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motor neurons are needed for
voluntary and involuntary muscle contraction
hierarchy of motor pathways
-Primary motor cortex (in the brain)
-Upper motor neurons - axons from the primary motor cortex descending directly to the brainstem or spinal cord
-Lower motor neurons - receive an impulse from an upper motor neurone (at a synapse) and then exit the CNS to cause contraction of a muscle in the periphery
-Lower motor neurones that exit at the brainstem are the cranial nerves and they innervate the muscles of the head and neck
-Lower motor neurons that exit from the spinal cord are the spinal nerves that will innervate the muscles of the lower body
-Lower motor neurons that synapse in the spinal cord exit the spinal cord from the ventral (anterior) horn of the grey matter
contraction and motor neurons
motor neurone must release ACh from its synaptic vesicles into synaptic cleft to initiate voluntary muscle contraction
3 areas of the frontal lobe involved in motor movement
1. The primary motor cortex (M1)occupying the precentral gyrus
2. The premotor cortex (PM) - (lateral, anterior to M1): receives sensory input from parietal lobe and basal ganglia; helps plan and prepare movement
3. The supplemental motor area (SMA) -(medial, anterior to M1) (coordinates complex fine movements and posture)
primary motor cortex
The primary motor cortex is located in the precentral gyrus in each hemisphere
It is arranged somatopically - the body is represented in the correct sequence but upside down
medullary pyramids
-Corticospinal axons form a ridge on either side of the anterior medulla (the pyramids) as they descend from the motor cortex - these are known as the medullary pyramids
-The right ridge mainly contains the corticospinal axons from the right motor cortex The left ridge mainly contains the corticospinal axons from the left motor cortex
-Most of the axons decussate (cross to the opposite side) low down at the pyramidal decussation just before the medulla exits the skull to become the spinal cord
corticobulbar tract contains
motor neurons to move the eyes, facial muscles, tongue, larynx & pharynx
corticospinal tract
contains motor neurons for tine movement of the lower limbs (arms and legs)
corticobulbar and corticospinal tract BOTH
-receive a range of inputs from: Primary motor cortex, Premotor cortex, Supplementary motor area
-share a common pathway through the cerebral hemispheres: passing through the internal capsule in a somatotopic organisation
then descending to the anterior part of the brainstem at the midbrain
corticobulbar tract pathway
-Originates in the primary motor cortex
-Follows a pathway down toward the medullary pyramids (in the anterior medulla)
-However, several branches come off at different levels to terminate on the motor nuclei in the midbrain, pons and medulla
-Here, they synapse with lower motor neurons, which are the different cranial motor nerves
-These carry the motor signals to the muscles of the face and neck
-They control voluntary control of facial expression, mastication (chewing), swallowing, and vocalisation and speech
lateral corticospinal tract
- starts in the cortex (rather than the brainstem)
-Decussates in the medulla
-It is the larger one of the two corticospinal tracts
- skilled and fine motor control in the upper and lower distal areas of limbs such as the fingers and toes - e.g writing, playing musical instruments
ventral (anterior) corticospinal tract
This is a tract that starts in the cortex (rather than the brainstem)
It is a branch of the main corticospinal tract
It carries on ipsilaterally through the medulla and only decussates at the level of the spinal cord, then synapses with a lower motor neuron
Its function is to maintain posture, balance, and purposeful (voluntary) movements especially of the trunk, neck and shoulder regions (upper limbs, closer to the body)
what is the internal capsule?
a white matter structure in the brain that serves as a major pathway for communication between different regions of the cerebral cortex and the subcortical structures, including the thalamus, basal ganglia, and brainstem
The x and y make up parts of the descending tracts
corticospinal and corticobulbar tracts
where does the internal capsule receive its blood supply
through a series of small perforating arteries entering from the base of the brain
vestibulospinal tract
Starts at the vestibular nuclei which span the pons and medulla
The vestibular nuclei receive information about balance from the semi-circular canals in the inner ear and also information back from the vestibulocerebellum to modulate and refine motor output
vestibulospinal tract controls balance and posture by
Innervating the 'anti-gravity' muscles in the trunk and spine to maintain upright posture
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Responding to changes in head position and movement - essential for reflexive adjustments to maintain balance and prevent falls
tectospinal tracts
Originate at the superior colliculus in the midbrain
The neurons then decussate, and descend to enter the spinal cord
They terminate at the cervical levels of the spinal cord
They are thought to control reflex postural movements in the head and neck mainly in response to sounds and visual stimuli