Week 6 Flashcards
Label
Explain the gross anatomy of the spinal cord
Label
List the sensory tracts
dorsal column/medial leminscus
Spinothalamic
Spinolimbic, spinomesencephalic, spinoreticular
Posterior spinocerebellar and cuneocerebellar
Anterior spinocerebellar and rostrospinocerebellar
List the motor tracts
lateral corticospinal
Medial corticospinal
Reticulospinal
Medial vestibulospinal
Lateral vestibulospinal
For the dorsal column/medial leminscus tract, what is the origin and function?
(Sensory)
Origin:
Peripheral receptors, first order neuron synapses in medulla
Function:
Conveys information about light touch and conscious proprioception
For the spinothalamic tract, what is the origin and function?
(sensory)
Origin:
Dorsal horn of spinal cord
Function:
Conveys discriminative information about nociception and temperature
For the spinolimbic, spinomesencephalic, spinoreticular tract, what is the origin and function?
(sensory)
Origin:
Dorsal horn of spinal cord
Function:
Nonlocalized perception of pain, arousal, reflexive, motivational, and analgesic responses to nociception
For the posterior spinocerebellar and cuneocerebellar tract, what is the origin and function?
(sensory)
Origin:
High accuracy paths originate in peripheral receptors, first order neurons synapse in nucleus dorsalis or medulla
Function:
Conveys information unconscious proprioceptive information
For the anterior spinocerebellar and retrospinocerebellar tract, what is the origin and function?
(sensory)
Origin:
Internal feedback tracts originate in the dorsal horn of the spinal cord
Function:
Convey information about activity in upper motor neuron pathways and spinal interneurons
For the lateral corticospinal tract, what is the origin and function?
(motor)
Origin:
Supplementary motor, premotor, and primary motor cerebral cortex
Function:
Contralateral selective motor control, particularly of hand movements
For the medial corticospianl tract, what is the origin and function?
(motor)
Origin:
Supplementary motor, premotor, and primary motor cerebral cortex
Function:
Control of neck, shoulder, and trunk muscles
For the reticulospinal tract, what is the origin and function?
(motor)
Origin:
Reticular formation in medulla and pons
Function:
Facilitates postural muscles and gross limb movements
For the medial vestibulospinal tract, what is the origin and function?
(motor)
Origin:
Vestibular nuclei in medulla and pons
Function:
Adjust activity in neck and upper back muscles
For the lateral vestibulospinal tract, what is the origin and function?
(motor)
Origin:
Vestibular nuclei in medulla and pons
Function:
Ipsilaterally facilitates lower motor neurons to extensors, inhibits lower motor neurons to flexors
For the ceruleospianl tract, what is the origin and function?
(motor & sensory)
Origin:
Locus coeruleus in brainstem
Function:
Enhances the activity of the interneurons and LMN in spinal cord
For the raphespinal tract, what is the origin and function?
(motor & sensory)
Origin:
Raphe nucleus in brainstem
Function:
Enhances the activity of the interneurons and LMN in spinal cord
What are the functions of the spinal cord?
Assess
Explain reflexes (inhibitory circuits)
Explain bladder control (reflex, infant)
What is the order for signals to allow bladder filling?
What is the order of signals to empty the bladder?
How is bowl control related to bladder control?
What is segmental dysfunction? What are the signs?
What is a vertical tract dysfunction? What are the signs?
What arteries supply which portions of the spine?
What is this syndrome? What are the causes, sensory and motor issues?
What is this syndrome? What are the causes, sensory and motor issues?
What is this syndrome? What are the causes, sensory and motor issues?
What is this syndrome? What are the causes, sensory and motor issues?
In a complete spinal transection: What are the causes, sensory and motor issues?
What is this syndrome? What are the causes, sensory and motor issues?
Explain Amyotrophoc Lateral Sclerosis (ALS)
Explain traumatic spinal cord injury (SCI)
Explain subacute traumatic SCI
For chronic spinal cord injury, list the pathology, etiology, speed of onset, signs & symptoms
For chronic spinal cord injury, list the region affected, demographics, and prognosis
What are the classifications of spinal cord injuries?
What is an example of a test to assess the severity of a spinal cord injury?
ASIA
What are the classifications of ASIA?
What is the prognosis and treatment in SCI?
After a complete SCI, if the level of lesion is C2-C3 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is C4 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is C5 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is C6 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is C7 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is C8 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is T1 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is T2-T6 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is T7-T12 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is L1 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is L2 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is L3 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is L4 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is L5 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is S1 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is S2 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is S3 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
After a complete SCI, if the level of lesion is S4-S5 what is the motor capability, intact sensation, mobility, ADLs/Transfers, and limitations
Explain autonomic dysfunction in SCI
What are the effects on autonomic dysfunction if the SCI lesion is above C4?
What are the effects on autonomic dysfunction if the SCI lesion is between C4-T6?
What are the effects on autonomic dysfunction if the SCI lesion is between T6-S2?
What are the effects on autonomic dysfunction if the SCI lesion is between S2-S4?
Explain the chain of events in Autonomic dysreflexia as a response to bladder distention
What are the effects of a lesion in cauda equina?
Explain pelvic organ dysfunction
Explain flaccid, paralyzed bladder
What are the effects on male sexual function if there is a complete spinal cord lesion above T12 with intact sacral reflex circuits?
What are the effects on male sexual function if there is a complete spinal cord lesion between L2 and S2 with intact sacral reflex circuits?
What are the effects on male sexual function if there is a complete spinal cord lesion in S2-S4 reflex circuit?
Give an example of a specific disorder that directly affects the spinal cord region function
List red flags regarding spinal cord function