- •Запорожець т.М., ткаченко о.В.
- •Content module 1: introduction to physiology lesson 1 Physiology subject and tasks. Physiological investigations methods. Excitability. Excitement. Irritation laws.
- •Importance of Chronaxie
- •Materials for auditory self-work.
- •Task 2. To prepare nervous-muscular preparation.
- •Materials for self-control: Control questions:
- •Content module 2: “excitable tissues physiology” lesson 2 Nervous and muscular fibers resting potential and action potential.
- •Task 3. Nerve and muscle excitability measurement.
- •Task 4. Muscles contractions dependence on single irritations force.
- •Task 5. Draw and analize the curve “force-time”.
- •Literature recommended:
- •1. The topic studied actuality.
- •Electrical changes during muscular contraction
- •Resting membrane potential
- •Action potential
- •Repolarization
- •Action potential curve
- •Latent Period
- •Importance of intracellular potassium ions:
- •Action Potential
- •Refractory period
- •Excitability changings (figure of action potentials phases and excitability changings correlation)
- •4.Materials for auditory self-work.
- •Task 1. Galwani’s first experiment.
- •Task 2. Galwani’s second experiment (contraction without metal).
- •Task 3. K.Matteuchi’s experiment.
- •5. Literature recommended:
- •6. Materials for self-control:
- •Lesson 3 Nervous and muscular fibers electrical irritation mechanisms investigation. Electromyography.
- •1. The topic studied actuality.
- •III. Fibrillation and denervation hypersensitivity
- •IV. Myasthenia gravis
- •Emg application in dentistry different branches
- •Emg application in therapeutical dentistry.
- •Emg application in surgical dentistry.
- •Emg application in orthopedical dentistry.
- •Emg application in children dentistry and orthodonthia.
- •3.2. Topic content.
- •Materials for auditory self-work.
- •5. Literature recommended:
- •6. Materials for self-control:
- •Lesson 4 Skeletal muscles contraction mechanisms investigation
- •1. The topic studied actuality.
- •Skeletal Muscle
- •Sarcomere
- •Composition of muscle
- •In Skeletal Muscle
- •Tongue, lips muscles and masticatory muscles contractive types and regimes at conversation.
- •Contractive types and regimens at mastication.
- •Masticatory muscles physiological properties. Masticatory musculature force and work.
- •The new in the world of masticatory muscles physiology and functional anatomy
- •4. Materials for auditory self-work.
- •Task 1. Skeletal muscle contractions curves registration
- •Task 2. Dynamometry
- •Literature recommended:
- •Materials for self-control:
- •Lesson 5 Skeletal and smooth muscles comparative characteristics.
- •Skeletal and smooth muscles comparative characteristics
- •Further events (common for skeletal and smooth muscles) –
- •4.Materials for auditory self-work.
- •4.1. List of study practical tasks necessary to perform at the practical class.
- •Task 1. Frog’s stomach smooth muscles contractions registration
- •Task 2. To compare frog skeletal and smooth muscle to chemicals
- •5. Literature recommended:
- •6.Materials for self-control:
- •Lesson 6 Excitation transmission investigation through nervous fibers and nervous-muscular synapses
- •1. The topic studied actuality.
- •3.2.Topic content.
- •Neuronal theory.
- •Electrical theory.
- •Chemical theory
- •2 Main types:
- •Functions:
- •Functions:
- •Functions:
- •Functions of Myelin Sheath
- •Neurilemma
- •Mechanism of Saltatory Conduction
- •Nervous fibers properties
- •Synapses physiology
- •4 Main mediators groups:
- •Functions of synapse
- •Electrical Synapse or Ephapse
- •Chemical Synapse
- •Mechanism of Development of epsp
- •Properties of epsp
- •Significance of epsp
- •1. Postsynaptic Inhibition
- •Action of gaba—ipsp
- •2.Presynaptic Inhibition
- •3.Renshaw Cell Inhibition
- •Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. Isolated impulse conducting law (through nervous fibers).
- •Task 2. Two-sized conduction law.
- •Task 3. Physiological integrity law.
- •Task 4. To study fatigue (tiredness) ability in synapse.
- •Literature recommended:
- •Control questions:
- •Lesson 7 Practical experience management on content credit 1,2: “Excitable tissues physiology”
- •Content credit 3: “organism functions nervous regulation” lesson 8 Reflex arc investigation. Receptors physiology.
