Physio Midterm Flashcards
Brain Protection
- Skull/Cranium
- Meninges
- Cerebrospinal Fluid (CSF)
Spinal Cord
- Connected to the brain by the brain stem
- Long bundle of nerves
- Sends motor commands from the brain to the body, sends sensory information from the body to the brain, and coordinates reflexes
3 Main Sections of the Spinal Cord
- Cervical Spinal Cord: sends nerves to the face and neck
- Thoracic Spinal Cord: sends nerves to the arms, chest, and abdomen
- Lumbar-Sacral Spinal Cord: sends nerves to the lower body
Cauda Equina
- A bunch of nerves at the bottom of the spinal cord
Types of Neurons in the Somatic Nervous System
- Sensory Neurons: carry signals from the outer parts of your body (periphery) into the central nervous system
- Motor Neurons: carry signals from the central nervous system to the outer parts (muscles, skin, glands) of the body
- Interneurons: connect various neurons within the body and spinal cord
The Somatic Nervous System is made up of:
- Spinal Nerves: mixed nerves that carry sensory information into and motor commands out of the spinal cord
- Cranial Nerves: they are the nerve fibers that carry information into and out of the brain stem
ASIA Impairment Scale
- A: complete; no motor, no sensory, no sacral sparing
- B: incomplete; no motor, sensory only
- C: incomplete; 50% of muscles LESS than grade 3 (can’t raise arms or legs off bed)
- D: incomplete; 50% of muscles MORE than grade 3 (can raise arms or legs off bed)
- E: normal; motor and sensory function are normal
Amygdala
- Happiness and enjoyment
- Anxiety, irritability, and unease - withdrawal feelings = rewarding or aversive
- PTSD = HIGHER AMYGDALA AND LOWER VMPFC ACTIVATION
Amygdala with Hippocampus
- Long term memories
- Episodic Memory: long-term memory that involves conscious recollection of previous experiences
- Long-term Potentiation: a process involving persistent strengthening of synapses that leads to a long-lasting increase in signal transmission between neurons
Amygdala with Hypothalamus
- Sympathetic nervous response (fight or flight)
Amygdala with Thalamus
- Unconscious fear processing
- Conditioned emotional response (classical conditioning)
- Unconscious response
Structures of the Amygdala
- Lateral Nucleus: regarded as the sensory input gateway; located in dorso-lateral part of the amygdala
- Central Nucleus: key role in emotional response to aversive stimuli –> stress; damage = less stress hormones, ulcers, and stress-induced illnesses; stimulation = higher fear, agitation, gastric ulcers
- Basal Nucleus: major output pathways to cerebral cortex; projects to the VMPFC –> extinction of conditioned fear
Ventral Tegmental Area
- Dopamine-rich nucleus that mediates reward system
- Located in midbrain, next to substantia nigra
- Sends dopamine to the nucleus accumbens, amygdala, hippocampus, and prefrontal cortex
Ventromedial Prefrontal Cortex (VMPFC)
- Impulse control, courage, moral decision making
- Interface between emotional responses and control of complex behaviors
- Using emotional reasons to guide behaviors
- Courage = higher VMPFC activation
- Impulsive/emotional murderers = lower VMPFC activation vs. calculating/careful - typical brain patterns
- Antisocial personality disorder = 11% less gray matter in VMPFC
Patient E.R.
- Bilateral damage of the VMPFC
- Excellent social judgement in verbal responses to hypothetical situations, expansive reasoning shared
- Real life situations = unable to prioritize between trivial and important decisions
Neuron Structures
- Cell body (Soma)
- Dendrites
- Axons
- Myelin Sheath
- Terminal Buttons/Axon Terminals
Cell Body (Soma)
- Contains the nucleus
- Shape varies in different kinds of neurons
Dendrites
- A branched, treelike structure attached to the soma of a neuron
- Receives information transmitted across synapse
- Neurons converse with one another, and dendrites are recipients of these messages
Axons
- Long, thin. cylindrical structures
- Axon Hillock: gate keeper of whether an action potential is strong enough
- Carries information from cell body to terminal buttons/axon terminal
- Action potential is basic message
Terminal Buttons/Axon Terminals
- Buds at the end of a branch of an axon
- Forms synapses with another neuron
- Secretes chemicals called neurotransmitters
Types of Glial Cells
- Microglia
- Astrocytes
- Oligodendrocytes
Microglia
- Smallest glial cells
- Clean up dead cells
- Protect the brain from invading microorganisms/toxins
- Damage/toxins = microglial cells produce inflammatory mediators to call other cells to the injury –> promote and perpetuate the inflammatory response –> can worsen neurodegeneration
Astrocytes
- Star shaped
- Neuron “glue” - holds them in place
- Engulf debris (phagocytosis)
- Provide nourishment via transfer of fuel - neurons use a lot of energy but cannot store it
- Provide electric insulation for unmyelinated neurons
Oligodendrocytes
- Produces myelin in the form of a tube by wrapping itself around the axon
- Forms sheath in segments
- Episodic gaps = Nodes of Ranvier
Action Potential
- Rapid burst of depolarization followed by hyperpolarization
- All or none law
Depolarization
- Reduction of membrane potential (less negative inside)
- Lower in electrical charge = lower membrane potential
- Threshold of Excitation = set point to produce an action potential = -55mV
Hyperpolarization
- Increase in membrane potential
Post-synaptic Potential Types
- Determined by characteristics of postsynaptic receptors; type of ion channel they open
- Excitatory (EPSP): Sodium channel opened; depolarizing
- Inhibitory (IPSP): Potassium channel opened; Hyperpolarizing
Glutamate
- “Go”
- Main excitatory neurotransmitter in brain and spinal cord
- Stored in vesicles and released from presynaptic neuron following an action potential
- Removed from synapse by excitatory AA transporters
GABA
- “Stop”
- Inhibitory in the brain
- Stored in presynaptic vesicles
- GABA transporters re-uptake; aminotransferase deactivates
GABAA Receptor
- 5 binding sites
- Indirect agonists that bind the GABAA = benzos, some sleep meds, barbiturates, steroid hormones = sedating effects
- indirect antagonists at high doses = seizures
Glycine
- Inhibitory in the spinal cord and lower brain stem
NMDA Receptors
- 6 binding sites (4 on exterior and 2 located deep in the channel)
- Requirements for Glutamate to bind: Glycine must be attached; Mg must not be attached –> depolarized
- When channel is opened NMDA receptor allows sodium and calcium into cell –> depolarization
Dopamine Primary Effect
- Movement, attention, learning, and the reinforcing effects of substances
Serotonin Primary Effects
- Involved in mood and pain regulation, and the control of eating, sleep, arousal, and dreaming
Norepinephrine Primary Effects
- Vigilance/Attentiveness
Oxytocin
- Post-Orgasm: in women, higher oxytocin = feelings of attachment and bonding