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Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION CHAPTER 3 & Bartlett Learning, LLC © Jones NOT FOR SALE OR DISTRIBUTION Introduction to the Structure and Function of the Nervous System © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION SALE ORmore DISTRIBUTION body to move effectively as a whole Structure and Function of the NOT FOR Nervous System and to achieve purposeful movement. This coordination of voluntary muscles makes The nervous system is a complex regulatory syspossible complex activities, such as walktem that, along with the endocrine system, controls piano, and using a © Jones Bartlett Learning, LLC ing, running, playing a © Jones & Bartlett Learning and coordinates activities& and functions throughout computer, as well as simple activities, such the body, internally and externally, sending, reNOT FOR SALE OR DISTRIB NOT FOR SALE by OR DISTRIBUTION as maintaining muscle tone and posture ceiving, and sorting electrical impulses and chemiwhile at rest. cal signals. Disruption of any part of the nervous • Monitoring and recognizing stimuli (and system affects body function in some way, either information) within the environment, and internally or externally. then directing an appropriate to © JonesThe & nervous Bartlett Learning, LLC © Jones & Bartlettresponse Learning, LLC system consists of the central nerthe stimuli. This function makes possible NOT vous FORsystem, SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION which includes the brain and spinal reflex actions, such as pulling away one’s cord, and the peripheral nervous system, which hand from a hot surface, as well as perceivincludes nerve fibers extending from the brain and ing music being played in the next room. spinal cord that carry information between the cen• Monitoring and coordinating internal body tral nervous system and the rest of the body. The Jones & Bartlettperipheral Learning, LLC © Jones states & Bartlett Learning, so that internal organs LLC function as a nervous system is further divided into two unit, internal body constancy (homeostasis) OT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION parts: the afferent (sensory) system, which carries is maintained, and protective action is taken. messages from other parts of the body to the central For example, in response to a lack of oxynervous system, and the efferent (motor) system, gen, more rapid breathing occurs; the body which carries messages from the central nervous shivers in response to cold; and when threat system to other parts of the (see Table 3-1). © Jones & body Bartlett Learning, LLC or danger is encountered, © Jones Bartlett Learning the heart& beats NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION more rapidly. Function of the Nervous System Other functions, such as display of personality Functions of the nervous system include the traits, language, speech, learning, remembering, following: feeling emotion, reasoning, and generating and © Jones• & Bartlettand Learning, LLCresponses © Jones Bartlett Learning, LLC Organizing directing motor relaying thoughts, are also&controlled by the nervous of the voluntary muscle system, enabling the system—specifically, by the brain. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 33 Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 33 28/10/16 12:18 PM © Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC 34 Chapter 3 • Introduction to the Structure and Function of the Nervous System NOT FOR SALE OR DISTRIBUTION OT FOR SALE OR DISTRIBUTION dendrites conduct nerve impulses toward the cell body after receiving information from other neurons. Fibers that carry information from parts of © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning I. Central nervous system the body to the brain are called afferent neurons NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION (sensory neurons). Fibers that carry information A.Brain from the brain to other parts of the body are called B. Spinal cord efferent neurons (motor neurons). II. Peripheral nervous system Surrounding neurons is a fatty sheath called A. Afferent (sensory) myelin, which, much like& theBartlett covering ofLearning, electrical © Jones & Bartlett Learning, LLC © Jones LLC B. Efferent (motor) cords, provides insulation, ensuring that electrical NOT FOR1.SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Somatic nervous system impulses are able to flow smoothly and reliably. 