PHTY100 Lecture Notes - Lecture 9: Adductor Magnus Muscle, Femoral Triangle, Gluteus Medius Muscle

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scarletcheetah761

6 Jun 2018

School

ACU

Course

PHTY100

Professor

Cath Jamerson

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Nerve Supply of the Lower Limb

9.1 Deﬁne the following terms

•Spinal cord

-cylindrical bundle of nerve ﬁbres and associated tissue which is enclosed in the spine, forming

CNS

•Ventral ramus

-distributed to the muscles of the anterior and lateral trunk, and the corresponding skin

-anterior division of a spinal nerve

-supply the anterolateral parts of the trunk and limbs

•Dorsal ramus

-distributed to the muscles of the back, and the skin covering those muscles

-posterior division of spinal nerve

-emerge after the nerve emerges from the intervertebral foramen

-carries information that supplies muscles and sensation to the back

•Motor nerve

-Nerve carrying impulses from the brain or spinal cord to a muscle or gland

-transmit information that controls the activity of muscle and glands

•Sensory nerve

-(afferent) nerve that carries sensory information toward the CNS

- transmit information about conditions inside and outside the body

•Mixed nerve

-carries motor, sensory and autonomic signals between the spinal cord and the body- spinal

nerves

•Root value

-the sector or sectors of the spinal cord from which a nerve originates

9.2 Describe the nerves roots which comprise the lumbar and lumbosacral plexes

Lumbar plexus Lumbosacral plexus

9.3 Identify the following branches of the lumbar and lumbosarcral plexes on the anterior

spinal cord model and specimens and describe their distribution

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•Lumbar plexus

•femoral

-ant. division supplies sartorious and gives med. and lat. branches of ant. Cutaneous nerve

of thigh

•obturator

-ant. branch sends branches to adductor longus, gracilis, adductor braves and pectineus

-Sensory to skin on med. side of thigh

•lateral femoral cutaneous

-ant. branch supplies anterolateral surface of thigh as far as knee

-post. branch supplies lat. prox. 2/3 of thigh below greater trochanter

•genitofemoral

-genital branch supplies cremaster then sensory to skin of scrotum

-femoral branch supplies skin over upper part of femoral triangle

•Lumbosacral plexus

•superior gluteal

-superior supplies gluteus medius

-inferior supplies gluteus medius and minimus and TFL

•inferior gluteal

-supplies gluteus maximus

•sciatic

-gives articular branches to knee joint

-splits into common ﬁbular (peroneal) and tibial nerves

-gives muscular branches to semitendinosus, semimebranosus, biceps Deloris and adductor

magnus

•posterior femoral cutaneous

-supplies skin of lower part of buttock, post. aspect of thigh, popliteal fossa and upper calf

9.4 State the root value of the femoral, obturator and sciatic nerves

•Femoral

-formed by post. divisions of L2-4 nerves

•Obturator

-formed by ant. divisions of L2-4 nerves unite within psoas major

•Sciatic

-formed by ventral rami L4,5, S1-3

9.5 For each of the following nerves,

identify the nerve and describe its

course through the lower limb, and

describe it sensory and motor

distribution:

•saphenous

-longest branch of femoral nerve

-supplies skin and fascia of front and

side of knee, leg and foot

•tibial

•common peroneal

•sural

•superﬁcial peroneal

•deep peroneal

•medial plantar

•lateral plantar

9.6 State the innervation of the following

joints, and develop a general rule for the

nerve supply of joints:

•Hip

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Document Summary

9. 1 de ne the following terms: spinal cord. Cylindrical bundle of nerve bres and associated tissue which is enclosed in the spine, forming. Distributed to the muscles of the anterior and lateral trunk, and the corresponding skin. Supply the anterolateral parts of the trunk and limbs: dorsal ramus. Distributed to the muscles of the back, and the skin covering those muscles. Emerge after the nerve emerges from the intervertebral foramen. Carries information that supplies muscles and sensation to the back: motor nerve. Nerve carrying impulses from the brain or spinal cord to a muscle or gland. Transmit information that controls the activity of muscle and glands: sensory nerve. (afferent) nerve that carries sensory information toward the cns. Transmit information about conditions inside and outside the body: mixed nerve. Carries motor, sensory and autonomic signals between the spinal cord and the body- spinal nerves: root value. The sector or sectors of the spinal cord from which a nerve originates.

Related Questions

#1 Visceral sensory information enters the CNS on afferent fibers within

A) dorsal roots S_2 to S_4.

B) dorsal roots T_1 to L_2.

