SlideShare a Scribd company logo
1 of 11
The Peripheral Nervous System and 
Reflex Activity 
Objectives 
1. Define peripheral nervous system and identify its components. 
PART 1: SENSORY RECEPTORS AND SENSATION 
Sensory Receptors 
2. Classify general sensory receptors by structure, stimulus detected, and body location. 
Overview: From Sensation to Perception 
3. Outline the events that lead to sensation and perception. 
4. Explore the levels of neural integration in the somatosensory system. 
5. Identify the main aspects of sensory perception. 
PART 2: TRANSMISSION LINES: NERVES AND THEIR STRUCTURE AND REPAIR 
Nerves and Associated Ganglia 
6. Define nerve and ganglion and indicate the general body location of ganglia. 
7. Describe the general structure of a nerve and follow the process of nerve regeneration. 
Cranial Nerves 
8. Name the 12 pairs of cranial nerves; indicate the body regions and structures innervated by each. 
Spinal Nerves 
9. Describe the general features of spinal nerves and the distribution of their rami. 
10. Define plexus. Name the major plexuses and describe the distribution and function of the peripheral 
nerves arising from each plexus. 
PART 3: MOTOR ENDINGS AND MOTOR ACTIVITY 
Peripheral Motor Endings 
11. Compare and contrast the motor endings of somatic and autonomic nerve fibers. 
Overview of Motor Integration: From Intention to Effect 
12. Outline the three levels of the hierarchy of motor control. 
13. Compare the roles of the cerebellum and basal nuclei in controlling motor activity. 
PART 4: REFLEX ACTIVITY 
The Reflex Arc 
14. Name the components of a reflex arc and distinguish between autonomic and somatic reflexes. 
Spinal Reflexes
15. Compare and contrast stretch, flexor, crossed extensor, and superficial reflexes. 
Developmental Aspects of the Peripheral Nervous System 
16. List changes that occur in the sensory system with aging. 
17. Describe the developmental relationship between the segmented arrangement of the peripheral nerves, 
skeletal muscles, and skin dermatomes. 
Suggested Lecture Outline 
PART 1: SENSORY RECEPTORS AND SENSATION 
I. Sensory Receptors (pp. 491–494; Fig. 13.1; Table 13.1) 
A. Sensory receptors are specialized to respond to changes in their environment called stimuli (pp. 
491–494). 
1. Receptors may be classified according to the activating stimulus. 
2. Receptors may be classified based on their location or the location of the activating stimulus. 
3. Receptors may be classified based on their overall structural complexity. 
B. Free, or naked, nerve endings are present everywhere in the body and respond primarily to pain 
and temperature. (p. 492) 
C. Encapsulated Dendritic Endings (pp. 492–494; Table 13.1) 
1. Meissner’s corpuscles are receptors for discriminatory and light touch in hairless areas of the 
body. 
2. Pacinian, or lamellated, corpuscles, are stimulated when deep pressure is first applied. 
3. Ruffini endings respond to deep and continuous pressure. 
4. Muscle spindles detect when a muscle is being stretched and initiate a reflex that resists the 
stretch. 
5. Golgi tendon organs are stimulated when the associated muscle stretches the tendon. 
6. Joint kinesthetic receptors monitor the stretch in the articular capsules of synovial joints. 
II. Overview: From Sensation to Perception (pp. 494–498; Fig. 13.2) 
A. The somatosensory system, the part of the sensory s ystem serving the body wall and limbs, 
involves the receptor level, the circuit level, and the perceptual level. 
1. Processing at the receptor level involves a stimulus that must excite a receptor in order for 
sensation to occur. 
2. Processing at the circuit level is involved with delivery of impulses to the appropriate region of 
the cerebral cortex for stimulus localization and perception. 
3. Processing at the perceptual level involves interpretation of sensory input in the cerebral 
cortex. 
PART 2: TRANSMISSION LINES: NERVES AND THEIR STRUCTURE AND REPAIR 
I. Nerves and Associated Ganglia (pp. 498–500; Figs. 13.3–13.4) 
A. A nerve is a cordlike organ consisting of parallel bundles of peripheral axons enclosed by 
connective tissue wrappings. 
B. Ganglia are collections of neuron cell bodies associated with nerves in the PNS.
C. If damage to a neuron occurs to the axon and the cell body remains intact, cut or compressed axons 
can regenerate. 
II. Cranial Nerves (pp. 500–508; Fig. 13.5; Table 13.2) 
A. Olfactory nerves are responsible for smell. 
B. Optic nerves are responsible for vision. 
C. Oculomotor nerves play a role in eye movement. 
D. Trochlear nerves play a role in eye movement. 
E. Trigeminal nerves are general sensory nerves of the face. 
F. Abducens nerves play a role in eye movement. 
G. Facial nerves function as the chief motor nerves of the face. 
H. Vestibulocochlear nerves are responsible for hearing and equilibrium. 
I. Glossopharyngeal nerves innervate part of the tongue and pharynx. 
J. Vagus nerves innervate the heart, lungs, and the abdominal organs. 
K. Accessory nerves move structures associated with the head and neck. 
L. Hypoglossal nerves are mixed nerves that arise from the medulla and serve the tongue. 
III.Spinal Nerves (pp. 508–518; Figs. 13.6–13.12; Tables 13.3–13.6) 
A. Thirty-one pairs of mixed spinal nerves arise from the spinal cord and serve the entire body except 
the head and neck. 
B. Innervation of Specific Body Regions 
1. Each spinal nerve connects to the spinal cord by a dorsal root and a ventral root. 
2. Rami lie distal to and are lateral branches of the spinal nerves that carry both motor and 
sensory fibers. 
3. The back is innervated by the dorsal rami with each rami innervating the muscle in line with the 
point of origin from the spinal column. 
4. Only in the thorax are the ventral rami arranged in a simple segmental pattern corresponding to 
that of the dorsal rami. 
5. The cervical plexus is formed by the ventral rami of the first four cervical nerves. 
6. The brachial plexus is situated partly in the neck and partly in the axilla and gives rise to 
virtually all the nerves that innervate the upper limb. 
7. The sacral and lumbar plexuses overlap and because many fibers of the lumber plexus 
contribute to the sacral plexus via the lumbos acral trunk, the two plexuses are often referred to 
as the lumbosacral plexus. 
8. The area of skin innervated by the cutaneous branches of a single spinal nerve is called a 
dermatome. 
9. Hinton’s law states that any nerve serving a muscle that produces movement at a joint also 
innervates the joint and the skin over the joint. 
PART 3: MOTOR ENDINGS AND MOTOR ACTIVITY 
I. Peripheral Motor Endings (p. 519) 
A. Peripheral motor endings are the PNS element that activates effectors by releasing 
neurotransmitters.
B. The terminals of the somatic motor fibers that innervate voluntary muscles form elaborate 
neuromuscular junctions with their effector cells and they release the neurotransmitter 
acetylcholine. 
C. The junctions between autonomic motor endings and the visceral effectors involve varicosities and 
release either acetylcholine or epinephrine as their neurotransmitter. 
II. Overview of Motor Integration: From Intention to Effect (pp. 519–521; Fig. 
13.13) 
A. Levels of Motor Control 
1. The segmental level is the lowest level on the motor control hierarchy and consists of the 
spinal cord circuits. 
2. The projection level has direct control of the spinal cord. 
3. The precommand level is made up of the cerebellum and the basal nuclei and is the highest 
level of the motor system hierarchy. 
PART 4: REFLEX ACTIVITY 
I. The Reflex Arc (pp. 521–522; Fig. 13.14) 
A. Reflexes are unlearned, rapid, predictable motor responses to a stimulus, and occur over highly 
specific neural pathways called reflex arcs (pp. 521–522; Fig. 13.14). 
II. Spinal Reflexes (pp. 522–527; Figs. 13.15–13.19) 
A. Spinal reflexes are somatic reflexes mediated by the spinal cord (pp. 522–527; Figs. 13.15–13.19). 
1. In the stretch reflex the muscle spindle is stretched and excited by either an external stretch or 
an internal stretch. 
2. The Golgi tendon reflex produces muscle relaxation and lengthening in response to 
contraction. 
3. The flexor, or withdrawal, reflex is initiated by a painful stimulus and causes automatic 
withdrawal of the threatened body part from the stimulus. 
4. The crossed extensor reflex is a complex spinal reflex consisting of an ipsilateral withdrawal 
reflex and a contralateral extensor reflex. 
5. Superficial reflexes are elicited by gentle cutaneous stimulation. 
III. Developmental Aspects of the Peripheral Nervous System (p. 527) 
A. The spinal nerves branch from the developing spinal cord and 
adjacent neural crest and exit between the forming vertebrae. Each 
nerve becomes associated with the adjacent muscle mass. 
B. Cranial nerves innervate muscles of the head in a similar way. 
C. Sensory receptors atrophy to some degree with age, and there is a 
decrease in muscle tone in the face and neck; reflexes occur a bit 
more slowly. 