- •1.The topic studied actuality.
- •Materials for self-control:
- •3.2. Topic content.
- •1. Somatic Nervous System
- •2. Autonomic Nervous System
- •V.According to receptors localization:
- •VI.According to biological significance:
- •VIII.According to ending result:
- •2. Visceroreceptors:
- •Facial-mandibular region receptors
- •Classification:
- •Significance of Receptor Potential
- •Mechanism of Development of Receptor Potential and Generation of Action Potential in the Nerve Fiber
- •4.Materials for auditory self-work.
- •4.1. List of study practical tasks necessary to perform at the practical class.
- •Task 1. Receptive field definition.
- •Task 2. Reflex arc analysis.
- •Task 3. Gustatory receptors functional mobility determining (before and after eating).
- •5. Literature recommended:
- •6.Materials for self-control:
- •Lesson 9 Excitement processes investigation in cns. Inhibition processes investigation in cns.
- •1. The topic studied actuality.
- •3.2.Topic content.
- •Inhibiting in cns
- •4.Materials for auditory self-work.
- •Task 1. Temporary excitement summation.
- •Task 2. Excitement summation.
- •5. Literature recommended:
- •6.Materials for self-control:
- •Lesson 10 Reflex activity co-ordination mechanisms investigation.
- •1.The topic studied actuality.
- •3.2.Topic content.
- •4.Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. Excitement irradiation in central nervous system.
- •5.Literature recommended:
- •Materials for self-control:
- •Control questions:
- •Content module 4: “cns role in motor functions regulation”
- •Lesson 11 Spinal cord physiology. Spinal cord role investigation in motor organism functions regulation
- •1.Topic studied actuality:
- •2. Study aims:
- •3.2. Topic content.
- •Internal structures of spinal cord
- •Neurons in Anterior Gray Horn
- •Neurons in Lateral Gray Horn
- •Neurons in Posterior Gray Horn
- •Spinal proper functions:
- •Spine vegetative functions:
- •Spine afferent ways:
- •Efferent ways:
- •Pyramidal tracts
- •Termination
- •Function
- •Effects of Lesion
- •Materials for auditory self-work.
- •Task 1. To investigate muscular tone in human being
- •Task 3. Deep (prophound) spinal reflexes investigation
- •5. Literature recommended:
- •Materials for self-control:
- •Lesson 12 Somato-sensor system investigation (skin and proprioceptive sensitivity, nociceptive sensitivity)
- •1.Topic studied actuality.
- •2 Main reasons:
- •Injured organ oxygen consumption inhibiting
- •Insufficiency in it
- •Pain classification:
- •Conductive ways
- •Visceral pain
- •Referred pain
- •3 Variants of pain theory:
- •Situation
- •Termination
- •Function
- •Situation
- •Termination
- •Function
- •Situation
- •Termination
- •Functions
- •Ascending tracts of spinal cord
- •Descending tracts of spinal cord
- •Sensory pathways
- •Pain projective zones at different teeth diseases
- •Dental pain conductive tracts and central mechanisms
- •4. Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. To investigate hands and face skin pain sensitivity
- •Task 2. Temperature sensitivity investigation on hand
- •Task 3. Muscular-articular sensitivity investigation
- •Task 4. Pressure and weight sense investigation (Weber-Fechner’s law)
- •Task 5. Complicated sensitivity types investigation.
- •5. Literature recommended:
- •6. Materials for self- control:
- •Lesson 13 Posterior brain physiology. Posterior brain role investigation in motor and sensor functions regulation
- •1. The topic studied actuality.
- •2. Study aims:
- •3.1.Basic knowledge, skills, experiences, necessary for study the topic:
- •3.2. Topic content.
- •Medulla oblongata functions:
- •Pons cerebri
- •4. Materials for auditory self-work.
- •Task 1. Trigeminal nerve (V-th pair investigation)
- •Task 2. Facial nerve (VII-th pair) investigation
- •Task 3. Glossopharyngeal nerve (IX-th pair) investigation
- •Task 4. Accessory nerve (XI-th pair) investigation
- •Task 5. Hypoglossal nerve (XII-th pair) investigation
- •5. Literature recommended:
- •6. Materials for self- control:
- •Lesson 14 Midbrain physiology. Midbrain role investigation in motor and sensor functions regulation
- •1. The topic studied actuality.
- •3.2. Topic content.