2. Autonomic nervous system Information is passed from neuron to neuron by a. Sympathetic nervous system both electrical and chemical impulses. The electrical impulse, which has been picked up by the b. Parasympathetic nervous system Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC dendrites, is passed through the cell body to the electrical then moves down OT FOR SALE OR DISTRIBUTION NOTaxon. FORThe SALE ORimpulse DISTRIBUTION Nerve Cells the full length of the axon until it reaches its tip. Specialized cells called neurons are the functional At the tip of the axon are tiny processes, which units of the nervous system. Neurons transmit release chemicals known as neurotransmitters. messages to and from the brain. They consist of a Neurotransmitters, chemically transfer the impulse © processes Jones & Bartlett Learning, LLC © Jones & Bartlett Learning cell body and (nerve fibers) that extend from one neuron to another across a space between NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION beyond the cell body. In most cases, a single long the two neurons called the synapse. The electrical nerve fiber called an axon conducts nerve impulses impulse, through the vehicle of neurotransmitters, (and information) away from the cell body to then moves to the next neuron’s dendrites and other neurons. Smaller, shorter nerve fibers called the process begins again (see Figure 3-1). After Table 3-1 The Nervous System (Central and Peripheral) © Jones & Bartlett Learning, LLC Neurons NOT Figure FOR 3-1 SALE OR DISTRIBUTION Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jane Tinkler Lamm. Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 34 28/10/16 12:18 PM Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC Structure andSALE Function of the Nervous System 35 NOT FOR OR DISTRIBUTION neurotransmitters are released, they are either taken • The pia mater is the inner membrane, which up again by the neuron or destroyed. lies closest to the brain and spinal cord. Longer©axons are generally grouped in Jones & Bartlett Learning, LLCBetween each of the membrane © Jones & Bartlett Learning layers are bundles. When they are transmitting impulses spaces. The space between the dura mater and the NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION within the central nervous system, these bundles inner surface of the bony covering is the epidural are referred to as tracts. Those bundles located space; the space between the dura mater and the outside the central nervous system are referred arachnoid membrane is the subdural space; and to as nerves. the space between the arachnoid membrane and © Jones & Bartlett Learning, LLC & Bartlett Learning, LLC the pia mater©isJones the subarachnoid space. NOT The FOR SALENervous OR DISTRIBUTION NOT FORsystem SALE ORprotected DISTRIBUTION The central nervous is also Central System and cushioned by cerebrospinal fluid (CSF), The central nervous system is made up of the brain which is formed by specialized capillaries called and spinal cord. Bony coverings protect both the the choroid plexus in inner chambers within the brain and the spinal cord. On the interior of these brain called ventricles. The cerebrospinal Jones & Bartlettbony Learning, LLC © Jones & Bartlett Learning, LLC fluid coverings are three membranes (meninges) bathes the brain and spinal cord, circulating from that DISTRIBUTION provide additional protection: OT FOR SALE OR NOTthe FOR SALE OR DISTRIBUTION ventricles into the subarachnoid space (see • The dura mater is the outer membrane, lyFigure 3-2). From the subarachnoid space, the ing closest to the bony covering of the brain CSF flows to the back of the brain, down around and spinal cord. the spinal cord, and then back to the brain, where • The arachnoid membrane is the middle it is reabsorbed into the blood © through the & arach© Jones & Bartlett Learning, LLC Jones Bartlett Learning membrane, a cobweb-appearing membrane. noid membrane. The amounts ofNOT cerebrospinal fluid FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION Figure 3-2 Circulation of Cerebrospinal Fluid © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC Arachnoid villus NOT FOR SALE OR DISTRIBUTION Cranium Dura mater Lateral ventricle Jones & Bartlett Learning,Third LLC ventricle OT FOR SALE OR DISTRIBUTION Sinus Pia mater Arachnoid Cerebral cortex © Jones & Bartlett Learning, LLC Cerebrum NOT FOR SALE OR DISTRIBUTION Foramen of Monro Aqueduct of Sylvius ventricle ©Fourth Jones & Bartlett Learning, LLC Cerebellum NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB Spinal cord © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jane Tinkler Lamm. Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 35 28/10/16 12:18 PM © Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC 36 Chapter 3 • Introduction to the Structure and Function of the Nervous System NOT FOR SALE OR DISTRIBUTION OT FOR SALE OR DISTRIBUTION produced and absorbed are equally balanced so and the display of general personality traits, which that under normal conditions, the amount of CSF are characteristic of how each individual responds within the central nervous system remains constant. to stimuli. