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Central Nervous System
Consists of the spinal cord and the brain |
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Peripheral Nervous System
consists of all neural structures outside the brain and spinal cord and includes spinal nerves
Includes sensory receptors, associated ganglia motor endings and provides links to and from the external environment |
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Spinal Cord Injury C1 - C8 |
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head, neck, diaphram, deltoids, biceps, wrist extenders, triceps, hand |
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Spinal cord Injury T1 -T12 |
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chest muscles
abdominal muscles |
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Spinal Cord Injury L1 - L5 |
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Spinal Cord Injury S1 -S5 |
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Bowel, bladder, sexual function |
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the spinal cord is protected and encapsulated by the spinal cord meninges |
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lies between the dura mater and the periosteum covering the inner walls of the vertebra, and houses areolor connective tissue, blood vessels and adipose connective tissue |
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the nerves that innervate the diaphragm |
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C three, four, and five keep the diaphragm alive |
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What are the four types of mixed nerves |
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Somatic
Visceral
Cranial
Spinal |
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loose connective tissue that surrounds axons |
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peripheral axons enclosed by connective tissue |
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coarse connective tissue that bundles fibers inside fascicles |
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tough fibrous sheath around a nerve |
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carries impulse to the CNS |
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carries impulses from CNS |
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carry somatic and autonomic (visceral) impulses most common type |
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each spinal nerve connects to the spinal cord via two medial roots |
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each root forms a series of rootlets that attach to the spinal cord |
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arise from the anterior horn and contain motor (efferent) fibers |
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arise from sensory neurons in the dorsal root ganglion and contain sensory (afferent) fibers |
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all ventral rami except T2-T12 form interlacing nerve networks called plexuses |
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Nerve Plexuses are found where |
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plexuses are found in the cervical, brachial, lumbar, and sacral regions |
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Can damage to one spinal segment completely paralyze a muscle |
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is the area of skin innervated by the cutaneous branches of a single spinal nerve |
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Do all spinal nerves participate in dermoatomes |
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Diaphragm, Pericardium, heart,
digestive tract, liver, gall bladder,
kidney, ureter, pelvic organs |
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Each muslce in the body is supplied by a particular level or segment of the spinal cord and by its corresponding spinal nerve. The muscle and its nerve make up a myotome |
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supply the diaphragm
C5 also supplies the shoulder muscles and the muscle that we use to bend our elbow |
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for straightening the elbow |
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supplies the chest wall and abdominal muscles |
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supply the bladder, bowel, sex organs, anal and other pelvic muscles |
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supply muscles of the ribs, anterolateral thorax, and abdominal wall |
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buried deep in the neck formed by ventral rami of first four cervical nerves most are cutaneous nerves some innervate muscles of the anterior neck |
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the most important nerve of the cervical plexus |
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Roots, Trunks, Divisions, cords, Branches
"Randy Travis Drinks Cold Beer" |
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Musculocutaneous, Axillary, Radial, Median, Ulnar
"My Aunt Raped My Uncle" |
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Brachial Plesux
Musculocutaneous |
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main branch of the lateral cord |
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branches from the medial cord
innervates intrinsic hand muscles and skin of the medial hand |
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orginated from both lateal and medial cords
Innervates anterior forearm muscles and lateral palm |
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Brachial Plexus
Posterior |
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radial - continuation of the posterior cord, largest branch of the brachial plexus innervates muscles of the posterior upper limb
Axillary innervates the deltoid and teres minor |
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Brachial Plexus Nerves
Axillary |
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innervates the deltoid and teres minor |
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Brachial Plexus Nerves
Musculocutaneous |
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sends fibers to the biceps brachii and brachialis |
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Brachial Plexus Nerves
Median |
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branches to most of the flexor muscles of arm |
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Brachial Plexus Nerves
Ulnar |
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supplies the flexor carpi ulnaris and part of the flexor digitorum profundus |
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Brachial Plexus Nerves
Radial |
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innervates essentially all extensor muscles |
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Arises from L1 -L4
innervates the thigh, abdominal wall, and psoas muslce |
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for anterior thigh muscles |
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arises from L4 - S4 and serves the buttock, lower limb, pelvic structures, and the prineum (pudendal nerve) |
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Sacral Plexus major nerve |
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Sciatic, the longest thickest nerve of the body lower limb (except anteromedial thigh muscles)
branches into two nerves - the tibial and the common fibular (peroneal) |
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genetically determined
Classified - by development |
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Learned
Classified - by response |
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control skeletal muscle contractions
Include superficial and stretch reflexes
classified - by response |
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Visceral (autonomic) reflexes |
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control actions of smooth and cardiac muscles, glands
classified - by response |
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one synapse
classified - by complexity of circuti |
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Multiple synapsis (two to several hundred)
classified - by complexity of circuit |
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Processing in the brain
classified - by complexity of circuit |
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processing in the spinal cord
classified - by processing site |
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a reflex is a rapid, predictable motor resonse to a stimulus |
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peripheral nerves, brain stem and spinal cord |
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Five components
receptor
Sensory neuron
Integration Center
Motor neuron
Effector |
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