Cross References 
Additional information on topics covered in Chapter 13 can be found in the chapters 
listed below. 
1. Chapter 3: Membrane functions 
2. Chapter 4: Nervous tissue
3. Chapter 5: Cutaneous sensation and sensory receptors 
4. Chapter 9: Neuromuscular junction 
5. Chapter 11: Membrane potentials; neural integration; serial and parallel processing; synapses; 
neurotransmitters 
6. Chapter 12: Ascending and descending tracts of the spinal cord; spinal roots; gray and white matter of 
the spinal cord 
7. Chapter 15: Sensory receptors for the special sens es and generator potentials; cranial nerves associated 
with their special senses; reflex activity of the special senses 
8. Chapter 23: Reflex activity and control of digestive secretions; nerve plexuses involved in digestion; 
function of the vagus nerve in parasympathetic control 
9. Chapter 25: Spinal reflex control of micturition 
10. Chapter 27: Spinal reflexes and the physiology of the sexual response 
Laboratory Correlations 
1. Marieb, E. N. Human Anatomy & Physiology Laboratory Manual: Cat and Fetal Pig Versions. Eighth 
Edition Updates. Benjamin Cummings, 2006. 
Exercise 22: Human Reflex Physiology 
2. Marieb, E. N. Human Anatomy & Physiology Laboratory Manual: Main Version. Seventh Edition 
Update. Benjamin Cummings, 2006. 
Exercise 22: Human Reflex Physiology 
Histology Slides for the Life Sciences 
Available through Benjamin Cummings, an imprint of Pearson Education, Inc. To order, 
contact your local Benjamin Cummings sales representative. 
Slide 73 Myelinated Nerve Cross Section—Myelin Sheaths. 
Slide 74 Myelinated Nerve Longitudinal Section—Nodes of Ranvier. 
Slide 75 Efferent (Motor) Neuron. 
Slide 76 Spinal Cord Bottom, Stained for Axons. 
Lecture Hints 
1. Emphasize the distinction between the central and peripheral nervous system, but stress that the 
nervous system functions as a continuous unit, even though we like to study its anatomy in bits and 
pieces. Students often treat each section as if it operates autonomously, without regard to what may be 
happening in other parts of the nervous system. 
2. Many students will have difficulty with the difference between receptor potentials, generator potentials, 
and action potentials. It is worth taking time to be sure the distinction is clear. 
3. As the anatomy of the nerve is discussed, point out the similarity between the basic structure of muscle 
tissue and nervous tissue. Also bring to the students’ attention the similarity in nomenclature. Point 
out that by knowing the structure of muscle, they already know nerve anatomy (with slight changes in 
names). 
4. Students often have problems with neuron regeneration and myelination (i.e., understanding why, since 
CNS and PNS neurons are both myelinated, a regeneration occurs in the PNS and not in the CNS). 
Spend time explaining the difference or refer the class to Chapter 11 to review myelination, the sheath of 
Schwann, and oligodendrocytes.
5. Draw a diagram (cross section) of the spinal cord indicating the dorsal and ventral roots and an 
extension into a short section of the spinal nerve. Draw arrows in these pathways indicating the 
direction of information flow. Remind the class that the brain must always receive information from an 
area in order to effect a change (the reason for two-way traffic in each level of the cord). Students are 
more likely to remember the anatomical relationship between these structures since they can logically 
relate material from a previous chapter to the material presented in this chapter. 
6. Try asking specific questions of the class in order to promote student involvement. This technique 
holds their attention and, more importantly, enforces the logical thought processes necessary in order 
to thoroughly comprehend physiological concepts. The reflex arc is an excellent tool to employ this 
strategy, since by this time the class has a general knowledge of all the components necessary to 
construct a generalized arc. After a brief introduction to the reflex arc and what its general function is, 
ask questions such as: “If we wanted to construct a reflex arc, what could we use to convert a stimulus 
to a nervous impulse?” Lead the class by a series of questions to the complete construction of the 
basic reflex arc, then go into the modifications of the basic blueprint to describe specific arc types and 
their functions. Students will not forget the reflex arc since they have constructed it themselves. 
Activities/Demonstrations 
1. Audio-visual materials listed under Multimedia in the Classroom and Lab. 
2. Select a student to help in the illustration of reflexes such as patellar, plantar, and abdominal. 
3. Obtain a skull to illustrate the locations, exits, and entrances of several cranial nerves, such as the 
olfactory, optic, and trigeminal. 
4. Obtain a sheep brain with the cranial nerves intact to illustrate their locations. 
5. Use a 3-D model of the peripheral nervous system to illustrate the distribution of the spinal nerves. 
6. Obtain a 3-D model of a spinal cord cross section to illustrate the five components of a reflex arc and to 
illustrate terms such as ipsilateral, contralateral, and monosynaptic. 
Critical Thinking/Discussion Topics 
1. How can the injection of novocaine into one area of the lower jaw anesthetize one entire side of the jaw 
and tongue? 
2. How can seat belts for both the front and back seat passengers of a car prevent serious neurological 
damage? How can using only lap belts cause severe damage? 
3. Some overly eager parents swing their newborn infants around by the hands. What damage could this 
cause? 
4. Pregnant women often experience numbness in their fingers and toes. Why? 
5. Animals have considerably more reflexive actions than humans. Why? 
Library Research Topics 
1. How does acupuncture relate to the distribution of spinal nerves? 
2. Will all victims of polio be rendered paralyzed? What different forms are there? 
3. How has microsurgery been used to reconnect severed peripheral nerves? 
4. What techniques can be employed to increase our reflexive actions? 
Multimedia in the Classroom and Lab 
Online Resources for Students
www.anatomyandphysiology.com www.myaandp.com 
The following shows the organization of the Chapter Guide page in both the Anatomy & 
Physiology Place and MyA&P™. The Chapter Guide organizes all the chapter-specific 
online media resources for Chapter 13 in one convenient location, with e-book links to 
each section of the textbook. Please note that both sites also give you access to other 
® 
general A&P resources, like InterActive Physiology 
, PhysioEx 6.0™, Anatomy 360°, 
Flashcards, a Glossary, a Histology Tutorial, and much more. 
Objectives 
PART ONE: SENSORY RECEPTORS AND SENSATION 
Section 13.1 Sensory Receptors (pp. 491–494) 
Section 13.1 Overview: From Sensation to Perception (pp. 494–498) 
PART TWO: TRANSMISSION LINES: NERVES AND THEIR STRUCTURE AND REPAIR 
Section 13.2 Nerves and Associated Ganglia (pp. 498–500) 
Section 13.3 Cranial Nerves (pp. 500–508) 
Section 13.4 Spinal Nerves (pp. 508–518) 
Memory: Nerves and Related Structures of the CNS 
PART THREE: MOTOR ENDINGS AND MOTOR ACTIVITY 
Section 13.5 Peripheral Motor Endings (p. 519) 
Case Study: Neuromuscular Dysfunction 
Section 13.6 Overview of Motor Integration: From Intention to Effect (pp. 519–521) 
PART FOUR: REFLEX ACTIVITY 
Section 13.7 The Reflex Arc (pp. 521–522) 
Memory: Reflex and Response Tracts 
Section 13.8 Spinal Reflexes (pp. 522–527) 
Case Study: Nervous System 
Section 13.9 Developmental Aspects of the Peripheral Nervous System (p. 527) 
Chapter Summary 
Self-Study Quizzes 
Art Labeling Quiz 
Matching Quiz 
Multiple-Choice Quiz (Level I) 
Multiple-Choice Quiz (Level II) 
True-False Quiz 
Crossword Puzzles 
Crossword Puzzle 13.1 
Crossword Puzzle 13.2 
Media 
See Guide to Audio-Visual Resources in Appendix A for key to AV distributors. 
Video
1. The Peripheral Nervous System (UL; 29 min., 1997). This video illustrates how the human body senses 
and responds to its internal and external environments. Describes the structures and functions of the 
peripheral nervous system, examines current research on nerve regeneration. 
2. Reflexes and Synaptic Transmission (UL; 29 min, 1997). This video investigates the physiology of the 
reflex arc through experiments on the papillary and patellar reflexes. Examines the transmission of an 
impulse across the synapse and at the neurotransmitters and chemicals that affect impulse 
transmission. 
3. Spinal Impact (FHS; 51 min., 1999). This program explores the most promising scientific breakthroughs 
in the treatment of spinal cord injuries, including nerve regeneration and electrical stimulation devices. 
4. Spinal Injuries: Recovery of Function (FHS; 18 min., 1994). Shows the most up-to-date advances in 
rehabilitation. Gives an overview from diagnosis of spinal injury to the different levels of treatment. 
Excellent for class discussion and presentation. 
Software 
® 
