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Key Concepts Test 1
OT 504 Key Concepts for Exam 1
231
Science
Graduate
09/04/2012

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Term
NTs
Definition
chemicals that carry info across the synapse
Term
neuron
Definition
nerve cell, includes cell membrane, soma, dendrites, axon
Term
cell membrane
Definition
flexible barrier that separates the inside of the cell from the outside of the cell
Term
cell membrane
Definition
contains proteins that can change shape or configuration
Term
cell membrane
Definition
at the postsynaptic membrane, they contain receptors which bind with NTs
Term
cell membrane
Definition
also contain ions channels, lipids, proteins
Term
receptors
Definition
specialized proteins on postsynaptic membrane which bind w/ NTs
Term
dendrites
Definition
receive info (via NTs) from axons
Term
soma
Definition
Function: processes info, synthesizes NTs, directs and maintains cell function
Term
axon
Definition
Function: send info (via NTs)
Term
anterograde transport
Definition
moves NTs and other substances down the axon toward the presynpatic terminal ("down" the axon)
Term
retrograde transport
Definition
moves substances from the synapse back to the soma ("up" the axon)
Term
axon hillock
Definition
area next to soma
Term
AP
Definition
specialized impulse in neurons designed to rapidly transmit info from cell to cell
Term
strength, repetition
Definition
_____
Term
presynaptic terminal/axon terminals
Definition
where NTs are released into synaptic cleft
Term
synaptic cleft
Definition
space b/t membranes of presynaptic terminal and postsynaptic membrance
Term
postsynaptic membrane (terminal)
Definition
has receptors for NTs and ion channels
Term
ion channels
Definition
allow ions to cross into and out of cells across cell membranes
Term
positive ions (cations)
Definition
Na , K , Ca 2
Term
negative ions (anions)
Definition
Cl-
Term
diffusion
Definition
substances, like ions, can flow across cell membranes based on their concentration and electrical charge
Term
leak channels
Definition
allow passive diffusion of ions at a slow continuous rate
Term
gated channels
Definition
require a stimulus in order to open
Term
modality gated channels
Definition
membrane channel specific to sensory neurons
Term
modality gated channels
Definition
open in response to mechanical forces (pressure, vibration), to temperature changes, or to chemical changes
Term
ligand-gated channels
Definition
open in response to NT binding to surface of a channel receptor (lock and key)
Term
voltage-gated channels
Definition
electrical change caused by the release of NTs, which generate a potential
Term
APs
Definition
enough potentials can form/initiate ___
Term
resting membrane potential (RMP), -70 mV
Definition
electrical potential across the cell membrane at rest, defined as _____
Term
the difference in charge provides the energy that drives the AP
Definition
RMP is more negative inside the cell compared to the outside - this is essential for what?
