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14 - The Somatic Nervous System

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14 - The Somatic Nervous System

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14 | THE SOMATIC

NERVOUS SYSTEM
•After studying this chapter, you will be able to:

• Describe the components of the somatic nervous system


• Name the modalities and sub modalities of the sensory systems
• Distinguish between general and special senses
• Describe regions of the central nervous system that contribute to somatic
functions
• Explain the stimulus-response motor pathway
Special senses (Ch. 8)
Stimulation of specialized receptors in sensory organs or
tissues gives rise to the sensations of sight, hearing, The special senses of hearing, sight, smell and taste all
balance, smell and taste. Although these senses are have specialised sensory receptors that collect and
usually considered to be separate and different from each transmit
other, one sense is rarely used alone (Fig. 1.11). For information to specific areas of the brain. Incoming
example, when the smell of smoke is perceived then other nerve impulses from sensory receptors in the ears, eyes,
senses such as sight and sound are used to try and locate nose and mouth are integrated and coordinated within
the source of a fire. Similarly, taste and smell are closelythe brain allowing perception of this sensory information.
associated in the enjoyment, or otherwise, of food. The Up to 80% of what we perceive comes from external
brain collates incoming information with information sensory stimuli. The first sections of this chapter explore
from the memory and initiates a response by setting up the special senses, while the later ones consider the effect
electrical impulses in motor (efferent) nerves to effector of ageing and problems that arise when disorders occur
organs, muscles and glands. Such responses enable the in the structures involved in hearing and vision
individual to escape from a fire, or to subconsciously
prepare the digestive system for eating
Sensory receptors
Specialised endings of sensory neurones respond to different
stimuli (changes) inside and outside the body.
Somatic, cutaneous or common senses. These originate
from the skin. They are: pain, touch, heat and cold.
Sensory nerve endings in the skin are fine branching filaments
without myelin sheaths (see Fig. 14.4, p. 364).
When stimulated, an impulse is generated and transmitted
by the sensory nerves to the brain where the sensation
is perceived.
Proprioceptor senses. These originate in muscles and
joints. Impulses sent to the brain enable perception of the
position of the body and its parts in space maintaining
posture and balance (see Ch. 16).
Special senses. These are sight, hearing, balance, smell
and taste (see Ch. 8).
Autonomic afferent nerves. These originate in internal
organs, glands and tissues, e.g. baroreceptors involved in
the control of blood pressure (Ch. 5), chemoreceptors
involved in the control of respiration (Ch. 10), and are
The somatic nervous system is traditionally considered a division within the peripheral nervous system. However, this misses
an important point: somatic refers to a functional division, whereas peripheral refers to an anatomic division. The Chapter 14 |
The Somatic Nervous System 599 somatic nervous system is responsible for our conscious perception of the environment and
for our voluntary responses to that perception by means of skeletal muscles. Peripheral sensory neurons receive input from
environmental stimuli, but the neurons that produce motor responses originate in the central nervous system. The distinction
between the structures (i.e., anatomy) of the peripheral and central nervous systems and functions (i.e., physiology) of the
somatic and autonomic systems can most easily be demonstrated through a simple reflex action. When you touch a hot stove,
you pull your hand away. Sensory receptors in the skin sense extreme temperature and the early signs of tissue damage. This
triggers an action potential, which travels along the sensory fiber from the skin, through the dorsal spinal root to the spinal
cord, and directly activates a ventral horn motor neuron. That neuron sends a signal along its axon to excite the biceps brachii,
causing contraction of the muscle and flexion of the forearm at the elbow to withdraw the hand from the hot stove. The
withdrawal reflex has more components, such as inhibiting the opposing muscle and balancing posture while the arm is
forcefully withdrawn, which will be further explored at the end of this chapter. The basic withdrawal reflex explained above
includes sensory input (the painful stimulus), central processing (the synapse in the spinal cord), and motor output (activation
of a ventral motor neuron that causes contraction of the biceps brachii). Expanding the explanation of the withdrawal reflex
can include inhibition of the opposing muscle, or cross extension, either of which increase the complexity of the example by
involving more central neurons. A collateral branch of the sensory axon would inhibit another ventral horn motor neuron so
that the triceps brachii do not contract and slow the withdrawal down. The cross extensor reflex provides a counterbalancing
movement on the other side of the body, which requires another collateral of the sensory axon to activate contraction of the
extensor muscles in the contralateral limb. A more complex example of somatic function is conscious muscle movement. For
example, reading of this text starts with visual sensory input to the retina, which then projects to the thalamus, and on to the
cerebral cortex. A sequence of regions of the cerebral cortex process the visual information, starting in the primary visual
cortex of the occipital lobe, and resulting in the conscious perception of these letters. Subsequent cognitive processing results
in understanding of the content. As you continue reading, regions of the cerebral cortex in the frontal lobe plan how to move
the eyes to follow the lines of text. The output from the cortex causes activity in motor neurons in the brain stem that cause
14.1 | Sensory Perception
By the end of this section, you will be able to:

• Describe different types of sensory receptors


• Describe the structures responsible for the special senses of taste, smell, hearing, balance, and vision
• Distinguish how different tastes are transduced
• Describe the means of mechanoreception for hearing and balance
• List the supporting structures around the eye and describe the structure of the eyeball
• Describe the processes of phototransduction
• A major role of sensory receptors is to help us learn about the environment around us, or about the state of our internal
environment.
• Stimuli from varying sources, and of different types, are received and changed into the electrochemical signals
of the nervous system.
• This occurs when a stimulus changes the cell membrane potential of a sensory neuron.
• The stimulus causes the sensory cell to produce an action potential that is relayed into the central nervous system (CNS),
where it is integrated with other sensory information—or sometimes higher cognitive functions—to become a conscious
perception of that stimulus.
• The central integration may then lead to a motor response.

• Describing sensory function with the term sensation or perception is a deliberate distinction.
• Sensation is the activation of sensory receptor cells at the level of the stimulus.
• Perception is the central processing of sensory stimuli into a meaningful pattern.
• Perception is dependent on sensation, but not all sensations are perceived.

• Receptors are the cells or structures that detect sensations.


• A receptor cell is changed directly by a stimulus.
• A transmembrane protein receptor is a protein in the cell membrane that mediates a physiological change in a neuron,
most often through the opening of ion channels or changes in the cell signaling processes. Transmembrane receptors are
activated by chemicals called ligands.
• For example, a molecule in food can serve as a ligand for taste receptors.
• Other transmembrane proteins, which are not accurately called receptors, are sensitive to mechanical or thermal changes.
• Physical changes in these proteins increase ion flow across the membrane, and can generate an action potential or a
graded potential in the sensory neurons.
Sensory Receptors
Stimuli in the environment activate specialized receptor cells in the peripheral nervous system.

Different types of stimuli are sensed by different types of receptor cells.

Receptor cells can be classified into types on the basis of three different criteria: cell type, position, and function.

Receptors can be classified structurally on the basis of cell type and their position in relation to stimuli they sense.

They can also be classified functionally on the basis of the transduction of stimuli, or how the mechanical
stimulus, light, or chemical changed the cell membrane potential.
Structural Receptor Types

The cells that interpret information about the environment can be either

(1) a neuron that has a free nerve ending, with dendrites embedded in tissue that would receive a sensation;

(2) a neuron that has an encapsulated ending in which the sensory nerve endings are encapsulated in connective tissue
that enhances their sensitivity;

or (3) a specialized receptor cell, which has distinct structural components that interpret a specific type of stimulus
(Figure 14.2).

Ex:
The pain and temperature receptors in the dermis of the skin are examples of neurons that have free nerve endings.

Also located in the dermis of the skin are lamellated corpuscles, neurons with encapsulated nerve endings that respond
to pressure and touch.

The cells in the retina that respond to light stimuli are an example of a specialized receptor, a photoreceptor
Type Receptor cell types can be classified on the basis of their structure.
Sensory neurons can have either (a) free nerve endings or (b) encapsulated endings. Photoreceptors in the
eyes, such as rod cells, are examples of (c) specialized receptor cells. These cells release neurotransmitters onto
a
bipolar cell, which then synapses with the optic nerve neurons.
Another way that receptors can be classified is based on their location relative to the stimuli.

• An exteroceptor is a receptor that is located near a stimulus in the external environment, such as the
somatosensory receptors that are located in the skin.

• An interoceptor is one that interprets stimuli from internal organs and tissues, such as the receptors that
sense the increase in blood pressure in the aorta or carotid sinus.

• Finally, a proprioceptor is a receptor located near a moving part of the body, such as a muscle, that
interprets the positions of the tissues as they move.
Functional Receptor Types

 A third classification of receptors is by how the receptor transduces stimuli into membrane potential changes.

 Stimuli are of three general types.


1. Some stimuli are ions and macromolecules --that affect transmembrane receptor proteins when these chemicals diffuse
across the cell membrane.
2. Some stimuli are physical variations in the environment---- that affect receptor cell membrane potentials.
3. Other stimuli include the electromagnetic radiation from visible light. For humans, the only electromagnetic energy that
is perceived by our eyes is visible light.
Some other organisms have receptors that humans lack, such as the heat sensors of snakes, the ultraviolet light sensors of
bees, or magnetic receptors in migratory birds.

