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© 2012 Pearson Education, Inc.

14

The Nervous System:

The Spinal Cord and

Spinal Nerves

PowerPoint

®

Lecture Presentations prepared by

Steven Bassett

Southeast Community College

Lincoln, Nebraska

(2)

© 2012 Pearson Education, Inc.

Introduction

The Central Nervous System (CNS)

consists of:

The spinal cord

Integrates and processes information

Can function with the brain

Can function independently of the brain

The brain

Integrates and processes information

Can function with the spinal cord

(3)

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

Features of the Spinal Cord

45 cm in length

Passes through the foramen magnum

Extends from the brain to L

1

Consists of:

Cervical region

Thoracic region

Lumbar region

Sacral region

Coccygeal region

(4)

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

Features of the Spinal Cord

Consists of (continued):

Cervical enlargement

Lumbosacral enlargement

Conus medullaris

Cauda equina

Filum terminale: becomes a component of the

coccygeal ligament

(5)

© 2012 Pearson Education, Inc.

Figure 14.1a Gross Anatomy of the Spinal Cord

Cervical spinal nerves Thoracic spinal nerves Lumbar spinal nerves Sacral spinal nerves Coccygeal nerve (Co1) Filum terminale (in coccygeal ligament) Cauda equina Inferior tip of spinal cord Conus medullaris Lumbosacral enlargement Posterior median sulcus Cervical enlargement C1 C2 C3 C4 C5 C6 C7 C8 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 T11 T12 L1 L2 L3 L4 L5 S1 S2 S3 S4 S5

Superficial anatomy and orientation of the adult spinal cord. The numbers to the left identify the spinal nerves and indicate where the nerve roots leave the vertebral canal. The spinal cord, however, extends from the brain only to the level of vertebrae L1–L2.

(6)

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

Features of the Spinal Cord

Transverse view

White matter

Gray matter

Central canal

Dorsal root and ventral root: merge to form a spinal

nerve

Dorsal root is sensory: axons extend from the

soma within the dorsal root ganglion

(7)

© 2012 Pearson Education, Inc.

Figure 14.1d Gross Anatomy of the Spinal Cord

Inferior views of cross sections through representative segments of the spinal cord showing the arrangement of gray and white matter

Posterior median sulcus White matter

Gray matter

Anterior median fissure Dorsal root Spinal nerve Ventral root Dorsal root ganglion Central canal C3 T3 L1 S2

(8)

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

Features of the Spinal Nerves

Consist of:

Sensory nerves (afferent nerves): transmit

impulses toward the spinal cord

Motor nerves (efferent nerves): transmit impulses

(9)

© 2012 Pearson Education, Inc.

Figure 14.1d Gross Anatomy of the Spinal Cord

Inferior views of cross sections through representative segments of the spinal cord showing the arrangement of gray and white matter

Posterior median sulcus White matter

Gray matter

Anterior median fissure Dorsal root Spinal nerve Ventral root Dorsal root ganglion Central canal C3 T3 L1 S2

(10)

© 2012 Pearson Education, Inc.

Spinal Meninges

Features of spinal meninges:

Specialized membranes that provide protection,

physical stability, and shock absorption

Continuous with the cranial (cerebral) meninges

Denticulate ligaments help anchor the spinal

cord in position

Made of three layers

Dura mater: tough, fibrous outermost layer

Arachnoid mater: middle layer

(11)

© 2012 Pearson Education, Inc.

Figure 14.2c The Spinal Cord and Spinal Meninges

Posterior view of the spinal cord showing the meningeal layers, superficial landmarks, and distribution of gray and white matter

White matter Ventral root Dorsal root Pia mater Arachnoid mater Gray matter Spinal nerve Dorsal root ganglion Dura mater

(12)

© 2012 Pearson Education, Inc.

Figure 14.2a The Spinal Cord and Spinal Meninges

Anterior view of spinal cord showing meninges and spinal nerves. For this view, the dura and arachnoid membranes have been cut longitudinally and retracted (pulled aside); notice the blood vessels that run in the

subarachnoid space, bound to the outer surface of the delicate pia mater.