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning Another protective device is the blood–brain The brain is protected by the bony covering of NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION barrier, a structural arrangement of capillaries the skull (cranium or cranial bones). The largest that selectively determines which substances can part of the brain, the cerebrum, is covered with a move from the blood into the brain. While subthin outer layer of gray matter called the cortex, stances such as oxygen and glucose are necessary which contains billions of nerve cells. The cortex for brain survival and consequently move freely has three specialized areas, serveLearning, three ma© Jones & Bartlett Learning, LLC © Jones & which Bartlett LLC across the blood–brain barrier, other potentialharmjor areas of function: NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION ful substances, such as toxins, are prevented from • The motor cortex coordinates voluntary crossing into the brain. movements of the body. The central nervous system is composed of • The sensory cortex is responsible for the white matter and gray matter. White matter makes or Learning, perception of LLC sensory stimJones & BartlettupLearning, © Jones recognition & Bartlett the inner partLLC of the brain and the outer poruli, such as touch, pain, smell, taste, vision, tionDISTRIBUTION of the spinal cord and consists of myelinated OT FOR SALE OR NOT FORandSALE OR DISTRIBUTION hearing. covered axons that conduct nerve impulses. It is • The associational cortex is involved in cogcalled white matter because of its whitish appearnitive functions such as memory, reasoning, ance due to the myelin covering. Gray matter abstract thinking, and consciousness. makes up the thin outer layer of the brain and the © of Jones & Bartlett LLCThe cerebrum is divided into©two Jones Bartlett Learning inner portion the spinal cord. SmallLearning, segments halves,& called NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION of gray matter are also embedded deep within certhe right hemisphere and the left hemisphere. tain parts of the white matter of the brain. Gray These two hemispheres communicate with each matter consists of groups of neuron cell bodies. other. Dividing the hemispheres and connecting It is called gray matter because of its grayish apspecific areas of the two hemispheres are bundles pearance. Gray matter of the brain receives, of nerve fibers called the&corpus callosum. Each © Jones & Bartlett Learning, LLC sorts, © Jones Bartlett Learning, LLC and processes nerve messages, while gray matter hemisphere has centers for receiving information NOT of FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION the spinal cord serves as a center for reflex acand for initiating responses. The left hemisphere tion (automatic response to stimuli). mostly receives information from and sends information to the right side of the body, whereas the right hemisphere mostly receives information from Structure and Function and sends informationLearning, to the left side of the body. Jones & Bartlettof the Brain Learning, LLC © Jones & Bartlett LLC Deep within the cerebral hemispheres are OT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION groups of gray matter called basal ganglia, which The brain is directly connected to the spinal cord and serves as the primary center for the integraare part of the extrapyramidal system. (Extrapytion, coordination, initiation, and interpretation of ramidal denotes nerve fiber tracts that lie outside most nerve messages. It regulates and monitors the pyramidal tract, a relatively compact group of many unconscious body&functions, such as heart nerve fibers that originate from©cells in the&outer © Jones Bartlett Learning, LLC Jones Bartlett Learning and respiratory rate and coordinates most volunlayer of the brain.) Extrapyramidal function is NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION tary movements. In addition, it is the site of higher concerned with postural adjustment and gross volcognitive processes such as learning, generating and untary and automatic muscular movements. The relaying thoughts, reasoning, judgment, memory, basal ganglia help to maintain tone in muscles in consciousness, and emotion. The brain also has a the trunk and extremities, enabling individuals to © Jones & function, Bartlettwhich Learning, LLC © Jones & Bartlett LLC sensory is responsible for vision, maintain balance and posture and to Learning, engage in NOT hearing, FOR SALE OR DISTRIBUTION FOR SALE touch, taste, and smell. Language funcmovementsNOT such as walking. The OR basalDISTRIBUTION ganglia tion, including the ability to communicate and to also play a role in enabling individuals to react comprehend, is also controlled by the brain. Fiswiftly, appropriately, and automatically to stimuli nally, the brain controls basic behavior patterns that demand an immediate response, such as after Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 36 28/10/16 12:18 PM Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC Structure Function of the Brain 37 NOT FOR SALEand OR DISTRIBUTION tripping, enabling the individual to adjust his or others can comprehend them. Language function her movement to avoid a fall. is located in the left hemisphere of the cerebrum Each hemisphere of the cerebrum is divided in most individuals, whether© they