signals (graded potentials).
- Depolarization: A decrease in potential difference across membrane leading to action potential generation.
- Sensation vs Perception: Sensation involves the detection of stimuli; perception involves the interpretation of sensory information.
Types of Receptors
- Mechanoreceptors: Respond to mechanical changes (touch, pressure, vibrations).
- Photoreceptors: Sensitive to light (e.g., rods and cones in the retina).
- Chemoreceptors: Detect chemical changes (senses of taste and smell).
- Thermoreceptors: Detect temperature variations.
- Nociceptors: Pain receptors alerting to tissue damage.
Stimulus Classification
- Exteroceptors: Respond to external stimuli (general and special senses).
- Interoceptors: Respond to internal stimuli (visceral sensations).
- Proprioceptors: Provide information about body position and movement.
Perceptual Processing Levels
- Receptor Level: Sensory receptors transduce stimuli into signals.
- Circuit Level: Information travels through pathways to the brain.
- Perceptual Level: Higher processing occurs in the cerebral cortex for awareness and interpretation.
Neural Pathways and Pain:
- Phantom Limb Pain: Occurs in amputees due to retained neuronal activity in the brain.
- Visceral Pain: Difficult to localize, often arising from organ issues (e.g., kidney stones).
- Referred vs Radiating Pain:
- Referred Pain: Perceived pain at a location different from the source (e.g., heart attack referred to arm).
- Radiating Pain: Pain that travels along a nerve path (e.g., sciatica).
Connective Tissues in Nerve Structure
- Epineurium: Surrounds the entire nerve.
- Perineurium: Encloses bundles of fibers (fascicles).
- Endoneurium: Surrounds individual axons, found on myelinated fibers.
Neuron Classification
- Sensory Neurons: Afferent (incoming signals to the CNS).
- Motor Neurons: Efferent (outgoing signals from the CNS to muscles).
- Mixed Nerves: Contain both sensory and motor fibers (most spinal nerves).
Pain Tolerance and Threshold
- Threshold: The minimal stimulus needed to perceive pain.
- Tolerance: The maximum level of pain discomfort a person can endure before they seek relief.
- Influences on Pain Tolerance: Genetic predisposition, conditioning, and circumstance can affect individual pain responses.