does NOT include PATHWAY ORDERS (enter, descend, cross, exits, etc)
movement is orchestrated by coordinated action of what (5)
peripheral
spinal
brain stem
cerebellar
cerbebral regions
*movement is shaped by a specific context and directed by intentions of the performer
what amount of the nervous system is directly involved in motor performace
more than half
what is the most common manifestation of disease in the nervous system
disruption of motor control
what are the 2 types of lower motor neurons
alpha motor neurons
gamma motor neurons
alpha motor neurons:
cell body… (1)
exits spinal cord… (1)
innervates… (1)
neurotransmitter… (1)
axons… (1)
ventral horn of spinal cord
ventral root
extrafusal skeletal muscle
Ach
large myelinated Aa (fast)
gama motor neurons
cell body… (1)
exits… (1)
innervates… (1)
axons (1)
ventral horn
ventral root
intrafusal fibers of muscle spindle
medium myelinated Ay
what is a motor unit
single alpha motor neuron and the muscle fibers it innervates
small motor units in hands due to doing fine movements and need lots of motor neuron innervating small motor units
quads have big motor units by generating power… one motor neuron innervates it
motor neuron pool = all alpha motor neuron contribute to it
what is slow twitch - type 1 used for (2)
postural and slowly contracting muscles
low fatigue; stabilization/background
what is fast twitch - type IIA, IIB
phasic, power producing muscles
dependent on its innervation
slow twitch muscle fibers fire first during movements because their smaller cell bodies in anterior horn depolarize faster
peripheral sensory input to motor neurons:
sensory information from GTO and muscle spindles give information regarding ____ (3)
tension
muscle length
rate of change in length
*info can be processed at multiple levels to adjust activity of motor output
what is the importance of the alpha-gamma coactivation
maintain stretch on central region of muscle spindle
* maintains stretch on central region of muscle spindle intrafusal fibers by contracting at the ends of the intrafusal fibers when the extrafusal fibers actively contract
* the purpose is to maintain the stretch sensitivity of the muscle spindle when the extrafusal muscle fibers are contracted
*during most movements the alpha and gamma motor neuron systems function simultaneously
myotome: elbow flexion
C5
myotome: wrist extension
C6
myotome: elbow extension
C7
myotome: flexion of tip of middle finger
C8
myotome: finger abduction
T1
myotome: hip flexion
L2
myotome: knee flexion
L3
myotome: ankle dorsiflexion
L4
myotome: great toe extension
L5
myotome: ankle plantar flexion
S1
what is a myotome
groups of muscle innervated by a single spinal nerve
what are motor neuron pools
group of alpha motor neurons innervating a single muscle
axons from a motor pool project to one muscle
cell bodies whose axons project to a single muscle are clustered in motor pools
what makes up the medial pool (2)
axial and proximal musles
what makes up the lateral pools
distal musculature
what makes up the anterior pools
extensors
what makes up the posterior pools
flexors
what 4 things make up the spinal region coordination
muscle synergies = when bicep and bronchialis work together to get same effect
stepping pattern generators = reciprocal movement is spinal cord feature (conscious start walking to automatic walking)
reflexed = deep tendon reflexes
reciprocal inhibition = when fire bicep you turn down tricep… sometimes want stability when doing plank so both on to keep elbow stable
what is thought to be the sole basis of movement by early neuroscientists
reflexes
most movement is voluntary with some contributions of reflexive movement
reflex examination can give some idea of the integrity of the motor system at the peripheral and spinal cord level
too low reflexes = PNS problem
stretch reflexes: (5)
myotactic reflex
deep tendon reflex
monosynaptic
autogenic facilitation
phasic vs tonic
what is the role of the GTO
info regarding tendon tension
helps to modulate muscle contraction/tension of tendon
works with other proprioceptors
may facilitate or inhibit based on task (stance vs swing can tell tension being applied to it - excitatory/inhibitory)
what 4 items make up the cutaneous reflexes
flexor withdrawal reflex = multisynaptic; hand on hot stove and moves it
crossed extension = lift R leg from nail and extend L leg to balance
abdominal reflex = scrape abdominal with reflex hammer and causes it to contract so when stimulate skin on muscle
plantar reflex = babinski
what is the H reflex
electrical equivalent of stretch reflex = quantifiable tells you excitability of stretch reflex
can be used to quantify excitability (or lack of) of alpha motor nerves
medical activation system: posture and gross movement
where does it tend to synapse
what movement is it biased for
tend to synapse on motor neurons located medially in ventral horn (which supply proximal postural muscles)
tend to be extensor biased
*all descending pathways of posture and gross movements
* 4 tracts brain stem; 1 cortex
major pathways of the medial system (5)
medial corticospinal tract
lateral vestibulospinal tract
medial vestibulospinal tract
tectospinal tract
pontine (medial) reticulospinal tract: reticulospinal tract
what is the function of the medial (anterior/ventral) corticospinal tract
axial and proximal joint control of neck, shoulder, trunk
what is the motor homonculus
posterior limb internal capsule = all sensory and motor fibers run same path
motor fibers run down in crus cerebri
crossing over to lateral and if not its medial corticospinal tract
what is the function of the medial vestibulospinal tract
regulates activity of upper back and neck muscles in response to vestibular input
what is the function of the lateral vestibulospinal tract
fascilitate antigravity muscles of ipsilateral extremities and inhibits non-antigravity muscles
what is the function of the tectospinal tract
mediates reflexive movement of head and neck to visuli stimuli
what is the function of the pontine (medial) reticulospinal tract
activates ipsilateral lower motor neurons of postural muscles and limb extensors
*functions normally with minimal input from cortex
what is the lateral activation pathway
where does it descend
where does it synapse with
descend in lateral spinal cord
synapses with motor neurons in lateral portion of ventral horn
fine movement, fractionation of movement (lateral activation pathways) = x3 tracts
lateral corticospinal
medullary (lateral) reticulospinal tract
rubrospinal
what is the function of the lateral corticospinal tract
fractionation of movement (ability to activate individual muscles independently of other muscles)
what is the function of the medullar (lateral) reticulospinal tract
regulation of tone (more inhibitory than facilitory) requires input from cortex to function appropriately
facilitates flexors and inhibits extensors
during walking this effect is reversed
what is the function of the rubrospinal tract
closely associated with lateral corticospinal tract, flexors of UE; more developed in monkeys
where does the corticobulbar tract motor supply go to
from cortex to cranial nerves innervating musculature of head and neck
the corticobular tract pathways end when _____
all are crossed
the corticobulbar tract gives innervation to what
upper face recieve bilateral innervation
what are 2 nonspecific activating pathways
cerulospinal tract
raphespinal tract
the nonspecific activating pathways have general effects on what (2)
motor performance
motivation
*doesnt innervate specific muscles
*choking patterns = stressed/nervous think youll fail; overactive and turns on all muscles so tighten up… fine distal control (basketball) is not good with this
what is the primary motor area 4
movement _____ and ______
more than ________…
movement execution and fractionation
more than 50% hand and speech
*store programs of tasks you do all the time
what is the supplementary motor area 6
activate prior to _____ and _____
activate prior to bimanual tasks and sequential movements
*ex. buttoning your shirt… need both hands and steps
what is the premotor area 6
generates patterns of movement involving _______ and _______
generates patterns of movement involving multiple muscle groups and joints
*rowing motion → repetitive pattern movement