are rightor © Jones & Bartlett Learning, LLC Jones & Bartlett Learning into lobes that contain areas related to specific funcleft-handed. An area located over the temporal and NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION tions (see Figure 3-3). The frontal lobe is located parietal lobes, called Wernicke’s area, is the main the front of each hemisphere and contains motor jor area responsible for receptive function (speech areas that initiate voluntary movement and skilled understanding), or the ability to integrate visual movements, such as those involved in handwritand auditory information so as to understand coming. Other areas in the frontal lobe control higher munication © received. An& area located in front of © Jones & Bartlett Learning, LLC Jones Bartlett Learning, LLC intellectual functions such as foresight, analytical the temporal lobe and in the frontal cortex, called NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION thinking, and judgment. The parietal lobe is located Broca’s area, is responsible for speaking ability in the middle of each hemisphere and is primarily and is closely associated with motor areas that the sensory area, integrating and interpreting sencontrol the muscles needed for articulation. This sation such as touch, pressure, pain, and temperaarea contributes to expressive function (speech forJones & Bartlettture. Learning, LLC © Jones & or Bartlett LLC Some memory functions are also located in mation), the abilityLearning, to integrate and coordinate the parietal lobe, especially those responsible for that the OR meaning can be comprehended. OT FOR SALE OR DISTRIBUTION NOTwords FORsoSALE DISTRIBUTION storage of sensory memory. The temporal lobe is A structure known as the thalamus lies within located under the frontal and parietal lobes and is the center of the brain. The thalamus acts as a relay primarily responsible for the interpretation of and station that sorts, interprets, and directs sensory distinction between auditory stimuli. The occipital information. Below the thalamus is the hypothalamus, © Jones & or Bartlett LLC © Jones & Bartlett Learning lobe is located at the back posteriorLearning, portion of which coordinates neural and endocrine activities. NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION each hemisphere. It is the primary area for recepThis structure helps regulate the body’s internal envition and interpretation of visual stimuli. ronment and behaviors that are important to survival, Several parts of the cerebrum are involved in such as eating, drinking, and reproduction. Below the the language function, which consists of the prohypothalamus is the pituitary, an endocrine gland. cess of integrating The limbic system comprises a group of struc© Jones & receiving, Bartlettinterpreting, Learning,and LLC © Jones & Bartlett Learning, LLC visual and auditory stimuli as well as the ability tures consisting of both gray and white matter that NOT to FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION express thoughts in a coordinated way so that surround the thalamus. The limbic system plays a Figure 3-3 Areas of Brain Function Parietal lobe Jones & Bartlett Learning, LLC (sensation, intellect, spatial perception) OT FOR SALE OR DISTRIBUTION Wernicke’s area (language) © Jones & Bartlett Learning, LLC lobe NOT FOR SALE ORFrontal DISTRIBUTION (initiation, judgment, motor, reasoning, abstraction, self monitoring) © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Occipital lobe (vision) © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB Broca’s area (speech) Temporal lobe (hearing) CerebellumLLC © Jones & Bartlett Learning, (coordination, balance) NOT FOR SALE OR DISTRIBUTION Brain stem © Jones (breathing, heart rate) & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jane Tinkler Lamm. Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 37 28/10/16 12:18 PM © Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC 38 Chapter 3 • Introduction to the Structure and Function of the Nervous System NOT FOR SALE OR DISTRIBUTION OT FOR SALE OR DISTRIBUTION role in expression of instincts, drives, and emotions surround the spinal cord and protect it. This bony as well as the formation of memories. A band of covering, as a whole, forms the vertebral column. gray matter©called the hippocampus is involved The vertebral column consists©ofJones 7 cervical Jones & Bartlett Learning, LLC & verBartlett Learning in learning and long-term memory, helping to tebrae, located in the neck area; 12 thoracic verNOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION determine where important and relevant aspects tebrae, located in the upper and middle back; and of facts will be stored. 