Term
equilibrium
Definition
no net movement of ions across the membrane (can be maintained by the cell despite a or - charge across the membrane)
Term
concentration gradient
Definition
distribution of ions based on number/amount inside vs. outside the cell
Term
high
Definition
_____ concentration gradient is a large difference in number of ions
Term
low
Definition
_____ concentration gradient is a small difference in number of ions
Term
electrical gradient
Definition
a difference in electrical charge across the cell membrane when the cell is at rest ( , -, 0)
Term
depolarized
Definition
when the charge across the cell membrane is less(-)/more( ) than RMP
Term
depolarization
Definition
_____ may generate a local potential
Term
AP
Definition
with enough local potentials, ____ can be generated
Term
hyperpolarized
Definition
intracellular electrical charge is more (-) then RMP, which blocks an AP
Term
hyperpolarized
Definition
correlates with K outflux from the cell
Term
repolarization
Definition
cell resets Na /K balance via the Na /K pump
Term
local potential
Definition
small potentials that travel a short distance
Term
facilatory (+), inhibitory (-)
Definition
local potentials may be ____ or ____
Term
temporal summation
Definition
series of small potentials/charges close together in time that can generate an AP
Term
spatial summation
Definition
addition of potentials from different regions of a cell at the same time that can generate an AP
Term
depolarization
Definition
happens when sum of stimuli reaches threshold and an AP is generated
Term
threshold stimulus/threshold intensity
Definition
level needed to fire an AP
Term
ALL or NONE
Definition
AP is a __________ impulse
Term
AP
Definition
large depolarizing signal actively propagated along an axon by repeated generation of a signal, can travel long distances at rapid speed
Term
Na+
Definition
ion whose influx into the cell causes depolarization (for AP)
Term
axon hillock
Definition
where the AP starts
Term
absolute refractory period
Definition
neuron will not fire regardless of intensity of stimulus
Term
relative refractory period
Definition
stronger stimulus than normal needed to fire an AP (associated w/ partial resetting of membrane potential by Na/K pump)
Term
divergence
Definition
single axon may terminate on several cells
Term
convergence
Definition
multiple inputs from multiple cells terminate on a single neuron
Term
afferent neuron
Definition
carries info toward the CNS
Term
efferent neuron
Definition
carries info away from the CNS
Term
larger, myelinated
Definition
Faster conducting axons have a ____ diameter and are _____
Term
myelin
Definition
mostly fatty substance that is a rapid conductor, insulator and protector of axons
Term
myelin sheath
Definition
protective covering of protein and fatty surrounding an axon
Term
node of ranvier
Definition
unmyelinated small areas spaced along an axon designed to speed conduction of impulses
Term
saltatory conduction
Definition
superfast impulse propagation by "jumping"/"skipping" from node to node
Term
macroglia
Definition
supportive cell to neurons
Term
astrocytes - CNS
oligodendrocytes - CNS
Schwann cell - PNS only
Definition
3 types of macroglia and their location
Term
astrocytes
Definition
macroglia: signal (release NTs), scavenger, nutritive function, development
Term
oligodendrocytes
Definition
macroglia: form the myelin sheath
Term
microglia
Definition
phagocyte: clean up cells, repair and immune function (active in normal healing)
Term
schwann cell
Definition
only neuronal support cell in the PNS
Term
schwann cell
Definition
macroglia: myelin maker/insulator, scavenger, nutrition, signaling, repair and immune function in PNS
Term
EPSP
Definition
associated w/ Na+ and Ca+2 ions influx into cells
Term
AP
Definition
EPSPs may summate into an _____
Term
IPSP
Definition
associated w/ Cl- flow into or K+ flow out of the cell
Term
hyperpolarization
Definition
IPSPs cause ________, which blocks the AP
Term
EPSPs, IPSPs
Definition
the sum of _____ and _____ at the postsynpatic membrane determines if an AP is generated
Term
Presynaptic facilitation
