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Functions of the Nervous System |
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Transfer information from internal and external environment to the central nervous system.
CNS receives info - interpret/ analyze - initiate and regulate an appropriate response Sensory Neurons - Afferent Motor Neurons - Efferent |
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Anatomical unit of the nervous system |
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2 neurons= reflex arc
Functional unit of the nervous system |
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Classification of the Nervous System |
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CNS Brain - Gives rise to the cranial nerves Spinal Cord - Gives rise to spinal nn
PNS Cranial nerves - somatic, autonomic, special sense Spinal nerves - Somatic and autonomic |
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Afferent/ Efferent Body Wall and limbs Motor skeletal muscles Consciously controlled Balance with external environment |
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Afferent/Efferent Primarily with internal organs motor smooth muscle, cardiac muscle, and gladular tissue Unconsciously controlled Balance with internal environment |
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Sight, smell, auditory, and taste |
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Afferent/ Efferent Somatic, autonomic, and special sense Enter/ exit the brainstem 12 bilateral pairs of cranial nerves Work primarily with structures in the head |
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Afferent/ Efferent Somatic and Autonomic Enter and exit the spinal cord 31 bilateral pairs Body wall and limbs 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 2-3 coccygeal |
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Anterior rami of spinal nerves network together Innervate - skin and muscles of body wall and limbs sensory, motor, and autonomic 4 Plexuses Cervical Plexus (neck) Brachial Plexus (Upper Limb) Lumbar Plexus (Lumbosacral plexus) Sacral Plexus (Lumbosacral plexus) |
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Ventral/anterior rami of spinal cord L1-->S4 Innervate: sensory, motor, and autonomic Inferior/ posterior abdominal wall Pelvic viscera= urogenital viscera Perineum= Between the Legs (The taint) Gluteal Region Lower Limb |
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Anterior thigh Hip flexors Knee extensors |
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Medial thigh Hip adductors |
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Multiple nerve sources allow for some damage but still retain function Paresis - Partial loss of voluntary movement Paralysis - Total loss of voluntary movement |
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Posterior thigh Extend Hip Flex knee |
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Posterior leg Plantar flexors |
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Superficial and Deep fibular nerves Anterior and lateral leg Dorsi flexors |
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Flows away from the heart 40% of blood High pressure Low volume |
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Flows toward the heart 60% of blood Low pressure High volume |
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Vessels have side vessels (collateral vessels) that flow around joints. Where they meet is called anastomosis Collateral vessels and anastomosis detour blood around joints |
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Arterial Supply to the Lower Limb (to External Iliac Artery) |
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Definition
1. Heart 2. Aortic Arch 3. Descending aorta **Crosses Respiratory Diaphragm** 4. Adbominal aorta **Crosses L4 to L5 vertebrae** 5. Common Iliac arteries (bilateral) 6. Interanal Iliac Artery (Gluteal and Pelvic Regions) and External Iliac Artery (Lower Limb) |
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Arterial Supply to the Lower Limb (External Iliac Artery to Tibial Arteries) |
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Definition
1. External Iliac Artery
**Crosses Inguinal Ligament**
2. Femoral Artery
>Profunda Femoris Artery (Posterior and Medial Thigh)
>Muscular Branches
**Crosses through Adductor Hiatus**
3. Popliteal Artery
Genicualar Arteries (collateral, surround thet knee)
4. Posterior Tibial Artery OR
**Popliteal crosses through Interosseus Membrane**
4. Anterior Tibial Artery |
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Arterial Supply to the Lower Limb
(Posterior Tibial Artery to Digital Arteries) |
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Definition
1. Posterior Tibial Artery (Posterior leg)
>Fibular Artery (lateral leg)
**Crosses onto Plantr surface of the foot**
2. Medial and lateral Plantar Arteries
**Lateral Plantar Artery curves**
3. Plantar Arch Artery (can communicate with the Arcuate Artery)
4. Metatarsal Arteries
5. Digital Arteries |
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Arterial Supply to the Lower Limb
(Anterior Tibial Artery to Digital Arteries) |
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Definition
1. Anterior Tibial Artery (Anterior leg)
** Crosses ankle joint**
2. Dorsal Pedos Artery
**curve**
3. Arcuate Artery (can communicate with the Plantar Arch Artery)
4. Metatarsal Arteries
5. Digital Arteries |
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Venous Return of the Lower Limb |
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Definition
Veins have 1 way valves that only allow blood to flow toward the heart, not away.