Ventral root of sixth cervical nerve Dorsal root of sixth cervical nerve Spinal blood vessel Dura mater (reflected) Arachnoid mater (reflected) Denticulate ligaments Pia mater Anterior median fissure Spinal cord

(13)

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

Gray matter

Central canal

Consists of somas (cell bodies) surrounding

the central canal

White matter

Consists of axons

Nerves are organized into tracts or columns

(14)

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

Organization of Gray Matter

Somas are organized into groups called nuclei

Sensory nuclei

Motor nuclei

Transverse view shows:

Posterior gray horns

Lateral gray horns

Anterior gray horns

Gray commissure

(15)

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

Organization of gray matter

Posterior gray horns: somatic sensory and

visceral nuclei

Lateral gray horns: visceral motor nuclei

Anterior gray horns: somatic motor nuclei

Gray commissure

Consists of axons crossing from one side to the

(16)

© 2012 Pearson Education, Inc.

Figure 14.4b Sectional Organization of the Spinal Cord

The left half of this sectional view shows important anatomical landmarks; the right half indicates the functional organization of the gray matter in the anterior, lateral, and posterior gray horns.

Posterior gray horn Posterior gray commissure Lateral gray horn Anterior gray horn Anterior gray commissure Anterior median fissure To ventral root Posterior median sulcus

From dorsal root

Sensory nuclei Motor nuclei Somatic Somatic Visceral Visceral

(17)

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

Organization of white matter

Consists of columns of nerves (fascicles)

Columns convey either:

Sensory tracts (ascending tracts)

(18)

© 2012 Pearson Education, Inc.

Figure 14.4c Sectional Organization of the Spinal Cord

The left half of this sectional view shows the major columns of white matter. The right half indicates the anatomical organization of sensory tracts in the posterior white column for comparison with the organization of motor nuclei in the anterior gray horn. Note that both sensory and motor components of the spinal cord have a definite regional organization.

Posterior white column (funiculus) Anterior white column (funiculus) Anterior white commissure Flexors Extensors Lateral white column (funiculus) Leg Hip Trunk Arm Hand Forearm Arm Shoulder Trunk

(19)

© 2012 Pearson Education, Inc.

Spinal Nerves

There are 31 pairs of spinal nerves

8 cervical nerves

12 thoracic nerves

5 lumbar nerves

5 sacral nerves

(20)

© 2012 Pearson Education, Inc.

Figure 14.1a Gross Anatomy of the Spinal Cord

Cervical spinal nerves Thoracic spinal nerves Lumbar spinal nerves Sacral spinal nerves Coccygeal nerve (Co1) Filum terminale (in coccygeal ligament) Cauda equina Inferior tip of spinal cord Conus medullaris Lumbosacral enlargement Posterior median sulcus Cervical enlargement C1 C2 C3 C4 C5 C6 C7 C8 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 T11 T12 L1 L2 L3 L4 L5 S1 S2 S3 S4 S5

Superficial anatomy and orientation of the adult spinal cord. The numbers to the left identify the spinal nerves and indicate where the nerve roots leave the vertebral canal. The spinal cord, however, extends from the brain only to the level of vertebrae L1–L2.

(21)

© 2012 Pearson Education, Inc.

Spinal Nerves

Spinal nerves

Each peripheral nerve consists of:

Epineurium: outer layer

– becomes continuous

with the dura mater

Perineurium: layer surrounding a fascicle

– a

fascicle is a bundle of axons

(22)

© 2012 Pearson Education, Inc.

Figure 14.5a Anatomy of a Peripheral Nerve

A typical peripheral

nerve and its connective

tissue wrappings

Connective Tissue

Layers

Blood vessels Fascicle Schwann cell Myelinated axon Epineurium covering peripheral nerve Perineurium (around one fascicle) Endoneurium

(23)

© 2012 Pearson Education, Inc.

Spinal Nerves

Peripheral Distribution of Spinal Nerves

Four branches of the spinal nerves:

White ramus

Gray ramus

White and gray ramus are collectively called rami

communicantes

Dorsal ramus

(24)

© 2012 Pearson Education, Inc.