Definition
axon of one neuron synapses at the axon terminal of another neuron
Term
intensifies
Definition
with presynaptic facilitation, more NT is released which _____ signal
Term
decreases
Definition
with presynpatic inhibition, less NT is released, which _____ signal
Term
neuromodulator (NMs)
Definition
released into extracellular fluid, work on many neurons with effects occurring more slowly and longer lasting
Term
nicotinic receptors
Definition
receptors that bind with the substance nicotine and w/ ACh
Term
muscarinic receptors
Definition
receptors that bind with the substance muscarine and w/ ACh
Term
neuromuscular junction (NMJ)
Definition
where the motor neuron axon releases its NT (ACh) on the muscle membrane and initiates a muscle contraction
Term
agonist
Definition
a drug that binds to a receptor and mimics the effects of naturally occurring NTs
Term
antagonist
Definition
a drug that prevents the release of the NT or binds to the receptor and blocks the effects of the naturally occurring NT
Term
thinking, sensing, controlling
Definition
Primary functions of the CNS (3)
Term
glia
Definition
non-neuronal cell that provide services for neurons
Term
peripheral, spinal, brainstem, cerebrum
Definition
the 4 regions are:
Term
processing (integration)
Definition
gray matter function
Term
transmitter
Definition
white matter function
Term
cell bodies
Definition
gray matter is gray b/c it contains ______
Term
myelinated axons (proteins)
Definition
white matter is white b/c it consists of ______
Term
dorsal root ganglion (DRG)
Definition
SC: contains cell bodies of sensory neurons
Term
ventral root ganglion
Definition
SC: contains cell bodies of motor neurons
Term
meninges
Definition
membranous coverings of CNS
Term
pia mater (innermost)
arachnoid mater
dura mater
Definition
3 layers of meninges:
Term
Large signal
Travel long distance, one way
All or none impulse
Definition
Properites of an AP
Term
function, chemical profile, structure
Definition
Neuroplasticity is the ability of neurons to:
Term
habituation
Definition
decrease in response to a repeated, benign stimulus
Term
release of excitatory NT (glutamate)
Definition
cellular mechanism in habituation: decease in _______
Term
no longer present or partially resolve; system resets itself
Definition
habituation: after rest period, when there is no stimuli effects of habituation ________
Term
decreased number of synapses
Definition
habituation: if it is prolonged, is results in ______
Term
experience-dependent plasticity (EDP)
Definition
persistent long-lasting changes in the strength of synapses b/t neurons and in neural networks occur
Term
decrease, honed a to a few small, specific regions for that activity
Definition
EDP: with task repetition, the number of active regions in the brain ______
Term
silent synapses,
active synapses
Definition
LTP: mechanism is conversion of ______ to ______
Term
long-term potentiation
Definition
EDP: phenomenon that increases the number of active synapses, thus increasing the functional strength of synaptic connections for new learning and memory
Term
adding
Definition
LTP: _____ AMPA receptors to the cell membrane to make an active synapse
Term
disinhibition
Definition
LTP: the conversion of silent synapses to active synapses
Term
remodeling
Definition
LTP/LTD: occurs in both when changes are made to the postsynaptic membrane
Term
long-term depression (LTD)
Definition
EDP: phenomenon of decrease in the number of active synapses, this decreasing the strength of synpatic connections in learning and memory processes
Term
excitatory glutamate
Definition
LTP/LTD: in both, occurs at the ______ synapse
Term
active synapse,
silent synapse
Definition
LTD: mechanism is conversion of ______ to ______
Term
remove
Definition
LTD: _____ AMPA receptors from the cell membrane to make a silent synapse
Term
Ca+2
Definition
LTP/LTD: predominant ion regulator
Term
hippocampus (temporal lobe),
cerebral cortex (motor, sensory, auditory, visual areas)
Definition
LTP/LTD: both occur in same areas of the brain, _______
Term
names, events, facts, people (declarative memory)