5 lumbar vertebrae, located in the lower back. Beneath the occipital lobe of the cerebrum is The sacrum, located below the lumbar vertebrae, a structure called the cerebellum. The cerebellum consists of fused (joined) bone. At the tip of the is primarily responsible for the coordination and sacrum is the©coccyx, or tailbone (see Figure 3-4). © Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC integration of voluntary movement and for the The spinal cord conducts impulses to and NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION maintenance of equilibrium, posture, and balance from the brain. The outer white matter of the of the body. It also regulates and coordinates fine spinal cord, which consists of bundles or tracts movements of the extremities, which are initiated of myelinated fibers of sensory (afferent) and by the frontal lobe. motor (efferent) neurons, conveys electrical Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLCbetween The brain stem, which is located beneath the impulses up and down the spinal cord cerebellum at the base of the brain just above the peripheral system (those nerves OT FOR SALE OR DISTRIBUTION NOTthe FOR SALE nervous OR DISTRIBUTION spinal cord, acts as a relay station, transmitting lying outside the central nervous system) and nerve impulses between the spinal cord and the the brain. In most instances, sensory informabrain. It is the primary center of involuntary tion traveling up the right side of the spinal cord functions. Control of vital organ functions, such ©ofJones LLC © Jones & Bartlett Learning as regulation heartbeat&orBartlett respiration,Learning, occurs in Figure 3-4 The Spine NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION the brain stem. Areas in the brain stem also regulate the diameter of blood vessels, contributing to Posterior Atlas Anterior the control of blood pressure. Reflex actions, such Axis as coughing and swallowing, are controlled in the Cervical brain stem as well. Finally, the brainLLC stem contains © Jones & Bartlett Learning, © Jones & Bartlettvertebrae (7)Learning, LLC scattered groups of cells, called the reticular Cervical VII NOT formation, FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION which are involved in the initiation and maintenance of wakefulness and alertness. The brain requires both oxygen and nourishment in the form of glucose in order to function and survive. Oxygen and glucose are transported to Thoracic Jones & Bartlettto Learning, LLC © Jones & Bartlett Learning, LLC vertebrae the brain by blood carried by four major arteries: OT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION (12) two carotid arteries and two vertebral arteries. The vertebral arteries join to form the basilar artery. The carotid and basilar arteries then connect Thoracic XII at the base of the brain to form the circle of Willis, from which© cerebral arteries branch out to carry Jones & Bartlett Learning, LLC © Jones & Bartlett Learning blood to theNOT rest ofFOR the brain. NOT FOR SALE OR DISTRIB SALE OR DISTRIBUTION Structure and Function of the Spinal Cord and Peripheral Nervous System Lumbar V Sacrum © Jones & Bartlett Learning, LLC Cord NOT The FORSpinal SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION The spinal cord is part of the central nervous system and extends from the brain stem to the lower part of the back. Bony coverings called vertebrae Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION Lumbar vertebrae (5) Coccyx © Jane Tinkler Lamm. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 38 28/10/16 12:18 PM © Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC Structure and Function of the Spinal CordSALE and Peripheral Nervous System 39 NOT FOR OR DISTRIBUTION OT FOR SALE OR DISTRIBUTION crosses over to the left side of the brain, so the the central nervous system carry body sensations left hemisphere of the brain would, for example, into the sensory nerve roots (posterior roots) at interpret pain in the right hand. Conversely, mothe back of the spinal cord, where they are © Jones & Bartlett Learning, LLC © Jones &then Bartlett Learning tor impulses originating in the left brain cross carried up the spinal cord to the brain. Motor NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION to the right side of the spinal cord and initiate a (efferent) impulses travel from the brain down response to the right side of the body. Because the spinal cord and exit from motor nerve roots of this crossover effect, damage on one side of (anterior roots) at the front of the spinal cord. the brain typically causes manifestations on the Motor nerve fibers then carry impulses to the opposite side of the body. voluntary muscles of the&body. © Jones & Bartlett Learning, LLC © Jones Bartlett Learning, LLC The inner gray matter of the spinal cord, which Many types of neurons work together transmit NOT FOR SALE OR DISTRIBUTION NOT FOR SALE ORtoDISTRIBUTION is composed of cell bodies and unmyelinated neuimpulses through the spinal cord. Sensory impulses rons, acts as a coordinating center for reflex and entering the spinal cord at the lumbar region are other activities, such as voluntary movements and relayed vertically to the brain through a number control of internal functions. A reflex center in of connecting sensory neurons. Motor impulses