Spinal Nerves

Branches of the spinal nerves (details)

Rami communicantes (white and gray

ramus)

Innervates smooth muscles, glands, and organs

Motor impulses leave the spinal cord through the

ventral root to the spinal nerves

Dorsal ramus

Innervates skeletal muscles of the neck and back

Ventral ramus

(25)

© 2012 Pearson Education, Inc.

Figure 14.6a Peripheral Distribution of Spinal Nerves

Motor Commands

KEY

Postganglionic fibers to smooth muscles, glands, etc., of back

To skeletal muscles of back To skeletal muscles of body wall, limbs Postganglionic fibers to smooth muscles, glands, etc., of body wall, limbs

Postganglionic fibers to smooth muscles, glands, visceral organs in thoracic cavity Preganglionic fibers to sympathetic ganglia innervating abdomino- pelvic viscera Somatic motor commands Visceral motor commands Rami communicantes Gray ramus (postganglionic) White ramus (preganglionic) Sympathetic nerve Sympathetic ganglion Spinal nerve Ventral ramus Dorsal ramus

Dorsal root ganglion Dorsal root Visceral motor Somatic motor Ventral root

The distribution of motor neurons in the spinal cord and motor fibers within the spinal nerve and its branches. Although the gray ramus is typically proximal to the white ramus, this simplified diagrammatic view makes it easier to follow the relationships between preganglionic and postganglionic fibers.

(26)

© 2012 Pearson Education, Inc.

Spinal Nerves

Sensory impulses associated with the

spinal nerves

Sensory impulses travel in the spinal nerve

(27)

© 2012 Pearson Education, Inc.

Figure 14.6b Peripheral Distribution of Spinal Nerves

Sensory Information

KEY From interoceptors of visceral organs From interoceptors of back From exteroceptors, proprioceptors of back From exteroceptors, proprioceptors of body wall, limbs

From interoceptors of body wall, limbs

Somatic sensations Visceral sensations Ventral ramus Rami communicantes Dorsal root ganglion Dorsal root Somatic sensory Visceral sensory Ventral root

A comparable view detailing the distribution of sensory neurons and sensory fibers

(28)

© 2012 Pearson Education, Inc.

Spinal Nerves

Dermatomes

Each pair of spinal nerves monitors specific

surface areas

These are clinically important areas regarding

(29)

© 2012 Pearson Education, Inc. Figure 14.7 Dermatomes ANTERIOR POSTERIOR S1 L5 L4 L3 L2 L1 L4 L3 L2 L1 L5 S2 S1 S5 S2 S 3 S 4 T1 C7 C8 C6 C6 C7 C8 T1 T2 T2 C5 C4 C3 C2 C3 C2–C3 C2–C3 NV C4 C5 T1 T2 T2 T3 T3 T4 T4 T5 T5 T6 T6 T7 T7 T8 T8 T9 T9 T10 T10 T11 T11 T12 T12 L1 L2 L3 L4 L5

(30)

© 2012 Pearson Education, Inc.

Nerve Plexuses

There are four nerve plexuses

Cervical plexus

Brachial plexus

Lumbar plexus

Sacral plexus

Sometimes the lumbar and sacral are combined to

(31)

© 2012 Pearson Education, Inc.

Figure 14.8 Peripheral Nerves and Nerve Plexuses

Lesser occipital nerve Great auricular nerve Transverse cervical nerve Supraclavicular nerve Phrenic nerve Axillary nerve Musculocutaneous nerve Thoracic nerves Radial nerve Ulnar nerve Median nerve Iliohypogastric nerve Ilioinguinal nerve Genitofemoral nerve Femoral nerve Obturator nerve Superior Inferior Gluteal nerves Pudendal nerve Sciatic nerve

Lateral femoral cutaneous nerve Saphenous nerve

Common fibular nerve Tibial nerve

Medial sural cutaneous nerve

Cervical plexus Brachial plexus Lumbar plexus Sacral plexus C1 C2 C3 C4 C5 C6 C7 C8 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 T11 T12 L1 L2 L3 L4 L5 S1 S2 S3 S4 S5 Co1

(32)

© 2012 Pearson Education, Inc.

Nerve Plexuses

The Cervical Plexus (C

1

–C

5

)

Consists of cutaneous and muscular

branches

Cutaneous branch innervates:

Head

Neck

(33)

© 2012 Pearson Education, Inc.