 Receptor cells can be further categorized on the basis of the type of stimuli they transduce.
1. Chemical stimuli can be interpreted by a chemoreceptor that interprets chemical stimuli, such as an object’s taste or
smell.
2. Osmoreceptors respond to solute concentrations of body fluids.
3. Additionally, pain is primarily a chemical sense that interprets the presence of chemicals from tissue damage, or similar
intense stimuli, through a nociceptor.
4. Physical stimuli, such as pressure and vibration, as well as the sensation of sound and body position (balance), are
interpreted through a mechanoreceptor.
5. Another physical stimulus that has its own type of receptor is temperature, which is sensed through a thermoreceptor
that is either sensitive to temperatures above (heat) or below (cold) normal body temperature.
Sensory Modalities
• are likely to list the five major senses—taste, smell, touch, hearing, and sight.
However, these are not all of the senses. The most obvious omission from this list is balance.
• Also, what is referred to
simply as touch can be further subdivided into pressure, vibration, stretch, and hair-follicle position, on the basis of the
type of mechanoreceptors that perceive these touch sensations.
• Other overlooked senses include temperature perception by thermoreceptors and pain perception by nociceptors.

Within the realm of physiology, senses can be classified as either general or specific.

general sense

A general sense is one that is distributed throughout the body and has receptor cells within the structures of other organs.

Mechanoreceptors in the skin, muscles, or the walls of blood vessels are examples of this type.

General senses often contribute to the sense of touch, as


described above, or to proprioception (body movement) and kinesthesia (body movement), or to a visceral sense, which
is most important to autonomic functions.
A special sense is one that has a specific organ devoted to it, namely the eye,
inner ear, tongue, or nose.
Each of the senses is referred to as a sensory modality. Modality refers to the way that information is encoded,
which is
similar to the idea of transduction. The main sensory modalities can be described on the basis of how each is
transduced.
The chemical senses are taste and smell. The general sense that is usually referred to as touch includes chemical
sensation
in the form of nociception, or pain. Pressure, vibration, muscle stretch, and the movement of hair by an external
stimulus,
are all sensed by mechanoreceptors. Hearing and balance are also sensed by mechanoreceptors. Finally, vision
involves the
activation of photoreceptors.
Listing all the different sensory modalities, which can number as many as 17, involves separating the five major
senses into
more specific categories, or submodalities, of the larger sense. An individual sensory modality represents the
sensation of
a specific type of stimulus. For example, the general sense of touch, which is known as somatosensation, can be
separated
into light pressure, deep pressure, vibration, itch, pain, temperature, or hair movement
Gustation (Taste)
Only a few recognized submodalities exist within the sense of taste, or gustation. Until recently, only four
tastes were recognized: sweet, salty, sour, and bitter. Research at the turn of the 20th century led to
recognition of the fifth taste, umami, during the mid-1980s. Umami is a Japanese word that means
“delicious taste,” and is often translated to mean savory. Very recent research has suggested that there may
also be a sixth taste for fats, or lipids.
Gustation is the special sense associated with the tongue. The surface of the tongue, along with the rest of
the oral cavity, is lined by a stratified squamous epithelium. Raised bumps called papillae (singular =
papilla) contain the structures for gustatory transduction. There are four types of papillae, based on their
appearance (Figure 14.3): circumvallate, foliate, filiform, and fungiform. Within the structure of the papillae
are taste buds that contain specialized gustatory receptor cells for the transduction of taste stimuli. These
receptor cells are sensitive to the chemicals contained within foods that are ingested, and they release
neurotransmitters based on the amount of the chemical in the food. Neurotransmitters from the
gustatory cells can activate sensory neurons in the facial, glossopharyngeal, and vagus cranial nerves.
Salty taste is simply the perception of sodium ions (Na+) in the saliva. When you eat something salty, the salt crystals
dissociate into the component ions Na+ and Cl–, which dissolve into the saliva in your mouth. The Na+ concentration
becomes high outside the gustatory cells, creating a strong concentration gradient that drives the diffusion of the ion into the
cells. The entry of Na+ into these cells results in the depolarization of the cell membrane and the generation of a receptor
potential.
Sour taste is the perception of H+ concentration. Just as with sodium ions in salty flavors, these hydrogen ions enter the
cell and trigger depolarization. Sour flavors are, essentially, the perception of acids in our food. Increasing hydrogen ion
concentrations in the saliva (lowering saliva pH) triggers progressively stronger graded potentials in the gustatory cells. For
example, orange juice—which contains citric acid—will taste sour because it has a pH value of approximately 3. Of course,
it is often sweetened so that the sour taste is masked.
The first two tastes (salty and sour) are triggered by the cations Na + and H+.

The other tastes result from food molecules binding to a G protein–coupled receptor. A G protein signal transduction system
ultimately leads to depolarization of the gustatory cell. The sweet taste is the sensitivity of gustatory cells to the presence of
glucose dissolved in the saliva. Other monosaccharides such as fructose, or artificial sweeteners such as aspartame
(NutraSweet™), saccharine, or sucralose (Splenda™) also activate the sweet receptors. The affinity for each of these
molecules varies, and some will taste sweeter than glucose because they bind to the G protein–coupled receptor differently.
Bitter taste is similar to sweet in that food molecules bind to G protein–coupled receptors. However, there are a number of
different ways in which this can happen because there are a large diversity of bitter-tasting molecules. Some bitter molecules
depolarize gustatory cells, whereas others hyperpolarize gustatory cells. Likewise, some bitter molecules increase G
protein activation within the gustatory cells, whereas other bitter molecules decrease G protein activation. The specific
response
depends on which molecule is binding to the receptor.
One major group of bitter-tasting molecules are alkaloids. Alkaloids are nitrogen containing molecules that are
commonly found in bitter-tasting plant products, such as coffee, hops (in beer), tannins (in wine), tea, and aspirin. By
containing toxic alkaloids, the plant is less susceptible to microbe infection and less attractive to herbivores.
Therefore, the function of bitter taste may primarily be related to stimulating the gag reflex to avoid ingesting
poisons.
Because of this, many bitter foods that are normally ingested are often combined with a sweet component to make them
more palatable (cream and sugar in coffee, for example). The highest concentration of bitter receptors appear to be in th
posterior tongue, where a gag reflex could still spit out poisonous food.

The taste known as umami is often referred to as the savory taste. Like sweet and bitter, it is based on the activation of G
protein–coupled receptors by a specific molecule. The molecule that activates this receptor is the amino acid L-glutamate.
Therefore, the umami flavor is often perceived while eating protein-rich foods. Not surprisingly, dishes that contain meat
are often described as savory.
Once the gustatory cells are activated by the taste molecules, they release neurotransmitters onto the dendrites of sensory
neurons. These neurons are part of the facial and glossopharyngeal cranial nerves, as well as a component within the
vagus nerve dedicated to the gag reflex.

The facial nerve connects to taste buds in the anterior third of the tongue. The glossopharyngeal nerve connects to taste
buds in the posterior two thirds of the tongue. The vagus nerve connects to taste buds in the extreme posterior of the
tongue, verging on the pharynx, which are more sensitive to noxious stimuli such
Olfaction (Smell)

Like taste, the sense of smell, or olfaction, is also responsive to chemical stimuli. The olfactory receptor neurons are located
in a small region within the superior nasal cavity (Figure 14.4). This region is referred to as the olfactory epithelium and
contains bipolar sensory neurons. Each olfactory sensory neuron has dendrites that extend from the apical surface of the
epithelium into the mucus lining the cavity. As airborne molecules are inhaled through the nose, they pass over the olfactory
epithelial region and dissolve into the mucus. These odorant molecules bind to proteins that keep them dissolved in the
mucus and help transport them to the olfactory dendrites. The odorant–protein complex binds to a receptor protein within
the cell membrane of an olfactory dendrite. These receptors are G protein–coupled, and will produce a graded membrane
potential in the olfactory neurons.
The axon of an olfactory neuron extends from the basal surface of the epithelium, through an olfactory foramen in the
cribriform plate of the ethmoid bone, and into the brain. The group of axons called the olfactory tract connect to the
olfactory bulb on the ventral surface of the frontal lobe. From there, the axons split to travel to several brain regions. Some
travel to the cerebrum, specifically to the primary olfactory cortex that is located in the inferior and medial areas of the
604 Chapter 14 | The Somatic Nervous System
This OpenStax
temporal lobe. Others project to structures within the limbic system and hypothalamus, where smells become associated
with long-term memory and emotional responses. This is how certain smells trigger emotional memories, such as the
smell
of food associated with one’s birthplace. Smell is the one sensory modality that does not synapse in the thalamus before
connecting to the cerebral cortex. This intimate connection between the olfactory system and the cerebral cortex is one
reason why smell can be a potent trigger of memories and emotion.
The nasal epithelium, including the olfactory cells, can be harmed by airborne toxic chemicals. Therefore, the olfactory
neurons are regularly replaced within the nasal epithelium, after which the axons of the new neurons must find their
appropriate connections in the olfactory bulb. These new axons grow along the axons that are already in place in the
cranial
nerve
Audition (Hearing)