InterActive Anatomy 
1. A.D.A.M. 
® 
4.0 (see p. 9 of this guide for full listing). 
® 
MediaPro (see p. 9 of this guide for full listing). 
2. A.D.A.M. 
® 
Anatomy Practice (see p. 86 of this guide for full listing). 
3. A.D.A.M. 
4. Bodyworks (see p. 9 of this guide for full listing). 
5. InterActive Physiology 
® 
9-System Suite CD-ROM: Nervous System I and II (see p. 134 of this guide for 
full listing). 
6. The Ultimate Human Body (see p. 9 of this guide for full listing). 
Lecture Enhancement Material 
To view thumbnails of all of the illustations for Chapter 13, see Appendix B. 
Transparencies Index/Media Manager 
Figure 13.1 Place of the PNS in the structural organization of the nervous system. 
Figure 13.2 General organization of the somatosensory system. 
Figure 13.3 Structure of a nerve. 
Figure 13.4 Regeneration of a nerve fiber in a peripheral nerve. 
Figure 13.5 Location and function of cranial nerves. 
Figure 13.6 Distribution of spinal nerves. 
Figure 13.7 Formation of spinal nerves and rami distribution. 
Figure 13.8 The cervical plexus. 
Figure 13.9 The brachial plexus. 
Figure 13.10 The lumbar plexus. 
Figure 13.11 The sacral plexus. 
Figure 13.12 Dermatomes. 
Figure 13.13 Hierarchy of motor control. 
Figure 13.14 The basic components of all human reflex arcs. 
Figure 13.15 Anatomy of the muscle spindle and Golgi tendon organ. 
Figure 13.16 The stretch reflex. 
Figure 13.17 Operation of the muscle spindle. 
Figure 13.18 The Golgi tendon reflex.
Figure 13.19 The crossed extensor reflex. 
Table 13.1 General Sensory Receptors Classified by Structure and Function 
Table 13.2 Cranial Nerves 
Table 13.3 Branches of the Cervical Plexus (See Figure 13.8) 
Table 13.4 Branches of the Brachial Plexus (See Figure 13.9) 
Table 13.5 Branches of the Lumbar Plexus (See Figure 13.10) 
Table 13.6 Branches of the Sacral Plexus (See Figure 13.11) 
A Closer Look Pain: Sound the Alarm, But Pain Me Not!* 
*Indicates images that are on the Media Manager only. 
Answers to End-of-Chapter Questions 
Multiple Choice and Matching Question answers appear in Appendix G of the main text. 
Short Answer Essay Questions 
12. The PNS enables the CNS to receive information and carry out its decisions. (p. 490) 
13. The PNS includes all nervous tissue outside the CNS, that is, the sensory receptors, the peripheral 
nerves (cranial or spinal), the ganglia, and motor nerve endings. The peripheral nerves transmit sensory 
and motor impulses, the ganglia contain cell bodies of sensory or autonomic nerve fibers, the sensory 
receptors receive stimuli, and the motor end plates release neurotransmitters that regulate the activity of 
the effectors. (p. 490) 
14. Sensation is simply the awareness of a stimulus, whereas perception also understands the meaning of 
the stimulus. (p. 493) 
15. a. Central pattern generators (CPGs) control locomotion and motor activities that are repeated often. 
b. The precommand center, the cerebellum and basal nuclei, modify and control the activity of the CPG 
circuits. (p. 520) 
16. See Figure 13.13. 
17. The direct (pyramidal) system control muscles in the distal extremities, regulating fast or fine 
movements. The indirect (extrapyramidal) system acts more widely in skeletal muscles. It regulates 
muscle tone, supports against gravity, mediates visual head movements, and controls the CPGs of the 
spinal cord during locomotion or other rhythmic activities. (p. 520) 
18. a. The lateral spinothalamic tract transmits pain, temperature, and course touch impulses, and they are 
interpreted eventually in the somatosensory cortex. If cut, our sensory perception of the occurrence 
of a stimulus, as well as our ability to detect the magnitude of the stimulus and identify the site or 
pattern of the stimulation or its specific texture, shape, or quality, e.g., sweet or sour, would be 
impaired. (pp. 474–476) 
b. The anterior and posterior spinocerebellar tracts convey information from proprioceptors (muscle or 
tendon stretch) to the cerebellum, which uses this information to coordinate skeletal muscle activity. 
Cerebellar damage can cause equilibrium problems and speech difficulties. (p. 476) 
c. The tectospinal tract transmits motor impulses from the midbrain, which are important for 
coordinated movement of the head and eyes toward visual targets. If cut, problems of locomotion 
could occur. (p. 477) 
19. The cerebellum and basal nuclei coordinate a response, but the cerebral cortex controls whether or not 
the action is performed, so the true command center lies beyond the precommand center. (p. 520) 
20. In the PNS, macrophages and Schwann cells aid the regeneration process physically and chemically. 
Macrophages fail to aid the process in the CNS. Further, oligodendrocytes die and thus do not aid fiber 
regeneration. (p. 499)
21. a. Spinal nerves form from dorsal and ventral roots that unite distal to the dorsal root ganglion. Spinal 
nerves are mixed. (See Fig. 13.6.) 
b. The ventral rami, with the exception of those in the thorax that form the intercostal nerves, contribute 
to large plexi that supply the anterior and posterior body trunk and limbs. The dorsal rami supply the 
muscles and skin of the back (posterior trunk). (pp. 508–509) 
22. a. A plexus is a branching nerve network formed by roots from several spinal nerves that ensures that 
any damage to one nerve root will not result in total loss of innervation to that part of the body. (p. 
510) 
b. See Figs. 13.8 to 13.11, and Tables 13.3 to 13.6, pp. 511–516, for detailed information about each of 
the four plexuses. 
23. Ipsilateral reflexes involve a reflex initiated on and affecting the same side of the body (p. 524); 
contralateral reflexes involve a reflex that is initiated on one side of the body and affects the other side. 
(p. 526) 
24. The flexor or withdrawal reflex is a protective mechanism to withdraw from a painful stimulus. (p. 525) 
25. Flexor reflexes are protective ipsilateral, polysynaptic, and prepotent reflexes. Crossed extensor reflexes 
consist of an ipsilateral withdrawal reflex and a contralateral extensor reflex that usually aids in balance. 
(pp. 525–526) 
26. The sensory input of a crossed extensor reflex illustrates parallel processing, an ipsolateral response to 
a stimulus. The serial processing phase consists of motor activity, the contralateral response that 
activates the extensor muscles on the opposite side of the body. (pp. 525–526) 
27. Reflex tests assess the condition of the nervous system. Exaggerated, distorted, or absent reflexes 
indicate degeneration or pathology of specific regions of the nervous system often before other signs 
are apparent. (p. 522) 
28. Dermatomes are related to the sensory innervation regions of the spinal nerves. The spinal nerves 
correlate with the segmented body plan, as do the muscles (at least embryologically). (p. 518) 
Critical Thinking and Clinical Application Questions 
1. Precise realignment of cut, regenerated axons with their former effector targets is highly unlikely. 
Coordination between nerve and muscle will have to be relearned. Addit ionally, not all damaged fibers 
regenerate. (p. 499) 
2. He would have problems dorsiflexing his right foot, and his knee joint would be unstable (more rocking 
of the femur from side-to-side on the tibia). (p. 516) 
3. Damage to the brachial plexus occurred when he suddenly stopped his fall by grabbing the branch. (p. 
512) 
4. The left trochlear nerve (IV), which innervates the superior oblique muscle responsible for this action. 
(p. 503) 
5. The region of motor and sensory loss follows the course of the sciatic nerves (and their divisions); 
hence they must have been severely damaged by the shooting accident. (p. 516) 
6. The specific ascending pathways of the fasciculus cuneatus carry discriminatory touch information 
from the upper limbs to the cortex. You must use feature abstraction and possibly pattern recognition to 
identify a specific pattern feature such as the teeth of a key or the fur of a rabbit’s foot. 
7. The right facial nerve was affected. This condition is called Bell’s Palsy and is commonly caused by a 
herpes simplex 1 viral infection. (p. 505) 
Suggested Readings
Gillespie, P. G. and Walker, R. G. “Molecular Basis of Mechanosensory Transduction.” Nature 413 (6852) 
(Sept. 2001): 194–202. 
Hunt, Stephen P. and Mantyh, Patrick W. “The Molecular Dy namics of Pain Control.” Nature Reviews: 
Neuroscience 2 (2) (Feb. 2001): 83–91. 
Julius, D. and Basbaum, A. I. “Molecular Mechanisms of Nociception.” Nature 413 (6852) (Sept. 2001): 203– 
210. 
Kirkpatrick, Peter. “A Touchy Subject.” Nature Reviews: Neuroscience 2 (4) (April 2001): 227. 
Raineteau, Oliver and Schwab, Martin E. “Plasticity of Motor Systems After Incomplete Spinal Cord Injury.” 
Nature Reviews: Neuroscience 2 (4) (April 2001): 263–273. 
Yang, Jay and Wu, Christopher L. “Gene Therapy for Pain.” American Scientist 89 (2) (March/April 2001): 
126–135. 
Zuker, Charles S. “A Cool Ion Channel.” Nature 416 (6876) (March 2002): 27–28.

