Sensation and Afferent Tracts Flashcards

1
Q

What are somatic senses?

A

Temp, touch, pressure, vibration, proprioception, pain

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2
Q

What are the 4 basic receptor types, based on MOA?

A

Mechanoreceptors (compression/stretching of receptor)
Thermoreceptors (hot/cold receptors)
Electromagnetic (light in retina)
Chemoreceptors (O2/CO2/H+, osmolarity, taste, smell etc.)

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3
Q

What are other receptor types are there, based on the purpose they serve?

A

Nociceptors - pain (mechano/thermo/chemoreceptors)

Proprioceptors (mechanoreceptors - joint position)

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4
Q

What is modality of receptors?

A
  • Show high sensitivity to one type of stimulus, may respond to others
  • activity in afferent nerve is always interpreted as sensation associated with receptor, regardless of cause
  • LAW OF SPECIFIC NERVE ENERGY
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5
Q

What is the receptive field and how can it be tested?

A

Area monitored by single receptor

  • highly sensitive - small fields (fingertips, tongue, lips <1mm)
  • general body surface has larger fields (7cm)

tested by two point discrimination

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6
Q

What is receptor potential?

A

Type of graded potential (as opposed to all-or-nothing)
Transmembrane potential difference produced by activation of a sensory receptor
Often produced by sensory transduction
Generally a depolarizing event resulting from inward current flow.

E.g. in a Pacinian corpuscle

  • bare neurone tip surrounded by concentric tissue layers
  • local pressure - deformation of tissue
  • transferred to unmyelinated fibre tip
  • deformation of fibre tip creates ion channels, allowing Na+ entry
  • if Na+ conc. reaches threshold, AP generated
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7
Q

What is sensory coding?

A

When receptor potential above threshold, AP generated
- as receptor stimulated, more APs propagated

Therefore, stimulus strength coded for in:

  • size of receptor potential (graded)
  • sensory nerve freq. of AP
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8
Q

Compare tonic and phasic responses.

A

Tonic

  • adapts v slowly, receptor potential + AP maintained
  • constant sensation
    e. g. some proprioceptors

Phasic

  • adapts rapidly, receptor potential + APs diminish
  • transient info
    e. g. Pacinian Corpuscle (pressure + vibration)
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9
Q

What are the different groups of mechanoreceptors and what do they have in common?

A

In common: stretch-sensitive membrane channels, respond to distortion of membrane

  • Tactile receptors of skin (fine or crude touch, range in complexity)
  • Deep tissue receptors (same as skin)
  • Proprioceptors (muscle spindles, GTO, joint receptors)
  • baroreceptors (carotid sinus, aortic arch, RA)
  • inner ear receptors (cochlear + vestibular receptors)
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10
Q

Describe the tactile receptors of the skin.

A

Free nerve endings - tonic, small fields, sole cornea receptors
Root hair plexus - rapidly adapting
Merkel’s discs - v sensitive, tonic, grouped in Iggo receptor domes, v small fields, fine touch
Meissner’s corpuscles - fine touch, low freq. vibration, fast-adapting, in capsule in dermis, many in sensitive areas
Pacinian corpuscles - deep pressure, high freq. vibration, rapidly-adapting, phasic, lamellae, wide distribution
Ruffini corpuscles - skin pressure + distortion, tonic

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11
Q

Describe muscle spindles as proprioceptors

A
  • Sense muscle length, trigger muscles stretch reflexes
  • receptors located in central region with sensory afferents
  • contractile regions either end with gamma motor fibres
  • muscle stretch causes intrafusal stretch, sends info to spine
  • synapses with alpha motor neurone to trigger muscle contraction + inhibit muscles opposing contraction
  • contraction of extrafusal fibres (via a-mn) accompanied by contraction of intrafusal fibres in spindle (via gamma-mn) to maintain sensitivity
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12
Q

Describe golgi tendon organs as proprioceptors

A
  • located in tendons
  • in series with muscle
  • sense muscle tension
  • initiate inhibitory reflex to stop contraction for protection)
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13
Q

Describe joint receptors

A

Free nerve endings in joint capsules

- detect joint pressure, movement + tension

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14
Q

Describe baroreceptors

A
  • monitor pressure changes in organ walls
  • free nerve endings in elastic tissue of some distensible organs, inc. BVs, heart, portions of resp, digestive, urinary tracts
  • produce different affects, according to tissue
  • rapidly adapting
  • monitor blood pressure in walls of major arteries, inc. carotid sinuses, aortic bodies + heart
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15
Q

Describe thermoreceptors

A
  • free nerve endings in dermis
  • sensitive to hot OR cold temp. ranges
  • phasic
  • also located in hypothalamus (co-ordinator of responses to temp., spine, liver, skeletal muscle)
  • transduced by specific protein channels (TRP channels)
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16
Q

