This is
intended to be a fun and informative lab, demonstrating a range
of human physiological measures and responses. The lab is set
up as a series of "self serve" stations which you can rotate
through. Work through these four stations in any order you
like. Work rapidly, but feel free to return to any area that is
of particular interest to you. These stations will be set up
through the weekend, so if you don't make it through all of
them, come back and do the rest as soon as you have time.
For many
undergraduate physiology courses, the kind of canned
demonstration "experiments" set up here would constitute the
bulk of the laboratory offerings. Here, they are offered as a
sampler of classical human physiology and as a respite from the
more demanding labs which you have been doing. Relax, explore,
have a good time. Try not to barf during the
vestibulo-occulomotor test. Some of these "experiments" may not
immediately work well. DON'T PANIC if something doesn't work,
just be persistent, ask for help, and let me know what works
well and what doesn't. Respectfully submitted for your
approval, from the Physiology Zone. |
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I.
CLINICAL CARDIOPULMONARY ASSESSMENT
Heart sounds are produced by valves, which are passively closed
by blood pressure differences and function to prevent backflow
of blood. The sequence of sounds is usually characterized as "lubb-dupp".
The first sound is produced by the mitral and tricuspid valves,
which separate the ventricles and the atria and close near the
start of ventricular contraction. The second, sharper sound is
produced by the aortic and pulmonary semilunar valves, which
close at the end of ventricular contraction, when the pressure
in each great vessel exceeds the pressure in the corresponding
ventricle.
As the left ventricle of the heart contracts, it produces a
pressure wave, which travels outward through the systemic
arterial system at about 8 m/sec. This produces an arterial
pulse, which can be palpated at "pressure points" where an
artery passes superficially over a hard deep structure such as a
bone. Two standard locations for monitoring the pulse are the
radial artery just below the base of the thumb, and the carotid
artery just below the angle of the jaw.
You will be using the Korotkov ausculatory method for measuring
arterial blood pressure. Blood flow in unrestricted arteries is
streamlined and quiet. In fully collapsed arteries blood flow is
absent and quiet. In partially occluded arteries blood flow is
turbulent and noisy - producing "Korotkov sounds" which can be
heard over downstream pressure points, with the aid of a
stethoscope. To produce Korotkov sounds and measure systolic and
diastolic blood pressure, you will first occlude the radial
artery by pumping air into a pressurized cuff around the upper
arm. The cuff is, in turn, attached to a aneroid
sphygmomanometer, which monitors pressure. As pressure in the
cuff is slowly lowered, blood begins to flow in noisy and
turbulent spurts at the peak of each systolic pressure wave. As
the pressure in the cuff falls, these spurts get longer. At some
point the cuff pressure falls below the diastolic low point of
the arterial pressure cycle, blood flow becomes streamlined and
the Korotkov sounds disappear.
You will be using a conventional "wet spirometer" to measure
respiratory volumes. This device consists simply of an inverted
chamber within a larger fluid-filled chamber. As the subject
breathes into the hose, air displaces water in the inverted
chamber, causing it to rise, which in turn moves a pointer along
a calibrated scale. |
This
station takes you through some traditional measures and
methodologies of cardiopulmonary assessment. The equipment
needed at this station includes a sphygmomanometer (blood
pressure cuff), a stethoscope, a watch and a bathroom scale.
None of the equipment used in this station has been invented or
modified significantly in the last 40 years. You should work in
pairs, taking turns serving as patient and "doctor". Do parts
A, B, and C in sequence. Do part D whenever the apparatus is
free.
A.
Heart Sounds
You may be
most comfortable listening to your own heart sounds.
1)
Start by holding the tambour of the stethoscope against the skin
immediately below and slightly to the left of the xiphoid
process of the sternum (tip of the breastbone). You should be
able to distinguish two distinct sounds with each beat, a
muffled "lubb" sound, followed by a sharper "dupp".
2)
Try
other locations for the stethoscope, to see which provide the
clearest sounds. You may be able to hear better if you use the
stethoscope with both a bell and a tambour. Be sure to rotate
this stethoscope head so that you are listening though the bell
rather than the tambour.
Q1: Why is the second "dupp" sound clearer
and sharper than the first "lubb" sound (think in terms of the
underlying anatomy and mechanics)?
B.
Carotid and Radial Pulse
Since your
thumb generates a strong pulse of it own, it is best to use your
index and middle finger to palpate the radial pulse.
1)
To palpate
the radial pulse, rest your finger tips lightly across the
subject's wrist, just below the base of her thumb.
