Cutaneous Sensations Purpose: In Activity A, you will test and document stimulus sensitivity using a medical monofilament, studying whether or not certain parts of the hand and arm are more sensitive to single-point pressure than others. In Activity B, you will study cutaneous sensitivity to hot and cold stimuli. In Activity C, you will map and measure the receptor density and receptor field size of different parts of the body using two-point discriminators to identify two-point thresholds. Background: The skin is the largest sensory organ of the body. The skin has many receptor sites for cutaneous sensations (from the Latin cutis, meaning "skin") and is sensitive to many different kinds of stimuli, including touch, pressure, temperature, and pain. The ability to perceive these sensations is determined by specific sensory receptors and their pathways to the brain. The distribution of receptors varies at different locations on the body surface. Areas of the body such as the fingertips and the palm of the hand contain a higher receptor density and can therefore sense stimuli more accurately. Give some background information on free nerve endings, Meissner’s corpuscles and Pacinian corpuscles. (3 pts) Hypothesis: none Variables: Control set up: specific parts of the skin, and a stamped grid Manipulated: temperature, specific parts of the skin Response: you figure it out Materials: Stamp pad and grid stamp Monofilaments Aluminum temperature probes Dry heat incubator Two point discrimination tool Procedure: paraphrase the three activities (6 pts) Activity A: Stimulus Sensitivity Testing Each team (or pair) of students should have a Student Guide. Each individual student should have a Data Sheet. Record the data provided by the test subject by coloring in the corresponding dot on the Data Sheet each time a stimulus is felt by the test subject. 1. The test subject sits with blind fold over their eyes and with the stamped hand palm downward and motionless on the desk. The experimenter begins with the grid labeled "Back of Hand." 2. The experimenter begins in one quadrant of the dot grid and gently touches each dot with the medical monofilament. Hold the monofilament by the paper handle and touch it lightly to an ink dot on the test subject's skin. The test subject reports whether or not he or she feels a stimulus. 3. Repeat this activity, touching the other dots on the grid, reporting the sensation, and recording the response on the Data Sheet. Continue until all of the dots (or the required number of dots) have been tested. 4. Repeat this procedure for the palm and forearm locations and record the results. Remember that, in order to analyze and interpret data correctly, it must be organized, complete, and recorded accurately. 5. Average the number of sensitive spots for each of the four stamp quadrants starting with the upper left box and proceeding in a clockwise rotation. QUAD 1, QUAD 2, QUAD 3 and QUAD 4 for all your tested body areas. Activity B: Temperature Sensation Page 1 of 6 Each team (or pair) of students should have a Student Guide. Each individual student should have a Data Sheet. Record the data provided by the test subject by coloring in the corresponding dot on the Data Sheet each time a stimulus is felt by the test subject. There are two parts to this activity. 1. Get an aluminum temperature probe from the freezer of my small refrigerator. Make an ice water bath and place the probe in the water bath. Let it cool further until it is icy cold. 2. The test subject sits with eyes blind folded and with the stamped hand palm downward and motionless on the desk. The experimenter begins with the grid labeled "Back of Hand." 3. The experimenter begins in one quadrant of the dot grid and gently touches each dot with the temperature probe. The probe should remain on each dot for about two seconds. The test subject reports whether or not he or she feels a cool stimulus (don’t confuse cool sensation with pressure sensation.) 4. Repeat this activity, touching the other dots on the grid, reporting the sensation, and recording the response on the Data Sheet. Continue until all of the dots (or the required number of dots) have been tested. 5. Replace the probe back in the ice bath periodically in order to keep it cold. Repeat this procedure for the palm and forearm locations and record the results. Remember that, in order to analyze and interpret data correctly, it must be organized, complete, and recorded accurately. 6. Repeat steps 1 through 5, this time using a warm temperature probe to map warmth receptors. Give the sensor time to warm up and then follow the same protocol, mapping warmth receptors for the back of the hand, the palm, and the forearm. Activity C: Two-Point Discrimination Each team (or pair) of students should have a Student Guide. Each individual student should have a Data Sheet. Record the data provided by the test subject by filling in the blanks in the data table on the Data Sheet. Test five different locations three times each. Gather data from the following body areas: fingertip, palm, forearm, back of the neck, and back of the lower leg (calf). 1. The test subject sits with eyes closed and one hand palm upward and motionless on the desk. The experimenter begins by testing the fingertip. 2. Start with the two points on the two-point discriminator touching each other. In increments of 1-2 mm, gradually increase the distance between the two points. Test the subject's skin after each 3. adjustment. Each time the two points are touched to the skin, ask the test subject whether he or she feels only one point or two distinct points. 