Exam 2 Flashcards
Dorsal Primary Rami
Do not merge to form plexi
Motor: muscles of the deep back muscles
Sensory: innervate joint capsules/ligaments
Ventral Primary Rami
Merge to form plexi
Stay segmental in thoracic region
Cervical Plexus
C2, C3, C4 Phrenic nerve (C3-C5)
Brachial Plexus
C5-T1
Ulnar, radial, median
Lumbar Plexus
L1-L4
Femoral, obturator
Sacral Plexus
L4-S3
Common peroneal, tibial
Afferent fiber
Usually unipolar
Receptor
Peripheral process
Efferent fiber
Axon
Synaptic terminal
Sequence of membranes surrounding afferent/efferent fibers
Axon, axolemma, myelin, neurilemma, endonerium, perinerium, epinerium
Neurilemma
Covers the myelin sheath
Endonerium
Covers each individual nerve fiber. Contains blood vessels that supply oxygen and nutrients
Perinerium
Surrounds bundles of nerve fibers
Epinerium
Surrounds entire nerve
Peripheral nerve cutaneous innervation
Areas of skin supplied by more than one spinal cord level
Superficial sensations (exteroceptors)
Responsible for pain, temperature, and fine touch
Examples of exteroceptors
Free nerve endings Hair follicles Merkel's discs Meissner's corpuscles Krause end bulbs
Deep receptors (proprioceptors)
Responsible for joint position, kinesthetic awareness, vibration, muscle length and muscle tension, skin movements, and deep pressure
Examples of deep receptors
Muscle spindles GTOs Ruffini corpuscles Pacinian corpuscles Golgi ligament endings
What do free nerve endings detect?
Pain, touch, tickle, itch, temperature
What is the axon reflex?
The superficial heat stimulates temperature receptors in the skin, then a branch of the peripheral process synapses on cutaneous blood vessels which causes dilation
Ruffini Endings detect
joint angles at end range
Continuous stretch on skin
Hair follicle receptor organs
Combination of hair follicle and nerve fiber
Responsible for superficial touch
Krause end bulb
Responsible for touch, light pressure, and cold temperature sensations
Meissner’s corpulscles
Detects moving 2 point discrimination and low frequency vibration
Pacinian corpuscles
Detects pressure and high frequency vibration
Merkel’s Discs
Detects texture, localized touch, and static 2 point discrimination
Babinski reflex
Stroke along heel and along 5th metatarsal and then across the metatarsal heads
Oppenhein reflex
Stroking down the medial side of the tibia causes 1st toe extension
Chaddock reflex
Stroking along the lateral ankle/lateral aspect of foot causes 1st digit extension
Type I Mechanoreceptors
Ruffini endings - static end range position; speed/direction of active/passive movement; continuous stretch