C) cranial nerves V, VII, IX, and X.

D) both B and C

E) A, B, and C

#2 Which of the following is not a function of the neuroglia?

A) support

B) memory

C) phagocytosis

D) secretion of cerebrospinal fluid

E) maintenance of blood-brain barrier

#3 Mary is in an automobile accident and suffers a spinal cord injury. She has lost feeling in her lower

body. Her doctor tells her that swelling is compressing a portion of her spinal cord. Which part of

her cord is likely to be compressed?

A) the anterior gray commissures

B) the anterior white commissures

C) the anterior gray horns

D) ascending tracts

E) descending tracts

#4 The efferent division of the peripheral nervous system innervates:

A) skeletal muscle cells

B) glandular cells

C) smoothmusdecells

D) heart muscle cells

E) all of the above

#5 Cerebrospinal fluid flows within the

A) pia mater.

B) dura mater.

C) filum terminale.

D) arachnoid mater.

E) subarachnoid space.

#6 A patient develops a tumor of a cranial nerve that leads to difficulty in speaking from a loss of

tongue movement.which cranial nerve is affected?

A) glossopharyngeal

B) vagus

C) spinal accessory

D) hypoglossal

E) trigeminal

#7 Parkinson disease is the result of

A) inadequate production of dopamine by substantia nigra neurons.

B) inadequate production of GABA by neurons in the basal nuclei.

C) weak response of the red nuclei of the mesencephalon.

D) decreased levels of acetylcholine from neurons in the substantia nigra.

E) hyperactivity of the limbic system.

#8 Based on the motor homunculus, which of the followingbody regions has the largest motor units?

A) larynx B) hands C) tongue D) face E) back

#9 If the corpus callosum is surgically cu!

A) conscious decisions are made without regard to sensations from the left side.

B) objects toudred by the left hand can be recognized but not verbally identified.

C) symptoms of the "disconnection syndrome" appear.

D) the two cerebral hemispheres operate independently.

E) all of the above

#10 The flexor reflex

A) moves a limb away from a painful stimulus.

B) is an example of a monosynaptic reflex.

C) prevents a musde from generating damaging tension.

D) usually depends on cranial neurons.

E) prevents a muscle from overstretching.

#11 The subdural space lies between

A) the dura mater and the arachnoid mater.

B) the arachnoid mater and the pia mater.

C) the endosteum and the periosteum.

D) the pia mater and the dura mater.

E) the pia mater and the subarachnoid space.

#12 _____ is a condition resulting from an inflammation of a facial nerve.

A) Cerebral palsy

B) Addison disease

C) Bell palsy

D) any of the

#12 Clusters of RER and free ribosomes in neurons are called

A) microglia.

B) neurofilaments.

C) neurofibrils.

D) Nisslbodies.

E) perikaryon.

#1 Visceral sensory information enters the CNIS on afferent fibers within

A) dorsal roots 52 to 54.

B) dorsal roots T1 to L2.

C) cranial nerves V VIL DC and X.

D) bothB and C

E) a, n, and C

#2 Which of the following is not a function of the neuroglia?

A) support

B) memory

C) phagocytosis

D) secretion of cerebrospinal fluid

E) maintenance of blood-brain barrier

#3 Mary is in an automobile accident and suffers a spinal cord injury. She has lost feeling in her lower

body. Her doctor tells her that swelling is compressing a portion of her spinal cord. Which part of

her cord is likely to be compressed?

A) the anterior gray commissures

B) the anterior white commissures

C) the anterior gray horns

D) ascending tracts

E) descending tracts

#4 The efferent division of the peripheral nervous system innervates:

A) skeletal muscle cells

B) glandular cells

C) smoothmusdecells

D) heart muscle cells

E) all of the above

#5 Cerebrospinal fluid flows within the

A) pia mater.

B) dura mater.

C) filum terminale.

D) arachnoid mater.

E) subarachnoid space.

#6 A patient develops a tumor of a cranial nerve that leads to difficulty in speaking from a loss of

tongue movement. IA/hich cranial nerve is affected?

A) glossopharyngeal

B) vagus

C) spinai accessory

D) hypoglossal

#7 Parkinson disease is the result of

A) inadequate production of dopamine by substantia nigra neurons.

B) inadequate production of GABA by neurons in the basal nuclei.

C) weak response of the red nuclei of the mesencephalon.

D) decreased levels of acetylcholine from neurons in the substantia nigra.

E) hyperactivity of the limbic system.

#8 Based on the motor homunculus, which of the followingbody regions has the largest motor units?

