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Chapter 6 Clincal Kinesiology and anatomy Lynn Lippert
Chapter 6 Nervous System
37
Health Care
Undergraduate 1
10/14/2010

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Cards

Term
the cell body of a motor neuron is located ______.
Definition
in the anterior horn of the spinal cord
Term
The cell body of a sensory (afferent) neuron is located ________
Definition

in the dorsal root ganglion which is in the intervertebral foramen

 

see page 50 of book. page 52 fig 6-3

Term
The cauda equina is made up of the nerve roots which vertebral levels?
Definition
L2 - S5
Term
What is the difference between the vertebral foramen and the intervertebral foramen?
Definition

the vertebral foramen runs through the vertebrae and houses the spinal cord.

 

The intervertebral foramen is the opening formed by the superior vertebral notch of the vertebra below and the inferior vertebral notch of the vertebra above.  Spinal nerve roots exit the spinal cord through this opening.  see fig 6-15 page 57

Term
the PNS begins in the ______
Definition
anterior horn
Term

Name the fifth cranial nerve.

Is it sensory, motor or mixed?

What is the motor and/or sensory function?

Definition

Trigeminal nerve

Mixed nerve

Sensory for face

Motor for chewing muscles

Term

Name the VII cranial nerve

Sensory, motor or mixed?

What is the sensory and /or motor function?

Definition

Facial Nerve

Mixed

Sensory for tongue

motor for face muscles

Term

what is the XI cranial nerve?

is it sensory motor or mixed?

What is the sensory and/or motor function?

Definition

Accessory nerve or Spinal Accessory

Motor nerve

SCM and Trap muscles

Term

How many pairs of spinal nerves are there?

 

Definition

31

 

8 cervical

12 thoracic

5 lumbar

5 sacral

1 coccygeal

Term
Spinal nerve C1 emerges from the spinal cord where?
Definition

It emerges above C1 vertebra.  C2 spinal nerve comes out under the C1 vertebra and above C2.

 

In the cervical spine the spinal nerves exit above the corresponding vertebra.  C8 emerges below C7 and above T1.

From T1 and below the spinal nerve exits below the corresponding vertebra.

Term
The area of skin supplied with sensory fibers of a spinal nerve is called?
Definition

a dermatome. 

 

There is overlap between contiguous dermatomes.  complete anesthesia will not occur unless more than 2 spinal nerves are damaged.  sensation may be decreased but not absent.

Term
A person with a spinal cord injury at C3 or above would lose inervation to ______.
Definition
The diaphram and would be unable to breathe without assistance.
Term
The Diaphragm recieve innervation from
Definition
The Phrenic nerve
Term
The Deltoid and  Biceps brachii  recieve innervation from__________
Definition

The Brachial plexus

Deltoid - axillary nerve C5, C6

Biceps, Musculocutaneous nerve C5 C6

 

 

need to check this as the book is not clear on page 61

Page 61 6-22

Term
Autonomic dysreflexia or hyperreflexia is a potentially life threatening complication that can occur with spinal cord injuries at or above.
Definition

T10.

 

SCI above T6 are most susceptible.   It can be triggered by noxious stimuli below the level of injury such as a distended bladder.  Symptoms include HA sudden HTN flush, sweating and gooseflesh.  BP can reach dangerous levels and lead to stroke or death.

Term
The anterior rami of the first 4 cervical nerves join together to form the cervical ______.
Definition

Plexus

 

the cervical plexus innervates the muscles of the neck.  The most important nerve of the cervical plexus is the Phrenic nerve C3, C4, C5 that innervates the diaphragm

Term
The ____ plexus is formed from the anterior rami of spinal nerves C5 through T1.
Definition

Brachial

 

There are 5 roots with join to form

3 trunks which branch and rejoin to form

3 cords

and end in 5 peripheral nerves

Term
The 5 peripheral nerves coming off of the Brachial Plexus are:
Definition

Musculocutaneous

Axillary

Radial

Median

Ulnar

Term

Axillary Nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

Segment:     C5, C6

Innervates:  Deltoid, Teres Minor

Sensory:      Lateral arm over lower portion of deltoid

Clinical:       loss of shoulder abduction and weakened shoulder lateral rotation

Term

Radial nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

Roots:       C6, C7, C8, T1

Muscles:  Triceps, anconeus, brachioradialis, supinator, wrist, finger, and thumb extensors.

Sensory:   Posterior arm, posterior forearm, radial side of posterior hand

Clinical :     Loss of elbow, wrist, finger and thumb extension: "wrist drop"

Term

Musculocutaeous nerve.

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

C5, C6

Coracobrachialis, Biceps, brachialis

Anterior lateral surface of forearm

loss of elbow flexion and weakened supination

Term

Median nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

C6,C7 C8, T1

Pronators, wrist and finger flexors on radial side, most thumb muscles

Palmar aspect of thumb, second, third, fourth (radial half) fingers.

Loss of forearm pronation, loss of thumb opposition flexion and abduction "ape hand"

Term

Ulnar nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

C8, T1

Flexor carpi ulnaris, flexor digitorum profundus (medial half), Interossei, fourth and fifth lumbricales

Fourth finger (medial portion) fifth finger

loss of wrist ulnar deviation.

Term
The Lumbosacral Plexus is formed from the anterior rami of L1 through S3.  The plexus forms what 5 terminal nerves?
Definition

Obturator

Femoral

Sciatic

Tibial

Common peroneal

Term
The anterior rami of spinal nerves that form the plexuses provide innervation and sensation to the muscles of the extremeties and anterior muscles.  What do the posterior rami do?
Definition
Provide innervation and sensation to the muscles of the back and trunk.
Term

Femoral nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

L2,L3,L4

Iliopsoas, sartorius, pectineus, quadriceps femoris

Anterior and medial thigh, medial leg and foot

Weakened hip flexion loss of knee extension

Term

Obturator

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

L2,L3,L4

Hip adductors, Obturator externus

Middle part of medial thigh

Loss of hip adduction, Weakened hip lateral rotation

Term

Sciatic nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

L4,L5,S1,S2,S3

Hamstring muscles

No sensory

weakened hip extension loss of knee flexion

Term

Tibial nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

L4,L5,S1,S2,S3

Popliteus, ankle plantar flexors,tibialis posterior,foot intrinsics

posterior and lateral and lateral foot

Loss of ankle plantar flexion, loss of toe flexion, weakened ankle inversion

Term

Common Peroneal nerve

 

Spinal Cord Segment?

Muscle Innervation?

Sensory Distribution?

Clinical Features of Paralysis?

Definition

L4,L5,S1,S2

Peroneals, Tibialis anterior, Toe extensors

Anterior lateral leg and foot

Loss of ankle dorseflexion-foot drop, loss of toe extension, loss of ankel eversion

Term
Erb's palsy
Definition
traction injury to brachial plexus
Term
Ape hand
Definition

loss of thumb opposition

Median nerve involvment

Term
Pope's blessing
Definition
Median nerve loss of thumb index and middle finger flexion
Term
Claw hand
Definition
Ulnar nerve damage loss of hand intrinsics
Term
The trapezius muscle recieves innervation from
Definition
Crainial nerve XI  for motor and C3 C4 for sensory
Term
Scapular winging occurs when there has been damage to which nerve and which muscle?
Definition

Long Thoracic nerve

Serratus anterior

Term
damage to the common peroneal nerve can cause what?
Definition
foot drop
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