More Related Content

What's hot

C oncept of upper and lower motor neuron
C oncept of upper and lower motor neuronC oncept of upper and lower motor neuron
C oncept of upper and lower motor neuronIlyas Raza
 
Inhibition of the central nervous system
Inhibition of the central nervous systemInhibition of the central nervous system
Inhibition of the central nervous systemGustavo Duarte Viana
 
Stretch reflex 2 Internal ear 1 by P.R.Desai Prof & HOD Physiology, DYPMCKOP
Stretch reflex  2 Internal ear   1 by P.R.Desai Prof & HOD Physiology, DYPMCKOPStretch reflex  2 Internal ear   1 by P.R.Desai Prof & HOD Physiology, DYPMCKOP
Stretch reflex 2 Internal ear 1 by P.R.Desai Prof & HOD Physiology, DYPMCKOPPhysiology Dept
 
Sensory motor processing in planning and execution of movement
Sensory motor processing in planning and execution of movementSensory motor processing in planning and execution of movement
Sensory motor processing in planning and execution of movementSubhadeep Dutta Gupta
 
Organization and nerve cells
Organization and nerve cellsOrganization and nerve cells
Organization and nerve cellsSado Anatomist
 
Autonomic nervous system
Autonomic nervous systemAutonomic nervous system
Autonomic nervous systemdina merzeban
 
Chapter 10 central nervous system, spinal nerves, and cranial nerves
Chapter 10  central nervous system, spinal nerves, and cranial nervesChapter 10  central nervous system, spinal nerves, and cranial nerves
Chapter 10 central nervous system, spinal nerves, and cranial nervesNada G.Youssef
 
Nervous system introduction
Nervous system introductionNervous system introduction
Nervous system introductionDr Prasad Mergu
 
Spinal cord reflexes
Spinal cord reflexesSpinal cord reflexes
Spinal cord reflexesfarhan_aq91
 
Motor system cortical control
Motor system cortical controlMotor system cortical control
Motor system cortical controlPS Deb
 
The nervous system 2014
The nervous system 2014The nervous system 2014
The nervous system 2014Jacklyn Kong
 
Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4RHSHealthScience
 
Human Reproductive system Physiology
Human Reproductive system Physiology Human Reproductive system Physiology
Human Reproductive system Physiology Vamsi kumar
 
11 Peripheral Nervous System
11 Peripheral Nervous System11 Peripheral Nervous System
11 Peripheral Nervous SystemMrs. Taber
 
Introduction to neurology Walid Reda Ashour
Introduction to neurology Walid Reda AshourIntroduction to neurology Walid Reda Ashour
Introduction to neurology Walid Reda AshourWalid Ashour
 

What's hot (20)

C oncept of upper and lower motor neuron
C oncept of upper and lower motor neuronC oncept of upper and lower motor neuron
C oncept of upper and lower motor neuron
 
Inhibition of the central nervous system
Inhibition of the central nervous systemInhibition of the central nervous system
Inhibition of the central nervous system
 
Stretch reflex 2 Internal ear 1 by P.R.Desai Prof & HOD Physiology, DYPMCKOP
Stretch reflex  2 Internal ear   1 by P.R.Desai Prof & HOD Physiology, DYPMCKOPStretch reflex  2 Internal ear   1 by P.R.Desai Prof & HOD Physiology, DYPMCKOP
Stretch reflex 2 Internal ear 1 by P.R.Desai Prof & HOD Physiology, DYPMCKOP
 
Sensory motor processing in planning and execution of movement
Sensory motor processing in planning and execution of movementSensory motor processing in planning and execution of movement
Sensory motor processing in planning and execution of movement
 
Organization and nerve cells
Organization and nerve cellsOrganization and nerve cells
Organization and nerve cells
 
Autonomic nervous system
Autonomic nervous systemAutonomic nervous system
Autonomic nervous system
 
Microanatomy of the nerve
Microanatomy of the nerveMicroanatomy of the nerve
Microanatomy of the nerve
 
Physiology of movement
Physiology of movementPhysiology of movement
Physiology of movement
 
Chapter 10 central nervous system, spinal nerves, and cranial nerves
Chapter 10  central nervous system, spinal nerves, and cranial nervesChapter 10  central nervous system, spinal nerves, and cranial nerves
Chapter 10 central nervous system, spinal nerves, and cranial nerves
 
Neuron
NeuronNeuron
Neuron
 
Nervous system introduction
Nervous system introductionNervous system introduction
Nervous system introduction
 
Spinal cord reflexes
Spinal cord reflexesSpinal cord reflexes
Spinal cord reflexes
 
Motor system cortical control
Motor system cortical controlMotor system cortical control
Motor system cortical control
 
The nervous system 2014
The nervous system 2014The nervous system 2014
The nervous system 2014
 
Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4
 
3. nervous system part 1
3. nervous system part 13. nervous system part 1
3. nervous system part 1
 
Human Reproductive system Physiology
Human Reproductive system Physiology Human Reproductive system Physiology
Human Reproductive system Physiology
 
11 Peripheral Nervous System
11 Peripheral Nervous System11 Peripheral Nervous System
11 Peripheral Nervous System
 
Nervous system part 2
Nervous system part  2Nervous system part  2
Nervous system part 2
 
Introduction to neurology Walid Reda Ashour
Introduction to neurology Walid Reda AshourIntroduction to neurology Walid Reda Ashour
Introduction to neurology Walid Reda Ashour
 

Similar to 13 inst guide

14 inst guide
14 inst guide14 inst guide
14 inst guideTheSlaps
 
1- The basic functional unit of the nervous system is the neuron- What.docx
1- The basic functional unit of the nervous system is the neuron- What.docx1- The basic functional unit of the nervous system is the neuron- What.docx
1- The basic functional unit of the nervous system is the neuron- What.docxtoddr5
 
ORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptx
ORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptxORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptx
ORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptxyellammakuna2
 
Human Anatomy and Physiology 1 - Chapter 7 and 8.pptx
Human Anatomy and Physiology 1 - Chapter 7 and 8.pptxHuman Anatomy and Physiology 1 - Chapter 7 and 8.pptx
Human Anatomy and Physiology 1 - Chapter 7 and 8.pptxRuchithChandeepa
 
SHS.202 Lec-05 CNS.pdf
SHS.202 Lec-05  CNS.pdfSHS.202 Lec-05  CNS.pdf
SHS.202 Lec-05 CNS.pdfMaryamAfzal39
 
Excitable tissues nerve
Excitable tissues nerveExcitable tissues nerve
Excitable tissues nerveDanielZulu8
 
REFLEXES.ppt
REFLEXES.pptREFLEXES.ppt
REFLEXES.pptHiuPhan77
 
Introduction to the Nervous System.pptx
Introduction to the Nervous System.pptxIntroduction to the Nervous System.pptx
Introduction to the Nervous System.pptx2505joemwandoro
 
NERVOUS SYSTEM PPT.pptx
NERVOUS SYSTEM PPT.pptxNERVOUS SYSTEM PPT.pptx
NERVOUS SYSTEM PPT.pptxbasitjani1
 
Vertebrate Nervous System new 1 - Copy.pptx
Vertebrate Nervous System new 1 - Copy.pptxVertebrate Nervous System new 1 - Copy.pptx
Vertebrate Nervous System new 1 - Copy.pptxHassanRaza759613
 
Unit 13 nervous system
Unit 13 nervous systemUnit 13 nervous system
Unit 13 nervous systemJeff Paek
 
