Motor Systems Flashcards

1
Q

What are the two major motor systems?

A
  • Pyramidal (cortex to motor effector, brainstem)

- Extrapyramidal (helps modulate, basal ganglia and cerebellum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two major pyramidal systems?

A

1-corticobulbar

2-corticospinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where do reflexes take place?

A

spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where do stereotyped, repetetive movements take place?

A
  • spinal cord
  • brainstem
  • cerebellum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where do goal-directed, voluntary movements take place?

A
  • cortex

- basal ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How many neurons are in the Pyramidal system?

A

2 neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What two things does the stretch reflex detect?

A
  • length

- rate of change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the two ways to excited a muscle spindle?

A

1-muscle stretch (relaxes muscle and contracts antagonist)

2-Gamma fiber signal (voluntary contraction or loading muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the three major limbs/sections of the Internal Capsule?

A

1-Anterior limb (not clinically relevant)
2-Genu (knee or bending portion, cotricobulbar/face)
3-Posterior limb (Costicospinal/motor)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Roughly ____% of the pyramidal system decussates at the medulla. _______% stars ipsilateral (___% anterior and ______% lateral)

A

90, 10, 8, 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cranial nerve nuclei are part of which system?

A

Corticobulbar tract in the genu of the internal capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which two nuclei are exceptions to being bilateral in the Corticobulbar tract?

A
  • Facial nerve from the eye down
  • Hypoglossal nerve

*both are contralateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are 5 signs of upper motor neurons (betz cells/cerebral cortex)?

A
1-weakness of entire limb
2-Spasticity of affected muscle
3-no muscle atrophy
4-Hyperactive deep tendon reflex
5-Pathologic reflexes, babinski
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are 5 signs of lower motor neurons (brainstem or spinal cord)?

A
1-Weakness in discrete muscle area
2-flaccidity of affected muscle
3-prominent muscle atrophy
4-hypoactive deel tendon reflex
5-no pathologic reflex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The extrapyramidal tract dealing with support posture, balance and head movements is called what?

A

Vestibulospinal tract

*relays information from the vestibular nuclei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which extrapyramidal tract deals with reflex postural movements of head and visual input?

A

Tectospinal tract (originates in midbrain tectum/superior colliculus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which extrapyramidal tract originates in the red nucleus and performs planned movements?

A

Rubrospinal tract

*axons decussate in midbrain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The striatum is made up of what?

A

Caudate and Putamen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The lenticular nuclei is made up of what?

A

Putamen and globus pallidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The ventral palladium is made up of what?

A

base of caudate head and ventral putamen (limbic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the two regions of substantial nigra?

A

1-pars compacta (black due to neuromelanin)

2-pars reticulata (greyish, GABAergic, output of BG)

22
Q

What two things give input to the Basal Ganglia circuitry?

A

1-Caudate

2-putamen

23
Q

What two things are output for the Basal Ganglia circuitry?

A

1-Globus pallidus (internal segment)

2-Substantia nigra (pars reticulata)

24
Q

What two things are intrinsic for the BG Circuitry?

A

1-globus pallidus (external segment)

2-Subthalmic nucleus

25
What acts as a modulatory aspect of the BG circuitry?
Substantia nigra (pars compacta)
26
What promotes movement?
Dishinhibition of thalamocortical circuits
27
What does the direct pathway do?
facilitates movement
28
what does the indirect pathway do?
inhibits movement
29
What is hyperkinesia?
excessive movements such as in huntingtons disease
30
What is hypokinesia?
Decreased movement such as in parkinsons disease
31
Involuntary quick jerky movements are called what?
Chorea
32
Repetetive large amplitude involuntary movements are called what?
Hemiballism
33
What is the anatomical sign of huntingtons?
striatal atrophy
34
Slowness to execute a movement is called what?
bradykinesia
35
involuntary tremor type movement is called what?
Dyskinesia
36
Inability to initiate movement is called what?
Akinesia
37
What is anatomically observed in parkinsons?
loss of substantia nigra
38
In parkinson disease _______ pathway is less active while the __________ pathway is more active
Direct, indirect
39
The modulation of ipsilateral intentional movements happens where?
Cerebellum
40
What are the 6 landmarks of the cerebellum from a lateral view?
``` 1-Anterior lobe 2-Primary Fissure 3-Posterior lobe 4-Tonsil 5-Flocculus 6-Middle cerebellar peduncle ```
41
The ________ separates left and right cerebellar lobes
Vermis
42
What is found where the two Flocculi come together that helps work with gate?
Nodulus
43
What are the 3 cell layers of the small folia of the cerebellum?
- Outer: stellate and basket cells - Middle: parking cells - inner: Granule and golgi cells
44
What two fibers are afferents?
climbing(end on purkinje) and mossy fibers (end on granule cells)
45
What cells are responsible for efferents?
purkinje cells (go to cerebellar nuclei or vestibular nuclei
46
What are the 4 nuclei of the cerebellum?
1- Fastigial nucleus (vestibular) 2- Globose nucleus (muscle tone) 3- Emboliform nucleus (muscle tone) 4- Dentate nucleus (Coordinate, fine voluntary motor activity)
47
What are the 3 divisions of the peduncles?
1-Superior (SCP): Midbrain (efferents to thalamus) 2-Middle (MCP): Pons (corticopontocerebellar afferents) 3-Inferior (ICP): Medulla (spinocerebellar afferents and efferents to brainstem)
48
A lesion in a dorsal nucleus, spinocerebellar tract or ICP would cause cerebellar signs on which side?
Ipsilateral side
49
What does a spinocerebellar ataxia affect?
- Walking/balance gait problems - Loss of precision and timing of movement - Swallowing - depth perception
50
A large cerebellum or a small foramen magnum can result in what?
Chiari malformation
51
Degeneration of the anterior cerebellar lobe that affects Gait, trunk and lower limb ataxia is called what?
alcoholic cerebellar degeneration