The Peripheral Nervous System Chapter 13 Divisions of the Nervous System Classification of Sensory Receptors By Location – – – Exteroceptors Interoceptors Proprioceptors By Stimulus Type – – – – – – Mechanoreceptors Thermoreceptors Photoreceptors Chemoreceptors Baroreceptors Nociceptors Unencapsulated Nerves Encapsulated Nerves Encapsulated Nerves Connective Tissues of a Nerve Types of Nerves Sensory (afferent) Nerves Motor (efferent) Nerves Mixed Nerve (both) Regeneration of an Injured Nerve Cranial Nerves - 12 pairs - Classified as sensory, motor or mixed - First two pairs attach to the forebrain - Remaining ten pairs attach to the brainstem Cranial Nerves Cranial Nerves Olfactory Nerve (I) Olfactory Nerve (I) - - - Sensory only Sense of smell Olfactory bulbs that terminate into filaments piercing the cribriform plate of the ethmoid bone. Anosmia: loss of smell Optic Nerve (II) Optic Nerve (II) - - - Sensory only Vision Begins at the retina, converges at the optic chiasma, partial crossing over of the fibers to enter the thalamus. Optic radiations take impulse to the visual cortex in the occipital lobe. Anopsias= loss of vision Oculomotor Nerve (III) Oculomotor Nerve (III) - Motor only Controls 4 of the six eye muscles for eyeball movement and pupil constriction: - Superior rectus Medial rectus Inferior rectus Inferior oblique External Strabismus=eye rotates laterally Oculomotor Nerve (III) Trochlear Nerve (IV) Trochlear Nerve (IV) - - - Motor only Movement of one eye muscle: superior oblique muscle Downward and lateral movement of the eyeball. Damage to this nerve can cause double vision and the inability to rotate the eye inferolaterally Trigeminal Nerve (V) Trigeminal Nerve (V) Trigeminal Nerve (V) - - - Mixed nerve Largest cranial nerve Sensory=somatic sensations of the face Motor=controls muscles of mastication Three divisions: V1- Ophthalmic division V2- Maxillary division V3- Mandibular division Tic douloureux=inflammation of the trigeminal nerve Abducens Nerve (VI) Abducens Nerve (VI) - - Motor only Innervates the lateral rectus muscle of the eye Moves eyeball laterally Internal Strabismus=eye rotates medially Abducens Nerve (VI) Facial Nerve (VII) Facial Nerve (VII) Facial Nerve (VII) - - - Mixed nerve Motor=Controls muscles of facial expression Motor=Controls lacrimal and two of the three types of salivary glands (sublingual and submandibular glands) Sensory=Taste of anterior 2/3 of tongue Bell’s palsy=unilateral facial paralysis Vestibulocochlear Nerve (VIII) Vestibulocochlear Nerve (VIII) - - Sensory only Vestibulo branch: equilibrium Cochlear branch: hearing Travels through the internal acoustic meatus Nerve deafness caused by damage to the cochlear branch while dizziness and vertigo are caused by damage to the vestibular branch Glossopharyngeal Nerve (IX) Glossopharyngeal Nerve (IX) - - - Mixed nerve Motor=muscle innervations to part of the tongue and pharynx Sensory=Taste for bitter on the posterior 1/3 of the tongue Swallowing and gag reflex Vagus Nerve (X) Vagus Nerve (X) - - - Mixed nerve Motor=heart rate, breathing, and digestive function, muscles of the voicebox. Sensory=taste from the posterior portions of the tongue and pharynx (taste), abdominal and thoracic viscera Destruction of the vagus nerve is incompatible with life Accessory Nerve (XI) Accessory Nerve (XI) Motor (primarily) Innervates trapezius and sternocleidomastoid muscle Damage would result in the inability to shrug the shoulders and turn the head Hypoglossal Nerve (XII) Hypoglossal Nerve (XII) - Motor (primarily) Tongue movements: swallowing and speech Spinal Nerves - - Mixed nerves 31 pairs of spinal nerves total (8) Cervical - cervical and brachial plexus (12) Thoracic - intercostal nerves and cervical and lumbosacral enlargement (5) Lumbar - lumbar plexus (5) Sacral - sacral plexus (1) Coccygeal Distribution of Spinal Nerves Formation of Spinal Nerves Formation of Spinal Nerves Cervical Plexus Cervical Plexus Most branches are cutaneous nerves that supply sensory impulses from the skin of the neck, ear, back of the head and shoulders Other branches innervate the muscles of the anterior neck Phrenic nerve = sole motor nerve supply to the diaphragm for breathing Brachial Plexus Brachial Plexus Median nerve: Flexor muscles of the anterior forearm and intrinsic muscles in palm; pronates the forearm, flex the wrist and fingers, and oppose the thumb Radial nerve: largest branch; posterior muscles of the arm and forearm; innervates all the extensor muscles for elbow, wrist, and finger extension, forearm supination, and thumb abduction Brachial Plexus Ulnar nerve: produces wrist and finger flexion and adduction as well as abduction of the medial fingers Suprascapular nerve: innervates the supraspinatus and infraspinatus muscles for movement of the shoulder Brachial Plexus Thoracic Nerves Lumbar Plexus Lumbar Plexus Femoral nerve: the largest terminal nerve of this plexus and innervates the anterior muscles of the thigh (thigh flexors and knee extensors). Branches to form the saphenous nerve on the medial thigh and knee. Obturator nerve: innervates the adductor muscles of the leg. Lumbar Plexus Sacral Plexus Sacral Plexus Sciatic nerve: which supplies the entire lower limb (leg) except the anteromedial thigh. The sciatic nerve is also the thickest and longest nerve in the body and branches to form the 1- tibial nerve (which further branches to form the sural nerve and plantar nerves) and the 2- common fibular nerve Reflexes Reflex Activity Reflex Activity Types of Reflexes Somatic Reflexes – – – – – Stretch reflexes Golgi tendon reflexes Flexor reflexes (withdrawal) Crossed extensor reflexes Superficial reflexes Autonomic Reflexes Stretch Reflex Golgi Tendon Organ Flexor reflex and Crossed Extensor Reflex Superficial Reflex