Gate Control Theory of Pain Modulation

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Questions and Answers

What type of pain sensations do A delta fibres primarily transmit?

  • Deep, internal pain sensations
  • Localized, sharp, and tingling pain sensations (correct)
  • Episodic, emotional pain sensations
  • Dull, generalized throbbing pain sensations

Which neuron type first transmits pain signals from peripheral areas to the spinal cord?

  • Third order neuron
  • Second order neuron
  • Peripheral neuron (first order) (correct)
  • Inhibitory interneuron

How do A beta fibres modulate pain signals from C fibres?

  • By directly increasing the activity of C fibres
  • By transmitting action potentials more slowly than C fibres
  • By inhibiting the second projection neuron via action potential transmission (correct)
  • By synapsing with the third order neuron directly

What role does the inhibitory interneuron play in pain transmission?

<p>It forms a synapse with the second projection neuron to modulate pain (D)</p> Signup and view all the answers

Which fibres are primarily responsible for transmitting sharp pain signals?

<p>A delta fibres (C)</p> Signup and view all the answers

Flashcards

A delta fibres

Myelinated nerve fibres transmitting sharp, localized pain sensations.

C fibres

Unmyelinated fibres transmitting dull, throbbing pain sensations.

Three order neuron pathway

Pathway involving peripheral neuron, spinal projection neuron, and thalamic neuron for pain transmission.

A beta fibres

Myelinated fibres that carry touch sensations from mechanoreceptors.

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Inhibitory interneuron

A neuron that inhibits pain transmission by interacting with projection neurons.

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Study Notes

Gate Control Theory of Pain Modulation

  • Stimuli: Mechanical (sharp objects), thermal (extreme heat/cold), and chemical (tissue damage) stimuli trigger pain signals.

  • Pain Fibers:

    • A delta fibers: Myelinated, transmit sharp, localized pain sensations.
    • C fibers: Unmyelinated, transmit dull, throbbing, generalized pain sensations.
  • Pain Signal Transmission: Pain signals travel via a three-neuron pathway:

    • First-order neuron: Peripheral, synapses with a second-order neuron in the spinal cord.
    • Second-order neuron: Within the spinal cord, projects to a third-order neuron in the thalamus.
    • Third-order neuron: In the thalamus, projects to the primary somatosensory area of the cortex for perception.
  • Modulation by A beta fibers:

    • A beta fibers: Myelinated fibers that carry touch sensations from mechanoreceptors.
    • Faster Transmission: Myelinated fibers transmit action potentials (APs) faster than unmyelinated fibers.
    • Inhibitory Interneuron: In the spinal cord, an inhibitory interneuron forms a synapse with the second-order neuron.
    • Pain Inhibition: When A beta fibers are stimulated (e.g., by touching or rubbing an injured area), their faster APs reach the inhibitory interneuron before C fiber APs. This inhibits the second-order neuron, reducing the transmission of pain signals, thus reducing rather than stopping pain. This mechanism explains why applying pressure can alleviate pain.

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