Hearing, or audition, is the transduction of sound waves into a neural signal that is made possible by the structures of
the ear (Figure 14.5). The large, fleshy structure on the lateral aspect of the head is known as the auricle. Some sources
will also refer to this structure as the pinna, though that term is more appropriate for a structure that can be moved, such
as the external ear of a cat. The C-shaped curves of the auricle direct sound waves toward the auditory canal. The canal
enters the skull through the external auditory meatus of the temporal bone. At the end of the auditory canal is the tympanic
membrane, or ear drum, which vibrates after it is struck by sound waves. The auricle, ear canal, and tympanic membrane
are often referred to as the external ear. The middle ear consists of a space spanned by three small bones called the
ossicles. The three ossicles are the malleus, incus, and stapes, which are Latin names that roughly translate to hammer,
anvil, and stirrup. The malleus is attached to the tympanic membrane and articulates with the incus. The incus, in turn,
articulates with the stapes. The stapes is then attached to the inner ear, where the sound waves will be transduced into a
neural signal. The middle ear is connected to the pharynx through the Eustachian tube, which helps equilibrate air pressure
across the tympanic membrane. The tube is normally closed but will pop open when the muscles of the pharynx contract
during swallowing or yawning
The inner ear is often described as a bony labyrinth, as it is composed of a series of canals embedded within the temporal
bone. It has two separate regions, the cochlea and the vestibule, which are responsible for hearing and balance,
respectively.
The neural signals from these two regions are relayed to the brain stem through separate fiber bundles. However, these two
distinct bundles travel together from the inner ear to the brain stem as the vestibulocochlear nerve. Sound is transduced into
neural signals within the cochlear region of the inner ear, which contains the sensory neurons of the spiral ganglia. These
ganglia are located within the spiral-shaped cochlea of the inner ear. The cochlea is attached to the stapes through the oval
window.
The oval window is located at the beginning of a fluid-filled tube within the cochlea called the scala vestibuli. The scala
vestibuli extends from the oval window, travelling above the cochlear duct, which is the central cavity of the cochlea that
contains the sound-transducing neurons. At the uppermost tip of the cochlea, the scala vestibuli curves over the top of the
cochlear duct. The fluid-filled tube, now called the scala tympani, returns to the base of the cochlea, this time travelling
under the cochlear duct. The scala tympani ends at the round window, which is covered by a membrane that contains the
fluid within the scala. As vibrations of the ossicles travel through the oval window, the fluid of the scala vestibuli and scala
tympani moves in a wave-like motion. The frequency of the fluid waves match the frequencies of the sound waves (Figure
14.6). The membrane covering the round window will bulge out or pucker in with the movement of the fluid within the
scala tympani
A cross-sectional view of the cochlea shows that the scala
vestibuli and scala tympani run along both sides of the cochlear
duct (Figure 14.7). The cochlear duct contains several organs
of Corti, which tranduce the wave motion of the two scala
into neural signals. The organs of Corti lie on top of the basilar
membrane, which is the side of the cochlear duct located
between the organs of Corti and the scala tympani. As the fluid
waves move through the scala vestibuli and scala tympani,
the basilar membrane moves at a specific spot, depending on
the frequency of the waves. Higher frequency waves move
the region of the basilar membrane that is close to the base of
the cochlea. Lower frequency waves move the region of the
basilar membrane that is near the tip of the cochlea
The organs of Corti contain hair cells, which are named for the hair-like stereocilia extending from the cell’s
apical surfaces
(Figure 14.8). The stereocilia are an array of microvilli-like structures arranged from tallest to shortest. Protein
fibers tether
adjacent hairs together within each array, such that the array will bend in response to movements of the basilar
membrane.
The stereocilia extend up from the hair cells to the overlying tectorial membrane, which is attached medially
to the organ
of Corti. When the pressure waves from the scala move the basilar membrane, the tectorial membrane slides
across the
stereocilia. This bends the stereocilia either toward or away from the tallest member of each array. When the
stereocilia
bend toward the tallest member of their array, tension in the protein tethers opens ion channels in the hair cell
membrane.
This will depolarize the hair cell membrane, triggering nerve impulses that travel down the afferent nerve
fibers attached to
the hair cells. When the stereocilia bend toward the shortest member of their array, the tension on the tethers
slackens and
the ion channels close. When no sound is present, and the stereocilia are standing straight, a small amount of
tension still
exists on the tethers, keeping the membrane potential of the hair cell slightly depolarized.
Figure
As stated above, a given region of the basilar membrane will
only move if the incoming sound is at a specific frequency.
Because the tectorial membrane only moves where the basilar
membrane moves, the hair cells in this region will also
only respond to sounds of this specific frequency. Therefore, as
the frequency of a sound changes, different hair cells are
activated all along the basilar membrane. The cochlea encodes
auditory stimuli for frequencies between 20 and 20,000 Hz,
which is the range of sound that human ears can detect. The unit
of Hertz measures the frequency of sound waves in terms
of cycles produced per second. Frequencies as low as 20 Hz are
detected by hair cells at the apex, or tip, of the cochlea.
Frequencies in the higher ranges of 20 KHz are encoded by hair
cells at the base of the cochlea, close to the round and
oval windows (Figure 14.10). Most auditory stimuli contain a
mixture of sounds at a variety of frequencies and intensities
(represented by the amplitude of the sound wave). The hair cells
along the length of the cochlear duct, which are each
sensitive to a particular frequency, allow the cochlea to separate
auditory stimuli by frequency, just as a prism separates
visible light into its component colors.
Equilibrium (Balance)

Along with audition, the inner ear is responsible for encoding information about equilibrium, the sense of balance. A
similar mechanoreceptor—a hair cell with stereocilia—senses head position, head movement, and whether our bodies are
in motion. These cells are located within the vestibule of the inner ear. Head position is sensed by the utricle and saccule,
whereas head movement is sensed by the semicircular canals. The neural signals generated in the vestibular ganglion are
transmitted through the vestibulocochlear nerve to the brain stem and cerebellum.
The utricle and saccule are both largely composed of macula tissue (plural = maculae). The macula is composed of hair
cells surrounded by support cells. The stereocilia of the hair cells extend into a viscous gel called the otolithic membrane
(Figure 14.11). On top of the otolithic membrane is a layer of calcium carbonate crystals, called otoliths. The otoliths
essentially make the otolithic membrane top-heavy. The otolithic membrane moves separately from the macula in response
to head movements. Tilting the head causes the otolithic membrane to slide over the macula in the direction of gravity. The
moving otolithic membrane, in turn, bends the sterocilia, causing some hair cells to depolarize as others hyperpolarize. The
exact position of the head is interpreted by the brain based on the pattern of hair-cell depolarization
The semicircular canals are three ring-like extensions of the vestibule. One is oriented in the horizontal plane,
whereas
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the other two are oriented in the vertical plane. The anterior and posterior vertical canals are oriented at
approximately
45 degrees relative to the sagittal plane (Figure 14.12). The base of each semicircular canal, where it meets with the
vestibule, connects to an enlarged region known as the ampulla. The ampulla contains the hair cells that respond to
rotational movement, such as turning the head while saying “no.” The stereocilia of these hair cells extend into the
cupula,
a membrane that attaches to the top of the ampulla. As the head rotates in a plane parallel to the semicircular canal,
the
fluid lags, deflecting the cupula in the direction opposite to the head movement. The semicircular canals contain
several
ampullae, with some oriented horizontally and others oriented vertically. By comparing the relative movements of
both
the horizontal and vertical ampullae, the vestibular system can detect the direction of most head movements within
threedimensional
(3-D) space.
Figure
Somatosensation (Touch)
Somatosensation is considered a general sense, as opposed to the special senses discussed in this section.
Somatosensation is
the group of sensory modalities that are associated with touch, proprioception, and interoception. These modalities
include
pressure, vibration, light touch, tickle, itch, temperature, pain, proprioception, and kinesthesia. This means that its
receptors
are not associated with a specialized organ, but are instead spread throughout the body in a variety of organs. Many of
the
somatosensory receptors are located in the skin, but receptors are also found in muscles, tendons, joint capsules,
ligaments,
and in the walls of visceral organs.
Two types of somatosensory signals that are transduced by free nerve endings are pain and temperature. These two
modalities use thermoreceptors and nociceptors to transduce temperature and pain stimuli, respectively. Temperature
receptors are stimulated when local temperatures differ from body temperature. Some thermoreceptors are sensitive to
just
cold and others to just heat. Nociception is the sensation of potentially damaging stimuli. Mechanical, chemical, or
thermal
stimuli beyond a set threshold will elicit painful sensations. Stressed or damaged tissues release chemicals that activate
receptor proteins in the nociceptors. For example, the sensation of heat associated with spicy foods involves capsaicin,
the
active molecule in hot peppers. Capsaicin molecules bind to a transmembrane ion channel in nociceptors that is
sensitive
If you drag your finger across a textured surface, the skin of
your finger will vibrate. Such low frequency vibrations are
sensed by mechanoreceptors called Merkel cells, also known as
type I cutaneous mechanoreceptors. Merkel cells are located
in the stratum basale of the epidermis. Deep pressure and
vibration is transduced by lamellated (Pacinian) corpuscles,
which
are receptors with encapsulated endings found deep in the
dermis, or subcutaneous tissue. Light touch is transduced by the
encapsulated endings known as tactile (Meissner) corpuscles.
Follicles are also wrapped in a plexus of nerve endings known
as the hair follicle plexus. These nerve endings detect the
movement of hair at the surface of the skin, such as when an
Chapter 14 | The Somatic Nervous System 613

insect may be walking along the skin. Stretching of the skin is


transduced by stretch receptors known as bulbous corpuscles.
Bulbous corpuscles are also known as Ruffini corpuscles, or
type II cutaneous mechanoreceptors.
Other somatosensory receptors are found in the joints and
muscles. Stretch receptors monitor the stretching of tendons,
muscles, and the components of joints. For example, have you
ever stretched your muscles before or after exercise and
noticed that you can only stretch so far before your muscles
spasm back to a less stretched state? This spasm is a reflex
that is initiated by stretch receptors to avoid muscle tearing.
Such stretch receptors can also prevent over-contraction
of a muscle. In skeletal muscle tissue, these stretch receptors are
called muscle spindles. Golgi tendon organs similarly
transduce the stretch levels of tendons. Bulbous corpuscles are
also present in joint capsules, where they measure stretch
in the components of the skeletal system within the joint. The
types of nerve endings, their locations, and the stimuli they
transduce are presented in Table 14.1.
Table
Vision
Vision is the special sense of sight that is based on the transduction of light stimuli received through the eyes. The eyes are
located within either orbit in the skull. The bony orbits surround the eyeballs, protecting them and anchoring the soft tissues
of the eye (Figure 14.13). The eyelids, with lashes at their leading edges, help to protect the eye from abrasions by blocking
particles that may land on the surface of the eye. The inner surface of each lid is a thin membrane known as the palpebral
conjunctiva. The conjunctiva extends over the white areas of the eye (the sclera), connecting the eyelids to the eyeball.
Tears are produced by the lacrimal gland, located beneath the lateral edges of the nose. Tears produced by this gland flow
through the lacrimal duct to the medial corner of the eye, where the tears flow over the conjunctiva, washing away foreign
particles.
• Movement of the eye within the orbit is accomplished by the contraction of six extraocular muscles that originate from the
bones of the orbit and insert into the surface of the eyeball (Figure 14.14).