A) larynx B) hands C) tongue D) face E) back

#9 If the corpus callosum is surgically cu!

A) conscious decisions are made without regard to sensations from the left side.

B) objects toudred by the left hand can be recognized but not verbally identified.

C) symptoms of the "disconnection syndrome" appear.

D) the two cerebral hemispheres operate independently.

E) all of the above

#10 The flexor reflex

A) moves a limb away from a painful stimulus.

B) is an example of a monosynaptic reflex.

C) prevents a musde from generating damaging tension.

D) usually depends on cranial neurons.

E) prevents a muscle from overstretching.

#11 The subdural space lies between

A) the dura mater and the arachnoid mater.

B) the arachnoid mater and the pia mater.

C) the endosteum and the periosteum.

D) the pia mater and the dura mater.

E) the pia mater and the subarachnoid space.

#12 _____ is a condition resulting from an inflammation of a facial nerve.

A) Cerebral palsy

B) Addison disease

C) Bell palsy

D) any of the

#12 Clusters of RER and free ribosomes in neurons are called

A) microglia.

B) neurofilaments.

C) neurofibrils.

D) Nisslbodies.

E) perikaryon.

Answer question part a-d

Question part A

Diffusion Lab

Purpose: To investigate the diffusion of a substance across a semipermeable membrane.

Materials:

iodine (must be colored, clear won't work)

cornstarch/water solution

plastic sandwich bags (cheap is good)

beakers or clear plastic cups

Set-Up and Procedure
1. Fill beaker about halfway and put about ten drops of iodine.
2. Put about a teaspoon of starch and about 3 ounces of water in baggie and tie.
3. Make sure that it is water tight
4. Put the baggie in the beaker or glass and wait.
5. In about 15 minutes the solution in the baggie will turn blue/black. (purple)
This is a result of the iodine diffusing through the bag.
You should know that iodine is an indicator for starch. It turns blue/black in color.
Test it by dropping some iodine on a piece of white paper.

Questions and Conclusions :

Define permeability

To which substance is the plastic bag is permeable ?

Why did the iodine enter the bag ?

Why didn't the starch enter the beaker?

How is the plastic bag like the cell membrane?

Question part b

Reflex Lab

Procedures for Reflex Lab

In this lab we will test muscle stretch reflexes and cutaneous reflexes.

A partner is needed to be the subject for this lab.

Purpose: To test and observe normal muscle stretch and cutaneous reflexes.

Equipment: Reflex hammer,

Background: In the most narrow sense, a reflex is an involuntary, unpremeditated response by the body to an external stimulus. Reflexes allow reaction to a stimulus more quickly than would be possible if conscious thought were involved. A reflex can be described as a stimulus-response cycle. Most reflexes involve the brainstem or the spinal cord and do not require interaction from higher brain centers. The muscle stretch reflexes are the simplest reflexes. They involve the sensory neuron synapsing directly upon the motor neuron. They are sometimes called monosynaptic reflexes. They are also called spinal reflexes because the reflexive action does not require input from the brain. The other reflexes we will be testing in this lab are the cutaneous reflexes. They are also called superficial reflexes because the receptors are in the superficial areas of the body. They are more complex and require the message to go up the spinal cord to the brain and then back down to elicit the response. These can be used to test for CNS injury.

There are five components to a reflex; these components together are called the reflex arc. The components are as follows:

sensory receptor â receives the stimulus and generates an impulse (is usually a nerve ending)

afferent pathway â a neuron that carries the impulse from the receptor to a central integrating center

integrating center âthis is where the afferent component connects to the efferent component- this is in the CNS. One or more synapses must occur here. Interneurons are not involved in stretch reflexes but are always found in all other types of reflexes.

efferent pathway - a neuron that carries the impulse from the integrating center to an effector.

effector -receives the impulse and responds. The effector may by skeletal muscle, smooth muscle, or glands.

For more information please read chapter 12 : "Muscle" ( Pages 380-390) in Human Physiology book ( 12th edition by Stuart Ira Fox)

Part I. Stretch reflexes.

First do muscle stretch reflexes which are also called deep tendon reflexes.

It is important the subject relax the muscle being tested. Tell the subject to let the muscle go limp.

Rate each response according to the following scale:

+4 very brisk, hyperactive, large movement at joint.

+3 brisker than average, medium movement at joint

+2 average, small movement at joint

+1 somewhat diminished, very small or no movement at joint

0 no response

A. Patellar (also called the knee jerk reflex) â activation of femoral nerve. The receptor is located in the quadriceps muscle, the effector is the quadriceps muscle. The nerve ending is responding to the stretch of the muscle caused by striking the tendon.

