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By the end of this section, you will be able to:
  • Describe the arrangement of sensory and motor regions in the spinal cord
  • Relate damage in the spinal cord to sensory or motor deficits
  • Differentiate between upper motor neuron and lower motor neuron diseases
  • Describe the clinical indications of common reflexes

Connections between the body and the CNS occur through the spinal cord. The cranial nerves connect the head and neck directly to the brain, but the spinal cord receives sensory input and sends motor commands out to the body through the spinal nerves. Whereas the brain develops into a complex series of nuclei and fiber tracts, the spinal cord remains relatively simple in its configuration ( [link] ). From the initial neural tube early in embryonic development, the spinal cord retains a tube-like structure with gray matter surrounding the small central canal and white matter on the surface in three columns. The dorsal, or posterior, horns of the gray matter are mainly devoted to sensory functions whereas the ventral, or anterior, and lateral horns are associated with motor functions. In the white matter, the dorsal column relays sensory information to the brain, and the anterior column is almost exclusively relaying motor commands to the ventral horn motor neurons. The lateral column, however, conveys both sensory and motor information between the spinal cord and brain.

Locations of spinal fiber tracts

This image shows the spinal fiber tracts connecting the brain and the spinal cord.

Sensory modalities and location

The general senses are distributed throughout the body, relying on nervous tissue incorporated into various organs. Somatic senses are incorporated mostly into the skin, muscles, or tendons, whereas the visceral senses come from nervous tissue incorporated into the majority of organs such as the heart or stomach. The somatic senses are those that usually make up the conscious perception of the how the body interacts with the environment. The visceral senses are most often below the limit of conscious perception because they are involved in homeostatic regulation through the autonomic nervous system.

The sensory exam tests the somatic senses, meaning those that are consciously perceived. Testing of the senses begins with examining the regions known as dermatomes that connect to the cortical region where somatosensation is perceived in the postcentral gyrus. To test the sensory fields, a simple stimulus of the light touch of the soft end of a cotton-tipped applicator is applied at various locations on the skin. The spinal nerves, which contain sensory fibers with dendritic endings in the skin, connect with the skin in a topographically organized manner, illustrated as dermatomes ( [link] ). For example, the fibers of eighth cervical nerve innervate the medial surface of the forearm and extend out to the fingers. In addition to testing perception at different positions on the skin, it is necessary to test sensory perception within the dermatome from distal to proximal locations in the appendages, or lateral to medial locations in the trunk. In testing the eighth cervical nerve, the patient would be asked if the touch of the cotton to the fingers or the medial forearm was perceptible, and whether there were any differences in the sensations.

Questions & Answers

what is endocrin?
Asim Reply
why should there be an inhibition to the process of gastric production in the intestinal phase
Gloria
endocrine is a system through which the secretions of cell directly poured into blood.
Tanveer
why should there be an inhibition to the process of gastric production in the intestinal
Gloria Reply
what is a stimuli
Emily Reply
environment factor that cause a cell to respond
Quran
name the two types of melanin
Laila Reply
deference between RNA and DNA
Ali
.DNA stands for Deoxyribonucleic Acid. The sugar portion of DNA is 2-Deoxyribose.RNA stands for Ribonucleic Acid.  The sugar portion of RNA is Ribose.2.The helix geometry of DNA is of B-Form (A or Z also present).The helix geometry of RNA is of A-Form.3.DNA is a double-stranded molecule consisting o
ryaisha
DNA consists of nucleotide but RNA consists of nucleoside DNA is double standard but RNA is single standard.In DNA at the nitrogen bases adinine,guanine,cytocin and thymine is present but in case of RNA instead of thymine uracil is present.
Tanveer
what are rdna
Budumari
what is a heart
walker Reply
A heart is an organ in the circulatory system that pumps blood throughout the systemic regions
bernard
what is anatomy
Aisha
Anatomy is the study of internal and external structures and the relationship among body parts. (the study of structure).
Tomi
what is the physiology of the heart
nadine
guys help me with a pathophysiology of asthma
Luyando
asthma is a lungs related disorder in which there is difficulty in breathing due to some allergic factors, their is inflamation of alveoli of respiratory part of lungs.also decreases the surface area.
Tanveer
what is meaning of brain strock and its types?
Tanveer
the pathophysiology of asthma is complex and involves airway inflammation and bronchial hyperresponsiveness pathogenesis of asthma
Omkar
skin infection please explain
Hamza Reply
what is malignant melanoma
Akon Reply
cancerous cells 🙄
Sohan
yes benign is non-cancerous malignant is cancerous.
Joseph
that's a simple way of explaining it however you're different processes like mitosis etc a person can be at risk for developing cancer etc
Joseph
you can tell by an unusual growth of a mole, or change in size coloration with melanoma. which is abnormal growth of your squamous cells.
Joseph
Types of wandering connective tissues
Hassan Reply
what are the meaning of skin
PASHALINA Reply
study of external structure of human body is known as anatomy
VINAY Reply
what is Tau?
Vicki Reply
what is sliva
Saqlain Reply
what is gross
Kiran Reply
Describe the characteristics of tissue lining the respiratory passage way
arach Reply
please are they two types of antigens? one is foreign material and the other is a protein.... Please enlighten me cos i don't get it
shakainah Reply

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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