• Four of the muscles are arranged at the cardinal points around the eye and are named for those locations. They are the
superior rectus, medial rectus, inferior rectus, and lateral rectus.
When each of these muscles contract, the eye to moves toward the contracting muscle. For example, when the superior rectus
contracts, the eye rotates to look up.

• The superior oblique originates at the posterior orbit, near the origin of the four rectus muscles. However, the tendon of the
oblique muscles threads through a pulley-like piece of cartilage known as the trochlea. The tendon inserts obliquely into the
superior surface of the eye. The angle of the tendon through the trochlea means that contraction of the superior oblique
rotates the eye medially.

• The inferior oblique muscle originates from the floor of the orbit and inserts into the inferolateral surface of the eye. When it
contracts, it laterally rotates the eye, in opposition to the superior oblique. Rotation of the eye by the two oblique muscles is
necessary because the eye is not perfectly aligned on the sagittal plane. When the eye looks up or down, the eye must also
rotate slightly to compensate for the superior rectus pulling at approximately a 20-degree angle, rather than straight up. The
same is true for the inferior rectus, which is compensated by contraction of the inferior oblique. A seventh muscle in the orbit
is the levator palpebrae superioris, which is responsible for elevating and retracting the upper eyelid, a movement that
usually occurs in concert with elevation of the eye by the superior rectus (see Figure 14.13).
The extraocular muscles are innervated by three cranial nerves:

• The lateral rectus, which causes abduction of the eye, is innervated by the abducens nerve.

• The superior oblique is innervated by the trochlear nerve.

• All of the other muscles are innervated by the oculomotor nerve, as is the levator palpebrae superioris.

The motor nuclei of these cranial nerves connect to the brain stem, which coordinates eye movements.
the cornea and lens, including the iris and ciliary body. It is filled with a watery fluid called the aqueous humor. The
posterior cavity is the space behind the lens that extends to the posterior side of the interior eyeball, where the retina is
located. The posterior cavity is filled with a more viscous fluid called the vitreous humor.
The retina is composed of several layers and contains specialized cells for the initial processing of visual stimuli. The
photoreceptors (rods and cones) change their membrane potential when stimulated by light energy. The change in
membrane
potential alters the amount of neurotransmitter that the photoreceptor cells release onto bipolar cells in the outer
synaptic
layer. It is the bipolar cell in the retina that connects a photoreceptor to a retinal ganglion cell (RGC) in the inner
synaptic
layer. There, amacrine cells additionally contribute to retinal processing before an action potential is produced by the
RGC.
The axons of RGCs, which lie at the innermost layer of the retina, collect at the optic disc and leave the eye as the optic
nerve (see Figure 14.15). Because these axons pass through the retina, there are no photoreceptors at the very back of
the
eye, where the optic nerve begins. This creates a “blind spot” in the retina, and a corresponding blind spot in our visual
field
The eye itself is a hollow sphere composed of three layers of tissue. The outermost layer is the fibrous tunic, which
includes
the white sclera and clear cornea. The sclera accounts for five sixths of the surface of the eye, most of which is not
visible,
though humans are unique compared with many other species in having so much of the “white of the eye” visible
(Figure
14.15). The transparent cornea covers the anterior tip of the eye and allows light to enter the eye. The middle layer of
the
eye is the vascular tunic, which is mostly composed of the choroid, ciliary body, and iris. The choroid is a layer of
highly
vascularized connective tissue that provides a blood supply to the eyeball. The choroid is posterior to the ciliary body,
a
muscular structure that is attached to the lens by suspensory ligaments, or zonule fibers. These two structures bend the
lens, allowing it to focus light on the back of the eye. Overlaying the ciliary body, and visible in the anterior eye, is the
iris—the colored part of the eye. The iris is a smooth muscle that opens or closes the pupil, which is the hole at the
center
of the eye that allows light to enter. The iris constricts the pupil in response to bright light and dilates the pupil in
response
to dim light. The innermost layer of the eye is the neural tunic, or retina, which contains the nervous tissue
responsible for
photoreception
Movement of the eye within the orbit is accomplished by the contraction of six extraocular muscles that originate from the
bones of the orbit and insert into the surface of the eyeball (Figure 14.14). Four of the muscles are arranged at the cardinal
points around the eye and are named for those locations. They are the superior rectus, medial rectus, inferior rectus,
and lateral rectus. When each of these muscles contract, the eye to moves toward the contracting muscle. For example,
when the superior rectus contracts, the eye rotates to look up. The superior oblique originates at the posterior orbit, near
the origin of the four rectus muscles. However, the tendon of the oblique muscles threads through a pulley-like piece of
cartilage known as the trochlea. The tendon inserts obliquely into the superior surface of the eye. The angle of the tendon
through the trochlea means that contraction of the superior oblique rotates the eye medially. The inferior oblique muscle
originates from the floor of the orbit and inserts into the inferolateral surface of the eye. When it contracts, it laterally rotates
the eye, in opposition to the superior oblique. Rotation of the eye by the two oblique muscles is necessary because the eye is
not perfectly aligned on the sagittal plane. When the eye looks up or down, the eye must also rotate slightly to compensate
for the superior rectus pulling at approximately a 20-degree angle, rather than straight up. The same is true for the inferior
rectus, which is compensated by contraction of the inferior oblique. A seventh muscle in the orbit is the levator palpebrae
superioris, which is responsible for elevating and retracting the upper eyelid, a movement that usually occurs in concert
with elevation of the eye by the superior rectus (see Figure 14.13).
The extraocular muscles are innervated by three cranial nerves. The lateral rectus, which causes abduction of the eye, is
innervated by the abducens nerve. The superior oblique is innervated by the trochlear nerve. All of the other muscles are
innervated by the oculomotor nerve, as is the levator palpebrae superioris. The motor nuclei of these cranial nerves connect
to the brain stem, which coordinates eye movements.
Note that the photoreceptors in the retina (rods and cones) are located behind the axons, RGCs, bipolar cells, and retinal
blood vessels. A significant amount of light is absorbed by these structures before the light reaches the photoreceptor cells.
However, at the exact center of the retina is a small area known as the fovea. At the fovea, the retina lacks the supporting
cells and blood vessels, and only contains photoreceptors. Therefore, visual acuity, or the sharpness of vision, is greatest at
the fovea. This is because the fovea is where the least amount of incoming light is absorbed by other retinal structures (see
Figure 14.15). As one moves in either direction from this central point of the retina, visual acuity drops significantly. In
addition, each photoreceptor cell of the fovea is connected to a single RGC. Therefore, this RGC does not have to integrate
inputs from multiple photoreceptors, which reduces the accuracy of visual transduction. Toward the edges of the retina,
several photoreceptors converge on RGCs (through the bipolar cells) up to a ratio of 50 to 1. The difference in visual acuity
between the fovea and peripheral retina is easily evidenced by looking directly at a word in the middle of this paragraph.
The visual stimulus in the middle of the field of view falls on the fovea and is in the sharpest focus. Without moving your
eyes off that word, notice that words at the beginning or end of the paragraph are not in focus. The images in your
peripheral
vision are focused by the peripheral retina, and have vague, blurry edges and words that are not as clearly identified. As a
result, a large part of the neural function of the eyes is concerned with moving the eyes and head so that important visual
stimuli are centered on the fovea
Light falling on the retina causes chemical changes to pigment molecules in the photoreceptors, ultimately leading to a
change in the activity of the RGCs. Photoreceptor cells have two parts, the inner segment and the outer segment (Figure
14.16). The inner segment contains the nucleus and other common organelles of a cell, whereas the outer segment is a
specialized region in which photoreception takes place. There are two types of photoreceptors—rods and cones—which
differ in the shape of their outer segment. The rod-shaped outer segments of the rod photoreceptor contain a stack
of membrane-bound discs that contain the photosensitive pigment rhodopsin. The cone-shaped outer segments of the
cone photoreceptor contain their photosensitive pigments in infoldings of the cell membrane. There are three cone
photopigments, called opsins, which are each sensitive to a particular wavelength of light. The wavelength of visible light
determines its color. The pigments in human eyes are specialized in perceiving three different primary colors: red, green,
and blue.
At the molecular level, visual stimuli cause changes in the photopigment molecule that lead to changes in membrane
potential of the photoreceptor cell. A single unit of light is called a photon, which is described in physics as a packet of
energy with properties of both a particle and a wave. The energy of a photon is represented by its wavelength, with each
wavelength of visible light corresponding to a particular color. Visible light is electromagnetic radiation with a
wavelength
between 380 and 720 nm.Wavelengths of electromagnetic radiation longer than 720 nm fall into the infrared range,
whereas
wavelengths shorter than 380 nm fall into the ultraviolet range. Light with a wavelength of 380 nm is blue whereas light
with a wavelength of 720 nm is dark red. All other colors fall between red and blue at various points along the
wavelengthscale.
Opsin pigments are actually transmembrane proteins that contain a cofactor known as retinal. Retinal is a hydrocarbon
molecule related to vitamin A. When a photon hits retinal, the long hydrocarbon chain of the molecule is biochemically
altered. Specifically, photons cause some of the double-bonded carbons within the chain to switch from a cis to a trans
conformation. This process is called photoisomerization. Before interacting with a photon, retinal’s flexible double-
bonded
carbons are in the cis conformation. This molecule is referred to as 11-cis-retinal. A photon interacting with the molecule
causes the flexible double-bonded carbons to change to the trans- conformation, forming all-trans-retinal, which has a
straight hydrocarbon chain (Figure 14.17).
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The shape change of retinal in the photoreceptors initiates visual transduction in the retina. Activation of retinal and
the
opsin proteins result in activation of a G protein. The G protein changes the membrane potential of the
photoreceptor cell,
which then releases less neurotransmitter into the outer synaptic layer of the retina. Until the retinal molecule is
changed
back to the 11-cis-retinal shape, the opsin cannot respond to light energy, which is called bleaching. When a large
group
of photopigments is bleached, the retina will send information as if opposing visual information is being perceived.
After a
bright flash of light, afterimages are usually seen in negative. The photoisomerization is reversed by a series of
enzymatic
changes so that the retinal responds to more light energy.
The opsins are sensitive to limited wavelengths of light. Rhodopsin, the photopigment in rods, is most sensitive to light
at a wavelength of 498 nm. The three color opsins have peak sensitivities of 564 nm, 534 nm, and 420 nm corresponding
roughly to the primary colors of red, green, and blue (Figure 14.18). The absorbance of rhodopsin in the rods is much more
sensitive than in the cone opsins; specifically, rods are sensitive to vision in low light conditions, and cones are sensitive
to brighter conditions. In normal sunlight, rhodopsin will be constantly bleached while the cones are active. In a
darkenedroom, there is not enough light to activate cone opsins, and vision is entirely dependent on rods. Rods are so
sensitive to
light that a single photon can result in an action potential from a rod’s corresponding RGC.
The three types of cone opsins, being sensitive to different wavelengths of light, provide us with color vision. By comparing
the activity of the three different cones, the brain can extract color information from visual stimuli. For example, a bright
blue light that has a wavelength of approximately 450 nm would activate the “red” cones minimally, the “green” cones
marginally, and the “blue” cones predominantly. The relative activation of the three different cones is calculated by the
brain, which perceives the color as blue. However, cones cannot react to low-intensity light, and rods do not sense the color
of light. Therefore, our low-light vision is—in essence—in grayscale. In other words, in a dark room, everything appears
as a shade of gray. If you think that you can see colors in the dark, it is most likely because your brain knows what color
something is and is relying on that memory.
Watch this video (http://openstaxcollege.org/l/occipital) to
learn more about a transverse section through the brain
that depicts the visual pathway from the eye to the occipital
cortex. The first half of the pathway is the projection from
the RGCs through the optic nerve to the lateral geniculate
nucleus in the thalamus on either side. This first fiber in
the pathway synapses on a thalamic cell that then projects to the
visual cortex in the occipital lobe where “seeing,” or
visual perception, takes place. This video gives an abbreviated
overview of the visual system by concentrating on the
pathway from the eyes to the occipital lobe. The video makes
the statement (at 0:45) that “specialized cells in the retina
called ganglion cells convert the light rays into electrical
signals.” What aspect of retinal processing is simplified by
that statement? Explain your answer
In many of the special senses, the axons leaving the sensory receptors have a topographical arrangement, meaning that
the location of the sensory receptor relates to the location of the axon in the nerve. For example, in the retina, axons from
RGCs in the fovea are located at the center of the optic nerve, where they are surrounded by axons from the more peripheral
RGCs.
Spinal Nerves
Generally, spinal nerves contain afferent axons from sensory receptors in the periphery, such as from the skin, mixed with
efferent axons travelling to the muscles or other effector organs. As the spinal nerve nears the spinal cord, it splits into
dorsal and ventral roots. The dorsal root contains only the axons of sensory neurons, whereas the ventral roots contain only
the axons of the motor neurons. Some of the branches will synapse with local neurons in the dorsal root ganglion, posterior
(dorsal) horn, or even the anterior (ventral) horn, at the level of the spinal cord where they enter. Other branches will travel
a short distance up or down the spine to interact with neurons at other levels of the spinal cord. A branch may also turn into
the posterior (dorsal) column of the white matter to connect with the brain. For the sake of convenience, we will use the
terms ventral and dorsal in reference to structures within the spinal cord that are part of these pathways. This will help to
underscore the relationships between the different components. Typically, spinal nerve systems that connect to the brain are
contralateral, in that the right side of the body is connected to the left side of the brain and the left side of the body to the
right side of the brain
Cranial Nerves
Cranial nerves convey specific sensory information from the head and neck directly to the brain. For sensations below
the
neck, the right side of the body is connected to the left side of the brain and the left side of the body to the right side of
the
brain. Whereas spinal information is contralateral, cranial nerve systems are mostly ipsilateral, meaning that a cranial
nerve
on the right side of the head is connected to the right side of the brain. Some cranial nerves contain only sensory axons,
such
as the olfactory, optic, and vestibulocochlear nerves. Other cranial nerves contain both sensory and motor axons,
including
the trigeminal, facial, glossopharyngeal, and vagus nerves (however, the vagus nerve is not associated with the somatic
nervous system). The general senses of somatosensation for the face travel through the trigeminal system
14.2 | Central Processing
By the end of this section, you will be able to:

