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Sensory Functions of the Skin   AP frequency is proportional to the vibration
                                       frequency (! B3 ).
       Somatovisceral sensibility is the collective  Resolution. RA and SA1 sensors are densely
       term for all sensory input from receptors or  distributed in the mouth, lips and fingertips,
       sensors of the body (as opposed to the sensory  especially in the index and middle finger
       organs of the head). It includes the areas of  (about 100/cm ). They can distinguish closely
                                                2
       proprioception  (! p. 316),  nociception  adjacent stimuli as separate, i.e., each afferent
                                       axon has a narrow receptive field. Since the sig-
       (! p. 318), and skin or surface sensitivity.
    Central Nervous System and Senses  objects (stereognosis). Tactile sensors are lo-  and fingertips to distinguish between two
         The sense of touch (taction) is essential for
                                       nals do not converge as they travel to the CNS,
       perception of form, shape, and spatial nature of
                                       the ability of these sensors in the mouth, lips
                                       closely adjacent tactile stimuli, i.e. their resolu-
       cated predominantly in the palm, especially in
       the fingertips, and in the tongue and oral cav-
                                       tion, is very high.
       ity. Stereognostic perception of an object re-
                                       The spatial threshold for two-point discrimina-
       quires that the CNS integrate signals from ad-
                                       tion, i.e., the distance at which two simultaneous
       jacent receptors into a spatial pattern and
                                       stimuli can be perceived as separate, is used as a
       coordinate them with tactile motor function.
                                       measure of tactile resolution. The spatial thresholds
         Mechanosensors. Hairless areas of the skin
                                       are roughly 1 mm on the fingers, lips and tip of the
                                       the arm, and over 60 mm on the back.
       which are afferently innervated by myelinated
                                        SA2 receptors and pacinian corpuscles have a
       nerve fibers of class II/A! (! p. 49 C):
                                       broad receptive field (the exact function of SA2 re-
                              corpuscle
       ! The
                       Ruffini’s
            spindle-shaped
    12  contain the following mechanosensors (! A),  tongue, 4 mm on the palm of the hand, 15 mm on
                                       ceptors is not known). Pacinian corpuscles are there-
       (! A3) partly encapsulates the afferent axon
       branches. This unit is a slowly adapting (SA)  fore well adapted to detect vibrations, e.g., earth
                                       tremors.
       pressosensor of the SA2 type. They are P sen-
       sors (! p. 312). Thus, the greater the pressure  Two types of thermosensors are located in the
       on the skin (depth of indentation or weight of  skin: cold sensors for temperatures ! 36 "C and
       an object), the higher the AP frequency (! B1).  warm sensors for those # 36 "C. The lower the
       ! Merkel’s cells (! A2) are in synaptic contact  temperature (in the 20–36 "C range), the
       to meniscus-shaped axon terminals. These  higher the AP frequency of the cold receptors.
       complexes are pressure-sensitive SA1 sensors.  The reverse applies to warm receptors in the
       They are PD sensors (combination of B1 and  36–43 "C range (! C). Temperatures ranging
       B2) since their AP frequency is not only de-  from 20" to 40 "C are subject to rapid adapta-
       pendent on the pressure intensity but also on  tion of thermosensation (PD characteristics).
       the rate of its change (dp/dt; ! p. 312).  Water warmed, for example, to 25 "C initially
       ! Meissner’s corpuscles (! A1) are composed  feels cold. More extreme temperatures, on the
       of lamellar cell layers between which club-  other hand, are persistently perceived as cold
       shaped axons terminate. This unit represents a  or hot (this helps to maintain a constant core
       rapidly adapting pressure sensor (RA sensor)  temperature and prevent skin damage). The
       that responds only to pressure changes, dp/dt  density of these cold and warm sensors in
       (pure D sensor or velocity sensor). The RA sen-  most skin areas is low as compared to the
       sors are specific for touch (skin indentation of  much higher densities in the mouth and lips.
       10–100µm) and low-frequency vibration (10–  (That is why the lips or cheeks are used for
       100 Hz). Hair follicle receptors (! A5), which  temperature testing.)
       respond to bending of the hairs, assume these  Different sensors are responsible for thermoception
       functions in hairy areas of the skin.  at temperatures exceeding 45 "C. These heat sen-
       ! Pacinian corpuscles (! A4) are innervated  sors are also used for the perception of pungent sub-
       by a centrally situated axon. They adapt very  stances such as capsaicin, the active constituent of
       rapidly and therefore respond to changes in  hot chili peppers. Stimulation of VR1 receptors
       pressure change velocity, i.e. to acceleration  (vanilloid receptor type 1) for capsaicin mediates the
  314  (d p/dt ), and sense high-frequency vibration  opening of cation channels in nociceptive nerve
        2
           2
       (100–400 Hz; indentation depths ! 3µm). The  endings, which leads to their depolarization.
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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