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somatic motor system
- skeletal muscles and the parts of the nervous system that control neural structures
- voluntary movement
motor pathways include 2 principal neurons, ______ and _______
- upper motor neurons (UMN)
- lower motor neurons (LMN)
where do upper motor neurons reside
- CNS, they do NOT leave here
- housed in the brain and spinal cord
upper motor neurons
- run from cortex to brainstem
- synapse with lower motor neurons (LMNs) in the brainstem (cranial nerves) and spinal cord (spinal nerves)
where do lower motor neurons reside
- consists of cranial nerves and spinal nerves
- part of PNS
LMN: cranial nerves innervate ______ and exit out of ______
- face/neck
- brainstem
LMN: spinal nerves innervate ______ and exit out of ______
- leg/arm muscles
- spinal cord
where do the UMNs synapse with LMNs in the lateral corticospinal tract
- ventral horn
caudal medulla
- where contralateral innervation (decussation) happens for the lateral corticospinal tract
- right side of brain controls left side of body
what does the lateral corticospinal tract innervate?
- arms and legs
majority of the ______ is decussation (90%)
- lateral corticospinal tract
the other 10% of decussation is in the _____
- anterior corticospinal tract
anterior corticospinal tract
- small part of the corticospinal tract
- tract stays on the same side until they are ready to synapse with LMN
characteristics of UMN damage
- weakness
- hypERactive reflexes
- increased tone
- NO atrophy
- NO fasciculations
- spasticity present
characteristics of LMN damage
- weakness
- hyPOactive reflexes
- decreased tone
- atrophy present
- fasciculations present
- flaccidity present
spasticity
- hyperactive reflexes + increased tone
- muscles are stiff
flaccidity
- hypoactive reflexes + decreased tone
- muscles are very limp
fasciculations
- flickering-like, involuntary twitches of muscles
atrophy
- very weak muscles
hypertonia
- increased muscle tone
hypotonia
- decreased muscle tone
motor control hierarchy
- just know that every part of this is equally important and essential
lower motor neurons
- only this DIRECTLY command and innervate muscles
- last part of journey of all motor signals
- the final common pathway
where do LMNs receive sources of input
- UMNs
- spinal interneurons
- spindles
***sensory input in order to initiate movement!
spindles
- within the muscles cells
- ex. tells you that you are sore from a workout
how are lower motor neurons classified?
- based on the type of muscle fiber they innervate
LMNs: alpha motor neurons
- innervate extrafusal muscle fibers (muscle contraction)
- extrafusal = muscle contraction
- involved with generating muscle force (ex. pushing things away, kicking a ball, etc.)
LMNs: gamma motor neurons
- innervate intrafusal muscle fibers (sensory)
intrafusal muscle fibers and sensory afferents compose ____
- muscle spindles
propiroception
- awareness of how muscles feel / monitor amount of muscle stretch
- ex. trying a new exercise and feeling like you are not doing it right
intrafusal fibers
- involved in a SMALL part of muscle contraction
dorsal horn
- where sensory neurons go to after exiting spinal cord
ventral horn
- where motor neurons (efferent fibers) exit
motor unit
- consists of 1 motor neuron and all the muscles fibers it innervates
why are motor units important?
- our body is made up of small and large motor units
motor neuron pool
- all motor neurons innervate the same single muscle
- reside and live in the same place (pool)
small motor units
- innervate and have a lesser amount of number of muscle fibers
- involved in precise and fine motor movements (ex. writing, texting, typing, and SPEECH!)
larger motor units
- innervates a large amount of muscle fibers
- can innervate muscle fibers at the same time
- generates bigger motor movements and in charge of our lower extremities (ex. jump, dance, walk)
size of motor units are determined by...
- the number of muscle fibers
neuromuscular junction
- acetylcholine (ACh) is released here in order to innervate muscles
acetylcholine receptors
- release of this causes an action potential in the sarcolemma
- multiple steps involved in this
cross bridge cycle
- the actual muscle contraction