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Palpation Lecture Vocab
Terms & Definitions for Palpation: OMM Lecture 1
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08/09/2011

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Term
Receptive field
Definition
an area w/i which a stimulus can excite a cell or alter the firing of the neuron associated with it
Term
2 point discrimination
Definition
ability to discern detailed features of a stimulus
Term
Turgescence
Definition
swelling, hyperemia, turgor
Term
Elasticity
Definition
compliance
Term
Physiological irritability
Definition
fasciculations, also experienced as twitches
Term
Mechanoreceptors
Definition
sensitive to PHYSICAL distortion; bending, stretching, vibration & pressure
Term
Nociceptor
Definition
signal that the body is being damaged or is at risk of being damaged; pain receptors
Term
Thermoreceptors
Definition
Receptors that are sensitive to extreme hot or cold
Term
Proprioceptors
Definition
measure length and tendon and limb position so the body knows where it is in space, how fast it is going and what direction it is going
Term
Pacinian Corpuscles
Definition
detect deep pressure & rapid vibration; LARGE receptive fields with sensitive centers (looks like onion in histology slide)
Term
Mechanoreceptors include...
Definition
Pacinian corpuscle; Meissner's Corpuscles; Merkel's Disc; hair root plexus; Ruffini's endings or Ruffini Corpuscle; Krause's End Bulbs
Term
Meissner's corpuscles
Definition
1/10th size of Pacinian Corpuscles; Sensitive to Light Touch, help create adaptation; Small Receptive Fields; FOUND in large amounts on: fingertips, lips, tongue, face, soles of feet
Term
Merkel's disc
Definition
Detect sustained pressure and texture, Small Receptive Fields; found in greatest number on finger pads; tactile discrimination; surface structure, moisture
Term
Hair root plexus
Definition
known for detecting light touch
Term
Ruffini's endings-spindle-shaped
Definition
sensitive to sustained pressure and skin stretch
Term
Krause's end bulbs
Definition
found in border regions of dry skin and mucous membranes and participate in crude touch
Term
nociceptors
Definition
free, unbranching myelinated nerve endings; signal that body is being damaged/risk of damage: 4 CATEGORIES: mechanical (strong pressure from sharp objects), Thermal (extreme temp), Chemically sensitive (pH); Polymodal
Term
Nociceptors
Definition
free, branching myelineated nerve endings, signal that body is being damaged or is at risk of being damaged,
Term
Periphery
Definition
sensory receptors, eg mechanoreceptors
Term
Dorsal Columnar Medial Lemniscal Pathway
Definition
carries information about touch and vibration from the skin and proprioceptive signals from the limbs
Term
Spinothalamic pathways
Definition
carries information about pain and temperature, crude or non-discriminative touch
Term
sensory homunculus
Definition
distorted human figure used to represent the relative area of cerebral cortex devoted to sensation of corresponding skin areas
Term
motor homunculus
Definition
distorted human figure used to represent the relative area of cerebral cortex devoted to movement of corresponding motor areas
Term
The human hand can sense what?
Definition
2 pt discrimination, texture, contour -structure, friction-moisture, compliance, stereognosis, temperature
Term
Proprioceptors
Definition
muscle spindles, golgi tendon organs, joint/kinesthetic receptors; measure muscle length and tendon and limb position, tells us where our bodies are in space, if they are moving, how fast/what direction
Term
Steps of Palpation
Definition
Reception/Detecting; Transmission; Interpretation; Amplification
Term
Reception/Detection
Definition
use the exteroceptors and proprioceptors to discover nature of object
Term
transmission
Definition
info gathered is relayed to the peripheral and CNS in the brain
Term
Interpretation
Definition
Translate palpatory observations into meaningful knowledge about anatomic, physiologic or pathologic states
Term
Amplification
Definition
focus and elimination of distractions
Term
Light touch
Definition
used for perceiving changes in temp/texture of skin, normal tissue resistance
Term
Deep touch
Definition
aid in differentiating dysfunction in regions of increased muscular and ligamentous tension and may aid in testing mobility
Term
Exteroceptors
Definition
mechanoreceptors, thermoreceptors, nociceptors
Term
Where are exteroceptors found
Definition
touch receptors: found in finger pads; Heat receptors: dorsal of hand; Vibration: palmar surface of MP joints; Sterogenosis: center of palm
Term
Light touch sensed by
Definition
meissner's corpuscle, merkel's disc, hair-root plexus
Term
deep pressure is sensed by...
Definition
pacinian corpuscles
Term
crude touch is sensed by
Definition
thought to be Krause's end-bulb and Ruffini's endings
Term
Adaptation
Definition
with continuous pressure the frequency of the impulses slows then stops, this is useful because it prevents the nervous system from being bombarded with information about insignificant matters like touch and pressure of our clothing
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