Describe chemoreceptors

A

Carotid + aortic bodies

  • monitor blood pH, O2, CO2
  • medulla surface monitors CSF pH + CO2
  • elicit resp, CV, behavioural responses

Hypothalamic receptors

  • monitor glucose, AAs, osmolarity
  • hunger, thirst

GI tract stimulated in diff parts by food content
e.g. stomach reacts to presence of proteins - gastric secretions

17
Q

Describe nociceptors

A
  • bare nerve endings
  • 3 populations sensitive for: mechanical damage, dissolved chemicals, temp extremes
  • relatively dense distribution
  • some multimodal
  • many response to chemicals released by damaged cells ( K+, ATP, inflammatory mediators - 5-HT, bradykinin)
  • PGs sensitize nociceptors
  • carried in 2 axon types: type A(fast), type C (slow)
18
Q

What is the organisation of somatosensory system pathways?

A

1st order neurones (primary afferent)

  • nerves with receptor endings
  • cell bodies in DRG
  • enter spinal cord via dorsal root

Synapse with 2nd order neurones
- travel to brain via two primary ascending tracts

Connect to cerebral cortex
- 3rd order neurones

19
Q

What are the 4 types of primary afferent neurones, based on conduction velocity + diameter?

A

Aalpha - fastest
- muscle spindle, GTP, touch + pressure

Abeta
- touch, pressure + vibration

Adelta
- touch + pressure, pain + temp

C - slowest (unmyelinated)
- pain + temp

20
Q

Describe the primary afferent route to spine

A

Sensory receptors -> primary afferent enters spine via dorsal root of spinal nerve -> dorsal root ganglion containing cell bodies of sensory axons -> enters dorsal horn of grey matter (where it synapses with 2nd order neurons)

21
Q

where do fast and slow fibres synapse in the spine

A

Spinal lamina

  • slower fibres synapse in more dorsal lamina
  • faster fibres more ventrally
22
Q

What is a dermatome?

A

Area of skin sensation associated with a particular spinal level of afferent entry

23
Q

Sensory pathways move which way in the spinal cord?

A

Ascend

24
Q

Describe the location and properties of the spinothalamic tract?

A
  • anterolateral
  • pain + temp receptors, tickle + itch
  • 2nd order neurons cross midline (synapse in grey matter)
  • ascends contralateral to side of entry (in white matter)
  • poor spatial discrimination, crude sensation
  • conduction velocity slower (synapse more dorsally in spinal cord)
  • smaller myelinated + unmyelinated fibres
  • synapse in thalamus
  • 3rd order neurones travel to sensory cortex
25
Q

Describe the dorsal column

A
  • proprioceptors/touch/vibration info
  • ascend by ipsilateral pathway (no crossing over in spinal cord)
  • no synapse in spinal cord
  • synapse with 2nd order neuron in dorsal column nuclei
  • cross midline in medulla, travels to thalamus (synapse with 3rd order)
  • larger, myelinated fibres
  • faster conduction
  • 3rd order neuron to sensory cortex
26
Q

Describe the spinocerebellar tract

A
  • originates in spinal cord
  • 2nd order neurones ascend, some ipsilaterally, some contralaterally
  • terminates in cerebellum
  • conveys info to cerebellum about limb and joint position (proprioception) from muscle spindles and GTO
  • some cutaneous afferent info
27
Q

Describe the somatosensory cortex

A

Primary sensory cortex in post-central gyrus

  • receives info from sensory receptors
  • allows conscious awareness of sensations
28
Q

What other sensory cortex areas are there?

A

Occipital lobe - visual cortex
Frontal lobe - gustatory cortex
Temporal - auditory + olfactory

Somatic sensory association areas

  • monitor activity in primary sensory cortex
  • integrates somatic senses with memories, emotions, state of arousal by pathways to other brain areas

Special senses have own association areas

29
Q

What kind of symptoms will peripheral lesions cause compared to brain/spine lesions?

A

Peripheral - localized

Brain/spine - more widespread

30
Q

What are primary sensory axons affected by? What does this lead to?

A

Trauma
Nerve root damage
Neuropathy - diabetes, alcohol, MS, chemotherapy

Leads to:

  • numbness
  • pins + needles
  • all modalities usually affected
31
Q

What is the most common type of ascending tract damage? Where is sensory loss seen?

A

bilateral spinal damage

- sensory loss in all modalities below level of lesion

32
Q

What happens to sensation in unilateral spinal damage?

A

joint position - sense lost on same side of lesion (hemiparaplegia - weakness/paralysis)
temp + pain senses lost on opposite side (hemianesthesia)
Brown-Sequard syndrome

33
Q

How can somatosensory cortex be damaged?

A

usually caused by stroke

  • damaging cortex or tracts from thalamus to cortex (internal capsule)
  • causes sensory loss from opposite side of body
  • motor deficits from nearby affected areas common