OCT 720: Week 2: Central Nervous System

Jul 31, 2024

Nervous System Overview

Importance in Human Performance

  • Function: Coordinates body systems to facilitate meaningful activities.
    • Regulates emotions, sensations, and perceptions.
    • Determines responses through muscular or organ actions.

Main Components of the Nervous System

  • Central Nervous System (CNS): Brain and spinal cord.
  • Peripheral Nervous System (PNS): Nerves from the spinal cord, including 12 pairs of cranial nerves, spinal nerves, plexuses, and branches.
  • Autonomic Nervous System (ANS): Regulates stress response and controls smooth muscles.

Sensory Information Processing

  • Sensory Receptors: Three main types.
    • Mechanoreceptors: Sensitive to mechanical changes.
    • Thermoreceptors: Sensitive to temperature changes.
    • Nociceptors: Sensitive to pain or potentially harmful stimuli.
  • Process: Sensory information is received and processed by sensory neurons, transmitted to the spinal cord, then to the brain for processing, and finally a motor output is generated and sent back through the spinal cord to the peripheral nervous system.

Structure of a Neuron

  • Axon: Carries information; surrounded by myelin which protects and increases transmission speed.

Central Nervous System (CNS)

  • Brain:
    • Protected by the skull with non-movable bone structures.
    • Cerebrum: Two hemispheres, each with four lobes (frontal, parietal, temporal, occipital).
      • Frontal Lobe: Personality, motor movement, speech.
      • Parietal Lobe: Touch, pressure, fine sensations (texture, weight, size, shape), reading skills.
      • Temporal Lobe: Behavior, hearing, language reception/understanding.
      • Occipital Lobe: Vision, recognition of size, shape, and color.
    • Deeper Structures:
      • Thalamus: Sensation perception, pain perception.
      • Hypothalamus: Behavioral center.
      • Basal Ganglia: Coordination of movement.
    • Brain Stem: Consists of midbrain, pons, and medulla; vital functions (heart rate, respiration).
    • Cerebellum: Muscle coordination, muscle tone, posture.
  • Spinal Cord:
    • Transmits information between brain and body.
    • Protected by the spine; spinal cord ends at L2 in adults, beyond which is called cauda equina (L2 to S5).
    • Contains cerebrospinal fluid (CSF).
    • Spinal nerves named based on their exit points (e.g., C1 nerve exits above C1 vertebra).

Sensory and Motor Mapping

  • Dermatomes: Sensory map; symmetrical on both sides; labeled by spinal cord level.
    • C spine: Upper extremity.
    • T spine: Trunk.
    • L spine: Anterior lower extremity.
    • S spine: Posterior lower extremity.
  • Myotomes: Motor control map; key muscles associated with each spinal cord level.
    • C3-C5: Diaphragm.
    • C5: Biceps.
    • C8: Palmer interossei.
    • T levels: Trunk muscles.
    • L levels: Lower extremity.
    • S levels: Lower extremity.

Importance of Evaluation

  • Sensory and motor areas are often innervated by multiple nerves, making detailed evaluation crucial to understand the extent and impact of injuries.