Pengantar sistem saraf (dr. djauhari)
Pengantar sistem saraf (dr. djauhari)Pengantar sistem saraf (dr. djauhari)
Pengantar sistem saraf (dr. djauhari)Achmad Zaky Alfayrozy
 
Anatomy and physiology of animals
Anatomy and physiology of animalsAnatomy and physiology of animals
Anatomy and physiology of animalsbaharia said
 
Animal diseases medicine ii notes
Animal diseases medicine ii notesAnimal diseases medicine ii notes
Animal diseases medicine ii notesbaharia said
 
Animal diseases medicine ii notes
Animal diseases medicine ii notesAnimal diseases medicine ii notes
Animal diseases medicine ii notesbaharia said
 

Similar to 13 inst guide (20)

14 inst guide
14 inst guide14 inst guide
14 inst guide
 
1- The basic functional unit of the nervous system is the neuron- What.docx
1- The basic functional unit of the nervous system is the neuron- What.docx1- The basic functional unit of the nervous system is the neuron- What.docx
1- The basic functional unit of the nervous system is the neuron- What.docx
 
ORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptx
ORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptxORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptx
ORGANIZATION OF THE HUMAN NERVOUS SYSTEM.pptx
 
Nervous system
Nervous systemNervous system
Nervous system
 
Human Anatomy and Physiology 1 - Chapter 7 and 8.pptx
Human Anatomy and Physiology 1 - Chapter 7 and 8.pptxHuman Anatomy and Physiology 1 - Chapter 7 and 8.pptx
Human Anatomy and Physiology 1 - Chapter 7 and 8.pptx
 
SHS.202 Lec-05 CNS.pdf
SHS.202 Lec-05  CNS.pdfSHS.202 Lec-05  CNS.pdf
SHS.202 Lec-05 CNS.pdf
 
55 part 2.pdf
55 part 2.pdf55 part 2.pdf
55 part 2.pdf
 
Excitable tissues nerve
Excitable tissues nerveExcitable tissues nerve
Excitable tissues nerve
 
REFLEXES.ppt
REFLEXES.pptREFLEXES.ppt
REFLEXES.ppt
 
Introduction to the Nervous System.pptx
Introduction to the Nervous System.pptxIntroduction to the Nervous System.pptx
Introduction to the Nervous System.pptx
 
NERVOUS SYSTEM PPT.pptx
NERVOUS SYSTEM PPT.pptxNERVOUS SYSTEM PPT.pptx
NERVOUS SYSTEM PPT.pptx
 
Vertebrate Nervous System new 1 - Copy.pptx
Vertebrate Nervous System new 1 - Copy.pptxVertebrate Nervous System new 1 - Copy.pptx
Vertebrate Nervous System new 1 - Copy.pptx
 
Flight or flee artifact
Flight or flee artifactFlight or flee artifact
Flight or flee artifact
 
Unit 13 nervous system
Unit 13 nervous systemUnit 13 nervous system
Unit 13 nervous system
 
Pengantar sistem saraf (dr. djauhari)
Pengantar sistem saraf (dr. djauhari)Pengantar sistem saraf (dr. djauhari)
Pengantar sistem saraf (dr. djauhari)
 
Nervous System Anatomy
Nervous System Anatomy Nervous System Anatomy
Nervous System Anatomy
 
Anatomy and physiology of animals
Anatomy and physiology of animalsAnatomy and physiology of animals
Anatomy and physiology of animals
 
Animal diseases medicine ii notes
Animal diseases medicine ii notesAnimal diseases medicine ii notes
Animal diseases medicine ii notes
 
Animal diseases medicine ii notes
Animal diseases medicine ii notesAnimal diseases medicine ii notes
Animal diseases medicine ii notes
 
Nervous system
Nervous systemNervous system
Nervous system
 

More from TheSlaps

Med Surg Chapter 020
Med Surg Chapter 020Med Surg Chapter 020
Med Surg Chapter 020TheSlaps
 
Med Surg Chapter 019
Med Surg Chapter 019Med Surg Chapter 019
Med Surg Chapter 019TheSlaps
 
Med Surg Chapter 018
Med Surg Chapter 018Med Surg Chapter 018
Med Surg Chapter 018TheSlaps
 
Adams ch09 lecture
Adams ch09 lectureAdams ch09 lecture
Adams ch09 lectureTheSlaps
 
Adams ch08 lecture
Adams ch08 lectureAdams ch08 lecture
Adams ch08 lectureTheSlaps
 
Adams ch10 lecture
Adams ch10 lectureAdams ch10 lecture
Adams ch10 lectureTheSlaps
 
Adams ch05 lecture
Adams ch05 lectureAdams ch05 lecture
Adams ch05 lectureTheSlaps
 
Adams ch07 lecture
Adams ch07 lectureAdams ch07 lecture
Adams ch07 lectureTheSlaps
 
Adams ch06 lecture
Adams ch06 lectureAdams ch06 lecture
Adams ch06 lectureTheSlaps
 
Adams ch04 lecture
Adams ch04 lectureAdams ch04 lecture
Adams ch04 lectureTheSlaps
 
Adams ch02 lecture
Adams ch02 lectureAdams ch02 lecture
Adams ch02 lectureTheSlaps
 
Adams ch01 lecture
Adams ch01 lectureAdams ch01 lecture
Adams ch01 lectureTheSlaps
 
Adams ch03 lecture
Adams ch03 lectureAdams ch03 lecture
Adams ch03 lectureTheSlaps
 
Pathophysiology Chapter 52
Pathophysiology Chapter 52Pathophysiology Chapter 52
Pathophysiology Chapter 52TheSlaps
 
Pathophysiology Chapter 51
Pathophysiology Chapter 51Pathophysiology Chapter 51
Pathophysiology Chapter 51TheSlaps
 
Pathophysiology Chapter 47
Pathophysiology Chapter 47Pathophysiology Chapter 47
Pathophysiology Chapter 47TheSlaps
 
Pathophysiology Chapter 45
Pathophysiology Chapter 45Pathophysiology Chapter 45
Pathophysiology Chapter 45TheSlaps
 
Pathophysiology Chapter 44
Pathophysiology Chapter 44Pathophysiology Chapter 44
Pathophysiology Chapter 44TheSlaps
 
Pathophysiology Chapter 36
Pathophysiology Chapter 36Pathophysiology Chapter 36
Pathophysiology Chapter 36TheSlaps
 
Pathophysiology Chapter 37
Pathophysiology Chapter 37Pathophysiology Chapter 37
Pathophysiology Chapter 37TheSlaps
 

More from TheSlaps (20)

Med Surg Chapter 020
Med Surg Chapter 020Med Surg Chapter 020
Med Surg Chapter 020
 
Med Surg Chapter 019
Med Surg Chapter 019Med Surg Chapter 019
Med Surg Chapter 019
 
Med Surg Chapter 018
Med Surg Chapter 018Med Surg Chapter 018
Med Surg Chapter 018
 
Adams ch09 lecture
Adams ch09 lectureAdams ch09 lecture
Adams ch09 lecture
 
Adams ch08 lecture
Adams ch08 lectureAdams ch08 lecture
Adams ch08 lecture
 
Adams ch10 lecture
Adams ch10 lectureAdams ch10 lecture
Adams ch10 lecture
 
Adams ch05 lecture
Adams ch05 lectureAdams ch05 lecture
Adams ch05 lecture
 
Adams ch07 lecture
Adams ch07 lectureAdams ch07 lecture
Adams ch07 lecture
 
Adams ch06 lecture
Adams ch06 lectureAdams ch06 lecture
Adams ch06 lecture
 
Adams ch04 lecture
Adams ch04 lectureAdams ch04 lecture
Adams ch04 lecture
 
Adams ch02 lecture
Adams ch02 lectureAdams ch02 lecture
Adams ch02 lecture
 
Adams ch01 lecture
Adams ch01 lectureAdams ch01 lecture
Adams ch01 lecture
 
Adams ch03 lecture
Adams ch03 lectureAdams ch03 lecture
Adams ch03 lecture
 
Pathophysiology Chapter 52
Pathophysiology Chapter 52Pathophysiology Chapter 52
Pathophysiology Chapter 52
 
Pathophysiology Chapter 51
Pathophysiology Chapter 51Pathophysiology Chapter 51
Pathophysiology Chapter 51
 
Pathophysiology Chapter 47
Pathophysiology Chapter 47Pathophysiology Chapter 47
Pathophysiology Chapter 47
 
Pathophysiology Chapter 45
Pathophysiology Chapter 45Pathophysiology Chapter 45
Pathophysiology Chapter 45
 
