Gate Control Theory
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Gate Control Theory
The gate control theory of pain asserts that non-painful input closes the nerve "gates" to painful input, which prevents pain sensation from traveling to the central nervous system. The gate control theory of pain describes how non-painful sensations can override and reduce painful sensations. A painful, nociceptive stimulus stimulates primary afferent fibers and travels to the brain via transmission cells. Increasing activity of the transmission cells results in increased perceived pain. Conversely, decreasing activity of transmission cells reduces perceived pain. In the gate control theory, a closed "gate" describes when input to transmission cells is blocked, therefore reducing the sensation of pain. An open “gate” describes when input to transmission cells is permitted, therefore allowing the sensation of pain. First proposed in 1965 by Ronald Melzack and Patrick Wall, the theory offers a physiological explanation for the previously observed effect of psychology on pain p ...
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Pain
Pain is a distressing feeling often caused by intense or damaging Stimulus (physiology), stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sense, sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage." Pain motivates organisms to withdraw from damaging situations, to protect a damaged body part while it heals, and to avoid similar experiences in the future. Congenital insensitivity to pain may result in reduced life expectancy. Most pain resolves once the noxious stimulus is removed and the body has healed, but it may persist despite removal of the stimulus and apparent healing of the body. Sometimes pain arises in the absence of any detectable stimulus, damage or disease. Pain is the most common reason for physician consultation in most developed countries. It is a major symptom in many medical conditions, and can interfere with a person's quality of life and general fun ...
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Inhibitory Interneuron
An inhibitory postsynaptic potential (IPSP) is a kind of synaptic potential that makes a postsynaptic neuron less likely to generate an action potential.Purves et al. Neuroscience. 4th ed. Sunderland (MA): Sinauer Associates, Incorporated; 2008. The opposite of an inhibitory postsynaptic potential is an excitatory postsynaptic potential (EPSP), which is a synaptic potential that makes a postsynaptic neuron ''more'' likely to generate an action potential. IPSPs can take place at all chemical synapses, which use the secretion of neurotransmitters to create cell-to-cell signalling. EPSPs and IPSPs compete with each other at numerous synapses of a neuron. This determines whether an action potential occurring at the presynaptic terminal produces an action potential at the postsynaptic membrane. Some common neurotransmitters involved in IPSPs are GABA and glycine. Inhibitory presynaptic neurons release neurotransmitters that then bind to the postsynaptic receptors; this induces a ch ...
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International Association For The Study Of Pain
The International Association for the Study of Pain (IASP) is an international learned society promoting research, education, and policies for the understanding, prevention, and treatment of pain. IASP was founded in 1973 under the leadership of John J. Bonica. Its secretariat, formerly based in Seattle, Washington Seattle ( ) is the List of municipalities in Washington, most populous city in the U.S. state of Washington (state), Washington and in the Pacific Northwest region of North America. With a population of 780,995 in 2024, it is the List of Unit ..., is now located in Washington, D.C. It publishes the scientific journal ''PAIN, PAIN Reports'' and ''PAIN: Clinical Updates.'' IASP currently has more than 7,200 members from 133 countries and in 94 chapters worldwide. IASP supports 20 Special Interest Groups (SIGs) which members may join to network and collaborate with others in their specific field of research or practice. Global Year Against Pain In 2004, supported ...
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Neural Network
A neural network is a group of interconnected units called neurons that send signals to one another. Neurons can be either biological cells or signal pathways. While individual neurons are simple, many of them together in a network can perform complex tasks. There are two main types of neural networks. *In neuroscience, a '' biological neural network'' is a physical structure found in brains and complex nervous systems – a population of nerve cells connected by synapses. *In machine learning, an '' artificial neural network'' is a mathematical model used to approximate nonlinear functions. Artificial neural networks are used to solve artificial intelligence problems. In biology In the context of biology, a neural network is a population of biological neurons chemically connected to each other by synapses. A given neuron can be connected to hundreds of thousands of synapses. Each neuron sends and receives electrochemical signals called action potentials to its conne ...
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Science (journal)
''Science'' is the peer review, peer-reviewed academic journal of the American Association for the Advancement of Science (AAAS) and one of the world's top academic journals. It was first published in 1880, is currently circulated weekly and has a subscriber base of around 130,000. Because institutional subscriptions and online access serve a larger audience, its estimated readership is over 400,000 people. ''Science'' is based in Washington, D.C., United States, with a second office in Cambridge, UK. Contents The major focus of the journal is publishing important original scientific research and research reviews, but ''Science'' also publishes science-related news, opinions on science policy and other matters of interest to scientists and others who are concerned with the wide implications of science and technology. Unlike most scientific journals, which focus on a specific field, ''Science'' and its rival ''Nature (journal), Nature'' cover the full range of List of academ ...
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The New York Times
''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of the longest-running newspapers in the United States, the ''Times'' serves as one of the country's Newspaper of record, newspapers of record. , ''The New York Times'' had 9.13 million total and 8.83 million online subscribers, both by significant margins the List of newspapers in the United States, highest numbers for any newspaper in the United States; the total also included 296,330 print subscribers, making the ''Times'' the second-largest newspaper by print circulation in the United States, following ''The Wall Street Journal'', also based in New York City. ''The New York Times'' is published by the New York Times Company; since 1896, the company has been chaired by the Ochs-Sulzberger family, whose current chairman and the paper's publ ...
