Chap 12. Pt.II Flashcards

1
Q

cold fibers

A

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

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2
Q

Two major pathways in the spinal cord

A

Medial lemniscal pathway
large fibers that carry proprioceptive and touch information
Spinothalamic pathway
smaller fibers that carry temperature and pain information

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3
Q

Neurons in area 3a

A

proprioceptive information carried by signals from muscle spindles and Golgi tendon organs located in tissues below the skin

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4
Q

Neurons in areas 3b and 1

A

tactile information carried by signals from mechanoreceptors in the skin

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5
Q

Neurons in area 2

A

proprioceptive information carried by signals from muscle spindles and Golgi tendon organs, and
tactile information carried by signals from mechanoreceptors in the skin

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6
Q

homunculus

A

Body map on the cortex shows more cortical space allocated to parts of the body that are responsible for detail – cortical magnification

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7
Q

Dorsal Path

A
  • information used to guide actions that require tactile and proprioceptive input
  • goes from S1 to the posterior parietal cortex and then to premotor cortex
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8
Q

Ventral Path

A
  • 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
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9
Q

PET imaging while cold stimulus applied to right hand

A

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.

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10
Q

Cortical Representation of Pain: Pain Matrix

A
  • 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
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11
Q

Analgesia

A

reducing sensitivity to pain by modulating the intensity of pain signals

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12
Q

endogenous opioids

A

Compounds that belong to a class of substances called opiates; released by the body in response to painful or stressful experiences.

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13
Q

endorphins

A

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.

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14
Q

Gate Control Model of Pain Perception

A

-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

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15
Q

Haptic Tests: 8

A
  • 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)
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16
Q

Controlling Pain

A
Pharmacological interventions
•Local or topical (e.g., lidocaine)
•Central (e.g., morphine & endogenous opiates)
Physical intervention
•Counterirritants (e.g., acupuncture)
Psychological Interventions
•Placebo effect
•Hypnosis
•Cognitive behavioural therapy
•Expectation
•Shifting attention
17
Q

Haptic perception

A

•is the active exploration of 3-D objects with the hand
•It uses three distinct systems:
–Sensory system
–Motor system
–Cognitive system
•Psychophysical research shows that people can identify objects haptically in 1 to 2 sec