- •Superior Colliculus
- •Red Nucleus
- •Connections of Red Nucleus
- •Task 2. Stato-kinetic human reflexes.
- •Task 3. Investigate static and stato-kinetic reflexes in guinea pig.
- •5. Literature recommended:
- •Control questions:
- •Lesson 15 Cerebellum, diencephalon, subcortex nuclei physiology, their role in organism motor functions regulation
- •1. The topic studied actuality.
- •Structural organization of a cerebellum.
- •Functions of cerebellum
- •Cerebellum and its connections
- •Signs of a cerebellum lesion
- •Signs of a pallidum lesion.
- •Signs of a striate body lesion. Striatic syndrome.
- •2. Study aims:
- •3.2.Topic content.
- •Intermediate brain physiology
- •Functions:
- •Functions
- •1. Secretion of posterior pituitary hormones
- •2. Control of anterior pituitary
- •3. Control of adrenal cortex
- •4. Control of adrenal medulla
- •5. Regulation of body temperature
- •10. Regulation of water balance
- •11. Regulation of sleep and wakefulness
- •12. Role in behavior and emotional changes
- •13. Regulation of sexual function
- •14. Regulation of response to smell
- •15. Role in circadian rhythm
- •Cerebellum physiology
- •Interneuronal activity in cerebellum
- •Components and connections of functional divisions of cerebellum
- •Corticocerebellum (neocerebellum)
- •Functions of cerebellum
- •Connections of basal ganglia
- •1. Control of voluntary motor activity
- •2. Control of muscle tone
- •3. Control of reflex muscular activity
- •4. Control of automatic associated movements
- •5. Role in arousal (excitive) mechanism
- •4.Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. To investigate movement co-ordination
- •Task 2. Asynergy investigation
- •Task 3. Dynamic ataxy investigation
- •Task 4. To put the attention to:
- •1. Literature recommended:
- •Materials for self-control:
- •Lesson 16 Practical experiences management on content credit 4: “cns role in motor functions regulation”
- •1. The topic studied actuality.
- •2. Study aims:
- •Topic content.
- •Ans is divided into 3 main parts:
- •Vegetative and somatic nervous system comparative characteristics
- •Ans mediator mechanisms
- •Organs with monosympathetic innervation:
- •Organs with monoparasympathetic innervation:
- •Vegetative ganglii features:
- •Effects of autonomic nervous system of selected organs
- •Metasympathetic nervous system (mns)
- •Mns functions:
- •2. Materials for auditory self-work.
- •Task 1. To perform pupils investigation
- •Task 2. Reflex to eyes convergence
- •Task 3. Vasomotor skin functions investigation
- •Task 4. Dermographism
- •Task 5. Erben’s reflex
- •Task 6. Abrams’ reflex
- •Literature recommended:
- •Materials for self-control:
- •Control questions:
- •Hormones synthesis, secretion and releasing. Hormones classification (according to their chemical structure):
- •Interrelations between nervous and humoral mechanisms in physiological functions regulation.
- •6. Materials for self-control:
- •Control questions:
- •Lesson 19 Hormones role in psychical and physical development, linear body growth, adaptation, homeostasis regulation.
- •1. The topic studied actuality.
- •2.Study aims:
- •Corticotropine main effects:
- •Thyreotropine main effects:
- •Gonadotropines main effects:
- •Oxytocine main effects:
- •Vasopressine main effects:
- •Glucocorticoids effects-1
- •Glucocorticoids effects-2
- •Glucocorticoids effects-3
- •Vascular effects:
- •Glucocorticoids metabolic effects
- •Mineralocorticoids main effects:
- •Adrenaline main effects:
- •Adrenaline metabolic effects;
- •Somatotropine main effects:
- •Prolactine main effects:
- •Male sexual hormones
- •Inhibine
- •Progesterone functions:
- •Stress, general adaptation syndrome.
- •General adaptational syndrome morphological features.
- •Stress-inducing and stress-limiting systems. Diseases of adaptation
- •Stress-triggers or stressors:
- •4. Materials for auditory self-work.
- •Task 1. To investigate adrenaline influence on pupil width
- •Task 2. To observe pituitrine action to melanoforme cells
- •Task 3. To observe insuline action on white mice
- •Task 4. Spermatozoid reaction of Gally-Maininy
- •5. Literature recommended:
- •6. Materials for self-control:
- •Credit control on module 1: “general physiology”. Questions list for credit module control module 1
- •Content module 5. Autonomic nervous system role in visceral functions regulation.
