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Questions and Answers
What is the primary role of glial cells in the nervous system?
What is the primary role of glial cells in the nervous system?
Which type of matter is primarily composed of myelinated axons?
Which type of matter is primarily composed of myelinated axons?
What characterizes an action potential in neurons?
What characterizes an action potential in neurons?
Which part of the brain is primarily responsible for regulating homeostasis?
Which part of the brain is primarily responsible for regulating homeostasis?
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Which sensory receptors are responsible for converting light energy?
Which sensory receptors are responsible for converting light energy?
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What is the function of proprioceptors in the sensory system?
What is the function of proprioceptors in the sensory system?
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Which visual processing pathway is primarily responsible for object perception?
Which visual processing pathway is primarily responsible for object perception?
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What does the term 'convergence' refer to in sensory pathways?
What does the term 'convergence' refer to in sensory pathways?
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Which area of the brain is associated with higher-order thinking and behavior?
Which area of the brain is associated with higher-order thinking and behavior?
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What kind of information does the dorsal spinocerebellar tract primarily convey?
What kind of information does the dorsal spinocerebellar tract primarily convey?
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Which of the following describes 'reaction time' in the context of stimulus responses?
Which of the following describes 'reaction time' in the context of stimulus responses?
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What is the primary role of the autonomic nervous system?
What is the primary role of the autonomic nervous system?
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Which type of receptor is primarily associated with the sense of pain?
Which type of receptor is primarily associated with the sense of pain?
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What happens when a lesion occurs in the optic chiasm?
What happens when a lesion occurs in the optic chiasm?
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What principle emphasizes keeping processes as simple as possible in reaction time tasks?
What principle emphasizes keeping processes as simple as possible in reaction time tasks?
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Which type of reaction time is characterized by one stimulus leading to multiple responses?
Which type of reaction time is characterized by one stimulus leading to multiple responses?
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What is the primary function of gamma motor neurons?
What is the primary function of gamma motor neurons?
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Which reflex pathway involves the excitation of a sensory neuron that inhibits a motor neuron projecting to a different muscle?
Which reflex pathway involves the excitation of a sensory neuron that inhibits a motor neuron projecting to a different muscle?
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What effect does stimulus intensity have on reaction time?
What effect does stimulus intensity have on reaction time?
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Which nerve is responsible for innervating the lateral rectus muscle for eye movement?
Which nerve is responsible for innervating the lateral rectus muscle for eye movement?
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What type of eye movement is characterized by rapid ballistic motion changing the point of fixation?
What type of eye movement is characterized by rapid ballistic motion changing the point of fixation?
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What is the purpose of the vestibulo-ocular reflex (VOR)?
What is the purpose of the vestibulo-ocular reflex (VOR)?
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Temporal summation in synaptic transmission refers to?
Temporal summation in synaptic transmission refers to?
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How do cation channels contribute to the action potential process?
How do cation channels contribute to the action potential process?
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What characterizes disconjugate movements of the eyes?
What characterizes disconjugate movements of the eyes?
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Which neurotransmitter is primarily inhibitory in the spinal cord?
Which neurotransmitter is primarily inhibitory in the spinal cord?
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What is the role of alpha motor neurons?
What is the role of alpha motor neurons?
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Which statement is true regarding the influence of pre-synaptic modulation on reflexes?
Which statement is true regarding the influence of pre-synaptic modulation on reflexes?
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Study Notes
Nervous System Overview
- The nervous system is responsible for integrating stimuli and transmitting motor responses.
- It is made up of neurons and glial cells.
- Glial cells support neurons, supply nutrients and oxygen, insulate neurons, and clean debris.
- Oligodendrocytes are found in the CNS and Schwann cells are in the PNS.
Neuron Communication
- Synaptic potential is a graded electrochemical response that converges at the axon hillock for integration.
- Action potential (AP) is an all-or-nothing electrochemical response due to changes in membrane potential caused by ion permeability.
Grey and White Matter
- Grey matter consists of cell bodies, dendrites, and terminal endings.
- It is the site of integration and transformation.
- White matter is comprised of bundles of myelinated axons.
