Neuromotor System Flashcards

(70 cards)

0
Q

Nuclear bag fibers
Cell nuclei arrangement:
Deformation signals info about:

A

Jumbled together in middle

Rate of change (velocity) of muscle length

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1
Q

Nuclear chain fibers
Cell nuclei arrangement:
Deformation signals info about:

A

Aligned in single row

Static length of muscle

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2
Q

Spindle afferents that only innervate nuclear chain fibers

A

Type II

Signal muscle immediate length

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3
Q

Spindle afferents that wrap around both nuclear chain and nuclear bag fibers

A

Type 1a

Signal both muscle length an velocity

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4
Q

Muscle tone is fine-tuned by tonic discharge of ____ activated by ______ pathways (2)

A

Gamma motor neurons

Reticulospinal, vestibulospinal

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5
Q

Coordinates muscle tone in every muscle of body by modulating alpha motor neurons and gamma motor neuron firing frequency

A

Cerebellum

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6
Q

Contractile force of motor unit =

A

Force-generating capabilities of muscle’s fiber type x # fibers innervated by motor neuron

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7
Q

Dorsal groups of motor neurons innervate ___

A

flexors

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8
Q

Ventral groups of motor neurons innervate ___

A

Extensors

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9
Q

Medial groups of motor neurons innervate ____

A

axial (proximal) muscles

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10
Q

Lateral groups motor neurons innervate ____

A

Distal muscles

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11
Q

Lateral dorsal groups motor neurons innervate ___

A

most distal muscles (hands)

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12
Q

5 main descending motor systems

A
Corticospinal
Corticobulbar
Reticulspinal
Vestibulospinal
Tectospinal 
(Rubrospinal) unimportant
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13
Q

Project their axons across different levels of cord.

Yoke together proprioceptive systems and alpha/gamma motor neurons in networks called ____

A

Propriospinal interneurons in intermediate zone

Central pattern generators

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14
Q

Input of central pattern generators

A
Sensory fibers
Supraspinal neurons (corticospinal system)
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15
Q

Output of central pattern generators

A

(mostly inhibitory) alpha and gamma motor neurons

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16
Q

Intrinsic hand muscle motorneurons are located in _____

A

Dorsal part of ventral horn at C7-T1

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17
Q

Lesion of facial nucleus will result in ____

A

contralateral lower facial hemiparisis

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18
Q

Major functions of corticobulbospinal tract

A

Individual muscle control
Facilitation of flexors
Command system for activating central pattern generators

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19
Q

Rubrospinal system
Originates in:
Function:

A

Red nucleus

Facilitate neck and upper limb flexors

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20
Q

Tract involved in integrating CPG function

A
Reticulospinal tract
By facilitating (MRST) or inhibiting (LRST) stereotypic movements and compound limb movements
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21
Q

Reticulospinal system involved in:

A

Maintenance of posture
Modulation of muscle tone
CPG coordination

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22
Q

Damage at or below red nucleus when lateral corticospinal tract is disrupted causes ____