Jones & BartletttheLearning, LLC © Jones & brain Bartlett LLChowever, gray matter of the spinal cord is where senfrom the to the Learning, peripheral nerves, soryDISTRIBUTION and motor neurons connect; this part of the conducted through two separate categories of OT FOR SALE OR NOTare FOR SALE OR DISTRIBUTION spinal cord serves as a center for spinal reflexes. motor neurons. Upper motor neurons originate A reflex can be defined as an automatic response in the brain and are contained entirely within the to a given stimulus. Spinal reflexes control not central nervous system. Lower motor neurons, only muscle reflexes but also the reflexes of inalthough originating in the central nervous sys© Jones & Bartlett Learning, LLC ©peripheral Jones nerves & Bartlett Learning ternal organs. tem, have fibers extending to the NOT FOR SALE OR DISTRIB NOT FOR SALE OR DISTRIBUTION The gray matter within the spinal cord resembles in voluntary muscles. Alteration of function of the letter “H.” The projections of the H are named either upper or lower motor neurons can generally according to the direction to which they project. affect the voluntary muscles. The location of the The posterior horns extend toward the back, and alteration of function determines the nature of the the anterior horns project toward the front. Ceremanifestations. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC brospinal fluid, which nourishes and protects the NOT spinal FOR cord, SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION fills both the central canal, located Structure and Function of the Peripheral within the center of the gray matter, and the subNervous System arachnoid space surrounding the outer portion of A nerve is a bundle of fibers outside the central the spinal cord. nervous thatLearning, transmits information Motor (efferent) impulses originate in the moJones & Bartlett Learning, LLC © Jones & system Bartlett LLC between the central nervous system and various tor cortex of the brain, extend down the spinal cord OT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION parts of the body. The peripheral nervous systhrough descending tracts, and exit through motor tem consists of all nerves that extend from the spinal nerve roots that extend through openings brain and spinal cord. To function effectively, between the vertebrae that surround the spinal the peripheral nerves must be connected to the cord. Sensory (afferent) impulses from the body central nervous system. Some© peripheral enter the spinal cord through spinal nerveLearning, roots that © Jones & Bartlett LLC Jones nerves & Bartlett Learning connect directly to the brain (cranial nerves); also extend NOT through openings between vertebrae NOT FOR SALE OR DISTRIB FOR SALE OR DISTRIBUTION others connect directly to the spinal cord (spinal and then travel up ascending tracts in the spinal nerves). Cranial and spinal nerves are essential cord to the brain. links between the rest of the body and the cenSpinal nerve roots are named for the vertetral nervous system. bral level from which they exit. For example, © Jones & Bartlett LLC © Jones & Bartlett Learning, LLC The 12 pairs of peripheral nerves that connect the nerve roots thatLearning, leave the spinal cord at the NOT cervical FOR SALE ORlabeled DISTRIBUTION NOT FORdirectly SALEtoOR DISTRIBUTION and transmit messages the brain are level are C1 through C8, and called cranial nerves. Some cranial nerves contain the nerve roots that leave at the thoracic level only sensory fibers, whereas others contain both are labeled T1 through T12 (see Figure 3-5). sensory and motor fibers. Cranial nerves mediate The sensory (afferent) nerve fibers from outside Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 39 28/10/16 12:18 PM © Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC 40 Chapter 3 • Introduction to the Structure and Function of the Nervous System NOT FOR SALE OR DISTRIBUTION OT FOR SALE OR DISTRIBUTION Figure 3-5 Spinal Nerves © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Cervical nerves (8 pairs) Cervical cord Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Thoracic cord © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Cauda Thoracic nerves (12 pairs) © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © JonesLumbar & Bartlett Learning, LLC nerves NOT FOR SALE OR DISTRIBUTION (5 pairs) equina Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION Sacral nerves (5 pairs) © Jones & Bartlett Learning, LLC Coccygeal NOT FOR SALE OR DISTRIBUTION nerve © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION many aspects of sensation and muscular activity in and around the head and neck. Cranial nerves and their related functions are described in Table 3-2. © JonesThe & Bartlett LLCthat con31 pairs ofLearning, peripheral nerves NOT nect FOR DISTRIBUTION andSALE transmitOR messages directly to the spinal cord are called spinal nerves. Each nerve divides and then subdivides into a number of branches. Nerves at each level travel to specific