Nerve Plexus

The Cervical Plexus

Consists of cutaneous and muscular

branches

Muscular branch innervates:

Omohyoid, sternohyoid, geniohyoid, thyrohyoid

Sternothyroid

Scalenes

Sternocleidomastoid

Levator scapulae

Trapezius

Diaphragm (controlled by the phrenic nerve of the

(34)

© 2012 Pearson Education, Inc.

Figure 14.9 The Cervical Plexus

Great auricular nerve

Geniohyoid muscle Transverse cervical nerve Thyrohyoid muscle Ansa cervicalis Omohyoid muscle Phrenic nerve Sternohyoid muscle Sternothyroid muscle Cranial nerves Accessory nerve (N XI) Hypoglossal nerve (N XII) Lesser occipital nerve Nerve roots of cervical plexus Supraclavicular nerves Clavicle C1 C2 C3 C4 C5

(35)

© 2012 Pearson Education, Inc.

Nerve Plexus

The Brachial Plexus (C

4

–T

1

)

The immediate nerves emerging from C

5

to T

1

are the:

Superior trunk

Middle trunk

Inferior trunk

(36)

© 2012 Pearson Education, Inc.

Figure 14.10b The Brachial Plexus

Anterior view of the brachial plexus and upper limb showing the peripheral distribution of major nerves

Anterior Distribution of cutaneous nerves Median nerve Ulnar nerve Radial nerve

Palmar digital nerves

Superficial branch of ulnar nerve Deep branch of ulnar nerve Anterior interosseous nerve

Median nerve Ulnar nerve Deep radial nerve

Radial nerve Median nerve Ulnar nerve Superficial branch of radial nerve Lateral antebrachial cutaneous nerve Musculocutaneous nerve BRACHIAL PLEXUS

Dorsal scapular nerve Suprascapular nerve Superior trunk Middle trunk Inferior trunk C4 C5 C6 C7 C8 T1

(37)

© 2012 Pearson Education, Inc.

Nerve Plexus

The cords of the brachial plexus

Lateral cord: merging of the trunks

Medial cord: an extension of the inferior trunk

Posterior cord: an extension of the middle

(38)

© 2012 Pearson Education, Inc.

Figure 14.10a The Brachial Plexus

Radial nerve Ulnar nerve Thoracodorsal nerve Long thoracic nerve INFERIOR TRUNK MIDDLE TRUNK BRACHIAL PLEXUS

The trunks and cords of the brachial plexus KEY Lateral cord Posterior cord Medial cord C5 C6 C7 C8 T1 Median nerve Medial antebrachial cutaneous nerve Posterior brachial cutaneous nerve Musculocutaneous nerve Axillary nerve Subscapular nerves Medial pectoral nerve Lateral pectoral nerve

Suprascapular nerve SUPERIOR TRUNK Nerve to subclavius muscle Dorsal scapular nerve First rib Roots (ventral rami)

Trunks Divisions Cords

(39)

© 2012 Pearson Education, Inc.

Nerve Plexus

The cords of the brachial plexus (details)

Lateral cord: extends to form the

musculocutaneous nerve

The lateral cord and medial cord extend to

form the median nerve

Medial cord extends to form the ulnar nerve

Posterior cord: branches to form the radial

(40)

© 2012 Pearson Education, Inc.

Figure 14.10a The Brachial Plexus

Radial nerve Ulnar nerve Thoracodorsal nerve Long thoracic nerve INFERIOR TRUNK MIDDLE TRUNK BRACHIAL PLEXUS

The trunks and cords of the brachial plexus KEY Lateral cord Posterior cord Medial cord C5 C6 C7 C8 T1 Median nerve Medial antebrachial cutaneous nerve Posterior brachial cutaneous nerve Musculocutaneous nerve Axillary nerve Subscapular nerves Medial pectoral nerve Lateral pectoral nerve

Suprascapular nerve SUPERIOR TRUNK Nerve to subclavius muscle Dorsal scapular nerve First rib Roots (ventral rami)

Trunks Divisions Cords

(41)

© 2012 Pearson Education, Inc.