Deep set veins have same name as their accompanying artery (e.g. Femoral Vein and Femoral Artery)
Venae Comitantes - Vein pairs that run alongside an artery to take advantage of arterial pressure to push blood up. Not all arteries have Venae Comitantes |
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Great Saphenous Vein Dorsum of the foot-->ascends medial leg and thigh-->dumps into femoral vein
Small Saphenous Vein Dorsum of foot-->ascends posterior aspect of the leg-->dumps into the popliteal vein |
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Region Posterior - Iliac Crest-->Gluteal Fold Anterior - Iliac Crest-->Greater Trochanter of the Femur Bones - Hip Bones (Ilium, Ischium, Pubis) |
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Region Posterior - Gluteal Fold-->Knee Anterior - Inguinal Ligament-->Knee Bones - Femur |
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Region Distal Thigh-->Proximal Leg Bones - Distal end of femur, proximal ends of the Tibia and fibula, patella |
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Region Knee-->Ankle Bones - Tibia, Fibula |
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Region Distal Tibia and Fibual and Talus-->Foot Bones - Tarsals |
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Region Ankle Down Bones - Metatarsals and Phalanges |
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Auricular of sacrum with auricular surface of the Ilium Nonaxial Saroiliac ligaments |
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Connects the two Pubis bones |
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Head of femur and acetabulum Synovial Joint Multiaxial (ball and socket) Rim of cartilage around the acetabulum - acetabular labrum |
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A: Posterior Ilium/ Sacrum B:Gluteal Tuberosity ActionHip extensor, hip abductor, lateral rotator of the hip, limit hip flexion (function during walking) Inn: Inferior gluteal nerve |
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A:Iliac Crest B: Iliotibial Tract (fascia latae) Action: Hip flexor, medial rotator, abduction of the hip Inn: Superior gluteal nerve |
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Gluteus Medius (Lesser Gluteals) |
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Definition
A: Superior Lateral Ilium B:Greater Trochanter Action: Hip abduction Inn: Superior Gluteal Nerve
**Limits Hip adduction** |
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Gluteus Minimus (Lesser Gluteals) |
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Definition
A: Lateral Superior Ilium B: Greater Trochanter Action: Hip abductor Inn: Superior Gluteal Nerve
*Deepest Gluteal* **Limits hip adduction** |
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Inferior to Gluteus Minimus As deep as Gluteus Minimus Start and end in the hip
Piriformus Obturator Internus Superior/Inferior Gemelli Quadratis Femoris |
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A: Anterior Sacrum B: Greater Trochanter Action: lateral rotator
**Proprioception - give sensory information on where the hip is in space** |
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A: Interior of Obturator Foramena B: Greater Trochanter Action: Lateral Rotation
**Proprioception - give sensory information on where the hip is in space** |
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A: Ischial Tuberosity B: Intertrochanteric Crest Action: Lateral Rotation |
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Superior and Inferior Gemelli |
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A: Ischium B: Tendon of Obturator Internus Action: Lateral Rotation **Proprioception - give sensory information on where the hip is in space** |
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Movement of Synovial Joints |
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Uniaxial - 1 axis of movement Biaxial - 2 axes of movement Multiaxial - 3 or more axes of movement Nonaxial - Gliding |
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Hinge - flexion and extension
Pivot - rotation |
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L5-->S1 Cartilaginous Joint Limits movements between L5 and S1 Held together by Iliolumbal Ligaments Lumbar-->Ilium |
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Ball and Socket - Flexion & Extension, Abduction & Adduction, rotation
Saddle - Opposition |
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Condyloid - Flexion & Extension, Abduction & Adduction Circumduction
Ellipsoid - Flexion & Extension, Abduction & Adduction Circumduction |
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