2)
To
facilitate feeling the carotid pulse, have the subject bend her
neck slightly to the opposite side. Rest your finger tips on
her neck, just below and slightly in front of the angle of her
jaw (below her ear).
3)
Locate either the radial or carotid pulse and count the number
of beats in 15 seconds. Multiply this number by 4 to get the
heart rate (HR) in beats per minute and record this value.
C.
Measuring Blood Pressure by the Ausculatory Method
Don't inflate
EITHER THE MANULA OR THE ELECTRONIC blood pressure cuff past 180
mmHg
or keep it inflated for more than 60 seconds. Don't put the
stethoscope ear pieces into your ears until you have positioned
the tambour where you want it.
1)
Seat the subject and have her pull one shirt/blouse sleeve up as
far as possible. Wrap the blood pressure cuff snugly
around this arm, with the smooth side of the cuff towards the
skin. Secure the Velcro strips. It is important that the
subject's arm be relaxed and at her side, so that the blood
pressure cuff is level with her heart. (Why?)
2)
Place the
stethoscope around your neck and press the flat part of the
tambour against the inside of the subject's elbow, below the
cuff. Have the subject hold the gauge with her other hand, so
that you can see it. Put the stethoscope tubes in your ears.
3)
Now
tighten the thumbnut on the bulb and pump up the cuff to about
150 mmHg. Loosen the thumbnut slightly and let the cuff
pressure out slowly. At somewhere around 130 - 110 mmHg
you should begin to hear a "whooshing" sound. The cuff pressure
at which you first hear this sound corresponds to the
systolic blood pressure (Ps)
- the peak of each pulse pressure. As pressure in the cuff
continues to drop, this sound will first become louder, then
softer and muffled, then fade out (why?) - generally at 90-70
mmHg. The cuff pressure at this point reflects the diastolic
blood pressure (Pd)-
the low point in each arterial pressure cycle.
4)
Record
your blood pressure readings as Ps/Pd.
Q2: While the pressure in the cuff is between the systolic and
diastolic values, the gauge needle will make a slight up-tick
with each heart beat. Why is this?
5)
Check your blood pressure and heart rate readings using an
electronic blood pressure meter. To use this device simply turn
it on, wait for the display to clear, wrap the cuff around the
subject's upper arm, and pump the cuff up to ~160 mmHg. As the
cuff automatically deflates its electronic pressure sensor will
pick up the transient pulse pressure waves and calculate both
blood pressure readings and a pulse rate.
6)
Using either set of blood pressure and heart rate readings,
calculate the pulse pressure (PP) and estimate cardiac
stroke volume (SV) and cardiac output (CO) of the
heart by the following formulae:
PP = Ps
- Pd
PP
in mmHg
CO = k x HR x PP where k = 1.7 mL mmHg/beat CO
in mL/min
SV = CO/HR
SV in mL/beat
7)
Now measure the blood pressure while the subject is holding her
right arm over her head. Take several measurements, recording
the blood pressure and the height of the cuff relative to the
heart for each set.
8)
If you
have time, try taking a reading with the cuff around the right
thigh and the stethoscope tambour held behind the knee, and/or
with the cuff around the right calf, with the stethoscope
tambour held just below the medial malleolus (inner ankle bone). |
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Data Sheet Item #1:
Plot
both systolic and diastolic blood pressure as functions of
elevation of the cuff above the heart. |
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9)
Take a look at (and try out) the classic mercury
sphygmomanometer. This device illustrates why blood pressure is
measured in units of millimeters of mercury (mmHg).
D.
Respiratory Volumes
1)
Zero the spirometer by positioning the pointer and the slide
together at the zero mark. Put a fresh mouthpiece in the
spirometer hose. Sit down, get comfortable and breathe in a
normal rhythm for at least 30 seconds.
2)
Count the number of breaths you take in the next 30 seconds and
multiply by 2 to determine your resting respiration rate
(RR).
3) After
a normal, resting inspiration, place the mouthpiece between your
lips and breath out in normal unforced manner. Record
where the pointer stops, then slide the pointer back to the zero
mark. Repeat this process twice more and average the three
readings, this is the tidal volume (TV).
4)
Resume unforced, resting breathing for at least 30 seconds.
After a normal expiration, place the mouthpiece between your
lips and forcibly exhale all the air possible. Record where the
pointer stops, then slide the pointer back to the zero mark.
Repeat this process twice more and average the three readings,
this is the expiratory reserve volume (ERV).
5)
Resume unforced, resting breathing for at least 30 seconds.
