45
FUNGSI SISTIM SARAF MOTORIK & SENSORIK OLEH Dr. ZURAINI, Sp.S

5-19 Fungsi Sistim Saraf Motorik & Sensorik

  • Upload
    shintaa

  • View
    232

  • Download
    0

Embed Size (px)

Citation preview

Page 1: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 1/45

FUNGSI SISTIM SARAF

MOTORIK & SENSORIK 

OLEH

Dr. ZURAINI, Sp.S

Page 2: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 2/45

2

Sistim motorik : m!"#r#s pr"r$k$!

R$!"k$i$! !#ro! & otot :

% Uppr motor !#ro! UMN'

% Lo(r motor !#ro! LMN'% S$m)#!"$! s$r$* & otot

% otot

Page 3: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 3/45

+

Uppr motor !#ro! UMN'

 N#ro! " m!$-#rk$! imp#-s motorik kLo(r Motor N#ro!, )r$s$- $ri kortks

m!#r#! m-$-#i pir$mi $ri m#-$

o)-o!"$t$.

Uppr motor !#ro! i)$"i :

/. Sistm 0ir$mi$-is2. Sistm kstr$pir$mi$-is

Page 4: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 4/45

1

Sistim pir$mi$-is s-2 s$r$* motorik $ri

$r$ motorik kortks$r$ 1 )ro$m$!!' "

tr-t$k i "r#s prs!t$-is 3 $kso!2!$ t#r#!

k)$($4 s- motorik i )$t$!" ot$k & kor!#

$!trior m#-$ spi!$-is.

Page 5: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 5/45

5

Sistim pir$mi$-is :

Tr. Kortiko)#-)$ris6rsi!$ps i)$t$!" ot$k & m-$-#is$r$*2 kr$!i$- $k$! mmprs$r$*i otot2

$r$4 kp$-$ m#k$, r$4$!", -i$4 s)'.

Tr. Kortikosp!$-is

6rsi!$ps i -7-2 trt!t# m#-$ spi!$-is &

s$r$*2 spi!$- otot2 )$$! & kstrmit$s/. Tr. Kortikosp!$-is -$tr$-is

2. Tr. Kortikosp!$-is 7!tr$-is

Page 6: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 6/45

8

Korteks motorik (gyrus Presentalis

Sistem piramidalis = berkas saraf yg padat

Diensefalon (kapsula interna)

Mesensefalon (berkumpul dibagian tengahpudunkulus serebri

Pons (basis pontis)

Medula oblongata

Traktus kortiko Bulbaris

Nukleus kranial

Traktis kortiko spinalis

Medula spinalis

Page 7: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 7/45

9

Page 8: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 8/45

Lo(r motor !#ro!

 N#ro! " m!$-#rk$! imp#-s motorik

$ri

% I!ti2 s$r$* kr$!i$- k otot2 ($;$4 & -4r 

% I!ti2 r$iks s!tr$-is s$r$* spi!$- k otot2

i t#)#4 & $!""ot$ "r$k 

Page 9: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 9/45

<

=ARAS > =ARAS ASENDENS

TR. Ko-#m!$ ors$-isFASIKULUS GRASILIS

FASIKULUS KUNEATUS

TR. S0INOTALAMIKUS

TR. S0INOSERE6EL. DORSALIS

TR. S0INOSERE6EL. ?ENTRALIS

TR. spi!ortik#-$ris

Page 10: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 10/45

/@

Page 11: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 11/45

//

=ARAS > =ARAS DESENDENS TR. 0ir$mi$-is kortikospi!$-is TR. ?sti)#-ospi!$-is

TR. R#)rospi!$-is TR. Rtik#-#s spi!$-is Sistim oto!om s!! TR. Tktospi!$-is

F$sik#-#s Lo!"it#i!$-is M.

Page 12: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 12/45

/2

T$)- 4$- +9+ "root

Page 13: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 13/45

/+

=$r$s $s!! m#-$ spi!$-is: tr$kt#s

spi!ot$-$mikr$s$ !ri,s#4# $! tk$!