Definition
hippocampus is involved in this type of memory
Term
hippocampus
Definition
area of brain named for its shape, like a sea horse
Term
PNS,
CNS
Definition
cellular recovery from injury: can, but may not happen in _____; cannot happen in _____
Term
wallerian degneration
Definition
can happen in CNS or PNS; happens after axon is severed when the distal segment degenerates and glial cells (Schwann or astrocytes) clean up the debris from degeneration
Term
sprouting
Definition
regrowth of damaged axons
Term
collateral sprouting
Definition
sprouting: distal neuron receives side sprouts from nearby undamaged axons
Term
collateral sprouting
Definition
sprouting: happens when proximal axon dies
Term
regenerative sprouting
Definition
sprouting: happens when distal axon dies
Term
regenerative sprouting
Definition
sprouting: damaged proximal axon regenerates and gives off side sprouts to undamaged neurons
Term
synkinesis (unintended movements)
Definition
after peripheral nerve injury motor axons may innervate different muscles than previously, resulting in ______ when the neurons fire
Term
confusion of sensory modalities (pain where it isn't supposed to be)
Definition
after peripheral nerve injury sensory axons may also regrow to incorrect targets causing _____
Term
same general response
Definition
axonal injury in the CNS has _____ as in PNS
Term
edema of axon resolves
Definition
synaptic changes in CNS after injury: easiest way to recover, function returns to normal
Term
denervation hypersensitivity
Definition
synaptic changes in CNS after injury: new receptor sites develop on postsynaptic membrane in response to decreased NT; NT released by nearby axons is amplified b/c of the extra receptor sites
Term
synaptic hypereffectiveness
Definition
synaptic changes in CNS after injury: some branches of presynaptic axon are destroyed, remaining axon branches receive all of NT resulting in larger than normal NT on postsynaptic receptors and a larger response
Term
cortical reorganization
Definition
neurons have to compensate for a deficit and take over functions - recruitment of other areas to take over other functions that were lost
Term
excitotoxicity
Definition
cell death caused by overexcitation of neurons
Term
glutamate,
death of postsynaptic neurons
Definition
excitotoxicity: oxygen-deprived neurons release large quantities of _____, which in excessive amounts causes _______
Term
Task Specific Training (TST)
Definition
using the affected extremity for task completion as opposed to using the affected limb only for ROM or exercise
Term
-long lasting cortical reorgnization
-induces more normal pattern of brain activation in ind. w/ CVA
Definition
benefits of TST
Term
Constraint Induced Movement Therapy (CIMT)
Definition
restriction of the use of the unaffected extremity (via sling or splint), thereby forcing client to undergo intense practice of functional movements with affected upper extremity
Term
-induce functional reorganization of cortex after CVA
Definition
benefit of CIMT
Term
conception-Day 14
Definition
stages in utero: pre-embryonic
Term
day 15-week 8
Definition
stages in utero: embryonic
Term
week 8-birth
Definition
stages in utero: fetal
Term
day 18-26
Definition
neural tube formation begins _____
Term
neural tube
Definition
CNS develops from the ______
Term
ectoderm
Definition
The NS develops from the _____ cell layer
Term
spina bifida
Definition
failure to lose the lower neuropore results in ______
Term
sensory
Definition
cells in the dorsal neural tube process ______ info
Term
skeletal muscle
Definition
neurons with cell bodies in the ventral neural tube innervate _____
Term
4th
Definition
myelination begins in the ____ fetal month
Term
conception-Day 14
Definition
stages in utero: pre-embryonic
Term
day 14-week 20
Definition
CNS most susceptible to insults in utero b/t ______
Term
neural tube
Definition
brain and spinal cord (CNS) develop entirely from the ______
Term
28 days
Definition
brain development begins at _____ days - rudimentary forebrain, midbrain, hindbrain
Term
L2
Definition
spinal cord ends at which segment?
