motor Flashcards
what is the only neurotransmitter involved in causing muscles to contract
Ach
are voluntary movements open or closed loop
open loop (reflex movement closed)
what is the highest level in the hierarchy of movement control
cerebullum, basal ganglia, motor cortex- planning, coordination, desire to move
what is the middle level in the hierarchy of movement control
descending systems and brainstem
what is the lowest level in the hierarchy of movement control
from spinal cord from motor neurone to muscle
what allows refinement of movement and accuracy
feedback at every level
what happens in lesions to level 1 (hierarchy)
apraxia- can’t carry out movement even though able to by muscle, after stroke/neuro degeneration
what happens in lesions to level 3 (hierarchy)
muscle weakness, in disorders of spinal cord disease, neuropathy, muscle disease eg dystrophy
what is a motor unit
motor neurone and the muscle it innervates
where do lesions occur in lower motor neurone lesions
between ventral horn and muscle
what are central pattern generators
in thoracic and lumbar parts of spinal cord, dont require constant afferent input for an output
what pathways run medially originating in the brainstem
vestibulospinal, reticulospinal, tectospinal
what pathways run laterally originating in brainstem
rubrospinal
what systems make up the aminergic system and where do they originate
noradrenergic system (from locus coeruleus) and serotonergic system (from raphe nucleus)
what pathways are involved in planning and initiation
corticobulbar and corticospinal
what are the 2 divisions of the corticospinal pathway
lateral corticospinal tract (3/4 fibres cross over to travel here) and ventral tract (those that don’t cross)
does the basal ganglia have direct connection to neurones
no has to travel through the cortex
which tracts are motor
descending tracts
what does damage to the basal ganglia lead to
apraxia, huntingtons, parkinsons, hemiballismus (involuntary movements)
what is classed as an upper motor neurone lesion
damage to descending tracts
what are the signs of upper motor neurone lesions
spinal cord reflexes left in tact, loss cortical inhibition, mild weakness, increased tone, exaggerated reflexes
what is involved in the coordination of movement
cerebellum
what is the function of the cerebellum
compares intended with actual movement. stores movement info and can learn new movements, store timing
what happens if the cerebellum is damaged
incoordination, jerky movements, impaired balance
where does the cerebellum receive info from
copy of info from cortex (intended movement), info from muscle spindles, other receptors (actual movement)
where does the cerebellum send its adjustments to
cortex
what happens if sensory feedback is disturbed, what is this called
impaired proprioception and touch. Large sensory input neuropathy- can’t sense position of limbs in space
what are the 2 mechanisms of postural adjustments
compensatory and anticipatory
how rapid is the compensatory mechanism of postural adjustment
rapid, automatic, stereotyped, refined by learning
what happens in anticipatory mechanism postural adjustment
predict disturbances before voluntary action. improve by learning
what is the postural set
collection of responses- integrate adjustments with voluntary actions
are postural refexes triggered before or after feedback
before, then scaled to reach stability
how are postural reflexes different to simple reflexes
triggered before feedback, scaled to acheive stability, rapid and slower responses (like simple reflexes- rapid and stereotyped)
what are vestibular nuclei involved in
balance
what is the corticoreticular tract involved in
postural adjustments
what tracts are important for rapid responses to change in posture
transcortical tracts
which info travels fastest (proprioceptive, vestibular, visual)
proprioceptive info travels 2x as fast as vestibular and visual info (visual slowest)
what happens when muscle spindles are activated
alpha motor neurones activity increases so muscle contracts
what coactivation is important when alpha motor neurones are activated and what is the action
gamma coactivation- which allows the spindles to remain taut and sensitive in contraction
what does the vestibular reflex respond to
in response to head movement changing wrt neck and limbs
what is decerebrate rigidity
arms and legs EXTEND
what is decerebrate rigidity due to
complete bilateral lesion just above the reticular formation below red nucleus. action of reticulospinal and vestibulospinal areas on alpha and gamma nuclei on the spinal cord predominantly extensors
what is decorticate rigidity
arms FLEX
what happens in decorticate rigidity
lesion is higher- above the midbrain red nucleus.
what does the brainstem have in control of posture
reticular formation. reticulospinal tracts involved
what does stimulation of the anterior lobe of the cerebellum lead to
decrease in decerebrate activity
what happens if you cut the vestibular nerve (wrt decerebrate rigidity)
decrease decerebrate rigidity
what damage to sensory structures can be postural disorders
blind (increase postural sway), vestibular disease (menieres), somatosensory injury/peripheral neuropathy
what damage to motor structures can be postural disorders
brainstem damage, cerebellar and basal ganglia damage
what are pyramidal tracts?
corticobulbar and corticospinal
what does the basal ganglia contain
putamen, caudate nucleus, globus pallidus, substantia nigra, subthalamic nucleus
what is the caudate nucleus part of (BG)
putamen
what are the caudate and putamen together names (BG)
striatum or neostriatum
what are basal ganglia disorders characterised by
involuntary movements, change in posture, balance and muscle tone, slowness of movement without weakness