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Chronic Pain
Chronic pain is pain that persists or recurs for longer than 3 months.https://icd.who.int/browse/2025-01/mms/en#1581976053 It is also known as gradual burning pain, electrical pain, throbbing pain, and nauseating pain. This type of pain is in contrast to acute pain, which is pain associated with a cause that can be relieved by treating the cause, and decreases or stops when the cause improves. Chronic pain can last for years. Persistent pain often serves no apparent useful purpose. The most common types of chronic pain are back pain, severe headache, migraine, and facial pain. Chronic pain can cause very severe psychological and physical effects that sometimes continue until the end of life. Analysis of the grey matter (damage to brain neurons), insomnia and sleep deprivation, metabolic problems, chronic stress, obesity, and heart attack are examples of physical disorders; and Depression (mood), depression, and neurocognitive disorders are examples of mental disorders. A wide ra ...
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C Fiber
Group C nerve fibers are one of three classes of nerve fiber in the central nervous system (CNS) and peripheral nervous system (PNS). The Group C fibers are unmyelinated and have a small diameter and low conduction velocity, whereas Groups A and B are myelinated. Group C fibers include postganglionic fibers in the autonomic nervous system (ANS), and nerve fibers at the dorsal roots (IV fiber). These fibers carry sensory information. Damage or injury to nerve fibers causes neuropathic pain. Capsaicin activates C fibre vanilloid receptors, providing the burning sensation associated with chili peppers. Structure and anatomy Location C fibers are one class of nerve fiber found in the nerves of the somatic sensory system. They are afferent fibers, conveying input signals from the periphery to the central nervous system. Structure C fibers are unmyelinated unlike most other fibers in the nervous system. This lack of myelination is the cause of their slow conduction velocit ...
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A Delta Fiber
Group A nerve fibers are one of the three classes of nerve fiber as ''generally classified'' by Erlanger and Gasser. The other two classes are the group B nerve fibers, and the group C nerve fibers. Group A are heavily myelinated, group B are moderately myelinated, and group C are unmyelinated. The other classification is a sensory grouping that uses the terms '' type Ia and type Ib'', '' type II'', ''type III'', and ''type IV'', sensory fibers. Types There are four subdivisions of group A nerve fibers: alpha (α) Aα; beta (β) Aβ; , gamma (γ) Aγ, and delta (δ) Aδ. These subdivisions have different amounts of myelination and axon thickness and therefore transmit signals at different speeds. Larger diameter axons and more myelin insulation lead to faster signal propagation. Group A nerves are found in both motor and sensory pathways. Different sensory receptors are innervated by different types of nerve fibers. Proprioceptors are innervated by type Ia, Ib and II ...
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Myelin
Myelin Sheath ( ) is a lipid-rich material that in most vertebrates surrounds the axons of neurons to insulate them and increase the rate at which electrical impulses (called action potentials) pass along the axon. The myelinated axon can be likened to an electrical wire (the axon) with insulating material (myelin) around it. However, unlike the plastic covering on an electrical wire, myelin does not form a single long sheath over the entire length of the axon. Myelin ensheaths part of an axon known as an internodal segment, in multiple myelin layers of a tightly regulated internodal length. The ensheathed segments are separated at regular short unmyelinated intervals, called nodes of Ranvier. Each node of Ranvier is around one micrometre long. Nodes of Ranvier enable a much faster rate of conduction known as saltatory conduction where the action potential recharges at each node to jump over to the next node, and so on till it reaches the axon terminal. At the terminal the ...
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Afferent Nerve
A sensory nerve, or afferent nerve, is a nerve that contains exclusively afferent nerve fibers. Nerves containing also motor fibers are called mixed. Afferent nerve fibers in a sensory nerve carry sensory information toward the central nervous system (CNS) from different sensory receptors of sensory neurons in the peripheral nervous system (PNS). A motor nerve carries information from the CNS to the PNS. Afferent nerve fibers link the sensory neurons throughout the body, in pathways to the relevant processing circuits in the central nervous system. Afferent nerve fibers are often paired with efferent nerve fibers from the motor neurons (that travel from the CNS to the PNS), in mixed nerves. Stimuli cause nerve impulses in the receptors and alter the potentials, which is known as sensory transduction. Spinal cord entry Afferent nerve fibers leave the sensory neuron from the dorsal root ganglia of the spinal cord, and motor commands carried by the efferent fibers leave t ...
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Gate Control A Firing
A gate or gateway is a point of entry to or from a space enclosed by walls. The word is derived from Proto-Germanic language, Proto-Germanic ''*gatan'', meaning an opening or passageway. Synonyms include yett (which comes from the same root word) and portal (architecture), portal. The concept originally referred to the gap or hole in the wall or fence, rather than a Barricade, barrier which closed it. Gates may prevent or control the entry or exit of individuals, or they may be merely decorative. The moving part or parts of a gateway may be considered "Door, doors", as they are fixed at one side whilst opening and closing like one. A gate may have a latch (hardware), latch that can be raised and lowered to both open a gate or prevent it from swinging. Gate operation can be either Electric gate, automated or manual. Locks are also used on gates to increase security. Larger gates can be used for a whole building, such as a castle or fortified town. Doors can also be considered ...
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