• Describe the pathways that sensory systems follow into the central nervous system
• Differentiate between the two major ascending pathways in the spinal cord
• Describe the pathway of somatosensory input from the face and compare it to the ascending pathways in the
spinalcord
• Explain topographical representations of sensory information in at least two systems
• Describe two pathways of visual processing and the functions associated with each
Sensory Pathways
Specific regions of the CNS coordinate different somatic processes using sensory inputs and motor outputs of peripheral
nerves. A simple case is a reflex caused by a synapse between a dorsal sensory neuron axon and a motor neuron in the
ventral horn. More complex arrangements are possible to integrate peripheral sensory information with higher processes.
The important regions of the CNS that play a role in somatic processes can be separated into the spinal cord brain stem,
diencephalon, cerebral cortex, and subcortical structures.
Spinal Cord and Brain Stem
A sensory pathway that carries peripheral sensations to the brain is referred to as an ascending pathway, or ascending
tract.
The various sensory modalities each follow specific pathways through the CNS.
Tactile and other somatosensory stimuli activate receptors in the skin, muscles, tendons, and joints throughout the entire
body.
However, the somatosensory pathways are divided into two separate systems on the basis of the location of the receptor
neurons.
Somatosensory stimuli from below the neck pass along the sensory pathways of the spinal cord, whereas somatosensory
stimuli from the head and neck travel through the cranial nerves—specifically, the trigeminal system.

The dorsal column system (sometimes referred to as the dorsal column–medial lemniscus) and the spinothalamic tract
are two major pathways that bring sensory information to the brain (Figure 14.19).

The sensory pathways in each of these systems are composed of three successive neurons.
The dorsal column system begins with the axon of a dorsal root ganglion neuron entering the dorsal root and joining the
dorsal column white matter in the spinal cord.
As axons of this pathway enter the dorsal column, they take on a positional arrangement so that axons from lower levels
of the body position themselves medially, whereas axons from upper levels of the body position themselves laterally.
The dorsal column is separated into two component tracts, the fasciculus gracilis that contains axons from the legs and
lower body, and the fasciculus cuneatus that contains axons from the upper body and arms.
The axons in the dorsal column terminate in the nuclei of the medulla, where each synapses with the second neuron in
their respective pathway.
The nucleus gracilis is the target of fibers in the fasciculus gracilis, whereas the nucleus cuneatus is the target of fibers
in the fasciculus cuneatus.
The second neuron in the system projects from one of the two nuclei and then decussates, or crosses the midline of the
medulla.
These axons then continue to ascend the brain stem as a bundle called the medial lemniscus.
These axons terminate in the thalamus, where each synapses with the third neuron in their respective pathway.
The third neuron in the system projects its axons to the postcentral gyrus of the cerebral cortex, where somatosensory
stimuli are initially processed and the conscious perception of the stimulus occurs.
The spinothalamic tract also begins with neurons in a dorsal root ganglion. These neurons extend their axons to the
dorsal horn, where they synapse with the second neuron in their respective pathway. The name “spinothalamic” comes
from this second neuron, which has its cell body in the spinal cord gray matter and connects to the thalamus. Axons from
these second neurons then decussate within the spinal cord and ascend to the brain and enter the thalamus, where each
synapses with the third neuron in its respective pathway. The neurons in the thalamus then project their axons to the
spinothalamic tract, which synapses in the postcentral gyrus of the cerebral cortex.

