24 JUNE 2019 Flashcards
nocioceptors
free nerve endings that detect pain with normal deplorazation
sensory discriminative aspect involves
the spinothalamic path
motivational affective parts involve
spinoemotional and spinoreticular
cognitive evaluative involves
prefrontal lobe of the cerebral cortex
antinociception:
top down approach to inhibit pain signals
distract or turn down
propnocipetion
top down approach to amplify pain signals
turn up
neuropathy
injury of the neural pathway that causes pain
sick nerves
counterirritant theory:
by activating a-beta inhibitory inter neuron to close synaptic gate in dorsal horn
an irritant is (tissue death that causes deplorazation of free nerve endings) in order to stop the free nerve endings form being depolarized you add deplorazation of a -beta which is from light touch
- so rubbing = closing gate
a synapse is a place where
you can turn up or down a signal
synapses in the dorsal horn have what two different types of neurons:
damage / pain
simple touch
what is the gate theory?
the gate theory is that there are two neuron pathways in the dorsal horn connected by a tiny inter neuron
when that inter neuron is turned open the “gate” open and turns up the pain receptors
close “gate” and the pain turns off
what are two ways we can turn the gate theory on / off
mentally and pharmacological
what are the four states of the dorsal horn synapse
normal
supressed
sensitized
reorganized
a normal dorsal horn synapse will
deploraize APs get pass on
you know you got hurt
get AP from damaging stimulus
a suppressed dorsal horn synapse:
can’t pass APs as easily: temporary turning down the signal
- suppressed synapse w/ rub or pharmacological ways
a sensitized dorsal horn synapse is
TEMPORARY
easier for pain to be crossed in the synapse
**neuropathetic
the presynpatic releases more neurotransmitters with every AP
a reorganized dorsal horn synapse is:
PERSISTENT
easier for pain to be crossed in the synpase
**neurpathetic
uses methods like LTP to reorganize the membrane so that it is easier to be crossed