- It functions as pathways connecting areas of grey matter.
- In the brain, grey matter is on the outside and white matter is inside.
- The opposite is true for the spinal cord.
Brain Components
- The central nervous system (CNS) includes the spinal cord and brainstem, located within the skeleton.
- The brain is divided into the hindbrain, midbrain, and forebrain.
- The peripheral nervous system (PNS) is located outside the skeleton.
- It is divided into the somatic (skeletal muscles), autonomic (organs, smooth muscles, and glands), and enteric (GI tract and blood flow) nervous systems.
- The autonomic nervous system is further divided into the sympathetic (fight or flight) and parasympathetic (rest and digest) nervous systems.
Brainstem
- The brainstem refers to the pons, medulla, and hindbrain.
- It contains 12 cranial nerves that innervate the eyes, head, neck, and upper trunk.
- The brainstem is vital for autonomic function, alertness, eye, and head movements.
Cerebellum
- The cerebellum is 10% of the brain's size but contains 50% of its neurons.
- It has dense afferent and efferent connections with the brainstem and cortex.
- It contributes to the control of movement, learning, cognition, and emotions.
Thalamus and Hypothalamus
- The thalamus is a relay area between the cortex and CNS.
- It plays a role in alertness and is essential for sensorimotor processing (except smell).
- The hypothalamus controls internal body functions and homeostasis.
- It links the nervous and endocrine systems.
Cerebral Cortex
- The cortex is responsible for higher-order thinking, behavior, decision-making, executive function, and self-awareness.
- It controls action, body movement, eye movement, and speech.
- The occipital lobe receives visual input and processes visual information.
- The parietal lobe receives and processes sensory information related to touch, taste, and temperature.
- It integrates information from the occipital and temporal cortices for object perception and motor control.
- The temporal lobe receives raw auditory input from the thalamus and processes sound.
- It stores and retrieves memories, combines visual information for object perception, and participates in emotional processing.
- The amygdala and hippocampus contribute to memory storage.
- Brodmann's area is a region of the cortex categorized by cytoarchitecture, mirroring function and linking structure with function.
- The cortex is divided into primary, secondary, and association areas.
- Primary cortex is where sensory input first arrives or motor output ends.
- Secondary cortex receives processed information.
- Association areas integrate information from multiple sensory sources.
Sensory Receptors
- Sensory receptors are specialized cells or cell endings that convert stimuli into electrical potentials.
- They allow the nervous system to interpret external and internal environments.
- Mechanoreceptors convert mechanical energy, photoreceptors convert light energy, chemoreceptors convert chemical energy, and thermoreceptors convert thermal energy.
Receptor Properties
- Receptors can represent the type of stimulus, onset, offset, and duration of stimulus activity based on stimulus presence.
- Intensity of the stimulus is represented by the frequency of action potentials generated per unit time.
- The location of the stimulus is encoded by which receptors are activated.
Stimulus Modality
- Somatosensation: Sense of external and internal body states, including movement, proprioception, orientation, and pain.
- Proprioception: Sense of body position.
- Equilibrioception: Sense of movement and position relative to gravity.
- Audioception: Sense of the environment through sound waves.
- Opthalmoception: Sense of objects through visible light.
- Olfaction: Sense of chemical odorants in the nasal cavity.
- Gustation: Sense of substances that chemically react in the mouth.
- Nociception: Pain due to injury or damage.
Sensory Receptor Locations
- Somatosensory Receptors: Found in the skin, fatty tissue beneath the skin, muscle, and musculoskeletal tissue (ligaments, tendons, and joint capsules).
- Vestibular Receptors: Located within the labyrinths of the inner ear.
- Visual Receptors (Photoreceptors): Found in the retina.
- Auditory Receptors (Mechanoreceptors): Located in the cochlea.
Receptor Adaptation
- Rapidly Adapting: Produce a vigorous but transient response to changes in stimulus energy, ideal for detecting rates of change in energy intensity.
- Slowly Adapting: Produce a measured but sustained response while the stimulus remains constant, reflecting actual stimulus energy intensity.
Photoreception
- Photoreceptors absorb photons from light wavelengths, triggering chemical reactions that generate receptor potentials.