Pathophysiology Chapter 44
Pathophysiology Chapter 44Pathophysiology Chapter 44
Pathophysiology Chapter 44
 
Pathophysiology Chapter 36
Pathophysiology Chapter 36Pathophysiology Chapter 36
Pathophysiology Chapter 36
 
Pathophysiology Chapter 37
Pathophysiology Chapter 37Pathophysiology Chapter 37
Pathophysiology Chapter 37
 

13 inst guide

  • 1. The Peripheral Nervous System and Reflex Activity Objectives 1. Define peripheral nervous system and identify its components. PART 1: SENSORY RECEPTORS AND SENSATION Sensory Receptors 2. Classify general sensory receptors by structure, stimulus detected, and body location. Overview: From Sensation to Perception 3. Outline the events that lead to sensation and perception. 4. Explore the levels of neural integration in the somatosensory system. 5. Identify the main aspects of sensory perception. PART 2: TRANSMISSION LINES: NERVES AND THEIR STRUCTURE AND REPAIR Nerves and Associated Ganglia 6. Define nerve and ganglion and indicate the general body location of ganglia. 7. Describe the general structure of a nerve and follow the process of nerve regeneration. Cranial Nerves 8. Name the 12 pairs of cranial nerves; indicate the body regions and structures innervated by each. Spinal Nerves 9. Describe the general features of spinal nerves and the distribution of their rami. 10. Define plexus. Name the major plexuses and describe the distribution and function of the peripheral nerves arising from each plexus. PART 3: MOTOR ENDINGS AND MOTOR ACTIVITY Peripheral Motor Endings 11. Compare and contrast the motor endings of somatic and autonomic nerve fibers. Overview of Motor Integration: From Intention to Effect 12. Outline the three levels of the hierarchy of motor control. 13. Compare the roles of the cerebellum and basal nuclei in controlling motor activity. PART 4: REFLEX ACTIVITY The Reflex Arc 14. Name the components of a reflex arc and distinguish between autonomic and somatic reflexes. Spinal Reflexes
  • 2. 15. Compare and contrast stretch, flexor, crossed extensor, and superficial reflexes. Developmental Aspects of the Peripheral Nervous System 16. List changes that occur in the sensory system with aging. 17. Describe the developmental relationship between the segmented arrangement of the peripheral nerves, skeletal muscles, and skin dermatomes. Suggested Lecture Outline PART 1: SENSORY RECEPTORS AND SENSATION I. Sensory Receptors (pp. 491–494; Fig. 13.1; Table 13.1) A. Sensory receptors are specialized to respond to changes in their environment called stimuli (pp. 491–494). 1. Receptors may be classified according to the activating stimulus. 2. Receptors may be classified based on their location or the location of the activating stimulus. 3. Receptors may be classified based on their overall structural complexity. B. Free, or naked, nerve endings are present everywhere in the body and respond primarily to pain and temperature. (p. 492) C. Encapsulated Dendritic Endings (pp. 492–494; Table 13.1) 1. Meissner’s corpuscles are receptors for discriminatory and light touch in hairless areas of the body. 2. Pacinian, or lamellated, corpuscles, are stimulated when deep pressure is first applied. 3. Ruffini endings respond to deep and continuous pressure. 4. Muscle spindles detect when a muscle is being stretched and initiate a reflex that resists the stretch. 5. Golgi tendon organs are stimulated when the associated muscle stretches the tendon. 6. Joint kinesthetic receptors monitor the stretch in the articular capsules of synovial joints. II. Overview: From Sensation to Perception (pp. 494–498; Fig. 13.2) A. The somatosensory system, the part of the sensory s ystem serving the body wall and limbs, involves the receptor level, the circuit level, and the perceptual level. 1. Processing at the receptor level involves a stimulus that must excite a receptor in order for sensation to occur. 2. Processing at the circuit level is involved with delivery of impulses to the appropriate region of the cerebral cortex for stimulus localization and perception. 3. Processing at the perceptual level involves interpretation of sensory input in the cerebral cortex. PART 2: TRANSMISSION LINES: NERVES AND THEIR STRUCTURE AND REPAIR I. Nerves and Associated Ganglia (pp. 498–500; Figs. 13.3–13.4) A. A nerve is a cordlike organ consisting of parallel bundles of peripheral axons enclosed by connective tissue wrappings. B. Ganglia are collections of neuron cell bodies associated with nerves in the PNS.
  • 3. C. If damage to a neuron occurs to the axon and the cell body remains intact, cut or compressed axons can regenerate. II. Cranial Nerves (pp. 500–508; Fig. 13.5; Table 13.2) A. Olfactory nerves are responsible for smell. B. Optic nerves are responsible for vision. C. Oculomotor nerves play a role in eye movement. D. Trochlear nerves play a role in eye movement. E. Trigeminal nerves are general sensory nerves of the face. F. Abducens nerves play a role in eye movement. G. Facial nerves function as the chief motor nerves of the face. H. Vestibulocochlear nerves are responsible for hearing and equilibrium. I. Glossopharyngeal nerves innervate part of the tongue and pharynx. J. Vagus nerves innervate the heart, lungs, and the abdominal organs. K. Accessory nerves move structures associated with the head and neck. L. Hypoglossal nerves are mixed nerves that arise from the medulla and serve the tongue. III.Spinal Nerves (pp. 508–518; Figs. 13.6–13.12; Tables 13.3–13.6) A. Thirty-one pairs of mixed spinal nerves arise from the spinal cord and serve the entire body except the head and neck. B. Innervation of Specific Body Regions 1. Each spinal nerve connects to the spinal cord by a dorsal root and a ventral root. 2. Rami lie distal to and are lateral branches of the spinal nerves that carry both motor and sensory fibers. 3. The back is innervated by the dorsal rami with each rami innervating the muscle in line with the point of origin from the spinal column. 4. Only in the thorax are the ventral rami arranged in a simple segmental pattern corresponding to that of the dorsal rami. 5. The cervical plexus is formed by the ventral rami of the first four cervical nerves. 6. The brachial plexus is situated partly in the neck and partly in the axilla and gives rise to virtually all the nerves that innervate the upper limb. 7. The sacral and lumbar plexuses overlap and because many fibers of the lumber plexus contribute to the sacral plexus via the lumbos acral trunk, the two plexuses are often referred to as the lumbosacral plexus. 8. The area of skin innervated by the cutaneous branches of a single spinal nerve is called a dermatome. 9. Hinton’s law states that any nerve serving a muscle that produces movement at a joint also innervates the joint and the skin over the joint. PART 3: MOTOR ENDINGS AND MOTOR ACTIVITY I. Peripheral Motor Endings (p. 519) A. Peripheral motor endings are the PNS element that activates effectors by releasing neurotransmitters.
  • 4. B. The terminals of the somatic motor fibers that innervate voluntary muscles form elaborate neuromuscular junctions with their effector cells and they release the neurotransmitter acetylcholine. C. The junctions between autonomic motor endings and the visceral effectors involve varicosities and release either acetylcholine or epinephrine as their neurotransmitter. II. Overview of Motor Integration: From Intention to Effect (pp. 519–521; Fig. 13.13) A. Levels of Motor Control 1. The segmental level is the lowest level on the motor control hierarchy and consists of the spinal cord circuits. 2. The projection level has direct control of the spinal cord. 3. The precommand level is made up of the cerebellum and the basal nuclei and is the highest level of the motor system hierarchy. PART 4: REFLEX ACTIVITY I. The Reflex Arc (pp. 521–522; Fig. 13.14) A. Reflexes are unlearned, rapid, predictable motor responses to a stimulus, and occur over highly specific neural pathways called reflex arcs (pp. 521–522; Fig. 13.14). II. Spinal Reflexes (pp. 522–527; Figs. 13.15–13.19) A. Spinal reflexes are somatic reflexes mediated by the spinal cord (pp. 522–527; Figs. 13.15–13.19). 1. In the stretch reflex the muscle spindle is stretched and excited by either an external stretch or an internal stretch. 2. The Golgi tendon reflex produces muscle relaxation and lengthening in response to contraction. 3. The flexor, or withdrawal, reflex is initiated by a painful stimulus and causes automatic withdrawal of the threatened body part from the stimulus. 4. The crossed extensor reflex is a complex spinal reflex consisting of an ipsilateral withdrawal reflex and a contralateral extensor reflex. 5. Superficial reflexes are elicited by gentle cutaneous stimulation. III. Developmental Aspects of the Peripheral Nervous System (p. 527) A. The spinal nerves branch from the developing spinal cord and adjacent neural crest and exit between the forming vertebrae. Each nerve becomes associated with the adjacent muscle mass. B. Cranial nerves innervate muscles of the head in a similar way. C. Sensory receptors atrophy to some degree with age, and there is a decrease in muscle tone in the face and neck; reflexes occur a bit more slowly. Cross References Additional information on topics covered in Chapter 13 can be found in the chapters listed below. 1. Chapter 3: Membrane functions 2. Chapter 4: Nervous tissue