Figure 14.10b The Brachial Plexus

Anterior view of the brachial plexus and upper limb showing the peripheral distribution of major nerves

Anterior Distribution of cutaneous nerves Median nerve Ulnar nerve Radial nerve

Palmar digital nerves

Superficial branch of ulnar nerve Deep branch of ulnar nerve Anterior interosseous nerve

Median nerve Ulnar nerve Deep radial nerve

Radial nerve Median nerve Ulnar nerve Superficial branch of radial nerve Lateral antebrachial cutaneous nerve Musculocutaneous nerve BRACHIAL PLEXUS

Dorsal scapular nerve Suprascapular nerve Superior trunk Middle trunk Inferior trunk C4 C5 C6 C7 C8 T1

(42)

© 2012 Pearson Education, Inc.

Figure 14.10c The Brachial Plexus

Posterior view of the brachial plexus and

the innervation of the upper limb

Posterior

Distribution of

cutaneous nerves

Median nerve Ulnar nerve Radial nerve Musculocutaneous nerve Axillary nerve Branches of axillary nerve Radial nerve Ulnar nerve Median nerve Posterior antebrachial cutaneous nerve Deep branch of radial nerve Superficial branch of radial nerve

(43)

© 2012 Pearson Education, Inc.

Figure 14.11 The Cervical and Brachial Plexuses

Cervical plexus Right common carotid artery Sternocleido- mastoid muscle, sternal head Sternocleido- mastoid muscle, clavicular head Right subclavian artery Retractor holding pectoralis major muscle (cut and reflected) Brachial plexus (C5–T1) Median nerve Radial nerve Ulnar nerve Median nerve Right brachial artery Coracobrachialis muscle Biceps brachii, long and short heads

Right axillary artery over axillary nerve Musculocutaneous nerve Clavicle, cut and removed Deltoid muscle Skin

(44)

© 2012 Pearson Education, Inc.

(45)

© 2012 Pearson Education, Inc.

Nerve Plexus

The Lumbar and Sacral Plexuses (T

12

–S

4

)

Also called the lumbosacral plexus

Lumbar plexus nerves

Genitofemoral nerve

Lateral femoral cutaneous nerve

Femoral nerve

Sacral plexus nerves

Sciatic nerve (branches to form the common

fibular nerve and the tibial nerve)

(46)

© 2012 Pearson Education, Inc.

Figure 14.12a The Lumbar and Sacral Plexuses, Part I

The lumbar plexus, anterior view

Lumbosacral

trunk

LUMBAR

PLEXUS

T

12

L

1

L

2

L

3

L

4

L

5

Femoral branch

Genital branch

Femoral nerve

Obturator nerve

Branches of

genitofemoral

nerve

Lateral femoral

cutaneous nerve

Genitofemoral nerve

Ilioinguinal nerve

Iliohypogastric nerve

T

12

subcostal nerve

(47)

© 2012 Pearson Education, Inc.

Figure 14.12b The Lumbar and Sacral Plexuses, Part I

The sacral plexus, anterior view

SACRAL

PLEXUS

Co

1

S

1

S

2

S

3

S

4

S

5

L

5

Sciatic nerve

Posterior femoral

cutaneous nerve

Superior gluteal nerve

Inferior gluteal nerve

Lumbosacral trunk

(48)

© 2012 Pearson Education, Inc.

Figure 14.12c The Lumbar and Sacral Plexuses, Part I

The lumbar and sacral plexuses, anterior view

Subcostal nerve Iliohypogastric nerve Ilioinguinal nerve Genitofemoral nerve Lateral femoral cutaneous nerve Femoral nerve Superior gluteal nerve

Inferior gluteal nerve Pudendal nerve Posterior femoral cutaneous nerve (cut)

Sciatic nerve Saphenous nerve Common fibular nerve Superficial fibular nerve Deep fibular nerve Obturator nerve Sural nerve Sural nerve Saphenous nerve Saphenous nerve Saphenous nerve Sural nerve Tibial nerve Tibial nerve Fibular nerve Fibular nerve

(49)

© 2012 Pearson Education, Inc.

(50)

© 2012 Pearson Education, Inc.