- Pigments absorb light, initiating second-messenger pathways that close sodium channels, decreasing the amplitude of the receptor potential.
- This results in less neurotransmitter release as the receptor potential reaches the end of the receptor.
- Photoreceptors do not directly influence sensory nerves, instead they act through intermediary bipolar cells.
Central and Peripheral Afferent Pathways
- Myelination: The amount of insulation around the axon of an afferent neuron, preventing ion leakage.
- Axon Diameter: Larger diameter axons allow for faster signal transmission due to greater space for ion flow.
- Proprioceptive afferent neurons: Fastest transmitters of afferent information.
- Sensory information from different parts of the body converges in association areas to generate action potentials.
Neuron Communication Patterns
- Divergence: Same input separates and disperses to multiple locations.
- Convergence: Multiple inputs project to a common location.
- Topographic Projection: Ordered projection of a sensory surface (retina or skin) within nuclei in the CNS.
- Topographic projection is found throughout all levels of the CNS.
- Ipsilateral: Belonging to or occurring on the same side of the body.
- Contralateral: Belonging to or occurring on the opposite side of the body.
Visual Pathways
- The visual system has two parallel pathways: the geniculostriate visual system (90% of fibers) and the tectopulvinar visual system (10% of fibers).
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Geniculostriate Visual System (Primary Visual Pathway):
- Retina - Lateral geniculate nucleus (LGN) - Primary visual cortex (V1)
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Tectopulvinar Visual System (Secondary Visual Pathway):
- Retina - Superior colliculus - Pulvinar nucleus of the thalamus
- Optic Chiasm: Information from the contralateral visual field crosses the midline at the optic chiasm.
- V1: A mirror image of the visual environment.
Visual Pathway Lesions
- Lesion of the right optic nerve: Inability to see anything on the right side.
- Lesion of the optic chiasm: Loss of peripheral vision (tunnel vision), only central vision remains.
Dorsal and Ventral Visual Streams
- Dorsal Stream ("Where or How"): Relates the visual environment to movement and action.
- Ventral Stream ("What"): Emphasizes object recognition and perception.
Prosopagnosia
- The inability to recognize faces is associated with damage to the ventral visual pathway.
Somatosensory Pathway
- Mechanoreceptors: Specialized cells that project to, or are part of, an afferent neuron.
- Dorsal Horn: Somatosensory nerves (except those from the head) enter the spinal cord via the dorsal horn.
- Trigeminal Nerve (CN V): Nerves from the head form the trigeminal nerve.
- Ascending Pathways: Somatosensory nerves layer to form ascending pathways, while maintaining divergent projections in the spinal cord for reflexes and muscle group coordination.
- Dorsal Root Ganglion: Cell bodies of sensory neurons reside outside the spinal cord in the dorsal root ganglion.
Posterior Column Pathway
- Nerve bundles in the posterior column pathway convey fine touch, vibration, and proprioceptive afferent information.
- Third-Order Neuron: Axon projects from thalamic nuclei to the primary somatosensory cortex.
- Second-Order Neuron: Axon crosses the body midline in the medulla and projects to thalamic nuclei.
- First-Order Neuron: Axon projects from the receptor to the medulla.
Spinothalamic Tracts
- Anterior Spinothalamic Tract: Conveys crude, poorly localized touch information.
- Lateral Spinothalamic Tract: Carries information about noxious stimuli and temperature.
Spinocerebellar Tracts
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Dorsal Spinocerebellar Tract (DSCT): Projects to the inferior peduncle of the cerebellum.
- Carries proprioceptive information from the lower limbs (spindle fibers) via afferent neurons.
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Rostral Spinocerebellar Tract (RSCT): Projects to the inferior peduncle of the cerebellum.
- Carries proprioceptive information from the upper limbs.
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Ventral Spinocerebellar Tract (VSCT): Projects to the superior peduncle of the cerebellum.
- Carries proprioceptive information from the lower limbs (Golgi tendon organs) via Ib afferent neurons.
Stimulus Evoked Responses and Simple Reflexes
- Stimulus-evoked behavior: Involuntary, automatic, and immediate consequences of stimulation.