A

decerebrate rigidity

Lateral vestibulospinal tract’s bias for extension is unopposed

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23
Q

Tracts that have biased flexion

A

Rubrospinal

Medullary reticulospinal

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24
Tracts that have biased extension
Lateral vestibulospinal tract | Pontine reticulospinal tract
25
Functions of vestibulospinal tract and tectospinal tract
Postural control through facilitation of extensors | Coordination of head, neck and axial spine movements
26
Central control on motor system: planning and preparation
Frontal lobe
27
Central control of motor system: motor or procedural learning
basal ganglia
28
Central control of motor system: hitting the target | Accuracy and sequencing of complex voluntary movements
Cerebellum
29
``` Premotor area (PMA) involved in ______ Represents: ```
Planning and preparing movements in response to external cues, particularly visual Ownership of limbs and perception of their movements (sense of agency)
30
Supplementary motor areas (SMA) involved in ____
Internally generated movements
31
Lesion of lateral corticospinal tract in spinal cord produce ____
ipsilateral loss f voluntary movement below level of lesion, mostly in distal extremities
32
Lesion of corticospinal tract occurring above pyramidal decussation will cause _____
CONTRALATERAL paralysis/paresis
33
Lesion of hypoglossal nucleus will cause (3) (ipsilateral/contralateral) signs: Location of nucleus:
1.Tongue deviate TOWARD side of lesion 2.Dysphagia (swallowing) 3.Dysarthria (articulation) CONTRALATERAL Medulla
34
Oculomotor nuclear complex located in:
midbrain
35
Oculomotor nuclear complex innervates (ipsilateral/contralateral) superior rectus
Contralateral
36
Oculomotor nuclear complex innervates (ipsilateral/contralateral) inferior rectus
Ipsilateral
37
Oculomotor nuclear complex innervates (ipsilateral/contralateral) inferior oblique
Ipsilateral
38
Oculomotor nuclear complex innervates (ipsilateral/contralateral) medial rectus
ipsilateral
39
Oculomotor nuclear complex innervates levator palpebrae superioris via ____
central caudal nucleus
40
Trochlear nucleus located in:
midbrain
41
Trochlear nucleus innervates (ipsilateral/contralateral) _____
Contralateral superior oblique
42
Abducens nucleus located in:
pons, close to midline beneath floor of 4th ventricle
43
Abducens nucleus innervates (ipsilateral/contralateral) ____
Ipsilateral lateral rectus
44
Lesion to abducens nerve results in:
palsy of ipsilateral lateral rectus m. --> affected side fails to abduct on horizontal conjugate gaze to that side
45
Lesion of abducens nucleus causes damage to ____ and ____ | Leading to ____
Lateral rectus motor neurons AND internuclear neurons to contralateral MLF innervating medial rectus Horizontal conjugate gaze palsy
46
Trochlear nucleus located in: | Path of axons:
midbrain at level of inferior colliculus Dorsalateral and caudal --> superior medullary velum --> CROSS --> dorsal surface, just caudal to inferior colliculi
47
When eye is adducted, superior oblique acts to ____
depress the eye
48
When eye is abducted, superior oblique acts to ____
intort the eye
49
Trochlear nerve lesion results in ____ | Signs:
paralysis of ipsilateral superior oblique m Double vision when looking down and medially --> Compensate for extorsion by tilting head towards non-lesioned side Vertical diplopia when unaffected eye depressed --> tuck chin and tilt forward --> Pathetic look
50
Lesion of trochlear nucleus produce (ipsilateral/contralateral) signs
Contralateral
51
Lesion of trochlear nerve produce (ipsilateral/contralateral) signs
Ipsilateral
52
Oculomotor nuclear complex located in:
midbrain at level of superior colliculus
53
Lesion of CN3 nucleus OR nerve results in ____
down and out syndrome
54
Down and Out Syndrome | Symptoms: (4)
1. Ipsilateral lateral strabismus and depression: eyes do not line up in same direction 2. Ipsilateral ptosis: loss of levator palpebrae superioris 3. Ipsilateral mydriasis (dilated pupil) : loss of constrictor pupillae 4. Loss of direct and consensual pupillary light reflexes in ipsilateral eye
55
Internuclear ophthalmoplegia results from:
Lesion to MLF | Ipsilateral adducting eye cannot turn medially, but contralateral eye can but shows NYSTAGMUS
56
Vertical conjugate gaze controlled by:
Vertical conjugate gaze center in rostral midbrain
57
Lesions to dorsal midbrain lead to ____
paralysis of vertical gaze
58
Parinaud's Syndrome
Eyelid contraction and pupillary deficits | Paralysis of upward gaze (prominent)
59
Nucleus ambiguus location: | Innervation:
Medulla | Mm. of pharynx, larynx, soft palate, upper esophagus via CN 10 and 9
60
Lesions of nucleus ambiguus result in:
Dysphagia: atrophy and flaccid paralysis of mm. of soft palate, pharynx and larynx Dysarthria: Flaccid vocal chord
61
Facial nucleus innervates:
Mm. of facial expression Stylohyoid Posterior digastric Stapedius
62
Lesions of abducens nucleus often damage ___ also
CN7 Facial nerve fibers
63
LMN lesions to facial nerve result in:
Facial hemiplegia
64
LMN lesions to facial nucleus result in:
Facial hemiplegia | Hyperacusis (sensitivity to loud sounds): loss of inntervation of stapedius mm.
65
UMN lesion to facial nucleus results in:
lower quadrant palsy b/c neurons innervating upper facial muscles have bilateral innervation
66
Corneal blink reflex Involves: (2) Results in:
Facial nucleus (motor to orbicularis oculi), rostral spinal trigeminal nucleus Consensual both eyes blink from unilateral stimulation of cornea
67
Motor nucleus of CN5 Axons carried by: Innervates:
CNV3 Mm. of mastication, tensor tympani, tensor veli palatini, mylohyoid, anterior digastric
68
Outer layers of superior colliculus receive input from:
Retina | Cerebral cortex: visual cortex and frontal eye fields
69
Deep layers of superior colliculus receive input from:
Inferior colliculus Spinal nucleus of V Spinal cord