Figure 14.12d The Lumbar and Sacral Plexuses, Part I

Sural nerve Sural nerve Saphenous nerve Saphenous nerve Saphenous nerve Sural nerve Tibial nerve Tibial nerve Fibular nerve Fibular nerve

The sacral plexus, posterior view Tibial nerve Medial plantar nerve Lateral plantar nerve Common fibular nerve Medial sural cutaneous nerve Lateral sural cutaneous nerve Sural nerve Sciatic nerve Posterior femoral cutaneous nerve Superior gluteal nerve Inferior gluteal nerve

Pudendal nerve

(51)

© 2012 Pearson Education, Inc.

Figure 14.13c The Lumbar and Sacral Plexuses, Part II (Part 1 of 2)

A diagrammatic posterior view of the

right hip and lower limb detailing the

distribution of peripheral nerves

Gluteus maximus (cut) Inferior gluteal nerve Pudendal nerve Perineal branch Hemorrhoidal branch Perineal branches Descending cutaneous branch Semitendinosus Gluteus medius (cut) Gluteus minimus Superior gluteal nerve Piriformis Posterior femoral cutaneous nerve Sciatic nerve Biceps femoris (cut)

(52)

© 2012 Pearson Education, Inc.

Figure 14.13c The Lumbar and Sacral Plexuses, Part II (Part 2 of 2)

A diagrammatic posterior view of the

right hip and lower limb detailing the

distribution of peripheral nerves

Tibial nerve

Popliteal artery

and vein

Common fibular

nerve

Lateral sural

cutaneous

nerve

Sural nerve

Medial sural

cutaneous

nerve

Gastrocnemius

Small saphenous

vein

Calcaneal tendon

Tibial nerve

(medial calcaneal

branch)

(53)

© 2012 Pearson Education, Inc.

Figure 14.13a The Lumbar and Sacral Plexuses, Part II

A dissection of the right gluteal region

Posterior femoral

cutaneous nerve

Gluteus

maximus

Greater trochanter of femur

Gluteus minimus

Gluteus medius

Gluteus maximus

Common fibular

branch

Tibial branch

Inferior gluteal nerve

Superior gluteal nerve

Pudendal

nerve

Nerve to

gemellus

and

obturator

internus

Internal

pudendal

artery

Components of

sciatic nerve

(54)

© 2012 Pearson Education, Inc.

Figure 14.13b The Lumbar and Sacral Plexuses, Part II

A dissection of the popliteal fossa

Biceps femoris

Tibial nerve

Lateral sural

cutaneous nerve

Common fibular

nerve

Nerve to lateral head

of gastrocnemius

Plantaris

Gastrocnemius,

lateral head

Gastrocnemius,

medial head

Sartorius

Gracilis

Semimembranosus

Popliteal artery

Semitendinosus

Nerve to

medial head

of gastrocnemius

Medial sural

cutaneous nerve

(55)

© 2012 Pearson Education, Inc.

Nerve Plexus

Summary of the spinal nerves

Cervical spinal nerves emerge from C

1

–C

8

Thoracic spinal nerves emerge from T

1

–T

12

Lumbar spinal nerves emerge from L

1

–L

5

Sacral spinal nerves emerge from S

1

–S

5

(56)

© 2012 Pearson Education, Inc.

Nerve Plexus

Summary of the nerve plexuses

Cervical plexus nerves emerge from C

1

–C

5

Brachial plexus nerves emerge from C

5

–T

1

There is not a thoracic plexus

Lumbar plexus nerves emerge from T

12

–L

4

Sacral plexus nerves emerge from L

4

–S

4

(57)

© 2012 Pearson Education, Inc.

Figure 14.3 Posterior View of Vertebral Column and Spinal Nerves

Cervical plexus (C1–C5) Brachial plexus (C5–T1) Lumbar spinal nerves (L1–L5) Sacral plexus (L4–S4)

Coccygeal nerves (Co1)

Sacral spinal nerves (S1–S5) emerging from sacral foramina Sciatic nerve Lumbar plexus (T12–L4) Thoracic spinal nerves (T1–T12) Cervical spinal nerves (C1–C8 ) Occipital bone Spinal cord emerging from foramen magnum

(58)

© 2012 Pearson Education, Inc.