- Reflexes: Direct, automatic, and relatively immediate responses to stimulation.
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Timing: Measures the time between different points in the stimulus-response process.
- This information reveals how long each part of the pathway takes.
- Conduction Time: Time to conduct a signal along an axon pathway.
- Synapse Time: Time for information exchange between neurons.
- Processing Time: Time for neurons to process information.
- Reaction Time: Time between stimulus onset and the motor system's response (latency or premotor time).
- Movement Time: Time between the onset of the motor system's response and movement outcome.
- Response Time: The combination of reaction time and movement time (time between stimulus and movement outcome).
Measuring Stimulus-Response Transformations
- Behavioral Measures: Assess timing, accuracy, response characteristics, and modifiability of the stimulus-response process.
- Electrophysiology: Evaluates stimulus-response pathways (e.g., H-reflex, evoked potentials, brain hemodynamics, non-invasive brain stimulation).
Stimulus Response Relationship
- Longer reaction time with more choices.
- Keep it Simple Stupid = KISS principle
- Simple reaction time: One stimulus one response.
- Choice reaction time: One stimulus, multiple responses.
- Stimulus Response Compatibility: Reaction time is quicker the closer the stimulus’s relationship is to the response.
- Stimulus Modality: Different stimulus types take longer to be identified and associated with a reaction.
- Stimulus Intensity/Predictability: More intense stimuli result in quicker reaction times. Knowing when a response is required leads to a quicker response (preloaded response).
Muscle Contraction
- Extrafusal fibers: Directly connected with a motor neuron for contraction.
- Intrafusal fibers: Specialized muscle spindle fibers detecting stretch.
- More Extrafusal fibers in sensory nerves: Diverge to act on motor neurons innervating multiple extrafusal fibers.
- Homonymous Reflex Pathway (HORP): A sensory neuron excites a motor neuron projecting back to the same muscle.
- Heteronymous Reflex Pathway (HERP): A sensory neuron excites a motor neuron projecting to a different muscle.
- Alpha Motor Neurons: Innervate extrafusal fibers to shorten or lengthen AP
- Gamma Motor Neurons: Special segments at the end of intrafusal fibers, keep them taut as the muscle contracts.
- Fusimotor Drive: Pulls ion channels open to generate a receptor potential.
- Muscle spindle Fibers + Gamma Motor Neurons = Fusimotor System
- Alpha-Gamma Coactivation: Coordinated action during muscle contraction.
- Tonic Fusimotor Bias: Increase in spindle fiber tension due to Alpha motor coactivation during contraction
- Modulation of Stimulus-Response Relationship: Changes in gamma motor neuron activity change spindle receptors' sensitivity altering the muscle's tautness, affecting the response to the same stretch.
- Inhibition of the Reflex: Decreases the strength of sensory afferent effects on motor neurons.
- Facilitation of the Reflex: Increases the gain at the sensory to motor synapse.
Myotatic Reflex Pathway Assessment
- Stimulation of the nerve removes muscle spindle influence to assess the stimulus-response relationship in a controlled manner.
- Amplitude of the stimulus is sensitive to intensity.
- H-reflex motor response: Stimulation of the afferent sensory nerve.
- M-wave motor response: Stimulation of the efferent motor nerve.
Inverse Myotatic Reflex
- Golgi Tendon Organ (GTO): A sensory receptor located in the tendon which detects muscle tension.
- Strong Excitation of Ib afferents: Overrides the alpha motor neuron excitation, inhibiting the muscle.
- Initial Inverse Myotatic Reflex: Done with the muscle at rest. Alpha motor neuron inhibition, but excitatory afferent nerve facilitates alpha motor neuron excitation.
Muscle Coordination
- Ipsilateral: Same side of the body.
- Contralateral: Opposite side of the body.
- Stimulus initiates pain receptors, sensory neuron activates multiple interneurons.
- Ipsilateral Motor Neurons: Flexor excited, ipsilateral flexor contracts.
- Contralateral Motor Neurons: Extensor excited, extension of the leg.
Eye Movements
- Fovea: Portion of the retina with the highest density of cone photoreceptors providing high visual acuity.
