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Peripheral Nervous System
• All neural structures outside of the brain and spinal cord.
• Includes sensory receptors, peripheral nerves, ganglia, and efferent motor endings.
Sensory Receptors• Respond to specific changes in their environment called stimuli
• General Sensory Receptors:
• Free nerve endings
• Tactile (Merkel) discs
• Hair follicle receptors
• Tactile (meissner’s) Corpuscles
• Lamellar (pacinian) corpuscles
• Ruffini Endings
• Muscle Spindles
• Tendon organs
Somatosensory Neural Integration
• Three main levels of neural integration in the sensory system
• Receptor Level
• Circuit Level
• Perceptual Level
Processing at the Receptor Level
• Step 1: Stimulus excites receptor and action potentials reach the CNS
• Stimulus must match the specificity of the receptor
• stimulus must be applied within the receptor field
• stimulus must be converted into a graded potential (transduction)
• Adaptation
Processing at the Circuit Level
• Step 2: Impulses must be delivered to the appropriate region of the cortex for localization and perception of the stimulus.
Perception of Pain
• Activated by extremes of pressure or temperature
• Sharp, then aching/burning. A delta, c fibers
• Based on situation
• Pain threshold versus pain tolerance
Nerves
• Cord-like organs composed of bundles of axons.
• Connective tissue wrappings:
• endoneurium, perineurium (fascicles), epineurium.
• Nerves classified by transmission direction:
• Sensory nerves, motor nerve, mixed nerves.
Motor Integration
• Levels of Motor Control:
• The Segmental Level (reflexes, CPG’s)
• The Projection Level (initiate voluntary movement, oversee the segmental level).
• The Precommand Level (Cerebellum, basal nuclei: coordination, timing, start/stop)
Components of a Reflex Arc1. Receptor
2. Sensory Neuron
3. Integration Center
4. Motor Neuron
5. Effector
• Can be either somatic or autonomic
ANS Divisions and Roles
• Parasympathetic Division
• Rest and Digest Division
• Keeps body energy as low as possible
• Sympathetic Nervous System
• Fight or Flight System
• Prepares body for emergency situations
ANS Anatomy• Dual Innervation
• Sites of Origin
• Relative lengths of their fibers
• Location of their ganglia
ANS Anatomy• Parasympathetic (craniosacral)
Division
• Cranial part
• Occulomotor N.
• Facial N.
• Glossopharyngeal N.
• Vagus N. (Multiple Plexi)
• Sacral Part
• Pelvic Splanchic n.
• Inferior hypogastric plexus
ANS Anatomy
• Sympathetic (Thoracolumbar division)
• Preganglionic fibers arise from Lateral Horns of segments T1-L2
3 Pathways of Synaptic Innervation
• Synapse in a distant collateral ganglion anterior to the vertebral column
ANS Physiology• Neurotransmitters and
Receptors
• Acetylcholine
• Released by all ANS Preganglionic axons and all parasympathetic postganglionic axons (cholinergic fibers)
• Norepinephrine
• Most sympathetic postganglionic axons (adrenergic fibers)
Cholinergic Receptors
• Nicotinic Receptors
• Found on sarcolemma of skeletal fibers, all postganglionic neurons, adrenal medulla
• Muscarinic Receptors
• Parasympathetic target organs
Adrenergic Receptors
• alpha and beta receptors
• alpha 1, 2, Beta 1, 2, 3.
• can be either excitatory or inhibitory
Pharmacological Effects
• Atropine (anticholinergic)
• Neostigmine (anticholinesterase)
• B2 activators (dilate airways)
• Beta Blockers (slow heart rate, lower BP)
Interactions of the Autonomic Divisions
• Dual Innervation
• Antagonistic Interactions
• Sympathetic and Parasympathetic Tone
• Unique roles of the Sympathetic Division
• thermoregulatory response to heat, renin release, metabolic effects
• Localized Versus diffuse effects