Term
anencephaly
Definition
neural tube defect: cranial end of neural tube remains open, no cerebral hemispheres, cbell, and skull formation
Term
holoprosencephaly
Definition
neural tube defect: no division of cerebral hemispheres
Term
tethered spinal cord
Definition
neural tube defect: end of SC adheres to a lower vertebra
Term
hindbrain defect
Definition
Arnold Chiari malformation is caused by ________
Term
Arnold Chiari malformation
Definition
disorder: medulla and inferior cerebellum protrude through foramen magnum
Term
Arnold chiari malformation type I
Definition
disorder: milder form, no defects on lower neural tube; may develop symptoms as adolescent or young adult
Term
Arnold Chiari malformation type II
Definition
disorder: more severe form, signs present in infancy, often develop hydrocephalus and strong association w/ meningomyelocele
Term
spina bifida
Definition
disorder: neural tube defect that results when the inferior neuropore doesn't close
Term
folic acid
Definition
spina bifida associated w/ maternal lack of ______
Term
spina bifida occulta
Definition
disorder: neural tube does not protrude through bony defect, spinal cord function is normal
Term
spina bifida cystica
Definition
disorder: meninges and sometimes spinal cord protrude through the posterior opening of the vertebra
Term
meningocele
Definition
spina bifida cystica: protrusion of the meninges through the body defect
Term
meningomyelocele
Definition
spina bifida cystica: neural tissue w/ meninges protruding outside the body, always results in abnormal growth of SC and some degree of lower extremity dysfunction
Term
myeloschisis
Definition
spina bifida cystica: malformed spinal cord opened to the surface of the body
Term
-cognitive, movement, behavior problems
-physical abnormalities
Definition
characteristics associated w/ FAS
Term
difficulties w/ attention and impulse control ("jittery")
Definition
characteristics associated with fetal cocaine exposure
Term
CP
Definition
disorder: develops motor problems that don't progress after onset
Term
CP
Definition
disorder: 5 types, can be associated w/ seizures and cognitive deficits
Term
nocioceptive
Definition
pain: neural activity is normal, this type of pain is a normal response; warning symptom
Term
pathologic pain
Definition
pain: no beneficial function; not a warning symptom
Term
neuropathic pain
pain matrix dysfunction
pain syndromes
Definition
3 types of pathologic pain
Term
neuropathic
Definition
pain: arises as a direct consequence of a lesion or disease affecting the somatosensory system
Term
paresthesia
Definition
neuropathic pain: painless abnormal sensation in absence of nocioceptor stimulation
Term
parasthesia
Definition
neuropathic pain: usually felt as tingling or prickling
Term
peripheral nerve-cortex
Definition
parathesia: lesion may be anywhere from ______
Term
dysesthesia
Definition
neuropathic pain: burning, shooting, or electric "shock" pain
Term
allodynia
Definition
neuropathic pain: pain sensation from a normally non-painful stimulus
Term
secondary hyperalgesia
Definition
neuropathic pain: excessive pain sensitivity to stimuli that are normally midly painful
Term
malfunction in neuroplasticity
(healing "gone awry")
Definition
neuropathic pain is caused by _____
Term
phantom limb pain, central pain syndrome
Definition
types of neuropathic pain in the CNS
Term
phantom limb pain
(neuropathic)
Definition
pain: caused by lack of sensory info from missing limb, neurons in central nocioceptive pathway overactivate
Term
central pain syndrome
(neuropathic)
Definition
pain: develops after problem, CVA, SCI, MS; described as burning, shooting, aching, freezing, tingling
Term
small fiber neuropathy
Definition
types of neuropathic pain in PNS
Term
postherpetic neuralgia
diabetic neuropathy
Guillain-Barre syndome
Definition
3 examples of small fiber neuropathy (neuropathic pain in PNS)
Term
pain matrix dysfunction
Definition
pain: top-down regulation of pain is disturbed, due to abnormal cerebral processing of pain
Term
antinociception,
pronociception
Definition
in pain matrix dysfunction, ______ is reduced or ______ is intensified
Term
absence of nociceptive signals
Definition
during pain matrix dysfunction, pain occurs in _______
Term
fibromyalgia
migraine
episodic tension type headache (ETTH)
chronic whiplash associated disorder
Definition
examples of pain matrix dysfunction
Term
fibromyalgia
(pain matrix dysfunction)
Definition
pain: tenderness of muscles and adjacent soft tissues, stiffness of muscles, and aching pain
