Chap 12. Pt.II Flashcards
cold fibers
Thermoreceptors that fire at an ongoing moderate rate in response to sustained skin temperatures in the range of 17– 40° C.
Respond if skin temperature is abruptly cooled from a sustained neutral temperature
Two major pathways in the spinal cord
Medial lemniscal pathway
large fibers that carry proprioceptive and touch information
Spinothalamic pathway
smaller fibers that carry temperature and pain information
Neurons in area 3a
proprioceptive information carried by signals from muscle spindles and Golgi tendon organs located in tissues below the skin
Neurons in areas 3b and 1
tactile information carried by signals from mechanoreceptors in the skin
Neurons in area 2
proprioceptive information carried by signals from muscle spindles and Golgi tendon organs, and
tactile information carried by signals from mechanoreceptors in the skin
homunculus
Body map on the cortex shows more cortical space allocated to parts of the body that are responsible for detail – cortical magnification
Dorsal Path
- information used to guide actions that require tactile and proprioceptive input
- goes from S1 to the posterior parietal cortex and then to premotor cortex
Ventral Path
- tactile and proprioceptive information used in perceiving and remembering object shape and identity
- Goes from S1 to S2 and then to prefrontal cortex and hippocampus
PET imaging while cold stimulus applied to right hand
Activation in the left insular cortex which varied with the temperature applied to the hand
a site where nonpainful temperature sensations are represented in a somatotopic map used for, among other things, maintaining homeostasis ( e. g., constant body temperature)
R. insular: a site where the relative intensities of temperature sensations are evaluated.
Cortical Representation of Pain: Pain Matrix
- Signals from nociceptors travel up the spinothalamic pathway and activate:
- Subcortical areas including the hypothalamus, limbic system, and the thalamus
- Cortical areas including S1 and S2 in the somatosensory cortex, the insula, and the anterior cingulate cortex
- These cortical areas taken together are called the pain matrix
Analgesia
reducing sensitivity to pain by modulating the intensity of pain signals
endogenous opioids
Compounds that belong to a class of substances called opiates; released by the body in response to painful or stressful experiences.
endorphins
Endogenous opioids that have an inhibitory effect on pain- related neural signals in many areas of the central nervous system, reducing the perceived intensity of pain.
Gate Control Model of Pain Perception
-The “gate” consists of substantia gelatinosa cells in the spinal cord (SG- and SG+)
-Input into the gate comes from:
Large diameter (L) fibers - information from tactile stimuli
Small diameter (S) fibers - information from nociceptors
Central control - information from cognitive factors from the cortex
-Pain does not occur when the gate is closed by stimulation into the SG- from central control or L-fibers into the T-cell
-Pain does occur from stimulation from the S-fibers into the SG+ into the T-cell
Haptic Tests: 8
- lateral motion (Texture)
- pressure (hardness)
- skin contact (tempeture)
- unsupported holding (weight)
- enclosure (volume/global shape)
- contour following (volume/exact shape)
- functional test (specific function)
- part motion test (part motion)