After a normal expiration, breathe in as deeply as possible,
place the mouthpiece between your lips and forcibly exhale all
the air possible. Record where the pointer stops, then slide
the pointer back to the zero mark. Repeat this process twice
more and average the three readings, this is the vital
capacity (VC).
6)
Calculate the following additional respiratory volumes:
inspiratory reserve volume (IRV) = VC - (TV +
ERV) IRV
inspiratory capacity (IC) = TV + IRV = VC -
ERV IC
expiratory capacity (EC) = TV + ERV = VC - IRV
C
minute volume (MV) = TV x RR x 1
minute MV
7)
Weigh the yourself on the scale. Use your weight, and breath
rate to determine a predicted basal tidal volume, using the
graph on the table.
Q3: How do your predicted and
actual tidal volumes compare?
Q4: What other information would
you need to calculate the respiratory dead space?
II.
ELECTROPHYSIOLOGICAL INDICES:
RESTING PROPERTIES AND RESPONSES TO STRESS AND EXERCISE
The MacLab system offers multiple advantages over the
conventional, time-honored methods of physiological assessment.
The first is that it allows fairly precise quantification of
temporal properties of physiological states and responses. For
the heart beat, which is a repetitive cyclic process, the
relevant temporal properties include the latency between
separate events in the cardiac cycle, or between the heart beat
and the arrival of the consequent pulse pressure wave at a
distant arterial site. The MacLab also allows real-time
derivations to be applied to the data, for example, calculating
relative respiratory volume from the measured respiratory flow
rate. Finally, the MacLab allows not only assessment of resting
or baseline values, but also a detailed record of physiological
responses to stimuli and stressors. You will be looking at the
"startle" response to an unexpected event, as well as more
prolonged responses to a rather different type of sustained
stressor - exercise.
In order to record an electrocardiogram (ECG or EKG), all you
really need to do is position a pair of electrodes on either
side of the heart. By convention, electrodes are usually placed
at three locations, equivalent to the corners of "Einthovens
triangle" . This is an equilateral triangle, which is oriented
on the chest, apex down. Due to some esoteric aspects of "volume
conduction", you can get away with attaching the three
electrodes to both wrists and one leg.
Galvanic skin resistance (GSR) measures the electrical
resistivity of the skin to a small applied current, and is the
major index monitored as a "lie-detector" in a standard
polygraph test. The GSR is a sensitive psychophysiological
index, in that skin resistance decreases fairly abruptly and
reliably during periods of emotional stress, anxiety,
"nervousness", etc. It will also drop if the subject is
startled, or experiences a painful stimulus. |
The
equipment needed at this station includes a PowerLab/PC station,
1 BioAmp, 3 EKG electrodes and leads, 1 spirometer, 1
pneumoplethysmograph, 1 heart microphone, 2 GSR electrodes and
leads, 1 GSR bridge amplifier, 1 "cricket" frog, and 1 live
duck.
Choose
a subject who appears to be in good physical shape and has no
known cardiopulmonary or cardiovascular anomalies or
arrhythmias.
A.
Resting Respiration, Heart Rate, Heart Sounds and Pulse Volume
1)
If a duck has not been provided for you, go out to Foster lake
and catch one. Or not. The following transducers should be
connected to the MacLab box (if they aren't, then connect them):
CH1 - BioAmp (with cable and 3 EKG leads)
CH2 - finger pulse transducer (connected through Ch 1 of the
ETH-400)
CH3 - Heart Microphone
CH4 - spirometer amplifier (with spirometer sensor and tubing
attached).
2)
Hookup the
subject to the PowerLab, using the following guide:
a)
Snap new electrodes onto the three EKG leads (red, white, and
black).
b)
Stick the WHITE electrode to the subject's RIGHT WRIST.
Stick the BLACK electrode to the subject's LEFT WRIST.
Stick the RED or GREEN electrode to the subject's LEFT ANKLE.
c)
Attach the clip on the EKG gray cable somewhere convenient on
the subject's clothing.
d)
Fasten the PULSE TRANSDUCER (pneumoplethysmograph) onto the
MIDDLE FINGER of either hand, using the small Velcro band. The
flat transparent surface should be pressed snugly against the
fleshy part of the end of the finger.
e) Put a
small dab of electrode paste onto each of the GSR electrodes,
then tape the electrode pair to the palmar surface of the ring
finger of either hand.
f)
Position the HEART MICROPHONE over the fifth rib and slightly to
the left of the sternum. Secure it in place with the elastic/velcro
band.
g)
Wipe the RESPIROMETER MOUTHPIECE with an alcohol swab, then wipe
it dry. Solicit any final comments from the subject, then put
the BLUE end of mouthpiece in the subject's mouth.
h)
Have the subject get comfortable, put her hands lightly on her
knees, and relax.
