Somatosensation 1 Flashcards

1
Q

Descartes

A

Pain scientist - I think therefore I am
Thought humans had immaterial souls - thinking thing = immaterial soul
Sceptical about sensations but exceptions = senses coming from body = passions of the soul
Do not perceive injury through reason, we directly feel it, passions of soul - suffering forces themselves on us
Ex = fire, particles interact with animal spirits in our nerves, pull strings that constitutive nerves —> inform immature souls of the fire, rings bell in brain pineal hand - interfaces between body and soul

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2
Q

Absence of tactile sensation and proproception

A

Losing touch = very bad
Bc viral infection = causes this
Cannot touch - no feedback from limbs ad no propriocetopn - cannot feel, pain and temp remained tho
Most of the time do not perceive these but very important for movement
Patient= virtually hanicapped - cannot move effectively

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3
Q

Describe somatosensory cortex

A

Motor cortex, sensory cortex
Communicate a lot

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4
Q

Proprioception

A

Sense of body position
Is based on ability to perceive position of joints
Also includes vestibular sensations - sense of balance, equilibrium

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5
Q

Kinesthesia

A

Reception of movement
Does not include balance
Substantantially the same receptors as proprioception

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6
Q

Name and describe the 2 types of receptors

A

Muscle spindle = kinesthetic/proprioceptive nerve fibres attached to muscular fibres,stretch receptors
Golgi tendon organ= in tendons, perceive pull on tendons

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7
Q

Describe tactile perception

A

Touch
Perception of objects that come into contact with skin
Type of exteroceptive sense - perception of external world like vision or hearing
Associated with Sophisticated fibres associated with weird kinds of apparatus at dendritic ends = markels receptors, pacinian corpuscle, Ruffini corpuscle, meissners corpuscle = help tactile finders perceive diff aspects/dimensions

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8
Q

Describe thermoalgesia

A

Temp and pain - same system perceiving them
Interoception = perception of internal state of body - such as hunger, thirst, pee
Isnide body
Tells you state of own body
Free nerve endings on dendritic ends

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9
Q

Describe somesthetic nerve fibres

A

A alpha = faster and huge since heavy myelinated, proprioception
A delta (myelinated) - fast tissue damage pain fibres
Small unmyelinated c = pain fibres, slower tissue damage

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10
Q

What is tactile perception characterized by

A

Size of respective field = large or small
Adaptation rate = slow or fast, if fast adapting and fire constantly = then adapt = stop fitting if sensation continues,more interested in change of stimulus

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11
Q

Sa I

A

Merkel
Small receptive field
Slow adapting
Fine grain patterns of tactile perception, pattens and forms

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12
Q

Sa ii

A

Ruffini
Only in hands, larger receptive fields
But slow adapting
Good at percieving skin deformation- shape of hand for grabbing

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13
Q

Fa I

A

Mesissner
Fast adapting
Good for holding grip
Perceive vibrations of skin - low freq like if object slipping out of hand

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14
Q

Fa ii

A

Pacini
More sensitive to high freq vibrations
Like cheers, pencil writing, interacting with tools

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15
Q

Describe opening door

A

Feel shape of key in pocket = Sa I (fine detailS)
Shaping fingers to grasp key = Sa ii (configuration of hand)
Insert key into lock, strengthen grip to prevent key from slipping = Fa I (grab)
When key reaches end of hole = Fa ii (interacting with objects)

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16
Q

Describe tactile perception - deramtomes

A

All touch fibres eventually group together into a nerve that enters spinal cord between each spinal disc
Each area of skin innevated by specific nerve - dermatom e

17
Q

Describe dorsal column pathway

A

Enters spinal cord then stays on same side
Cuneate and gracile nucleus = 1st relay
Axons cross over to Ventral posterior nucleus of thalamus - 2nd relay
Then to somatosenory cortex posterior to central sulcus

18
Q

Describe primary somatosensory cortex

A

Somatotopic organization = corresponding points
More touch receptors on face and hands - homunculus

19
Q

Describe 2 point discrimination trheshold

A

2 pins - distance varies and ask if feel 2 or 1 pins
If receptive field large = cannot perceive 2 pins - large distance required = larger number = poor discrimination
In hands = smaller receptive fields so 2 pins will be in diff fields

20
Q

what is pain
What causes pain

A

Hard to define pain
Subjected
What are we perceiving???

21
Q

Define pain

A

Unpleasnet sensory and emotional experience associated with or remsbling that associated with actual or potential tissue damage
Injury + intensity

22
Q

Define nociception

A

Neural process of encoding nociceptive stimuli - encoding stimuli

23
Q

Describe nociceptive stimulus

A

Actual or potentially tissue damaging event transduced adn encoded by nociceptors= whatever causes nociception

24
Q

Ideas about pain - intensity theory

A

Says a pain = excessive sensory stimulation = if v high intensity
No special system for perciving pain, noxious stimuli = more painful

25
Ideas about pain - specificity theory
Some neurons respond selectively to stimulation in noxious range Implying distinct system
26
Define nociceptors
Fibres with free nerve endings Sensory receptors that may cause damage to the skin or lead to risk of damage
27
Name the 2 groups of nociceptors
A delta C fibres - at surface of receptors = diff types of transducers, = acidity, heat, painful cold, mechanical stimaultion Same nerve fibres can perceive all of these things but only if at certain trehshold - enough to cause pain
28
Describe a delta nociceptors
Intermediate sized Myelinated sensory nerve fibres Transmit pain and temp signals
29
Describe C fibre nociceptors
Small diameter Non myelinated sensory nerve fibres Transmit pain adn temp signals
30
Pain events take place in= describe stages
2 stages = sharp rapid pain (a delta) and then throbbing sensation (c fibres) Difference in speed due to myelination
31
Describe unmyelinated vs myelinated fibres
Conduction velocity of ap depends on how fast transmit ap - depends on myelin Myelinated = fast bc ap jumps to nodes of ranvier- saltatory conduction Unmyelinated = just moves along, no jumping, slower
32
Describe first pain vs second pain
second pain more diffuse
33
Describe local anesthetic s
Easy to manipulate c fibres - can block with local anesthetics For myelinated one = ap can just jump over blocked node of ranvier, so have to block 2 nodes to block ap Dentist, epidural Prevent sodium from entering channel = blocs ap propagation
34
Describe ex of local anesthetics
Lots of anesthetic = many nerves paralyzed, Bigger myelinated = less nodes