4. Repeat this procedure until the test subject reports feeling two distinct contact points. The measurement at which two distinct points are felt is called the "two-point threshold." This value is obtained by reading the number found between the two arrows in the middle of the sliding scale on the two-point discriminator. Record the test subject's two-point threshold in the "Trial 1" column of the data table. 5. Repeat steps 2 and 3, obtaining a two-point threshold measurement for the following areas of the test subject's body: the palm of the hand, the forearm, the back of the neck, and the lower leg or calf. Record each of these results in the "Trial 1" column of the data table. 6. Conduct two additional trials for each of these locations, following the procedure above. Record the results in the "Trial 2" and "Trial 3" columns of the data table. Average the 3 trials and record that information in the class data spreadsheet. Page 2 of 6 Data Collection: (total of 15 pts) You will need one data sheet (see last page of lab) per person (4 pts). You will need a data table with every partners results in the ice vs hot warm activity. (4 pts) You need a class data table including the statistical results for each of the Activities as directed in the data analysis or conclusion questions (7 pts). Data Analysis: (total of 14 pts) 1. Find the average number of receptor sites located for each area that was tested. Construct a bar graph using the class averages, that illustrates the data from both Activity A and Activity B. Numbers of receptors should be on the Y axis and the body regions on the X axis. The legend should identify what type of receptor was tested. (5 pts) 2. Compare the results if the different activities and determine if gender has a significant role in receptor distribution. Don’t forget to tell me what t-test you used and explain if or if not, gender had a significant affect. Cite and explain your results thoroughly. Highlight the those significantly different cells in your data table. (5 pts) 3. Was anyone significantly different for these activities. Don’t forget to explain, statistically, why they were significantly different and highlight them in your data table. (4 pts) Conclusion: use class averages to answer the following questions; total of 29 pts 1. From activity A, compare the results for the different test areas. Using the class data, determine if there is a significant difference in the fine touch receptor densities for the regions you tested? This means you must do multiple t-tests; comparing hand to palm, hand to forearm and palm to forearm. Cite and explain your results thoroughly. (6 pts) 2. From activity B, was there a significant difference between warm and cold receptors? You need to do t-tests comparing warm hand to cold hand, hot palm to cold palm and hot forearm to cold forearm. Treat these tests as if they were done before and after, i.e. you are using a different t-test then the one used in conclusion question #1. Cite and explain your results thoroughly. (6 pts) 3. From activity C, analyze the data from the three trials. Based upon this data, what inferences can you make regarding receptor densities and receptive fields based on the two-point threshold data? This means you must do multiple t-tests; comparing fingertip to palm, fingertip to forearm, fingertip to neck, fingertip to calf etc.. There will be a total of 9 t-test results. Cite and explain your results thoroughly. (12 pts) 4. Are some locations significantly more sensitive than others are? Hint: refer to two point discrimination data to answer this question. (2 pt) • Don’t forget to critique the lab to see if there were directions that didn’t make sense or procedural steps that will influence the results other than what we were manipulating. (2 pts) • Make suggestions to correct the errors listed above! (1 pt) Page 3 of 6 Test Subject: _____________________ Cutaneous Sensations Data Sheet Activity A: Stimulus Sensitivity Testing Average # of receptor sites ________ ___________ ____________ ________ ___________ ____________ ________ ___________ ____________ Activity B: Temperature Sensation Warm Test: Average # of receptor sites Cool Test: Average # of receptor sites Activity C: Two-Point Discrimination Test Location Fingertip Palm Forearm Back of the Neck Lower Leg (Calf) Trial 1 (mm) Trial 2 (mm) Trial 3 (mm) Average (mm) Page 4 of 6 Test Subject: _____________________ Cutaneous Sensations Data Sheet Activity A: Stimulus Sensitivity Testing Average # of receptor sites ________ ___________ ____________ ________ ___________ ____________ ________ ___________ ____________ Activity B: Temperature Sensation Warm Test: Average # of receptor sites Cool Test: Average # of receptor sites Activity C: Two-Point Discrimination Test Location Fingertip Palm Forearm Back of the Neck Lower Leg (Calf) Trial 1 (mm) Trial 2 (mm) Trial 3 (mm) Average (mm) Page 5 of 6 Test Subject: _____________________ Cutaneous Sensations Data Sheet Activity A: Stimulus Sensitivity Testing Average # of receptor sites ________ ___________ ____________ ________ ___________ ____________ ________ ___________ ____________ Activity B: Temperature Sensation Warm Test: Average # of receptor sites Cool Test: Average # of receptor sites Activity C: Two-Point Discrimination Test Location Trial 1 (mm) Trial 2 (mm) Fingertip Palm Forearm Back of the Neck Lower Leg (Calf) Trial 3 (mm) Average (mm) Page 6 of 6
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