3)
Turn on the PowerLab box and the PC. Make sure that the DC
transformer line is plugged into Eth-400 bridge.
4)
Select
ML Human Phys I on the desktop and launch it. All of the
channels have been set up and labeled for you. Notice that
Channel 5 is labeled as Resp. Vol. and is set up as a
computed function of channel 4, which is labeled as Resp.
Flow. Notice also that Channel 6 is labeled as Heart
Rate and is computed from Channel 1.
Q5: What is the mathematical relationship
between display channel 5 and display channel 4? You can look
in the Computed Input... menu of channel 5 to find this
information.
5)
Start the Chart display. Adjust the display ranges and
any other Chart parameters to produce effective displays of all
six physiological indices. If necessary adjust the threshold
for Channel 6, so that it is producing an accurate readout of
the heart rate. Make sure that inspiration is up, and that the
P, R, & T peaks of the EKG are up.
6)
Once you have good settings, run the display for at least a
minute, to get a good baseline display.
"Normal" resting baseline values for the duration and voltage of
different phases of the EKG complex are:
P wave: 0.1 sec duration
P-R interval: 0.13 to 0.16 sec
0.2 mV amplitude
Q-T interval: 0.30 to 0.34 sec
QRS complex: 0.08 to 0.12 sec duration P-R
segment: 0.03 to 0.06 sec
1.0 mV amplitude S-T segment:
0.08 sec
T wave: 0.16 to 0.27 sec duration
0.2 to 0.3 mV amplitude
Q6: Identify the EKG peaks (P, QRS, T)
associated with each cardiac cycle. How closely do the resting
values of your subject's EKG peaks correspond to the "textbook"
examples listed above?
Q7: What accounts for the latency (time lag)
between the "R" peak of the EKG and positive peak of the finger
pulse volume? Using this lag and an estimate of the
heart-to-finger distance, calculate the mean pulse velocity
through the brachial arterial system.
Q8: Identify the peaks in the heart sounds
trace which correspond to "lubb" and "dupp" sounds. You may
need to listen to the heart sounds via a stethoscope, while
watching the heart sounds trace on the screen. What is the
temporal relationship between the heart sounds and the EKG
peaks? Does the relationship which you observe make functional
sense in terms of the cardiac cycle? |
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Data Sheet Item #2:
Produce a printout of a ~5-10 second section of your baseline
display. Label the EKG peaks. Include measured values for all
of the waves, complexes, intervals, and segments listed above.
Label the AV and semilunar valve closings on the heart sounds
trace. Indicate the latency corresponding to the
heart-to-finger pulse delay as well as the mean pulse velocity. |
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B.
Calculating the "Heart Axis"
The "heart
axis" corresponds to the orientation (base-to-apex) of the heart
within the chest and the strength of the overall electrical
vector of ventricular depolarization. It is usually expressed
as an orientation (in °) and a strength (in mV), and may be
obtained by fairly simple vector addition of QRS peak values for
each of three recording electrode configurations. To accomplish
this calculation you will need to obtain stable, baseline
recordings of the EKG from the subject for each of three
electrode configurations, generally referred to as "LEADS" (see
handout).
1)
Make an ~30 second resting recording with each of the following
electrode configurations:
LEAD I - (left arm relative to right arm)
WHITE electrode to RIGHT WRIST
BLACK electrode
LEFT WRIST
RED or GREEN
electrode to LEFT ANKLE
LEAD II - (left leg relative to right arm)
WHITE electrode
to RIGHT WRIST
BLACK
electrode LEFT ANKLE
RED or
GREEN electrode to LEFT WRIST
LEAD III - (left leg relative to left arm)
WHITE
electrode to LEFT WRIST
BLACK
electrode LEFT ANKLE
RED or
GREEN electrode to RIGHT WRIST
2)
When you are finished, return to the LEAD I configuration.
3)
You will be given a handout describing how to measure the
electrical axis of the heart.