  • 5. 3. Chapter 5: Cutaneous sensation and sensory receptors 4. Chapter 9: Neuromuscular junction 5. Chapter 11: Membrane potentials; neural integration; serial and parallel processing; synapses; neurotransmitters 6. Chapter 12: Ascending and descending tracts of the spinal cord; spinal roots; gray and white matter of the spinal cord 7. Chapter 15: Sensory receptors for the special sens es and generator potentials; cranial nerves associated with their special senses; reflex activity of the special senses 8. Chapter 23: Reflex activity and control of digestive secretions; nerve plexuses involved in digestion; function of the vagus nerve in parasympathetic control 9. Chapter 25: Spinal reflex control of micturition 10. Chapter 27: Spinal reflexes and the physiology of the sexual response Laboratory Correlations 1. Marieb, E. N. Human Anatomy & Physiology Laboratory Manual: Cat and Fetal Pig Versions. Eighth Edition Updates. Benjamin Cummings, 2006. Exercise 22: Human Reflex Physiology 2. Marieb, E. N. Human Anatomy & Physiology Laboratory Manual: Main Version. Seventh Edition Update. Benjamin Cummings, 2006. Exercise 22: Human Reflex Physiology Histology Slides for the Life Sciences Available through Benjamin Cummings, an imprint of Pearson Education, Inc. To order, contact your local Benjamin Cummings sales representative. Slide 73 Myelinated Nerve Cross Section—Myelin Sheaths. Slide 74 Myelinated Nerve Longitudinal Section—Nodes of Ranvier. Slide 75 Efferent (Motor) Neuron. Slide 76 Spinal Cord Bottom, Stained for Axons. Lecture Hints 1. Emphasize the distinction between the central and peripheral nervous system, but stress that the nervous system functions as a continuous unit, even though we like to study its anatomy in bits and pieces. Students often treat each section as if it operates autonomously, without regard to what may be happening in other parts of the nervous system. 2. Many students will have difficulty with the difference between receptor potentials, generator potentials, and action potentials. It is worth taking time to be sure the distinction is clear. 3. As the anatomy of the nerve is discussed, point out the similarity between the basic structure of muscle tissue and nervous tissue. Also bring to the students’ attention the similarity in nomenclature. Point out that by knowing the structure of muscle, they already know nerve anatomy (with slight changes in names). 4. Students often have problems with neuron regeneration and myelination (i.e., understanding why, since CNS and PNS neurons are both myelinated, a regeneration occurs in the PNS and not in the CNS). Spend time explaining the difference or refer the class to Chapter 11 to review myelination, the sheath of Schwann, and oligodendrocytes.
  • 6. 5. Draw a diagram (cross section) of the spinal cord indicating the dorsal and ventral roots and an extension into a short section of the spinal nerve. Draw arrows in these pathways indicating the direction of information flow. Remind the class that the brain must always receive information from an area in order to effect a change (the reason for two-way traffic in each level of the cord). Students are more likely to remember the anatomical relationship between these structures since they can logically relate material from a previous chapter to the material presented in this chapter. 6. Try asking specific questions of the class in order to promote student involvement. This technique holds their attention and, more importantly, enforces the logical thought processes necessary in order to thoroughly comprehend physiological concepts. The reflex arc is an excellent tool to employ this strategy, since by this time the class has a general knowledge of all the components necessary to construct a generalized arc. After a brief introduction to the reflex arc and what its general function is, ask questions such as: “If we wanted to construct a reflex arc, what could we use to convert a stimulus to a nervous impulse?” Lead the class by a series of questions to the complete construction of the basic reflex arc, then go into the modifications of the basic blueprint to describe specific arc types and their functions. Students will not forget the reflex arc since they have constructed it themselves. Activities/Demonstrations 1. Audio-visual materials listed under Multimedia in the Classroom and Lab. 2. Select a student to help in the illustration of reflexes such as patellar, plantar, and abdominal. 3. Obtain a skull to illustrate the locations, exits, and entrances of several cranial nerves, such as the olfactory, optic, and trigeminal. 4. Obtain a sheep brain with the cranial nerves intact to illustrate their locations. 5. Use a 3-D model of the peripheral nervous system to illustrate the distribution of the spinal nerves. 6. Obtain a 3-D model of a spinal cord cross section to illustrate the five components of a reflex arc and to illustrate terms such as ipsilateral, contralateral, and monosynaptic. Critical Thinking/Discussion Topics 1. How can the injection of novocaine into one area of the lower jaw anesthetize one entire side of the jaw and tongue? 2. How can seat belts for both the front and back seat passengers of a car prevent serious neurological damage? How can using only lap belts cause severe damage? 3. Some overly eager parents swing their newborn infants around by the hands. What damage could this cause? 4. Pregnant women often experience numbness in their fingers and toes. Why? 5. Animals have considerably more reflexive actions than humans. Why? Library Research Topics 1. How does acupuncture relate to the distribution of spinal nerves? 2. Will all victims of polio be rendered paralyzed? What different forms are there? 3. How has microsurgery been used to reconnect severed peripheral nerves? 4. What techniques can be employed to increase our reflexive actions? Multimedia in the Classroom and Lab Online Resources for Students
  • 7. www.anatomyandphysiology.com www.myaandp.com The following shows the organization of the Chapter Guide page in both the Anatomy & Physiology Place and MyA&P™. The Chapter Guide organizes all the chapter-specific online media resources for Chapter 13 in one convenient location, with e-book links to each section of the textbook. Please note that both sites also give you access to other ® general A&P resources, like InterActive Physiology , PhysioEx 6.0™, Anatomy 360°, Flashcards, a Glossary, a Histology Tutorial, and much more. Objectives PART ONE: SENSORY RECEPTORS AND SENSATION Section 13.1 Sensory Receptors (pp. 491–494) Section 13.1 Overview: From Sensation to Perception (pp. 494–498) PART TWO: TRANSMISSION LINES: NERVES AND THEIR STRUCTURE AND REPAIR Section 13.2 Nerves and Associated Ganglia (pp. 498–500) Section 13.3 Cranial Nerves (pp. 500–508) Section 13.4 Spinal Nerves (pp. 508–518) Memory: Nerves and Related Structures of the CNS PART THREE: MOTOR ENDINGS AND MOTOR ACTIVITY Section 13.5 Peripheral Motor Endings (p. 519) Case Study: Neuromuscular Dysfunction Section 13.6 Overview of Motor Integration: From Intention to Effect (pp. 519–521) PART FOUR: REFLEX ACTIVITY Section 13.7 The Reflex Arc (pp. 521–522) Memory: Reflex and Response Tracts Section 13.8 Spinal Reflexes (pp. 522–527) Case Study: Nervous System Section 13.9 Developmental Aspects of the Peripheral Nervous System (p. 527) Chapter Summary Self-Study Quizzes Art Labeling Quiz Matching Quiz Multiple-Choice Quiz (Level I) Multiple-Choice Quiz (Level II) True-False Quiz Crossword Puzzles Crossword Puzzle 13.1 Crossword Puzzle 13.2 Media See Guide to Audio-Visual Resources in Appendix A for key to AV distributors. Video