Reflexes

Reflex

An immediate involuntary response

Reflex arc

The neural “wiring” of a single reflex

Begins at a sensory receptor and ends at a

(59)

© 2012 Pearson Education, Inc.

Reflexes

Reflexes are classified according to:

Their development

Innate or acquired

The site where information is processed

Spinal or cranial (cerebral)

The nature of the resulting motor response

Somatic, visceral, or autonomic

The complexity of the neural circuit

(60)

© 2012 Pearson Education, Inc.

Reflexes

Pathway of a reflex arc

1. Activation of a sensory receptor

2. Relay of information to the CNS

3. Information processing

4. Activation of a motor neuron

5. Response by the effector

(61)

© 2012 Pearson Education, Inc.

Figure 14.14 A Reflex Arc

Arrival of stimulus and activation of receptor Response by effector Activation of a sensory neuron Activation of a motor neuron Information processing in CNS Stimulus Effector Receptor REFLEX ARC Ventral root Dorsal

root Sensation relayed to the brain by collateral KEY Sensory neuron (stimulated) Excitatory interneuron Motor neuron (stimulated)

(62)

© 2012 Pearson Education, Inc.

Figure 14.15 The Classification of Reflexes

Reflexes

development response

can be classified by

complexity of circuit processing site

• Processing in

the spinal cord

• Processing in

the brain

• One synapse

• Multiple synapses

(two to several hundred)

• Genetically

determined

• Learned • Control actions of smooth and

cardiac muscles, glands

• Control skeletal muscle contractions • Include superficial and stretch reflexes

Innate Reflexes

Acquired Reflexes

Somatic Reflexes

Visceral (Autonomic) Reflexes

Spinal Reflexes

Cranial Reflexes Monosynaptic

(63)

© 2012 Pearson Education, Inc.

Reflexes

Spinal reflexes can be:

Monosynaptic

Involves a single segment of the spinal cord

Polysynaptic

Integrates motor output from several spinal

(64)

© 2012 Pearson Education, Inc.

Figure 14.16 Neural Organization and Simple Reflexes

CENTRAL NERVOUS SYSTEM CENTRAL NERVOUS SYSTEM Motor neuron Ganglion Sensory neuron Sensory receptor (muscle spindle) Skeletal muscle Circuit 1

A monosynaptic reflex circuit involves a peripheral sensory neuron and a central motor neuron. In this example, stimulation of the receptor will lead to a reflexive contraction in a skeletal muscle.

A polysynaptic reflex circuit involves a sensory neuron, interneurons, and motor neurons. In this example, the stimulation of the receptor leads to the coordinated contractions of two different skeletal muscles.

Skeletal muscle 1 Skeletal muscle 2 Motor neurons Circuit 2 Interneurons Ganglion Sensory neuron Sensory receptor

(65)

© 2012 Pearson Education, Inc.

Reflexes

Stretch reflex

1. Stimulus stretches a muscle

2. Activates a sensory neuron

3. Information is processed in the spinal cord

4. Motor neurons are activated

(66)

© 2012 Pearson Education, Inc.

Figure 14.17a Stretch Reflexes

Steps 1–5 are common to all stretch reflexes.

Response. Contraction

of muscle

Activation of

motor neuron

Stimulus. Stretching of muscle

stimulates muscle spindles

Activation of a

sensory neuron

Information processing

at motor neuron

KEY

Motor neuron (stimulated) Sensory neuron (stimulated)

(67)

© 2012 Pearson Education, Inc.

Figure 14.17b Stretch Reflexes

KEY

Motor neuron (stimulated) Sensory neuron (stimulated)

The patellar reflex is controlled by muscle spindles in the quadriceps group. The stimulus is a reflex hammer striking the muscle tendon, stretching the spindle fibers. This results in a sudden increase in the activity of the sensory neurons, which synapse on spinal motor neurons. The response occurs upon the activation of motor units in the quadriceps group, which produces an immediate increase in muscle tone and a reflexive kick.

Spinal cord Stimulus Stretch Contraction Effector Receptor (muscle spindle) REFLEX ARC Response

References

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This moment is resisted by the couple provided by the tensile force T of the vertical anchorage zone reinforcement and the compressive force C provided by the end-