4)
AFTER
THE LAB IS OVER, use the MacLab cursors and the instructions
in the handout to measure the height of the QRS complex of the
EKG for each of the three leads, and record these values below:
LEAD I amplitude
LEAD II amplitude
LEAD III amplitude
5)
The handout demonstrates how to use these three "LEAD" values to
graphically determine the electrical axis of the heart, and
provides a blank for doing this. AFTER THE LAB IS OVER,
use this method to graphically determine the heart axis for your
subject. help. |
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Data Sheet Item #3:
a) Produce printouts of
~5-10 second sections of resting EKG recordings for leads I, II,
and III.
b) Produce a graph (as in section B of the heart axis handout)
illustrating how you obtained the
electrical axis of the heart. Write the value you obtained (in °
and mV) on the graph. |
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C.
Startle Response
Some
physiological indices show transient responses to unexpected
transient stimuli. The most reliable of these indices is the
ganvalnic skin resistance (GSR), but you may be able to record
transient heart rate, pulse volume, and respiratory responses as
well.
1)
Uncouple the heart microphone from the PowerLab Channel 3 and
replace it with the GSR bridge amplifier output cable. Remove
the heart microphone from the subject.
2)
Turn on
the GSR bridge amplifier. Close ML Human Phys I (after
saving your data) and open ML Human Phys II.
3)
Have the subject relax, then start the Chart recording.
Adjust the baseline and sensitivities on each of the Chart
traces, as necessary, then make a 30 second baseline recording.
4)
Try each
of the following manipulations (#5-#7). For each one, keep
careful notes of what the stimulus was, and exactly when in the
record it occurred, so that you can insert notes into the
completed record to mark and annotate stimulus events. With
each of these manipulations, observe which of the physiological
indices responded and the nature (direction, amplitude, latency,
duration) of the response.
5)
Pinch the subject's arm. You should get a prominent GSR
response (if not, try increasing the sensitivity of the GSR
recording).
Q9: Does it matter which arm you pinch?
6)
Create a sudden noise behind the subject (by snapping your
fingers loudly, clicking the cricket frog, dropping a book, or
dropping the duck).
Q10: In which indices did you get responses?
3) Try a
series of 3-4 simple factual questions with yes/no answers (e.g.
are you 20 years old?, are you a female?). Brief the subject on
the questions, so that she knows what the correct answers are
without having to think too hard. Now repeat each question
twice and instruct the subject to tell the truth once and lie
once for each question.
Q11: By looking at the Chart traces can
you distinguish truthful answers from lies? If so, which
physiological indices (if any) are most useful as a "lie
detector"?
D.
Response to Exercise
You should
reasonably expect heart rate, pulse volume, and respiratory rate
to increase with exercise, and you will conduct a brief test of
that here. Unfortunately, movement on the part of the subject
will generate some "movement artifacts" in the
electrophysiological recordings, so watch out for these.
1)
Seat the
subject on the exercise bike and have her rest her hands lightly
on her hips and her feet on the pedals.
2)
Start
Chart and record continuously. Make a careful note of the
starting and ending times on the Chart record for each of the
following periods (so that you can mark and annotate the record
when you are through):
a)
Have the subject rest for at least two (2) minutes.
b)
Have the subject exercise at a moderate level on the bike for at
least five (5) minutes.
c)
Have the subject rest for at least five (5) minutes.
3) Stop
Chart and internally label the record when you are through. |
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Data Sheet
Item #4:
Measure and produce plots of heart rate, relative pulse volume,
and respiratory rate, with at one point every 30 seconds. Each
plotted point should represent the average value over the
preceding 30 seconds of the record. |
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Q12: As the heart rate speeds up during
exercise, the length of ventricular systole (Q-T interval)
should increase relative to the length of ventricular
diastole (T-next Q interval). Did the ratio of
systole/diastole, in fact, increase during exercise for your
subject?
Q13: Did the heart-to-finger pulse latency
decrease during exercise? Should you have expected it to, and
why?
III.
NEUROLOGICAL SIGNS AND REFLEXES
The pupillary reflex adjusts the size of the aperture in the
iris to ambient light levels. The light sensors involved in this
reflex are the photoreceptors of the retina. In addition to the
primary visual retinal projection to the lateral geniculate
nuclei of the thalamus, each optic nerve also projects to the
superior colliculi and pretectal regions of the midbrain. The
motor side of the reflex involves projections from each
pretectal nucleus to both midbrain occulomotor (NIII) nuclei. A
specialized region (the Edinger-Westphal nucleus) of each
occulomotor nucleus, in turn, projects ipsilaterally to the
pupillary sphincter muscle fibers. The partial crossovers within
the midbrain result in both direct (ipsilateral) and consensual
(contralateral) pupillary responses to a unilateral light flash
delivered anywhere on either retina.