These two systems are similar in that they both begin with dorsal root ganglion cells, as with most general sensory
information. The dorsal column system is primarily responsible for touch sensations and proprioception, whereas the
spinothalamic tract pathway is primarily responsible for pain and temperature sensations.

Another similarity is that the second neurons in both of these pathways are contralateral, because they project across
the midline to the other side of the brain or spinal cord.

In the dorsal column system, this decussation takes place in the brain stem; in the spinothalamic pathway, it takes place
in the spinal cord at the same spinal cord level at which the information entered.

The third neurons in the two pathways are essentially the same.

In both, the second neuron synapses in the thalamus, and the thalamic neuron projects to the somatosensory cortex.
The trigeminal pathway carries somatosensory information from the face, head, mouth, and nasal cavity. As with the
previously discussed nerve tracts, the sensory pathways of the trigeminal pathway each involve three successive
neurons.
First, axons from the trigeminal ganglion enter the brain stem at the level of the pons. These axons project to one of
three locations. The spinal trigeminal nucleus of the medulla receives information similar to that carried by
spinothalamic
tract, such as pain and temperature sensations. Other axons go to either the chief sensory nucleus in the pons or the
mesencephalic nuclei in the midbrain. These nuclei receive information like that carried by the dorsal column system,
such
as touch, pressure, vibration, and proprioception. Axons from the second neuron decussate and ascend to the thalamus
along
the trigeminothalamic tract. In the thalamus, each axon synapses with the third neuron in its respective pathway. Axons
from the third neuron then project from the thalamus to the primary somatosensory cortex of the cerebrum.
The sensory pathway for gustation travels along the facial and glossopharyngeal cranial nerves, which synapse with
neurons
of the solitary nucleus in the brain stem. Axons from the solitary nucleus then project to the ventral posterior nucleus
of
the thalamus. Finally, axons from the ventral posterior nucleus project to the gustatory cortex of the cerebral cortex,
where
taste is processed and consciously perceived
The sensory pathway for audition travels along the vestibulocochlear nerve, which synapses with neurons in the
cochlear
nuclei of the superior medulla. Within the brain stem, input from either ear is combined to extract location information
from the auditory stimuli. Whereas the initial auditory stimuli received at the cochlea strictly represent the frequency
—or
pitch—of the stimuli, the locations of sounds can be determined by comparing information arriving at both earsSound
localization is a feature of central processing in the auditory nuclei of the brain stem. Sound localization is achieved
by the brain calculating the interaural time difference and the interaural intensity difference. A sound originating
from
a specific location will arrive at each ear at different times, unless the sound is directly in front of the listener. If the
sound
source is slightly to the left of the listener, the sound will arrive at the left ear microseconds before it arrives at the
right ear
(Figure 14.20). This time difference is an example of an interaural time difference. Also, the sound will be slightly
louder
in the left ear than in the right ear because some of the sound waves reaching the opposite ear are blocked by the head.
This
is an example of an interaural intensity difference.
Auditory processing continues on to a nucleus in the midbrain called the inferior colliculus. Axons from the inferior
colliculus project to two locations, the thalamus and the superior colliculus. The medial geniculate nucleus of the
thalamus receives the auditory information and then projects that information to the auditory cortex in the temporal lobe of
the cerebral cortex. The superior colliculus receives input from the visual and somatosensory systems, as well as the ears,
to initiate stimulation of the muscles that turn the head and neck toward the auditory stimulus

Balance is coordinated through the vestibular system, the nerves of which are composed of axons from the vestibular
ganglion that carries information from the utricle, saccule, and semicircular canals. The system contributes to controlling
head and neck movements in response to vestibular signals. An important function of the vestibular system is coordinating
eye and head movements to maintain visual attention. Most of the axons terminate in the vestibular nuclei of the medulla.
Some axons project from the vestibular ganglion directly to the cerebellum, with no intervening synapse in the vestibular
nuclei. The cerebellum is primarily responsible for initiating movements on the basis of equilibrium information.