Term
women
Definition
migraines have higher prevalence in _______
Term
migraine
(pain matrix dysfunction)
Definition
pain: unilateral location, pulsating/throbbing pain, can interfere w/ daily activities if severe enough, aggravation by routine physical activity
Term
episodic tension type headaches
(pain matrix dysfunction)
Definition
pain: mild-moderate pain, usually bilateral, lasts 30 min-7 days, not aggravated by physical activity, not associated with nausea
Term
chronic whiplash associated disorder
(pain matrix dysfunction)
Definition
pain: neck injury from rapid acceleration or decceleration
Term
pain syndromes
Definition
pain: involve other systems in addition to pain system
Term
chronic regional pain syndrome (CRPS), chronic low back pain
Definition
two types of pain syndromes
Term
chronic regional pain syndrome (CRPS)
(pain syndrome)
Definition
pain: aberrant response to trauma, continuous pain disproportionate to the trauma
Term
disuse of the limb
Definition
primary precipitating factor in CRPS
Term
red/pale skin color
excessive sweating
edema, skin atrophy
Definition
early signs of CRPS
Term
chronic low back pain
Definition
pain: change from tissue damage to a physiologic impairment consisting of muscle guarding, abnormal movement, disuse syndrome
Term
disuse
Definition
this makes chronic low back pain worse
Term
tract
lemniscus
fasciculus
column
peduncle/pyramid
Definition
names for bundles of myelinated axons (5)
Term
myasthenia gravis
Definition
NT: ACh receptors at postsynaptic membrane are destroyed in what disease
Term
botulinum toxin
Definition
NT: this disease blocks ACh release at the NMJ
Term
Serotonin
Definition
NT: decreased levels of this NT exhibits depression, moody, violence
Term
GABA
Definition
NT: main inhibitory NT in brain
Term
Glutamate
Definition
NT: main excitatory NT in brain
Term
seizures
Definition
NT: overactivity of glutamate in the brain causes ______
Term
neuronal cell death
Definition
NT: excessive release of glutamate causes ________
Term
Guillain-Barre syndrome
Definition
disorder: PNS demyelination
Term
symmetrical
Definition
disorder: guillian-barre syndrome is symmetrical or assymetrical?
Term
guillian-barre syndrome
Definition
disorder: autoimmune disease that attacks the Schwann cells
Term
lower extremities,
upward
Definition
disorder: guillain-barre starts at _____, then moves ______
Term
MS
Definition
disorder: CNS demyelination
Term
MS
Definition
disorder: autoimmune disease that attacks the oligodendrocytes
Term
assymetrical
Definition
disorder: MS is symmetrical or assymetrical?
Term
both
Definition
disorder: MS affects motor, sensory or both?
Term
PNS
Definition
disorder: mysathenia gravis affects the _____
Term
myasthenia gravis
Definition
disorder: synaptic transmission at NMJ affected - not enough ACh receptors
Term
distal,
proximal
Definition
Wallerian degeneration occurs in the ______ segment; Central chromatolysis occurs in the ____ segment
Term
central chromatolysis
Definition
when a proximal segment dies, the cell body undergoes _____ and dies - soma swells, nucleus moves to periphery and cell function ceases
Term
K+
Definition
when cell is in equilibrium, more _____ is inside
Term
repolarization
Definition
resetting of the cell
Term
intervertebral foramen to exit spinal column
Definition
B/c spinal cord ends at L1 lower levels have to travel distally to their ________ to ?
Term
microglia
Definition
glia: important in development b/c it gets rids of unconnected neurons
Term
astrocyte
Definition
glia: have nutritive and clean-up functions
Term
remote
Definition
LTP is strong in ______ memory - dementia patients remember childhood home but can't remember their breakfast
Term
PNS has:
-NGF released from Schwann cells
-healing not inhibited by Nogo (in PNS)
-healing process starts faster; delayed in CNS
-sprouting
-no glial scars (as in CNS)
Definition
Differences in repiar process of CNS vs. PNS
Term
5
Definition
best to start rehab ____ days after injury to CNS/PNS
Term
denervatin hypersensitivity,
synpatic hypereffectiveness
Definition
for synpatic changes in CNS after injury, in ______ postsynaptic membrane makes new receptor sites b/c of reduced NT, while in ______ only some branches of presynaptic axon are destroyed, which causes remaining axons to receive all of NT
Term
referred pain
Definition
[ain: when it is attributed to organ in one area but felt elsewhere; ex. gallbladder pain felt in shoulder
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