During visual fixation, the occulomotor nuclei function to
rotate the eyes in such a way as to keep images relatively
stationary on the retina. This reflex involves fairly slow
processing, coupled with a rapid motor response - the saccade.
Saccades also function in repetitive eye movements to quickly
establish new fixation points. For example, you execute a
saccade at the end of each line of type, in fact, if I can
stretch this sentence out, you will execute one right ---now. In
order for the eyes to maintain fixation while the head is
rapidly turned, the occulomotor system must also be strongly
driven by the vestibular system. The vestibular nuclei monitor
motion of the head by monitoring inertial motion of fluid in the
semicircular canals, and drive the eyes, via the occulomotor
nuclei, in a direction opposite the apparent head motion. These
two reflex systems can be made to "disagree" by inducing
artificial inertial motion in the semicircular canal fluid. A
simple way to do this is to spin the subject, then abruptly stop
the spin.
The Babinski response (dorsiflexion of the foot in response to
stroking the sole), is ordinarily inhibited by tonic activity in
the descending corticospinal tract. A positive Babinski sign in
adults is therefore indicative of corticospinal damage.
Stretch receptors in the patellar tendon monitor tension in the
quadricep muscles of the anterior thigh. When the patellar
tendon lengthens slightly, these receptors operate through a
disynaptic reflex arc in the spinal cord to increase quadricep
tension. This is a fast "postural" reflex which functions, in
concert with the monosynaptic "gamma" muscle spindle reflex, to
maintain fairly constant background tension in the quadriceps.
If the patellar tendon is artificially stretched, the reflex
functions to induce a sudden contraction of the quadriceps and
subsequent extension of the leg. |
The
equipment needed at this station includes a penlight, a swivel
chair, a toothpick, a reflex hammer and a raw egg. Work in
pairs and take turns being the subject and the experimenter.
A.
Direct and Consensual Photopupillary Reflexes
1)
Seat the subject in a darkened (but not completely dark!) room
and sit opposite her where you can clearly see her pupils.
Allow at least 2 minutes for her eyes to adapt to the dark and
for her pupils to dilate. Hold the penlight about 6 inches from
the bridge of her nose and flash the light for about 1/2
second.
Q14: Did both pupils constrict? Did they
constrict evenly?
2)
Now have the subject hold a piece of dark construction paper up
as a shield between her two eyes. The subject should continue
to look straight ahead. Hold the penlight off to the subject's
right side and flash it again, so that only her right eye is
illuminated.
Q15: Did both pupils constrict? Did they
constrict evenly? What can you conclude about the relative
magnitudes of the direct (illuminated right eye) and consensual
(non-illuminated left eye) pupillary reflexes?
B.
Vestibulo-occulomotor Reflex
Don't
participate in this experiment as a subject if you get motion
sickness.
1)
Have the subject sit in the swivel chair, tilt her head slightly
forward (why?), grasp the bottom of the chair, close her eyes,
and hang on. Spin the chair clockwise through at least ten full
rotations.
2)
Stop the
chair and have the subject immediately open her eyes, hold her
head up, and fixate (look directly at) a point behind your (the
experimenter's) shoulder. Closely observe the motion of her
eyes. Her eyes should go through a series of jerky tandem
motions as they both drift slowly in one direction and then
saccade rapidly back in the opposite direction.
Q16: Do the drifts or saccades match the
direction of the original spin? What is the subject's visual
perception, i.e. what direction does the world seem to be moving
to the subject?
Q17: Why does this process promote
disorientation, vertigo, and nausea?
Q18: Can you explain the neural mechanics of
this reflex?
3)
If you are having trouble understanding what is going on inside
of the semicircular canals, try the following experiment. Spin
the raw egg on the table. Stop the egg with your hand, then
immediately let go. The egg should "magically" start spinning
again, due to the inertia of the fluid contents.
C.
Babinski Sign
1)
Have the subject sit down, remove her shoe and sock on one foot,
and cross that leg over the other one.
2)
Using the
toothpick, and light pressure, stroke the lateral (little toe)
side of the sole of her foot from toe to heel or from heel to
toe.
Q19: Did her toes plantar flex (towards the
sole) or fan out and dorsiflex (towards the top of the foot)?
What would a dorsiflexion indicate?
D.
Patellar Reflex
1)
Have the subject sit down and cross one knee over the other so
that the crossed leg is hanging relatively free.
2)
Using the
rubber hammer, lightly tap the crossed leg just below the
kneecap. If you do this correctly, the tapped leg should jerk
forward.
