The Spinal Cord and Spinal Nerves Chapter 12 THE SPINAL CORD Spinal Cord Anatomy Spinal Cord Anatomy Spinal Cord Anatomy Spinal Cord Anatomy Spinal Cord Anatomy Spinal Cord Anatomy Spinal Cord Anatomy THE SPINAL NERVES Spinal Nerve Anatomy Spinal Nerve Anatomy Spinal Nerve Distribution Spinal Nerves of the Body The Cervical Plexus The 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 The Brachial Plexus The Brachial Plexus The Brachial Plexus The Brachial Plexus o 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 o 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 The Brachial Plexus o Ulnar nerve: produces wrist and finger flexion and adduction as well as abduction of the medial fingers o Suprascapular nerve: innervates the supraspinatus and infraspinatus muscles for movement of the shoulder Intercostal Nerves The Lumbar Plexus The Lumbar Plexus The Lumbar Plexus The Lumbar Plexus o 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 extending to the foot. o Obturator nerve: innervates the adductor muscles of the leg. The Sacral Plexus The Sacral Plexus The Sacral Plexus The Sacral Plexus o Sciatic nerve: which supplies the entire lower limb (leg) except the anteromedial thigh. Tibial nerve – flexors of the knee and extensors of the ankle, flexors of the toes, and plantar surface of the foot. Fibular nerve. – biceps femoris muscle and tibialis anterior muscle; extensors of the toes, surface of the leg and dorsal surface of the foot. The Sacral Plexus o Pudendal nerve - innervates muscles of the perineum, urogenital diaphragm and external anal and urethral sphincter muscles; skin of the genitalia. REFLEXES NEURAL CIRCUITS • • • • • Divergence Parallel Serial Convergence Reverberation Neural Circuits Neural Circuits Neural Circuits Neural Circuits Neural Circuits Neural Circuits Steps of the Reflex Arc Classification of Reflexes Classification of Reflexes Monosynaptic Reflexes Polysynaptic Reflexes Types of Reflexes Stretch Flexor reflex Crossed extensor reflex Stretch Reflex Flexor Reflex Crossed Extensor Reflex Reflexes Used in Diagnostic Testing Reflexes Used in Diagnostic Testing