Neurons in the vestibular nuclei project their axons to targets in the brain stem. One target is the reticular formation, which
influences respiratory and cardiovascular functions in relation to body movements. A second target of the axons of neurons
in the vestibular nuclei is the spinal cord, which initiates the spinal reflexes involved with posture and balance. To assist the
visual system, fibers of the vestibular nuclei project to the oculomotor, trochlear, and abducens nuclei to influence signals
sent along the cranial nerves. These connections constitute the pathway of the vestibulo-ocular reflex (VOR), which
compensates for head and body movement by stabilizing images on the retina (Figure 14.21). Finally, the vestibular nuclei
project to the thalamus to join the proprioceptive pathway of the dorsal column system, allowing conscious perception of
equilibrium
The connections of the optic nerve are more complicated than those of other cranial nerves. Instead of the connections
being between each eye and the brain, visual information is segregated between the left and right sides of the visual field.
In addition, some of the information from one side of the visual field projects to the opposite side of the brain. Within eacheye,
the axons projecting from the medial side of the retina decussate at the optic chiasm. For example, the axons from the
medial retina of the left eye cross over to the right side of the brain at the optic chiasm. However, within each eye, the axons
projecting from the lateral side of the retina do not decussate. For example, the axons from the lateral retina of the right eye
project back to the right side of the brain. Therefore the left field of view of each eye is processed on the right side of the
brain, whereas the right field of view of each eye is processed on the left side of the brain (Figure 14.22
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A unique clinical presentation that relates to this anatomic arrangement is the loss of lateral peripheral vision, known as
bilateral hemianopia. This is different from “tunnel vision” because the superior and inferior peripheral fields are not lost.
Visual field deficits can be disturbing for a patient, but in this case, the cause is not within the visual system itself. A growth
of the pituitary gland presses against the optic chiasm and interferes with signal transmission. However, the axons projecting
to the same side of the brain are unaffected. Therefore, the patient loses the outermost areas of their field of vision and
cannot see objects to their right and left.
Extending from the optic chiasm, the axons of the visual system are referred to as the optic tract instead of the optic nerve.
The optic tract has three major targets, two in the diencephalon and one in the midbrain. The connection between the eyes
and diencephalon is demonstrated during development, in which the neural tissue of the retina differentiates from that of the
diencephalon by the growth of the secondary vesicles. The connections of the retina into the CNS are a holdover from this
developmental association. The majority of the connections of the optic tract are to the thalamus—specifically, the lateral
geniculate nucleus. Axons from this nucleus then project to the visual cortex of the cerebrum, located in the occipital lobe.
Another target of the optic tract is the superior colliculus.
In addition, a very small number of RGC axons project from the optic chiasm to the suprachiasmatic nucleus of the
hypothalamus. These RGCs are photosensitive, in that they respond to the presence or absence of light. Unlike the
photoreceptors, however, these photosensitive RGCs cannot be used to perceive images. By simply responding to the
absence or presence of light, these RGCs can send information about day length. The perceived proportion of sunlight to
darkness establishes the circadian rhythm of our bodies, allowing certain physiological events to occur at approximately
the same time every day.
Diencephalon
The diencephalon is beneath the cerebrum and includes the thalamus and hypothalamus. In the somatic nervous system,
the thalamus is an important relay for communication between the cerebrum and the rest of the nervous system. The
hypothalamus has both somatic and autonomic functions. In addition, the hypothalamus communicates with the limbic
system, which controls emotions and memory functions.
Sensory input to the thalamus comes from most of the special senses and ascending somatosensory tracts. Each sensory
system is relayed through a particular nucleus in the thalamus. The thalamus is a required transfer point for most sensory
tracts that reach the cerebral cortex, where conscious sensory perception begins. The one exception to this rule is the
olfactory system. The olfactory tract axons from the olfactory bulb project directly to the cerebral cortex, along with the
limbic system and hypothalamus.
The thalamus is a collection of several nuclei that can be categorized into three anatomical groups. White matter running
through the thalamus defines the three major regions of the thalamus, which are an anterior nucleus, a medial nucleus, and
a lateral group of nuclei. The anterior nucleus serves as a relay between the hypothalamus and the emotion and
memoryproducing
limbic system. The medial nuclei serve as a relay for information from the limbic system and basal ganglia to the
cerebral cortex. This allows memory creation during learning, but also determines alertness. The special and somatic senses
connect to the lateral nuclei, where their information is relayed to the appropriate sensory cortex of the cerebrum
Cortical Processing
As described earlier, many of the sensory axons are positioned in the same way as their corresponding receptor cells in the
body. This allows identification of the position of a stimulus on the basis of which receptor cells are sending information.
The cerebral cortex also maintains this sensory topography in the particular areas of the cortex that correspond to the
position of the receptor cells. The somatosensory cortex provides an example in which, in essence, the locations of the
somatosensory receptors in the body are mapped onto the somatosensory cortex. This mapping is often depicted using a
sensory homunculus (Figure 14.23).
The term homunculus comes from the Latin word for “little man” and refers to a map of the human body that is laid across
a portion of the cerebral cortex. In the somatosensory cortex, the external genitals, feet, and lower legs are represented on
the medial face of the gyrus within the longitudinal fissure. As the gyrus curves out of the fissure and along the surface of
the parietal lobe, the body map continues through the thighs, hips, trunk, shoulders, arms, and hands. The head and face are
just lateral to the fingers as the gyrus approaches the lateral sulcus. The representation of the body in this topographical map
is medial to lateral from the lower to upper body. It is a continuation of the topographical arrangement seen in the dorsal
column system, where axons from the lower body are carried in the fasciculus gracilis, whereas axons from the upper body
are carried in the fasciculus cuneatus. As the dorsal column system continues into the medial lemniscus, these relationships
are maintained. Also, the head and neck axons running from the trigeminal nuclei to the thalamus run adjacent to the upper
body fibers. The connections through the thalamus maintain topography such that the anatomic information is preserved.
Note that this correspondence does not result in a perfectly miniature scale version of the body, but rather exaggerates the
more sensitive areas of the body, such as the fingers and lower face. Less sensitive areas of the body, such as the shoulders
and back, are mapped to smaller areas on the cortex.
Likewise, the topographic relationship between the retina and the visual cortex is maintained throughout the visual pathway.
The visual field is projected onto the two retinae, as described above, with sorting at the optic chiasm. The right peripheral
visual field falls on the medial portion of the right retina and the lateral portion of the left retina. The right medial retina
then projects across the midline through the optic chiasm. This results in the right visual field being processed in the left
visual cortex. Likewise, the left visual field is processed in the right visual cortex (see Figure 14.22). Though the chiasm
is helping to sort right and left visual information, superior and inferior visual information is maintained topographically in
the visual pathway. Light from the superior visual field falls on the inferior retina, and light from the inferior visual field
falls on the superior retina. This topography is maintained such that the superior region of the visual cortex processes the
inferior visual field and vice versa. Therefore, the visual field information is inverted and reversed as it enters the visual
cortex—up is down, and left is right. However, the cortex processes the visual information such that the final conscious
perception of the visual field is correct. The topographic relationship is evident in that information from the foveal region
of the retina is processed in the center of the primary visual cortex. Information from the peripheral regions of the retina are
correspondingly processed toward the edges of the visual cortex. Similar to the exaggerations in the sensory homunculus
of the somatosensory cortex, the foveal-processing area of the visual cortex is disproportionately larger than the areas
processing peripheral vision.
In an experiment performed in the 1960s, subjects wore prism glasses so that the visual field was inverted before reaching
the eye. On the first day of the experiment, subjects would duck when walking up to a table, thinking it was suspended
from the ceiling. However, after a few days of acclimation, the subjects behaved as if everything were represented correctly.
Therefore, the visual cortex is somewhat flexible in adapting to the information it receives from our eyes (Figure
The cortex has been described as having specific regions that are responsible for processing specific information; there is the
visual cortex, somatosensory cortex, gustatory cortex, etc. However, our experience of these senses is not divided. Instead,
we experience what can be referred to as a seamless percept. Our perceptions of the various sensory modalities—though
distinct in their content—are integrated by the brain so that we experience the world as a continuous whole.
In the cerebral cortex, sensory processing begins at the primary sensory cortex, then proceeds to an association area, and
finally, into a multimodal integration area. For example, the visual pathway projects from the retinae through the thalamus
to the primary visual cortex in the occipital lobe. This area is primarily in the medial wall within the longitudinal fissure.
Here, visual stimuli begin to be recognized as basic shapes. Edges of objects are recognized and built into more complex
shapes. Also, inputs from both eyes are compared to extract depth information. Because of the overlapping field of view
between the two eyes, the brain can begin to estimate the distance of stimuli based on binocular depth cues.
Watch this video (http://openstaxcollege.org/l/l_3-D1) to learn
more about how the brain perceives 3-D motion.
Similar to how retinal disparity offers 3-D moviegoers a way to
extract 3-D information from the two-dimensional
visual field projected onto the retina, the brain can extract
information about movement in space by comparing what
the two eyes see. If movement of a visual stimulus is leftward in
one eye and rightward in the opposite eye, the brain
interprets this as movement toward (or away) from the face
along the midline. If both eyes see an object moving in the
same direction, but at different rates, what would that mean for
spatial movement?
There are two main regions that surround the primary cortex that are usually referred to as areas V2 and V3 (the primary
visual cortex is area V1). These surrounding areas are the visual association cortex. The visual association regions develop
more complex visual perceptions by adding color and motion information. The information processed in these areas is then
sent to regions of the temporal and parietal lobes. Visual processing has two separate streams of processing: one into the
temporal lobe and one into the parietal lobe. These are the ventral and dorsal streams, respectively (Figure 14.26). The
ventral stream identifies visual stimuli and their significance. Because the ventral stream uses temporal lobe structures, it
begins to interact with the non-visual cortex and may be important in visual stimuli becoming part of memories. The dorsal
stream locates objects in space and helps in guiding movements of the body in response to visual inputs. The dorsal
streamenters the parietal lobe, where it interacts with somatosensory cortical areas that are important for our perception of
the
body and its movements. The dorsal stream can then influence frontal lobe activity where motor functions originate
In all vertebrates, the optic nerves of the left and the right eye meet in the body midline, ventral to the brain. In
many vertebrates the left optic nerve crosses over the right one without fusing with it.[4]
In vertebrates with a large overlap of the visual fields of the two eyes, i.e., most mammals and birds, but also 
amphibians, reptiles such as chameleons, the two optic nerves merge in the optic chiasm. In such a merged optic
chiasm, part of the nerve fibres do not cross the midline, but continue towards the optic tract of the ipsilateral side.
By this partial decussation, the part of the visual field that is covered by both eyes is fused so that the processing
of binocular depth perception by Stereopsis is enabled (see Figure 2).
In the case of such partial decussation, the optic nerve fibres on the medial sides of each retina (which correspond
to the lateral side of each visual hemifield, because the image is inverted) cross over to the opposite side of the
body midline. The inferonasal retina are related to the anterior portion of the optic chiasm whereas superonasal
retinal fibers are related to the posterior portion of the optic chiasm.
The partial crossing over of optic nerve fibres at the optic chiasm allows the visual cortex to receive the same
hemispheric visual field from both eyes. Superimposing and processing these monocular visual signals allow the
visual cortex to generate binocular and stereoscopic vision. The net result is that the right cerebral hemisphere
processes left visual hemifield, and the left cerebral hemisphere processes the right visual hemifield.
Beyond the optic chiasm, with crossed and uncrossed fibers, the optic nerves are called optic tracts. The optic
tract inserts on the optic tectum (in mammals known as superior colliculus) of the midbrain. In mammals they also
branch off to the lateral geniculate body of the thalamus, in turn giving them to the occipital cortex of the cerebrum
.[5]
14.3 | Motor Responses
By the end of this section, you will be able to:

• List the components of the basic processing stream for the motor system

• Describe the pathway of descending motor commands from the cortex to the skeletal
muscles