Q20: Can you describe the neural mechanism
underlying this reflex and why it is essential for standing
postural balance?
IV.
NEUROPHYSIOLOGY
Regions of the brain that are coherently organized and tend to
be coherently activated generate coherent electrical fields
which can be monitored as slow coherent electrophysiological
activity, or "brain waves", in the electroencephalogram (EEG).
Sound coherent? Actually, it isn't. Making physiological sense
out of the EEG, requires that you understand how the EEG is
neurologically generated, how electrical fields are conducted
within the skull, and what the valid methods of inference from
EEG phenomena to physiological conclusions are. Since probably
less that 1% of the researchers who conduct EEG research
actually understand either the physical or physiological basics
of what they are recording, it is a safe estimate that more than
99% of published EEG "findings" are complete and utter nonsense.
In addition, the apparent simplicity of EEG recording has
fostered a rather large industry of dubious (quack?)
psychological and medical practices and devices, such as "alpha
conditioning" machines. This has tended to give the EEG an
undeservedly bad reputation as an "old-fashioned" and suspect
measure of neuronal activity, and is a main reason why any word
with the phoneme "psy" in it sends a slight shiver down the neck
of many neuroelectrophysiologists. On the other hand, if you
want a real-time picture of the activity of large neural
ensembles in the brain, EEG is still the only game in town
(although superconducting quantum interference devices (SQUID)
and magnetoencephalograms (MEG) have recently made some
inroads).
EEG recorded from the scalp reflects activity arising
predominantly from the cerebral cortex, and specifically from
the gyri of the cortex. This activity is generated almost
exclusively by the principal cortical neurons, the pyramidal
cells, which are oriented perpendicular to the surface of the
skull. At a first approximation, this activity represents the
summed extracellular currents in the pyramidal cells' dendritic
arbors. The EEG itself, is therefore most useful for studying
cortical activity, cortical processes, and cortical disorders.
The EEG exhibits several phenomena which are clinically useful,
for such limited applications as characterizing
sleep/wakefulness stages, localizing brain tumors, and
localizing epileptic foci.
You will be looking at some factors surrounding the production
of "occipital alpha" activity. The normal EEG of a resting alert
person has activity predominantly in the "beta" frequency band
(~13-30Hz). This is irregular, non-coherent, low amplitude, high
frequency activity, which can be recorded over virtually any
part of the cerebral cortex. If the person is sufficiently
relaxed, when she closes her eyes, the activity in some regions
of the cortex will rapidly revert to "alpha waves". Theses are
coherent, high amplitude, sinusoidal oscillations at a single
dominant frequency of ~8-13 Hz, which are strongest and most
coherently organized over the occipital cortex. Occipital alpha
will disappear as soon as the subject opens her eyes. Alpha will
also be diminished if she is startled, if she is disturbed, or
if she engages in some rigorous mental task. This later
phenomenon is termed "alpha suppression" or "alpha blocking".
For
this experiment to work well you will need a fairly relaxed and
mellow subject who does not grind her teeth.
(Teeth-grinders produce too much muscle artifact activity and
make annoying roommates. “Hyper" people also tend not to have
very good alpha activity. The instructor takes some false pride
in the fact that he has very low artifact levels and good
alpha. Find him and wake him up if you have any questions.)
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The
equipment needed at this station includes a PowerLab/PC station,
a Dual BioAmp, 1 ElectroCap, and 2 shielded reference leads with
ear clips.
A.
Resting EEG
1)
The following transducers should be connected to the PowerLab
box (if they aren't, then connect them):
CH1 - BioAmp A (with cable and 3 EEG leads)
CH2 - BioAmp B (with cable and 3 EEG leads)
2)
Hookup the subject to the PowerLab, using the following guide
(color codes refer to the colored markings on the gray BioAmp
cable):
3)
Prepare each ear lobe by cleaning it thoroughly with an alcohol
swab, then rubbing it with some "Omni" solution, as demonstrated
by the instructor. Clip the BLUE A1 earclip electrode to
the LEFT earlobe and the WHITE A2 earclip electrode to
the RIGHT earlobe. The metal cup of each electrode goes on the
outer surface of the earlobe. Use the blunt syringe to fill the
cup of each electrode with electro-gel. Secure each electrode
with paper tape.
4)
Attach the rainbow-colored elastic chest band around the upper
chest of your subject with the snaps in the front.
5)
Slip foam "doughnut" pads to each of the two front polar (FP1
and FP2) electrodes on the ElectroCap. The sticky side of the
electrode goes toward the cap.