Page 14: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 14/45

/1

=$r$s $s!! m#--$ spi!$-is:

*$sik#-#s "r$si-isk#!$t#s-m!isk#s mi$- : #!t#k

 propriospsi

Page 15: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 15/45

/5

  aras asenden med.

spin. ke serebelum:

traktus spinoserebelar

untuk propriosepsi

Page 16: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 16/45

/8

=$r$s s!! : tr$kt#s kortiBospi!$- C tr$kt#s pir$mi$-

 prs$r$*$! motorik otot sk-t

Page 17: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 17/45

/9

=$r$s s!!:Tr$kt#s kortiko)#-)$ri!r7$si

i!tii!ti s$r$* ot$k 

Page 18: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 18/45

/

Page 19: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 19/45

/<

Page 20: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 20/45

2@

Sistim Ekstr$pir$mi$-

M($ki-i sm#$ ;$r$s motorik " tk

 )r;$-$! m-($ti pir$mi$ m#-$

0!ti!" mmp!"$r#4i sirk#it #mp$!

 )$-ik motorik r"#-$toris -m m#-$

spi!$-is, p#s$t ot$k, sr)-#m & kortks

sr)ri

Tr$kt#s tktospi!$-is, r#)rospi!$-is,rtik#-ospi!$-is, 7sti)#-ospi!$-is, --

Page 21: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 21/45

2/

Sistim kstr$pir$mi$- m!$m)$4 sistim

kortik$- $ri kr;$ 7o-#mtr motorik  m!i!"k$tk$! *#!"si!$ kti!"k$t " -)i4ti!""i"r$k$! 7o-#mtr 4$-#s & -m)#t

6rtm# "! TR. 0ir$mi$-is p moto!#ro!kor!# $!trior "! m!"$kti7$si &s)$"i$! m!"i!4i)isi

Kr#s$k$! TR. 0ir$mi$-is i-#$r $r$4 pir$mi$ s-$-# m-i)$tk$! sr$tktr$pir$mi$-is

Page 22: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 22/45

22

Sistim som$tos!sorik 

R$s$ s#pr*isi$- : r$)$, !ri, s#4# & iskrimi!$si 2

titik R$s$ $-$m : posisi otot & s!i propriospsi',

!ri otot $-$m, 7i)r$si.

R$s$ 7isr$- : -$p$r, m#$-, !ri 7isr$-

R$s$ k4#s#s : p!"4i#, p!"-i4$t$!, p!!"$r$!,

 p!"B$p$! & ksim)$!"$!

RASA 4 JENIS

Page 23: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 23/45

2+

Rsptor 

T#"$s rsptor, mr#)$4 )r)$"$i ;!is

"$$ : mk$!ik 

  kimi$ imp#-s s$r$*   t4rmik 

-ktrik 

Page 24: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 24/45

21

Rsptor 

M!#r#t ?o! Fr :

% Rsptor )rsi*$t k4#s#s.

% Sti$p rsptor )r4#)#!"$! !"$! s#$t#trmi!$- tpi sr$)#t s$r$* $**r!.

A$ + m$B$m rsptor :

Page 25: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 25/45

25

I. Ekstrosptor + ;!is'

/. T$!"osptor p!rim$ s!t#4$!' :

A. $-$t $ri Mrk-.

6. $-$t $ri Miss!r.. sr$)#t pr$s$ p$$ $k$r r$m)#t.

2. Trmorsptor :

A. $-$t $ri R#**i!i p$!$s'.

6. $-$t $ri Kr$#s i!"i!'.

+. Nosisptor :

Fr Nr7 E!i!" !ri'.

Page 26: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 26/45

28

II. 0ropriosptor 

/. Kr#B#t otot m#sB- spi!-' : p$$otot.

2. A-$t "o-"i : p$$ t!o!.+. A-$t p$Bi!i : p$$ s$r#!" t!o!,simp$i s!i, priost, prito!#m,

 p-#r$, priB$r.

Page 27: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 27/45

29

III. I!trosptor 

U;#!" s$r$* ))$s $ri s#s#!$! s$r$*simp$tik :

 p$r#, #s#s, -imp$, 4$ti, pm)#-#4$r$4..ti$k is$$ri.

7siB$ #ri!$ri$, rBt#m,-$m)#!"..)is$ is$$ri.

Page 28: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 28/45

2

Li!t$s$! S!si)i-it$s

R$s$ Nri $! S#4#

Rsptor A**r! R$ik Dors$-is

M. Spi!$-is Si!$ps M!i-$!"

 N$ik m-$-#i Tr$k Spi!o T4$-$mik#s L$tT$-$m#s Gir#s 0ost S!tr$-is.