parts of the Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB body, conveying information between those areas and the central nervous system. Spinal nerves and their related functions are described in Figure 3-5. © Jones & Bartlett Learning, LLC Nerves control both voluntary and involuntary FOR SALE OR DISTRIBUTION functions inNOT the body. Nerves that control voluntary functions (such as movement of the muscles in the extremities) are called somatic nerves. Nerves that are concerned with the control of © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 40 28/10/16 12:18 PM © Jones & Bartlett Learning, LLC Bibliography 41 NOT FOR SALE OR DISTRIBUTION Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION Table 3-2 Cranial Nerves and Related Functions Cranial Nerve Area of Function II. Optic Vision III. Oculomotor Movement of eye muscles IV. Trochlear Eyelids V. Trigeminal Sensation in head, face, and teeth, motor activity of chewing © Jones & Bartlett Learning, LLC I. Olfactory Smell NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC VI. Abducens Pupil dilation, focusing of lens NOT VII. FORFacial SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Taste, sensation of external ear, control of salivary glands, tears, muscles in facial expression VIII. Vestibulocochlear Sensation of sound, balance, orientation of head IX. Glossopharyngeal Swallowing, sensation of pain, taste, touch from tongue and throat Jones & BartlettX. Vagus Learning, LLC OT FOR SALE OR DISTRIBUTION XI. Accessory ©speech, Jones & Bartlett Learning, LLC respiratory function, gland functions Heartbeat, digestion, swallowing, FOR muscles SALEofOR DISTRIBUTION Movement of head NOT and shoulders, pharynx and larynx in throat, production of voice sounds Tongue movement, speech, swallowing XII. Hypoglossal © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning involuntaryNOT functions are part of a subcategory of The sympathetic nervous system acNOT becomes FOR SALE OR DISTRIB FOR SALE OR DISTRIBUTION the peripheral nervous system called the autonomic tive during periods of stress and in emergencies. nervous system. It prepares the body for action, deepening respiThe autonomic nervous system integrates the rations, making the heart beat faster, dilating the work of vital organs, such as the heart and lungs. pupils, stimulating production of stress hormones, © Jones & Bartlett LLC © Jones & Bartlett Learning, LLC Its primary functionLearning, is to coordinate the activity and increasing blood supply to the large muscles NOT of FOR SALE DISTRIBUTION internal organsOR so that they can make adaptive of the body.NOT FOR SALE OR DISTRIBUTION responses to changing external situations, thereby In contrast, the parasympathetic nervous sysmaintaining internal equilibrium. Nerve fibers tem dominates when the body is a rest. It activates monitor the activities of internal organs as well as those mechanisms that focus on body conservation, changes in the external environment. When changes such as decreasing the heart rate and constricting Jones & BartlettareLearning, © Jones & Bartlett Learning, LLCnervous necessary toLLC maintain internal homeostasis the pupils of the eye. The parasympathetic OT FOR SALE OR DISTRIBUTION NOTsystem FOR isSALE DISTRIBUTION (equilibrium) or to protect the body, the autonomic also an OR important component of sexual nervous system stimulates an immediate, involunarousal in both males and females. tary response. For example, in response to a speck of dust in the eye, tears are produced; in response Bibliography to a fearful situation, the heart beats faster. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning The autonomic nervous system is divided into Falvo, R. E. (2001). Human physiology: Physiology 201 core NOT FOR SALE OR DISTRIBUTION curriculum. Champaign, IL: Stipes.NOT FOR SALE OR DISTRIB two subsystems: Sherwood, L. (2007). Human physiology: From cells to systems. (6th ed.). Australia: Thomson Brooks/Cole • The sympathetic nervous system • The parasympathetic nervous system two systems work both together © JonesThese & Bartlett Learning, LLC and in to control organs and regulate NOT opposition FOR SALE OR internal DISTRIBUTION their function. Hormones and emotions can affect both systems. Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION Tortora, G. J., & Derrickson, B. H. (Eds.). (2011). Principles of anatomy and physiology (13th ed.). Hoboken, NJ: & Bartlett Learning, John Wiley © andJones Sons LLC NOT DISTRIBUTION Widmaier, E., Raff, H., FOR & Strang,SALE K. (Eds.).OR (2010). Vander’s human physiology: The mechanisms of body function. New York, NY: McGraw-Hill. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284105407_CH03_Falvo.indd 41 28/10/16 12:18 PM Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Jones & Bartlett Learning, LLC OT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning NOT FOR SALE OR DISTRIB © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. 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