1. A subject is allowed to sit comfortably on a table with knees dangling over the edge.

2. Using a reflex hammer (or substitute as described above) strike the patellar tendon just below the kneecap.

3. Observe the action caused by the reflex.

4. Record your results using the graded scale above.

B. Biceps Reflex â activation of the musculocutaneous nerve

1. Rest subjectâs left forearm along your left forearm.

2. Subjectâs hand should rest in or near the bend of your elbow.

3. Press your left thumb on the subjectâs biceps tendon, apply a little pressure.

4. Strike your thumb with the reflex hammer, this will transfer the pressure to the biceps tendon.

5. Watch carefully for twitching of the biceps muscle. Usually, the forearm will not move.

6. Record your results using the graded scale above.

C. Triceps reflex â activation of the radial nerve.

This is a difficult reflex to observe, but give it a try.

1. The subject should have the arm relaxed and elbow bent.

2. Support the entire weight of the arm with your left hand.

3. Strike the triceps tendons, just above the elbow.

4. Watch carefully for twitching of the biceps muscle.

5. Record your results using the graded scale above.

Both B and C show up best on someone who doesnât have a lot of subcutaneous fat and who has good muscle definition.

D. Achilles reflex (also called ankle-jerk reflex) â activation of the poplitealnerve. The principle is similar to the knee-jerk reflex. Here the stretch receptors are located in the gastrocnemius muscle.

1. Have the subject take her/his shoes and socks off, exposing the Achilles tendon on the back of the ankle.

2. Strike the Achilles with the reflex hammer (or substitute) and observe the extension of the foot downward.

3. Record the results using the graded scale above.

Part II. Cutaneous reflexes

A. Plantar reflex

This reflex differs from the four muscle stretch reflexes. In this reflex, receptors are stimulated in the sole of the foot (cutaneous receptors). The reflex pathway travels up the leg to the integrating center. While in the integrating center, the reflex travels up the spinal cord through the pyramidal tracts, which are nerve pathways between the spinal cord and brain.

1. The subject needs to lie on his or her back, with shoes and socks off.

2. Using the end of the handle of the reflex hammer, trace a path along the lateral side from heel to the little toe to the big toe.

3. Observe for the flexion (toe curling) which is recorded as a normal plantar reflex.

4. If the toes curl, this is called a Negative Babinski response and is normal. If the toes flare, then an abnormal response is recorded and is called a Positive Babinski response and indicates CNS damage.

5. Record the results.

B. Ciliospinal reflex â This reflexive pathway is from the skin to the thoracic spinal cord, through the sympathetic trunk, then to the dilator pupillae muscle of the eye. This is another test of the CNS.

1. Pinch the back of the subjectâs neck,

2. Watch pupils for a response.

3. A normal response is dilation of the pupil.

4. Record your results.

question part c

Homeostasis Lab - Heart Beat Regulation

This lab is designed to help explore the process of homeostasis as it applies to regulating heart rate. It also should help how a sampling process works.

Make two copies of the data sheet (or make your own) and paste them into your report.

1. Take a pulse for six seconds, record this number in the table below.

2. Every 15 seconds for the next three minutes, take a pulse again for six seconds, record each of these values.

3. Multiply each of these values by 10 to get the beats per minute.

4. Now average these numbers (this is the setpoint for the pulse at resting). Note the range of values (that is how far they can deviate from the set point).

5. The next step is to take a 30 second reading. Multiply this number by 2 to get beats per minute.

6. How does this compare to the setpoint?

7. Repeat steps 1 through 6 after running in place for 30 seconds. Record the same data.

8. After getting 8 readings, stop and plot these numbers on a piece of graph paper. The X-axis should be minutes and the Y-axis should be heart rate.(Don't forget to connect the points ). You can do this in Excel and then import it into Word. Or you can e-mail this to me.

Submit your lab report in the correct format.. Respond to the questions above. Explain WHY the results were what they were. Compare the resting and post-exercise and postulate explanations for the differences. You should have two data tables and one graph with your heart rate data from both tables on it in your report.

Time in seconds	Heart rate (bpm)
0 (initial recording)
15
30
45
60
75
90
105

question part d

What was one thing you found interesting, confusing or surprising about any of the lab activities? Why?

PHTY100 Lecture Notes - Lecture 9: Adductor Magnus Muscle, Femoral Triangle, Gluteus Medius Muscle

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