A&P 2.8. spinal versus cranial nerves Flashcards
Stimulus
Pain from myofascia
Pathophysiological reflex
PAIN SPASM PAIN CYCLE
Sensory receptor
Nocicepter
Free nerve ending sensitive to damage or potential damage
Sensory neuron
Conducts a nerve impulse from nocicepters to the CNS
Integrating center
Sensory neurons synapse with an INTERNEURON that synapses with a ….
Motor neuron
To the MUSCLE WITH THE RECEPTOR, while the antagonist is inhibited
Effector
Muscle in pain
Response
Muscle in pain contracts
Renewed stimulus
Repeated firing of the motor neuron and repeated contraction of the muscle use a lot of energy - more than normal- creating an energy crisis.
The muscle and the motor neuron secrete chemicals in response to the energy crisis that stimulate nocicepters
Go back to step 2 and REPEAT IN A VISCOUS CYCLE
Facilitation
Any neuronal pathway that is used repeatedly develops a lower threshold, and will fire more easily in the future
“Wearing a groove”
Spreading
Large amounts of nociceptive input to the spinal cord cause additional interneurons to fire, spreading the chronic contractions to other muscles
First in motor neurons in the same segment, then on the other side, then up and down the cord and eventually stimulating the reticular formation, increasing global muscle tone and spreading myofascial pain throughout larger body regions.
Spinal nerves
31 pairs of spinal nerves that are numbered not named according to t he level of the vertebral column at which they emerge from the spinal cavity.
Spinal nerves ARE ALWAYS MIXED (they have both sensory and motor axions)
Cervical nerve pairs
8 pairs
C1-C7 emerge superior to their respective vertebrae
C8 emerges between T1-C7 vertebrae
Thoracic nerve pairs
12 pairs
All emerge inferior to their respective vertebrae
Lumbar nerve pairs
5 pairs
L1-5. All emerge inferior to their respective vertebrae