6)
Position the ElectroCap on the head of the subject. Make sure
that the cap is centered on the head, with the foam pads at the
front. The two foam pads should rest ~1" above the subject's
eyebrows.
7)
Snap the two staps to the chest band, crossing them over in the
front.
8)
Find the electrodes labeled O1, O2, T3,
T4, and GND. O1 and O2 will be over
the occipital lobes about 1" above and to either side of the "inion"(the
depression at the base of the occipital bone on the back of the
head). T3 and T4 will be above the temporal lobes
about 1 inch directly above the left and right ear,
respectively. GND will be over the center of the head, just in
back of where the cables come out of the cap.
9)
Apply
some Omni to the wooden end of a sterile swab, stick it through
the hole in the O1 electrode and gently abrade the scalp.
What you are trying to do is get rid of most of the dead skin
cells, and a bit of the epidermis. Try to almost, but not
quite, draw blood. Repeat this process for the O2, T3,
T4, and GND electrodes. Fill all five of these
electrodes with ElectroGel, using the blunt syringe. This may
sting a bit for the subject.
10) Have
the subject get comfortable, put her hands lightly on her knees,
and RELAX.
11) Turn
on the PowerLab box and the PCh. Select the ML Human EEG
alias on the desktop and launch it. The two channels have been
set up and labeled for you. Notice that Channel 1 is labeled as
Occipital and channel 2 is labeled as Temporal.
Notice also that the display settings involve some fancy
PowerLabisms, such as filters on each channel, a compression of
the horizontal scale, and a "smoothing" of each trace. These
are necessary to enhance the EEG display.
12) Start
the Chart display. Have the subject relax, with her eyes
open. It is particularly important for a "clean" recording that
the subject not clench her teeth (why?). The resting "beta" EEG
should show high-frequency, low amplitude activity on both
channels. If it does not, consult with the instructor.
13)
Record at
least 1 minute of resting EEG activity.
Q21: Is the resting activity for the two
channels synchronized?
Q22: Does the resting activity for the two
channels look qualitatively similar? Does it have similar
overall amplitude and frequency properties?
B.
Occipital Alpha and Alpha Blocking
For the
following recording, you will need to keep accurate records of
exactly when the subject opened her eyes, closed her eyes, etc.
so that you can mark and annotate the Chart record.
1)
Have the
subject relax with her eyes open.
2)
Start the
Chart display. and record at least 1 minute of resting
beta activity.
3)
Now
instruct the subject to "clear her mind", allow herself to
become deeply relaxed, and lightly close her eyes. If you are
lucky, one or both channels will shift into higher amplitude,
lower frequency (8-12 Hz) sinusoidal oscillations - alpha
activity.
4)
Record at least 1 minute of this activity. If you are not
getting any alpha activity, it is most likely because the
subject is not fully relaxed, or because the scalp preparation
was inadequate. In either case, try a few more times before
consulting with the instructor.
5)
If you are getting good alpha, have the subject open her eyes
and close her eyes several times, with at least 10 seconds
between each action, and observe the record for alpha activity.
6)
Finally
have the subject relax with her eyes closed, and establish clear
alpha activity. Snap your fingers behind her head and observe
the recording. Does the click block or suppress alpha
activity. Snap your fingers several more timeS.
Q23: Does the alpha suppression response
"habituate" or diminish with repeated stimulations?
Q24: Which recording site (occipital or
temporal) shows stronger alpha? Since alpha seems to be most
directly blocked by visual input, does this agree with what you
know about the site of primary cortical processing of visual
information? |
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Data Sheet
Item #5:
Produce clearly labeled printouts demonstrating resting beta
activity, alpha activity, suppression of alpha when the eyes are
opened, and alpha blocking by an unexpected "snap" stimulus.
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C. Cleanup
1)
When you
are satified with your recordings, save the data files.
2)
Carefully
remove the ElectroCap, chest strap, and earclip electrodes.
Clean as much electro-gel as possible from the subject's hair,
using gauze pads.
3)
Rinse off
the earclip electrodes in water, then swab with an alcohol
swab.
4)
Immerse
the ElectroCap in a sink filled with dilute dish soap.
V.
PREPARATION OF THE LAB DATA SHEET |
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Your data sheet
should include all FIVE of the items described in the boxes above.
Make sure
that
the axes of all of the graphs and print-outs are labeled and
calibrated. You should certainly discuss your results and the answers
to the questions with your partners and others in the lab. However,
please work independently when you prepare your data sheet.
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