- •Content module 6.
- •Visceral functions humoral regulation and endocrine glands role in regulation.
- •Tests for self-control:
- •Tasks for self-control
- •1. Introduction.
- •3. Ending aims of studying the subject “Normal Physiology”.
- •4. Module 1: General physiology
- •4.3. The student self-work types
- •4.4. Individual tasks list:
- •4.5. Credit modules assessment methodics.
- •4.6. Theoretical questions list for students preparing to credit module control
- •4.7. Practical tasks and works list to the credit module control Module 1: General Physiology Practical skills on excitive structures physiology.
- •Practical skills on organism functions nervous regulation physiology and cns role in motor functions regulation.
- •4.8. Literature recommended on the subject “Normal Physiology”.
- •Literature recommended
13. Regulation of sexual function
In animals, hypothalamus plays an important role in maintaining the sexual functions, especially in females. A decorticate female animal will have regular estrus cycle provided the hypothalamus is intact. In human being also, hypothalamus regulates the sexual functions by secreting gonadotropin releasing hormones. Tuberal and posterior hypothalamic nuclei are involved in the regulation of sexual functions.
14. Regulation of response to smell
Posterior hypothalamus along with other structures like hippocampus and brainstem nuclei, is responsible for the autonomic responses of body to olfactory stimuli. The responses include feeding activities and emotional responses like fear, excitement and pleasure.
15. Role in circadian rhythm
The body rhythm to 24 hours dark - light cycle is called circadian rhythm. The supraoptic and anterior nuclei of hypothalamus play an important role in regulation of circadian rhythm.
Cerebellum physiology
Cerebellum consists of a narrow, worm like central body called vermis and two lateral lobes, the right and left cerebellar hemispheres.
Cerebellar hemispheres are the extended portions on either side of the vermis.
DIVISIONS OF CEREBELLUM
I Anatomical:
On the basis of structure, the whole cerebellum is divided into three portions.
1. Anterior Lobe
This lobe includes lingula, central lobe and culmen. It is separated from posterior lobe by the primary fissure.
2. Posterior Lobe
This consists of lobulus simplex, declive, tuber, pyramid, uvula, paraflocculi and the two portions of hemispheres-ansiform lobe and paramedian lobe.
3. Flocculonodular Lobe
This includes nodulus and the lateral extension on either side called flocculus. It is separated from rest of the cerebellum by posterolateral fissure.
II. Phylogenetic:
Depending upon phylogeny, the cerebellum is divided into two divisions.
1. Paleocerebellum
This is the phylogenetically oldest part of cerebellum. It includes two divisions, archicerebellum and paleocerebellum proper.
a). Archicerebellum—Flocculonodular lobe
b) Paleocerebellum proper—It includes lingula, central lobe, culmen, lobulus simplex, pyramid, uvula and paraflocculi
2. Neocerebellum
This is the phylogenetically newer portion of cerebellum. It includes declive, tuber and lateral portions of hemispheres, lobulus ansiformis and lobulus paramedianus.
III. Functional:
Based on the functions, the cerebellum is divided into three divisions.
1. Vestibulocerebellum
This includes flocculonodular lobe that forms the archi-cerebellum.
2. Spinocerebellum
This includes lingula, central lobe, culmen, lobulus simplex, declive, tuber, pyramid, uvula and paraflocculi and medial portions of cerebellar hemispheres.
3. Corticocerebellum
This includes the lateral portions of hemispheres.
STRUCTURE
Cerebellum is made up of outergray matter or cerebellar cortex and an inner white matter. The white matter is formed by afferent and efferent nerve fibers of cerebellum. The gray masses called cerebellar nuclei are located within white mater.
GRAY MATTER
Gray matter or cerebellar cortex is made up of structures arranged in three layers. Each layer of gray matter is uniform in thickness and appearance throughout cerebellum. The three layers of gray matter are:
1. Outer molecular or plexiform layer
2. Intermediate Purkinje layer and
3. Inner granular layer
1. Molecular or Plexiform Layer
It is the outer most layer of cortex having the cells arranged in two strata. The superficial stratum contains few star shaped cells known as stellate cells. The deep stratum contains basket cells. In addition to stellate and basket cells, the molecular layer has the following structures:
a) Parallel fibers, which are the axons of granule cells, present in granular layer
b) The terminal portions of climbing fibers.
c) Dendrites of Purkinje cells and Golgi cells.