  • 8. 1. The Peripheral Nervous System (UL; 29 min., 1997). This video illustrates how the human body senses and responds to its internal and external environments. Describes the structures and functions of the peripheral nervous system, examines current research on nerve regeneration. 2. Reflexes and Synaptic Transmission (UL; 29 min, 1997). This video investigates the physiology of the reflex arc through experiments on the papillary and patellar reflexes. Examines the transmission of an impulse across the synapse and at the neurotransmitters and chemicals that affect impulse transmission. 3. Spinal Impact (FHS; 51 min., 1999). This program explores the most promising scientific breakthroughs in the treatment of spinal cord injuries, including nerve regeneration and electrical stimulation devices. 4. Spinal Injuries: Recovery of Function (FHS; 18 min., 1994). Shows the most up-to-date advances in rehabilitation. Gives an overview from diagnosis of spinal injury to the different levels of treatment. Excellent for class discussion and presentation. Software ® InterActive Anatomy 1. A.D.A.M. ® 4.0 (see p. 9 of this guide for full listing). ® MediaPro (see p. 9 of this guide for full listing). 2. A.D.A.M. ® Anatomy Practice (see p. 86 of this guide for full listing). 3. A.D.A.M. 4. Bodyworks (see p. 9 of this guide for full listing). 5. InterActive Physiology ® 9-System Suite CD-ROM: Nervous System I and II (see p. 134 of this guide for full listing). 6. The Ultimate Human Body (see p. 9 of this guide for full listing). Lecture Enhancement Material To view thumbnails of all of the illustations for Chapter 13, see Appendix B. Transparencies Index/Media Manager Figure 13.1 Place of the PNS in the structural organization of the nervous system. Figure 13.2 General organization of the somatosensory system. Figure 13.3 Structure of a nerve. Figure 13.4 Regeneration of a nerve fiber in a peripheral nerve. Figure 13.5 Location and function of cranial nerves. Figure 13.6 Distribution of spinal nerves. Figure 13.7 Formation of spinal nerves and rami distribution. Figure 13.8 The cervical plexus. Figure 13.9 The brachial plexus. Figure 13.10 The lumbar plexus. Figure 13.11 The sacral plexus. Figure 13.12 Dermatomes. Figure 13.13 Hierarchy of motor control. Figure 13.14 The basic components of all human reflex arcs. Figure 13.15 Anatomy of the muscle spindle and Golgi tendon organ. Figure 13.16 The stretch reflex. Figure 13.17 Operation of the muscle spindle. Figure 13.18 The Golgi tendon reflex.
  • 9. Figure 13.19 The crossed extensor reflex. Table 13.1 General Sensory Receptors Classified by Structure and Function Table 13.2 Cranial Nerves Table 13.3 Branches of the Cervical Plexus (See Figure 13.8) Table 13.4 Branches of the Brachial Plexus (See Figure 13.9) Table 13.5 Branches of the Lumbar Plexus (See Figure 13.10) Table 13.6 Branches of the Sacral Plexus (See Figure 13.11) A Closer Look Pain: Sound the Alarm, But Pain Me Not!* *Indicates images that are on the Media Manager only. Answers to End-of-Chapter Questions Multiple Choice and Matching Question answers appear in Appendix G of the main text. Short Answer Essay Questions 12. The PNS enables the CNS to receive information and carry out its decisions. (p. 490) 13. The PNS includes all nervous tissue outside the CNS, that is, the sensory receptors, the peripheral nerves (cranial or spinal), the ganglia, and motor nerve endings. The peripheral nerves transmit sensory and motor impulses, the ganglia contain cell bodies of sensory or autonomic nerve fibers, the sensory receptors receive stimuli, and the motor end plates release neurotransmitters that regulate the activity of the effectors. (p. 490) 14. Sensation is simply the awareness of a stimulus, whereas perception also understands the meaning of the stimulus. (p. 493) 15. a. Central pattern generators (CPGs) control locomotion and motor activities that are repeated often. b. The precommand center, the cerebellum and basal nuclei, modify and control the activity of the CPG circuits. (p. 520) 16. See Figure 13.13. 17. The direct (pyramidal) system control muscles in the distal extremities, regulating fast or fine movements. The indirect (extrapyramidal) system acts more widely in skeletal muscles. It regulates muscle tone, supports against gravity, mediates visual head movements, and controls the CPGs of the spinal cord during locomotion or other rhythmic activities. (p. 520) 18. a. The lateral spinothalamic tract transmits pain, temperature, and course touch impulses, and they are interpreted eventually in the somatosensory cortex. If cut, our sensory perception of the occurrence of a stimulus, as well as our ability to detect the magnitude of the stimulus and identify the site or pattern of the stimulation or its specific texture, shape, or quality, e.g., sweet or sour, would be impaired. (pp. 474–476) b. The anterior and posterior spinocerebellar tracts convey information from proprioceptors (muscle or tendon stretch) to the cerebellum, which uses this information to coordinate skeletal muscle activity. Cerebellar damage can cause equilibrium problems and speech difficulties. (p. 476) c. The tectospinal tract transmits motor impulses from the midbrain, which are important for coordinated movement of the head and eyes toward visual targets. If cut, problems of locomotion could occur. (p. 477) 19. The cerebellum and basal nuclei coordinate a response, but the cerebral cortex controls whether or not the action is performed, so the true command center lies beyond the precommand center. (p. 520) 20. In the PNS, macrophages and Schwann cells aid the regeneration process physically and chemically. Macrophages fail to aid the process in the CNS. Further, oligodendrocytes die and thus do not aid fiber regeneration. (p. 499)
  • 10. 21. a. Spinal nerves form from dorsal and ventral roots that unite distal to the dorsal root ganglion. Spinal nerves are mixed. (See Fig. 13.6.) b. The ventral rami, with the exception of those in the thorax that form the intercostal nerves, contribute to large plexi that supply the anterior and posterior body trunk and limbs. The dorsal rami supply the muscles and skin of the back (posterior trunk). (pp. 508–509) 22. a. A plexus is a branching nerve network formed by roots from several spinal nerves that ensures that any damage to one nerve root will not result in total loss of innervation to that part of the body. (p. 510) b. See Figs. 13.8 to 13.11, and Tables 13.3 to 13.6, pp. 511–516, for detailed information about each of the four plexuses. 23. Ipsilateral reflexes involve a reflex initiated on and affecting the same side of the body (p. 524); contralateral reflexes involve a reflex that is initiated on one side of the body and affects the other side. (p. 526) 24. The flexor or withdrawal reflex is a protective mechanism to withdraw from a painful stimulus. (p. 525) 25. Flexor reflexes are protective ipsilateral, polysynaptic, and prepotent reflexes. Crossed extensor reflexes consist of an ipsilateral withdrawal reflex and a contralateral extensor reflex that usually aids in balance. (pp. 525–526) 26. The sensory input of a crossed extensor reflex illustrates parallel processing, an ipsolateral response to a stimulus. The serial processing phase consists of motor activity, the contralateral response that activates the extensor muscles on the opposite side of the body. (pp. 525–526) 27. Reflex tests assess the condition of the nervous system. Exaggerated, distorted, or absent reflexes indicate degeneration or pathology of specific regions of the nervous system often before other signs are apparent. (p. 522) 28. Dermatomes are related to the sensory innervation regions of the spinal nerves. The spinal nerves correlate with the segmented body plan, as do the muscles (at least embryologically). (p. 518) Critical Thinking and Clinical Application Questions 1. Precise realignment of cut, regenerated axons with their former effector targets is highly unlikely. Coordination between nerve and muscle will have to be relearned. Addit ionally, not all damaged fibers regenerate. (p. 499) 2. He would have problems dorsiflexing his right foot, and his knee joint would be unstable (more rocking of the femur from side-to-side on the tibia). (p. 516) 3. Damage to the brachial plexus occurred when he suddenly stopped his fall by grabbing the branch. (p. 512) 4. The left trochlear nerve (IV), which innervates the superior oblique muscle responsible for this action. (p. 503) 5. The region of motor and sensory loss follows the course of the sciatic nerves (and their divisions); hence they must have been severely damaged by the shooting accident. (p. 516) 6. The specific ascending pathways of the fasciculus cuneatus carry discriminatory touch information from the upper limbs to the cortex. You must use feature abstraction and possibly pattern recognition to identify a specific pattern feature such as the teeth of a key or the fur of a rabbit’s foot. 7. The right facial nerve was affected. This condition is called Bell’s Palsy and is commonly caused by a herpes simplex 1 viral infection. (p. 505) Suggested Readings
  • 11. Gillespie, P. G. and Walker, R. G. “Molecular Basis of Mechanosensory Transduction.” Nature 413 (6852) (Sept. 2001): 194–202. Hunt, Stephen P. and Mantyh, Patrick W. “The Molecular Dy namics of Pain Control.” Nature Reviews: Neuroscience 2 (2) (Feb. 2001): 83–91. Julius, D. and Basbaum, A. I. “Molecular Mechanisms of Nociception.” Nature 413 (6852) (Sept. 2001): 203– 210. Kirkpatrick, Peter. “A Touchy Subject.” Nature Reviews: Neuroscience 2 (4) (April 2001): 227. Raineteau, Oliver and Schwab, Martin E. “Plasticity of Motor Systems After Incomplete Spinal Cord Injury.” Nature Reviews: Neuroscience 2 (4) (April 2001): 263–273. Yang, Jay and Wu, Christopher L. “Gene Therapy for Pain.” American Scientist 89 (2) (March/April 2001): 126–135. Zuker, Charles S. “A Cool Ion Channel.” Nature 416 (6876) (March 2002): 27–28.