Central Control of Movement Flashcards

1
Q

What is the heirarchy of motor control?

A

Cortex: planning
Mid-brain- Equilibrium
Brain stem- Posture
Spinal cord- Execution

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2
Q

Movements

A

Voluntary- skilled, learned, conscious
Involuntary- postural, antigravity

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3
Q

What are the 2 major groups of descending pathways?

A

Lateral pathways and ventromedial pathways

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4
Q

Lateral pathways

A

Involved in voluntary movement of the distal musculature (limbs)

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5
Q

Ventromedial pathways

A

Involved in the control of posture and locomotion

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6
Q

Corticospinal tract (lateral pathway)

A

Controls primary motor activity for the somatic motor system from the neck to the feet

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7
Q

Lesion of the corticospinal tract

A

Inability to manipulate the lips and tongue
Deficit in fore legs (muscle weakness)
Conscious proprioeptive deficit
Spastic paralysis

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8
Q

Rubrospinal tract (lateral pathway)

A

Control of muscle tone in flexor muscle groups (important for newborns)

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9
Q

Lesions in the rubrospinal tract

A

Ataxia (precise aiming at the target)
Impairment of distal movement (impaired ability to grasp)

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10
Q

Reticulospinal tract (ventromedial)

A

Excites flexors and inhibits extensors
Helps with voluntary movement staying at equilibrium

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11
Q

Lesion in the reticulospinal tract

A

lack of anticipatory adaption
Increased reflex activity
Impaired motor movement
Abnormal posture

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12
Q

Vestibulospinal tract (ventromedial)

A

Balancing system in the ear
Works when the body is in motion
Ipsilateral

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13
Q

Lesion in the vestibulospinal tract

A

Loss of antigravity muscle tone
Postural destabilization
Vestibular ataxia
Head and body will tilt to the injured side

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14
Q

Descending brainstem motor pathways to the spinal cord (rubrospinal)

A
  1. Motor cortices
  2. Red nucleus
  3. Rubrospinal tract
  4. Lateral white matter (lateral column) and lateral part of gray matter
    PNS
  5. Distal musculature
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15
Q

Descending brainstem motor pathways to the spinal cord (Reticulospinal)

A
  1. Motor circles
  2. Reticular formation
  3. Reticulospinal tract
  4. Medial white matter (ventral column) and medial part of gray matter
    PNS
  5. Axial proximal musculature
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16
Q

Descending brainstem motor pathways to the spinal cord (vestibulospinal)

A
  1. Sensory organs in head
  2. Vestibular nuclei
  3. Vestibulospinal tract
  4. Medial white matter (ventral column) and medial part of gray matter
    PNS
  5. Axial proximal musculature
17
Q

Brainstem

A

Motor and sensory functions for the face and head regions

18
Q

What centers does the brainstem control?

A

Respiration, cardiovascular, GIT (partially), equilibrium and eye movements (affected by lesions in the medulla)

19
Q

Central pattern generators

A

Produce the patterns of neural activity that underlie rhythmic motor behaviours
Generated centrally, without sensory feedback

20
Q

Where does CPG control in the brainstem?

A

Breathing, swallowing, chewing, and certain eye movements

21
Q

CPG for locomotion

A

Walking, trotting, cantering, scratching and paw shaking are within the spinal cord

22
Q

Somatotopic map of primary motor cortex

A

More than 50% to the upper motor system (face)
Next is hands
Not too much to the feet, legs and toes

23
Q

Cerebral cortex

A

Primary motor cortex (discrete purposeful movements)
Premotor area (patterns of movement)
Supplemental motor area (bilateral movements, fixation movements)

24
Q

Inputs to motor cortex

A

Somatosensory, frontal, auditory, visual
Cerebellum and basal ganglia

25
What is the function of the supplementary and premotor cortex
Sends axons into corticospinal corticobulbar tract descending brainstem motor pathways
26
Basal ganglia location
Bunch of nuclei located on either side of thalamus
27
What is the function of basal ganglia
Making of smooth motor movements Change from one pattern to another Programming and correcting movement while it's happening Postural control
28
Corpus Striatum (caudate nucleus and putamen) afferents
From premotor and supplemental motor areas of cortex, somatosensory cortex, substania nigra
29
Corpus Striatum (caudate nucleus and putamen) efferents
To globus pallidus, eventually back to cortex
30
Corpus Striatum (caudate nucleus and putamen)
For gross movement initiation and visual limb placement
31
Globus pallidus afferents
from the striatum and subthalamus
32
Globus pallidus efferents
To substania, nigra, subthalamus, thalamus and RF
33
Globus pallidus
For motor relay and tonic background contractions
34
NTs
Dopamine (-): substantia nigra to caudate nucleus ACh (+): from cortex to putamen and caudate GABA (-): from caudate and putamen to globus pallidus and substania nigra
35
Basal ganglia lesions produce _________
Contralateral signs
36
Cerebellar lesions produce _________
Ipsilateral signs