Molecular layer also contains the following cellular junctions:
a) The dendrites of stellate cells and basket cells synapse with parallel fibers, which are the axons of granule cells
b) The axons of stellate cells end on the dendrites of Purkinje cells. However, the axon of basket cell descends down into the Purkinje layer and forms the transverse fiber that ends on the soma of Purkinje cells
c) The dendrites of Purkinje cells synapse with climbing fibers and parallel fibers
d) The dendrites of Golgi cells situated in granular layer enter the molecular layer and end on parallel fibers.
2. Purkinje Layer
It is situated in between outer molecular layer and inner granular layer. It is the thinnest layer having a single layer of flask shaped Purkinje cells. The Purkinje cells are the largest neurons in the body. The dendrites of these cells ascend through the entire thickness of molecular layer. These dendrites terminate either on climbing fibers or the parallel fibers. The axons of the basket cells form the transverse fibers and end on the soma of Purkinje cells. The axons of Purkinje cells descend into the white matter and terminate on the cerebellar nuclei and vestibular nuclei via cerebellovestibular tract. The Purkinje cells are termed as "Final common path" of cerebellar cortex because the impulses from different parts of cerebellar cortex are transmitted to other parts of brain only through Purkinje cells.
Fig.24. Structure of cerebellar cortex. (+) = Excitation, (-) = Inhibition
3. Granular Layer
This layer is placed in between Purkinje layer and the white matter. It is formed by interneurons namely granule cells and Golgi cells. The total number of interneurons in this layer is about half the number of all neurons in the whole nervous system.
The axon of the granule cell ascends into molecular layer and forms the parallel fiber, which synapses with dendrites of Purkinje cells, stellate cells, basket cells and Golgi cells. The dendrites of granule cells and the axon and few dendrites of a Golgi cell synapse with mossy fiber. The synaptic area of these cells is called the glomerulus and it is encapsulated by the processes of glial cells.
Afferent Fibers to Cerebellar Cortex
The cerebellar cortex receives afferent signals from other parts of brain through two types of nerve fibers.
1. Climbing fibers
2. Mossy fibers
Climbing fibers: they arise from the neurons of inferior olivary nucleus situated in medulla and reach the cerebellum via olivocerebellar tract. The inferior olivary nucleus relays the output signals from motor areas of cerebral cortex and the proprioceptive signals from different parts of the body to the cerebellar cortex via climbing fibers. The proprioceptive impulses from different parts of the body reach the inferior olivary nucleus through spinal cord and vestibular system.
After reaching the cerebellum, the climbing fibers ascend into the molecular layer and terminate on the dendrites of Purkinje cells. While passing through cerebellum, the olivocerebellar tract sends collaterals to cerebellar nuclei. Because of this, the impulses from cerebral cortex and proprioceptors of the body are conveyed to not only the cerebellar cortex but also the cerebellar nuclei by the climbing fibers. Each climbing fiber innervates one single Purkinje cell.
Mossy fibers: Unlike climbing fibers, the mossy fibers have many sources of origin namely motor areas of cerebral cortex, pons, medulla and spinal cord. Fibers arising from all these areas send collaterals to the cerebellar nuclei before reaching the cerebellar cortex. So, like climbing fibers, the mossy fibers also convey afferent impulses to both cerebellar nuclei and cerebellar cortex. Some of the mossy fibers arise from cerebellar nuclei. After reaching the granular layer of cerebellar cortex, the mossy fiber divides into many terminals. Each terminal enters the glomerulus and ends in a large expanded structure that forms the central portion of the glomerulus. The dendrites of granule cells and the axon and dendrites of Golgi cells synapse on the mossy fiber giving a thick bushy appearance. The word “mossy” refers to the appearance of a plant called moss, which grows into dense clumps, and hence, the name mossy fibers is given to these fibers.
Neuronal Activity in Cerebellar Cortex and Nuclei
The functions of cerebellum are executed mainly by the impulses discharged from the cerebellar nuclei. However, the cerebellar cortex controls the discharge from the nucleus constantly via the fibers of Purkinje cells. This is done in accordance with the signals received by the cerebellar cortex from different parts of brain and body via climbing and mossy fibers. The entire process involves a series of neuronal activity as mentioned in Table .
