Neuromuscular learning objectives

Neuron

A nerve cell; the basic building block of the nervous system.

multipolar neuron

a nerve cell that has many dendrites and a single axon-most common in the nervous system -motor neurons -cell body is located in the anterior horn of the gray matter-carry efferent nerve signals to stimulate voluntary muscle control

pseudounipolar sensory nerves

double process extending from cell body -conducts impulses from receptor organ toward cell body, then from cell body into the CNS-sensory nerves of body -cell bodies found in the PNS-carry affrerent nerves

Bipolar neurons

-rare, found in olfactory epithelium, the retina of the eye, and the vestibulochochlear nerve

Neuroglia

Supporting cells that support, insulate, and protect neuronsinclude satelite cells and shwann cells

cell body of neuron

contains the nucleus

axon

A threadlike extension of a neuron that carries nerve impulses away from the cell body.

dendrites

Branchlike parts of a neuron that are specialized to receive information.

Central Nervous System

Brain and spinal cord

Peripheral nervous system

The sensory and motor neurons that connect the central nervous system to the rest of the body

nucleus

collection of cell bodies in the CNS

gray matter

cell bodies and dendrites

white matter

Whitish nervous tissue of the CNS consisting of neurons and their myelin sheaths.

nerve fiber

axon, nerulema, and surrounding endoneural connective tissue

nerve

bundles of nerve fibers, the layers of connective tissue binding them together, and the blood vessels (vasa nervorum) that serve them-arranged in bundles called fascicles

ganglion

A cluster of nerve cell bodies, often of similar function, located in the PNS.

afferent

conducting nerve pulses inward toward the central nervous system

efferent

conducting nerve pulses outward away from the CNS

somatic afferent

neurons that bring in sensory impulses from skin, skeletal muscles, bones, ligaments and tendons to CNS

Somatic efferent

transmit impulses to skeletal voluntary muscles

visceral afferent

transmit pain from subconcious visceral reflex sensations from hollow organs and blood vessels to CNSblood gas, blood pressure levels

Visceral efferent

transmit impulses to smooth muscles and glandilar tissues

extrinsic back muscles

moves limbs of the anterior trapezius, the latissimus dorsi, the rhomboid major and minor, and the levator scapulae.innervated by the anterior rami of spinal nerves or cranial nerve XI

intrinsic back muscles

erector spinae muscle groupmaintain posture and move the vertebral column innervated by the posterior rami of the spinal nerves

Dura mater

Outermost layer of the meninges

arachnoid mater

middle layer of the meninges

pia mater

thin, delicate inner membrane of the meninges

subarachnoid space

space between the pia mater and the arachnoid membranecontains cerebrospinal fluid

epidural space

separating dura from surrounding bonecontains fat, connective tissue, and venous plexis

explain the developmental basis of the medullary cone occuring at the L1 vertebrae and its effect on the relationship between the spinal cord level of orgin and location vertebral canal exit for the lower lumbar sacral spinal nerves

-Early in development the spinal cord runs the entire length of the spine -as development progesses the vertebrae grow much faster than the spinal cord the segments lose alignment -this creates very long nerve roots for more inferior spinal nerves-these nerve roots are called caudaequina

specify the nerves whose dorsal and ventral roots form the cauda equina within the lumbar cistern

the lumbar, sacral, and coccygeal nerves

spinal nerve labelled

0

ventral root carries what type of fibers

motor fibers

dorsal root carries what type of fibers

sensory fibers

spinal nerve carries what type of fibers

both motor and sensory

ventral primary ramus carries what type of fibers

both

dorsal primary ramus carries what type of fibers

both

where do cervical spinal nerves exit

exit above the cervical cord segment

where do thoracic and lumbar spinal nerves exit

exit below thoracic and lumbar cord segments

label dorsal and ventral horn

0

List in correct spatial sequence the structures through which a somatic efferent axon will pass in projecting to its effector organ in the ventrolateral or dorsal body wall

anterior horn-ventral root-spinal nerve-ventral ramus or dorsal ramus-ventrolateral body wall or dorsal body wall

list in correct spatial sequence the structures through which a somatic afferent axon will pass in returning sensory information to the CNS from a receptor in the ventrolateral or dorsal body wall

ventrolateral body wall-ventral ramus-spina nerve- dorsal root-DRG-dorsal horn

specify the spinal nerve that exits each of the intervertebral foramina in the cervical, thoracic, lumbar, and sacral regions of the vertebral column

C1-C7 spinal nerve exit above corresponding vertebraeC8 exits above T1T1-T12 exit below corresponding vertebraeL1-L5 exit below corresponding vertebraeS1-S5 exit below corresponding vertebrae

Specify the nerves whose dorsal and ventral roots for the cauda equina within the lumbar cistern

spinal nerves L1-L5 make up cauda equina

explain the anatomical basis of the rash pattern characterisitc of a herpes zoster infection

rash pattern in line with dermatome associated with corresponding spinal nerve

dermatome C4 relates to

Upper arms and Neck

dermatome T4 relates to

Nipples area

dermatome T6 relates to

costal margin level

dermatome T10 relates to

umbilicus region

dermatome L1 relates to

iliac region

specify the vertebral level that corresponds to the location of the conus medullaris in the adult

Lumbar L1 vertebrae

specify the location of the internal and external vertebral venous plexes

the internal venous plexes lie in the epidural space in the vertebral canal the external venous plexes lie in front of the vertrebral body

explain the role of Batson's plexus in the metastasis of cancers and the spread of infections

Batsons plexus interconnects with deep pelvic and thoracic veins and in doing so allows metastatic cancers arising from the rectum, colon, prostate, or pelvic region to spread to the brain or vertebral column

Define the term plexus as it relates to the peripheral nervous system

latin for braid-is a branching network of vessels or nervesthere are 4 nervous plexus-cervical, brachial, lumbar, and sacral plexus

what spinal nerve does the patellar knee jerk test

L4 spinal cord

what spinal nerve does the biceps tendon reflex test

C5

what spinal nerve does the triceps tendon reflex test

C7

what spinal nerve does the brachioradialis tendon reflex test

C6