pain, movement, mood Flashcards
both pain and touch sensory pathway
synapse in thalamus
sensations perceived in primary somatic sensory cortex
contralateral (stimulated on R –> shift to L side)
thalamus
central switch station of brain
sorts out incoming physical signs (2* –> 3* thalamus)
where does pain pathway cross to contralateral side
- pain: spinothalamic pathway (1* cross at dorsal horn in spinal cord)
where does touch pathway cross to contralateral side
- touch: dorsal column pathway (1* crosses in medulla)
touch vs pain
touch nerves send signals more quickly than pain nerves
(feel pierce before pain)
- thicker myelin sheath
somatosensory relays of spinothalamic pathway
1) relay signal to tissue damage, pain sensation
2) signal generated at nociceptors in region of damage
3) nociceptors are free nerve ending. merge into afferent nerve fibre (Ad, C type)
4) fibre carry signal from periphery –> spinal cord
synapse at dorsal horm
5) spinothalamic neruon (2*, receiving neuron) sends long axon to thalamus.
6) thalamus (3* neuron) relay info to cortex (4* neuron)
variety of cortical regions receive pain info
pathway that affects sensory processing
(how do we know the location)
signal travels along topographic lines
reach primary somatosensory cortex (L hemisphere = right body)
signal travels along labeled line
receptor and its primary afferent (1* neuron) labeled because only respond to only 1 type of stimulus
chain of neurons relaying sensory info of particular modality
modalities
modalities represent a class of stimuli (eg lead to somatosensation)
some are non-overlapping (vision and sound)
some are submodalities which overlaps (touch, pain)
unimodal receptors
only 1 adequate stimulus
not have manifold adequate stimuli
polymodal receptor
nociceptors: free nerve endings in the skin are called polymodal nociceptors because they contain multiple receptors and thus respond to various combinations of the above mentioned stimulus.
eg: mechano-heat C fibers
large representation of face compared to trunk on cortical map
relay of info from face region more extensive than from trunk
high density of receptors in face region, more precise sensory experience.
3 factors of sensation
1) location
2) intensity
3) quality
location of sensation
location of receptor (receptive field)
duration of stimulus
intensity of sensation
a) freq code (the more intense the stimulus, more AP per unit time (FREQ)
b) population code (number of receptors excited)
quality of stimulus
nature of stimulus
vision (photo receptors)
mechanoreceptors
chemoreceptors
osmoreceptors
thermoreceptors
proprioceptors (position in space)
nociceptors (noxious stimuli)
what is pain?
unpleasant feeling
felt acutely to warn indiv of the damage and prompt indiv to take remedial measures
- pain that outlast tissue damage/ after tissue recovered does not serve any USEFUL PURPOSE
3 features of pain
1) intensity
2) unpleasantness (subjective)
3) duration (acute vs chronic)
pain pathophysiology
allodynia: pain to normally non-pain stimulus
hyperalgesia: incr pain to noxious stimuli
allodynia explained in 2parts
1) human sensory exp (lower threshold for excitation + POTENTIATES, higher intensity for given stimuli)
2) neural activity (incr AP response per unit time)
- central sensitization (spinal cord)
- peripheral (nociceptors neurons)
spontaneous pain
spontaneous activity in pain pathway especially in nociceptors
central sensitisation
sensitised spinal neurons strongly excited by touch.
- excited wide dynamic range neuron (grey column of spinal cord) along spinothalamic pathway –> sensation of pain
- potentiate freq of pain signal
peripheral sensitisation
nociceptor terminals become more sensitive to the same quantity of the chemical mediators
potentiates pain intensity
inhibitory neuron function
excitation of Ab fiber 1* (touch) will inhibit spinal-thalamic tract neuron 2* (pain)
rmb: pain crosses at dorsal column