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Classification of Nerve Fibres

(From Guyton and Hall Textbook of Medical Physiology, 4th South Asia Edition - Chapter 47)
Nerve fibres range from 0.5 to 20 micrometres in diameter, and their conduction velocity ranges from 0.5 to 120 m/sec - larger diameter fibres conduct faster. Two classification systems are in use: the General classification and the Sensory (Sensory Physiologists') classification.

I. General Classification

Fibres are divided into Type A and Type C.
Type A fibres are the typical large and medium-sized myelinated fibres of spinal nerves. They are subdivided into four subtypes:
SubtypeDiameter (µm)Conduction Velocity (m/sec)Functions
12–2070–120Skeletal muscle efferents, proprioception (muscle spindle primary endings, Golgi tendon organs)
5–1230–70Touch, pressure, vibration (Meissner corpuscles, Pacinian corpuscles, hair receptors)
3–615–30Muscle spindle (intrafusal) efferents
2–55–30Pricking pain, temperature (cold), crude touch
Type C fibres are small, unmyelinated fibres with the slowest conduction velocity (0.5–2 m/sec). They constitute more than half of the sensory fibres in most peripheral nerves and include all postganglionic autonomic fibres. They carry aching pain, warmth, tickle, crude touch, and itch sensations, and subserve sympathetic motor function.

II. Sensory (Alternative) Classification

Used by sensory physiologists when certain recording techniques can separate Aα into subgroups but cannot distinguish Aβ from Aγ easily:
GroupEquivalent (General)Diameter (µm)Function
Ia~17Annulospiral (primary) endings of muscle spindles
Ib~16Golgi tendon organs
IIAβ, Aγ~8Discrete cutaneous tactile receptors; flower-spray (secondary) muscle spindle endings
III~3Temperature, crude touch, pricking pain
IVC (unmyelinated)0.5–2Pain, itch, temperature, crude touch

Figure 47.6 - Physiological Classification and Functions of Nerve Fibres

Figure 47.6 from Guyton and Hall - Physiological classifications and functions of nerve fibers
Figure 47.6: Physiological classifications and functions of nerve fibres. Note the two classification schemes (general above, sensory below) plotted against fibre diameter and conduction velocity, with sensory and motor functions mapped to each type.

Key Points to Remember

  • Myelination determines speed: All Type A fibres are myelinated; Type C fibres are unmyelinated. Myelin dramatically increases conduction velocity by saltatory conduction.
  • Size = speed: The larger the fibre diameter, the greater the conduction velocity.
  • Type C fibres are the most abundant: They make up more than half the sensory fibres in peripheral nerves.
  • The two classification systems overlap: Group I + II = Aα/Aβ/Aγ; Group III = Aδ; Group IV = C.
  • Fast pain (pricking, sharp) is carried by Aδ (Group III) fibres; slow, aching pain by Type C (Group IV) fibres.

Source: Guyton and Hall Textbook of Medical Physiology, Chapter 47 - "General Principles of Sensory Physiology," pp. 586-587
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