• Compare different descending pathways, both by structure and function

• Explain the initiation of movement from the neurological connections

• Describe several reflex arcs and their functional roles


Cortical Responses
Let’s start with sensory stimuli that have been registered through receptor cells and the information relayed to the CNS
along ascending pathways. In the cerebral cortex, the initial processing of sensory perception progresses to associative
processing and then integration in multimodal areas of cortex. These levels of processing can lead to the incorporation of
sensory perceptions into memory, but more importantly, they lead to a response. The completion of cortical processing
through the primary, associative, and integrative sensory areas initiates a similar progression of motor processing, usually
in different cortical areas.
Whereas the sensory cortical areas are in the occipital, temporal, and parietal lobes, motor functions are largely
controlled by the frontal lobe. The most anterior regions of the frontal lobe—the prefrontal areas—are important for
executive functions, which are those cognitive functions that lead to goal-directed behaviors. These higher cognitive
processes include working memory, which has been called a “mental scratch pad,” that can help organize and represent
information that is not in the immediate environment. The prefrontal lobe is responsible for aspects of attention, such as
inhibiting distracting thoughts and actions so that a person can focus on a goal and direct behavior toward achieving that
goal.
The functions of the prefrontal cortex are integral to the personality of an individual, because it is largely responsible for
what a person intends to do and how they accomplish those plans. A famous case of damage to the prefrontal cortex is
that of Phineas Gage, dating back to 1848. He was a railroad worker who had a metal spike impale his prefrontal cortex
(Figure 14.27). He survived the accident, but according to second-hand accounts, his personality changed drastically.
Secondary Motor Cortices
In generating motor responses, the executive functions of the prefrontal cortex will need to initiate actual movements. One
way to define the prefrontal area is any region of the frontal lobe that does not elicit movement when electrically stimulated.
These are primarily in the anterior part of the frontal lobe. The regions of the frontal lobe that remain are the regions of the
cortex that produce movement. The prefrontal areas project into the secondary motor cortices, which include the premotor
cortex and the supplemental motor area.
Two important regions that assist in planning and coordinating movements are located adjacent to the primary motor cortex.
The premotor cortex is more lateral, whereas the supplemental motor area is more medial and superior. The premotor
area aids in controlling movements of the core muscles to maintain posture during movement, whereas the supplemental
motor area is hypothesized to be responsible for planning and coordinating movement. The supplemental motor area also
manages sequential movements that are based on prior experience (that is, learned movements). Neurons in these areas are
most active leading up to the initiation of movement. For example, these areas might prepare the body for the movements
necessary to drive a car in anticipation of a traffic light changing.
Adjacent to these two regions are two specialized motor planning centers. The frontal eye fields are responsible for moving
the eyes in response to visual stimuli. There are direct connections between the frontal eye fields and the superior colliculus.
Also, anterior to the premotor cortex and primary motor cortex is Broca’s area. This area is responsible for controlling
movements of the structures of speech production. The area is named after a French surgeon and anatomist who studied
patients who could not produce speech. They did not have impairments to understanding speech, only to producing speech
sounds, suggesting a damaged or underdeveloped Broca’s area
Primary Motor Cortex
The primary motor cortex is located in the precentral gyrus of the frontal lobe. A neurosurgeon, Walter Penfield, described
much of the basic understanding of the primary motor cortex by electrically stimulating the surface of the cerebrum.
Penfield would probe the surface of the cortex while the patient was only under local anesthesia so that he could observe
responses to the stimulation. This led to the belief that the precentral gyrus directly stimulated muscle movement. We now
know that the primary motor cortex receives input from several areas that aid in planning movement, and its principle output
stimulates spinal cord neurons to stimulate skeletal muscle contraction.
The primary motor cortex is arranged in a similar fashion to the primary somatosensory cortex, in that it has a topographical
map of the body, creating a motor homunculus (see Figure 14.23). The neurons responsible for musculature in the feet and
lower legs are in the medial wall of the precentral gyrus, with the thighs, trunk, and shoulder at the crest of the longitudinal
fissure. The hand and face are in the lateral face of the gyrus. Also, the relative space allotted for the different regions is
exaggerated in muscles that have greater enervation. The greatest amount of cortical space is given to muscles that perform
fine, agile movements, such as the muscles of the fingers and the lower face. The “power muscles” that perform coarser
movements, such as the buttock and back muscles, occupy much less space on the motor cortex.
Descending Pathways
The motor output from the cortex descends into the brain stem and to the spinal cord to control the musculature through
motor neurons. Neurons located in the primary motor cortex, named Betz cells, are large cortical neurons that synapse with
lower motor neurons in the brain stem or in the spinal cord. The two descending pathways travelled by the axons of Betz
cells are the corticobulbar tract and the corticospinal tract, respectively. Both tracts are named for their origin in the
cortex and their targets—either the brain stem (the term “bulbar” refers to the brain stem as the bulb, or enlargement, at the
top of the spinal cord) or the spinal cord.
These two descending pathways are responsible for the conscious or voluntary movements of skeletal muscles. Any motor
command from the primary motor cortex is sent down the axons of the Betz cells to activate upper motor neurons in either
the cranial motor nuclei or in the ventral horn of the spinal cord. The axons of the corticobulbar tract are ipsilateral, meaning
they project from the cortex to the motor nucleus on the same side of the nervous system. Conversely, the axons of the
corticospinal tract are largely contralateral, meaning that they cross the midline of the brain stem or spinal cord and synapse
on the opposite side of the body. Therefore, the right motor cortex of the cerebrum controls muscles on the left side of the
body, and vice versa.
The corticospinal tract descends from the cortex through the deep white matter of the cerebrum. It then passes between
the caudate nucleus and putamen of the basal nuclei as a bundle called the internal capsule. The tract then passes through
the midbrain as the cerebral peduncles, after which it burrows through the pons. Upon entering the medulla, the tracts
make up the large white matter tract referred to as the pyramids (Figure 14.28). The defining landmark of the medullaryspinal
border is the pyramidal decussation, which is where most of the fibers in the corticospinal tract cross over to the
opposite side of the brain. At this point, the tract separates into two parts, which have control over different domains of the
musculature
Appendicular Control
The lateral corticospinal tract is composed of the fibers that cross the midline at the pyramidal decussation (see Figure
14.28). The axons cross over from the anterior position of the pyramids in the medulla to the lateral column of the spinal
cord. These axons are responsible for controlling appendicular muscles.

This influence over the appendicular muscles means that the lateral corticospinal tract is responsible for moving the
muscles
of the arms and legs. The ventral horn in both the lower cervical spinal cord and the lumbar spinal cord both have wider
ventral horns, representing the greater number of muscles controlled by these motor neurons. The cervical enlargement
is
particularly large because there is greater control over the fine musculature of the upper limbs, particularly of the fingers.
The lumbar enlargement is not as significant in appearance because there is less fine motor control of the lower limbs.
Axial Control
The anterior corticospinal tract is responsible for controlling the muscles of the body trunk (see Figure 14.28). These
axons do not decussate in the medulla. Instead, they remain in an anterior position as they descend the brain stem and
enter
the spinal cord. These axons then travel to the spinal cord level at which they synapse with a lower motor neuron. Upon
reaching the appropriate level, the axons decussate, entering the ventral horn on the opposite side of the spinal cord from
which they entered. In the ventral horn, these axons synapse with their corresponding lower motor neurons. The lower
motor neurons are located in the medial regions of the ventral horn, because they control the axial muscles of the trunk.
Because movements of the body trunk involve both sides of the body, the anterior corticospinal tract is not entirely
contralateral. Some collateral branches of the tract will project into the ipsilateral ventral horn to control synergistic
muscles
on that side of the body, or to inhibit antagonistic muscles through interneurons within the ventral horn. Through the
influence of both sides of the body, the anterior corticospinal tract can coordinate postural muscles in broad movements
of the body. These coordinating axons in the anterior corticospinal tract are often considered bilateral, as they are both
ipsilateral and contralateral.
Extrapyramidal Controls
Other descending connections between the brain and the spinal cord are called the extrapyramidal system. The name
comes from the fact that this system is outside the corticospinal pathway, which includes the pyramids in the medulla. A
few pathways originating from the brain stem contribute to this system.
The tectospinal tract projects from the midbrain to the spinal cord and is important for postural movements that are driven
by the superior colliculus. The name of the tract comes from an alternate name for the superior colliculus, which is the
tectum. The reticulospinal tract connects the reticular system, a diffuse region of gray matter in the brain stem, with the
spinal cord. This tract influences trunk and proximal limb muscles related to posture and locomotion. The reticulospinal
tract also contributes to muscle tone and influences autonomic functions. The vestibulospinal tract connects the brain stem
nuclei of the vestibular system with the spinal cord. This allows posture, movement, and balance to be modulated on the
basis of equilibrium information provided by the vestibular system.
The pathways of the extrapyramidal system are influenced by subcortical structures. For example, connections between the
secondary motor cortices and the extrapyramidal system modulate spine and cranium movements. The basal nuclei, which
are important for regulating movement initiated by the CNS, influence the extrapyramidal system as well as its thalamic
feedback to the motor cortex.
The conscious movement of our muscles is more complicated than simply sending a single command from the precentral
gyrus down to the proper motor neurons. During the movement of any body part, our muscles relay information back
to the brain, and the brain is constantly sending “revised” instructions back to the muscles. The cerebellum is important
in contributing to the motor system because it compares cerebral motor commands with proprioceptive feedback. The
corticospinal fibers that project to the ventral horn of the spinal cord have branches that also synapse in the pons, which
project to the cerebellum. Also, the proprioceptive sensations of the dorsal column system have a collateral projection to the
medulla that projects to the cerebellum. These two streams of information are compared in the cerebellar cortex. Conflicts
between the motor commands sent by the cerebrum and body position information provided by the proprioceptors cause the
cerebellum to stimulate the red nucleus of the midbrain. The red nucleus then sends corrective commands to the spinal cord
along the rubrospinal tract. The name of this tract comes from the word for red that is seen in the English word “ruby.”
A good example of how the cerebellum corrects cerebral motor commands can be illustrated by walking in water. An
original motor command from the cerebrum to walk will result in a highly coordinated set of learned movements. However,
in water, the body cannot actually perform a typical walking movement as instructed. The cerebellum can alter the motor
command, stimulating the leg muscles to take larger steps to overcome the water resistance. The cerebellum can make
the necessary changes through the rubrospinal tract. Modulating the basic command to walk also relies on spinal reflexes,
but the cerebellum is responsible for calculating the appropriate response. When the cerebellum does not work properly,
coordination and balance are severely affected. The most dramatic example of this is during the overconsumption of alcohol.
Alcohol inhibits the ability of the cerebellum to interpret proprioceptive feedback, making it more difficult to coordinate
body movements, such as walking a straight line, or guide the movement of the hand to touch the tip of the nose
Ventral Horn Output
The somatic nervous system provides output strictly to skeletal muscles. The lower motor neurons, which are responsible
for the contraction of these muscles, are found in the ventral horn of the spinal cord. These large, multipolar neurons have
a corona of dendrites surrounding the cell body and an axon that extends out of the ventral horn. This axon travels through
the ventral nerve root to join the emerging spinal nerve. The axon is relatively long because it needs to reach muscles in
the periphery of the body. The diameters of cell bodies may be on the order of hundreds of micrometers to support the long
axon; some axons are a meter in length, such as the lumbar motor neurons that innervate muscles in the first digits of the
feet.
The axons will also branch to innervate multiple muscle fibers. Together, the motor neuron and all the muscle fibers that
it controls make up a motor unit. Motor units vary in size. Some may contain up to 1000 muscle fibers, such as in the
quadriceps, or they may only have 10 fibers, such as in an extraocular muscle. The number of muscle fibers that are part of
a motor unit corresponds to the precision of control of that muscle. Also, muscles that have finer motor control have more
motor units connecting to them, and this requires a larger topographical field in the primary motor cortex.
Motor neuron axons connect to muscle fibers at a neuromuscular junction. This is a specialized synaptic structure at which
multiple axon terminals synapse with the muscle fiber sarcolemma. The synaptic end bulbs of the motor neurons secrete
acetylcholine, which binds to receptors on the sarcolemma. The binding of acetylcholine opens ligand-gated ion channels,
increasing the movement of cations across the sarcolemma. This depolarizes the sarcolemma, initiating muscle contraction.
Whereas other synapses result in graded potentials that must reach a threshold in the postsynaptic target, activity at the
neuromuscular junction reliably leads to muscle fiber contraction with every nerve impulse received from a motor neuron.
However, the strength of contraction and the number of fibers that contract can be affected by the frequency of the
motorneuron impulses
Reflexes

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