Page 29: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 29/45

2<

Li!t$s$! S!si)i-it$s

R$s$ Nri $! S#4#

.

Page 30: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 30/45

+@

Li!t$s$! S!si)i-it$s

R$s$ S!t#4$! Ri!"$!

Rsptor A**r! R$ik

Dors$-is M. Spi!$-is

Si!$ps M!i-$!" N$ik m-$-#iTr$k Spi!o T$-$mik#s ?!tr$-is

T4$-$m#s Gir#s 0ost S!tr$-is.

Page 31: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 31/45

+/

Li!t$s$! S!si)i-it$s

R$s$ S!t#4$! Ri!"$!

.

Page 32: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 32/45

+2

Li!t$s$! S!si)i-it$sR$s$ tk$! $!" $-$m, iskrimi!$si 2 titik, r$s$ "t$r,

 prspsi )!t#k 

Rsptor A**r! R$ik Dors$-is

 N$ik m-$-#i F$sik#-#s K#!$t#s $!

Gr$si-is M. O)-o!"$t$ N#k-#sK#!$t#s & Gr$si-is' Fi)r$ ArB#$t$

m!i-$!" Lm!isk#s Mi$-is

T4$-$m#s Gir#s 0ost S!tr$-is.

Page 33: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 33/45

++

Li!t$s$! S!si)i-it$s

R$s$ tk$! $!" $-$m, iskrimi!$si 2 titik, r$s$ "t$r, prspsi )!t#k 

.

Page 34: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 34/45

+1

Li!t$s$! S!si)i-it$s

Li!t$s$! 0ropriospti* A. L$!"s#!" m!;$i -!"k#!" r*-ks.

6. /. R$ik Dors M. Spi! Tr$k Spi!o Sr)--$ris Dors

0#!k#-$ris Sr)--i I!* Sr)--#m.

2. R$ik Dors M. Spi! Tr$k Spi!o Sr)--$ris ?!t

0#!k#-$ris Sr)--$ris S#p Sr)--#m .

+. R$ik Dors F$s K#!$t#s $! Gr$si-isM#-$ O)-o!"$t$N#k- G&K' M!i-$!"

Lm!isk#s m T$-$m#s Gir#s 0ost S!tr$-is.

Page 35: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 35/45

+5

Li!t$s$! S!si)i-it$s

Li!t$s$! 0ropriospti* 

Page 36: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 36/45

+8

Page 37: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 37/45

+9

Page 38: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 38/45

+

R*-ks

R*-k rspo! motorik " tr;$i t$!p$is$$ri t4 s#$t# r$!"s$!"$! s!soris.

U!it r*-k trkBi- -!"k#!" r*-k :

rsptor R' !#ro! $*r! A' r$ik postrior !#ro! i!tr!#Bi$- S' r$ik

$!trior !#ro! *r! E' *ktor.

R' or"$! s!soris spsi$-, or"$! #;#!"2s$r$* k#-it $t$# spi!- !#rom#sk#-r.

Page 39: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 39/45

+<

A' m!tr$!smisik$! r$!"s$!"$! m-$-#is$r$* pri*r ssp  )rsi!$ps "!!#ro! p!"4#)#!".

E' !#ro! " k-#$r $ri SS0 i-m

tr#!k#s s$r$*, m!$mp$ik$! r$!"s$!"$!k *ktor..

E*ktor : otot $t$# k-!;$r "m!"4$si-k$! rspo!.

Page 40: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 40/45

1@

Page 41: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 41/45

1/

=!is;!is R*-ks

R*-ks s#pr*isi$- k#-it & s-$p#t -!ir'

R*-ks t!o! r*-ks $-$m

R*-ks 7isr$- or"$!ik'

R*-ks p$to-o"ik $)!orm$-'

Page 42: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 42/45

12

Page 43: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 43/45

1+

Medula spinalis :Lihat serabut aferen – ganglion spinal(dorsal) –

edula spinalis – serabut eferen – otot

!ontoh : refle"s biseps

Page 44: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 44/45

11

Page 45: 5-19 Fungsi Sistim Saraf Motorik & Sensorik

7/26/2019 5-19 Fungsi Sistim Saraf Motorik & Sensorik

http://slidepdf.com/reader/full/5-19-fungsi-sistim-saraf-motorik-sensorik 45/45