- Visual Axis: Straight path from the point of fixation to the fovea.
- Optical Axis: Straight line passing through the center of the lens.
- Direction of Gaze: Direction of the visual axis relative to the environment.
- Gaze Angle: Angular measurement of the direction of gaze in a horizontal or vertical plane.
- Effectors: Extraocular muscles that control horizontal, vertical, and rotational movements of the eye.
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Nerves:
- Abducens (VI): Lateral rectus muscle.
- Oculomotor (III): Medial, superior, inferior rectus and inferior oblique muscles.
- Trochlear (IV): Superior oblique muscle.
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Classification of Movements:
- Conjugate/Version: Coordinated eye movement in the same direction through the same angle.
- Disconjugate/Vergence: Coordinated eye movement in the opposite direction through mirrored angles.
Types of Movements
- Vestibulo-Ocular Reflex (VOR): Stabilizes gaze in response to head rotation.
- Input: Head rotation (vestibular nerve) -> Output: Extraocular muscle activity (Abducens, Oculomotor, Trochlear).
- Optokinetic Reflex: Combination of slow and fast eye movements to keep a moving scene stationary.
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Saccades: Rapid ballistic eye movement changing the point of fixation.
- Exogenous: Driven by something outside the body
- Endogenous: Driven by something inside the body
- Express Saccades: Bypass the cortex (faster).
- Prosaccades: Reflex saccades traveling through the visual cortex (slower).
- Predictive Saccades: Stimulus expected but not yet occurring.
- Memory-Guided Saccades: The stimulus was previously located but not anymore.
- Anti-Saccades: Opposite direction of reflex saccades.
- Saccade Sequence: Fixate on a series of points in space.
- Smooth Pursuit: Eye movements that keep the eyes fixated on a moving object.
- Vergence: Coordinated disconjugated movement of both eyes to obtain or maintain binocular vision
Modulation of Stimulus-Evoked Behavior
- Temporal Summation: Aggregation of multiple postsynaptic potentials occurring close in time.
- Excitatory NT: Glutamate.
- Inhibitory NT: GABA, Glycine.
- Acetylcholine: Muscle contraction.
- Dopamine, Serotonin, Norepinephrine: Other NTs.
- Ionotropic Receptor: NT binds to a receptor, directly opening the ion channel.
- Metabotropic Receptors: NT binds to the receptor, which then activates a second messenger signaling system.
- Positive Charge: Opens voltage-gated ion channels, allowing calcium to flow into the postsynaptic neuron.
- Calcium Influx: Signals vesicles holding glutamate (excitatory) to release their content at the synapse.
- Glutamate Binding: Opens ion channels on the postsynaptic neuron, allowing sodium (Na+) to flow in.
- Sodium Influx: Generates an excitatory postsynaptic potential (EPSP) that diffuses down the dendrite. If large enough, it will initiate an action potential.
- Decrease in Presynaptic Calcium: Less calcium opens ion channels, fewer vesicles release glutamate. This leads to fewer postsynaptic ion channels opened, smaller EPSP, and less likelihood of triggering an action potential.
- Increase in Presynaptic Calcium: More calcium opens ion channels, more glutamate released. This leads to more postsynaptic ion channels opened, larger EPSP, and higher likelihood of triggering an action potential.
- Inhibitory NT Effects: Opposite charges cancel out, resulting in a smaller EPSP and less likelihood of triggering an action potential.
- Facilitatory NT Effects: Positive charges summate with the sodium already flowing from glutamate release, causing a larger EPSP and higher likelihood of triggering an action potential.
Sensory and Central Inputs
- Sensory Inputs (Centripetal): Arise from primary afferent neurons, interneurons, or mediated by afferent input.
- Central (Descending) (Centrifugal): Inputs arise from higher centers (cortex, cerebellum, brain stem).
Examples of Pre-Synaptic Modulation
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Soleus Reflex:
- Control: Soleus reflex measured alone.
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Conditioned:
- Plantar flexor (anterior tibialis) exerts inhibitory influence over soleus.
- Quadriceps exerts facilitatory influence.
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