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Sensorimotor System Overview

Major Brain Regions Involved

  • Sensorimotor and Premotor Cortex

  • Dorsolateral Prefrontal and Lateral Orbitofrontal Cortex

  • Limbic and Paralimbic Cortex, Hippocampus and Amygdala

Class Activity

  • Circuits Drawing

    • Involved areas:

      • Thalamus

      • Cortex (Cn)

      • Basal Ganglia structures: SUBTHALAMIC NUCLEUS (STN), GLOBUS PALLIDUS INTERNA (GPi), GLOBUS PALLIDUS EXTERNA (GPe)

    • Types of Circuits to Draw:

      • (a) Motor Circuit

      • (b) Associative Circuit

      • (c) Limbic Circuit


Sensory Pathways

Pathways to Draw

  • Cutaneous Mechanosensation

    • For lower limbs

    • For head/face sensation


Lower Motor Neurons and Motor Control

Anatomical Regions

  • Cervical

  • Thoracic

  • Sacral

  • Lower motor neuron circuit

Dorsal and Ventral Spinal Components

  • Dorsal:

    • Somatosensory functions

    • Components:

      • Horn

      • Root

      • Column

    • Sensory Neuron:

      • Located in Dorsal Root Ganglion

      • Receives input from sensory receptors

  • Ventral:

    • Motor functions

    • Components:

      • Ventral root

      • Horn

      • Spinal nerve

      • Final pathway to ventral muscle (Ventro- or Antero-column)


Lower Motor Neurons (LMN)

  • Function:

    • Exit spinal cord/brainstem and send projections to skeletal muscles

    • Known as the “final common path” for initiating movement

  • Local Circuits:

    • Primary source of synaptic input to LMN (sensory and descending inputs)

    • Essential for coordinating muscle movement between different groups for proper function


Upper Motor Neurons (UMN)

  • Location:

    • Cell bodies located in the brainstem and cerebral cortex

    • Project to local circuit neurons and sometimes LMN

  • Functions:

    • Necessary for voluntary and complex spatiotemporal movements

    • Involved regions include:

      • Primary Motor Cortex

      • Eye movement

      • Speech production (Broca’s area)

      • Emotional processing (facial expressions)

      • Brainstem (muscle tone and sensory integration)


Cerebellum

  • Functionality:

    • Indirect control of motor movement through regulation of UMN

    • Acts as a servomechanism (feedback control system to UMN)

    • Motor Error: The difference between intended and actual motor performance; the cerebellum mitigates motor errors and is critical for motor learning


Basal Ganglia

  • Components:

    • Group of brain regions including the Striatum, Globus Pallidus, Ventral Pallidum, Substantia Nigra, and Subthalamic Nucleus

  • Functions:

    • Balancing between preventing UMN from initiating unwanted movements and preparing circuits for desired movements

    • Essential for transitioning between different movement patterns

    • Plays a role in habit formation, implicit learning, and motivated behaviors


Basic Organization of Movement Control

  • Motor system hierarchy includes:

    • Motor Cortex

    • Basal Ganglia

    • Brain Stem

    • Cerebellum

    • Spinal Cord

    • Muscles

  • Interaction styles:

    • Serial and Parallel processing

    • Key regions interact including Cerebral Cortex, Basal Ganglia, and Thalamus


Descending Systems Overview

  • Upper Motor Neurons:

    • Originate in the motor cortex, responsible for planning, initiating, and directing voluntary movements

  • Brainstem Centers:

    • Control stereotyped movements, postural control, and adjustments in gain

  • Basal Ganglia:

    • Facilitate the initiation of intended movements while suppressing unwanted ones

  • Cerebellum:

    • Coordinates ongoing movement

  • Spinal Cord® and Brainstem Circuits:

    • Involved in sensorimotor integration and central pattern generation


Somatotopic Organization of LMN

  • Lower motor neurons innervate muscle fibers in individual muscles

  • Motor Neuron Pools:

    • All LMN that innervate a specific muscle

    • Somatotopic Arrangement:

      • Muscles arranged along medial-lateral and rostral-caudal axes

      • Arms: Cervical section

      • Legs: Lumbar section

      • Medial area for axial muscles; lateral for distal muscles

  • Regional Enlargements:

    • Cervical and lumbar enlargements to accommodate upper and lower limbs


Types of Lower Motor Neurons (LMN)

  • α Motor Neurons:

    • Innervate extrafusal fibers of skeletal muscles responsible for posture and movement

  • γ Motor Neurons:

    • Innervate intrafusal fibers, regulating proprioceptive input by maintaining muscle spindles length

  • Specifications for LMN Types:

    • Type/Class/Size:

      • α: Aα, 13–20 µm, Yes (Myelinated), Extrafusal fibers

      • γ: Aγ, 5–8 µm, Yes (Myelinated), Intrafusal fibers


Motor Units

  • Definition:

    • Composed of a single α motor neuron and the muscle fibers it innervates

    • All fibers in a muscle are innervated by a single α motor neuron

  • Characteristics:

    • Ensures even contraction and decreases motor deficits in case of damage to one α motor neuron

    • Motor Unit Category:

      • Smaller motor units generate less force compared to larger ones


Motor Unit Composition

  • Categories:

    • Slow (S) Units:

      • Contract slowly, low force, fatigue-resistant, high in myoglobin, mitochondria, and capillaries

      • Low activation threshold; tonically active during sustained effort (e.g., standing).

    • Fast Fatigable (FF) Units:

      • Generate high force, fatigue quickly, pale muscle fibers

      • Higher activation threshold for activities like running or jumping.

    • Fast Fatigue-Resistant (FR) Units:

      • Intermediate size, generate about 2x the force of S units, less than FF units

  • Activation Profile:

    • Single Action Potential leads to forces throughout these motor unit types within the muscle.


Muscle Tension Regulation

  • Size Principle:

    • Recruitment of motor neurons is based on size to create increasing muscle tension: S → FR → FF

  • Action Potential Frequency:

    • Temporal summation occurs when successive muscle contractions happen before relaxation, leading to greater tension

  • Fused Tetanus:

    • Achieved at the highest firing rate; the distinction between action potentials disappears


Motor Unit Plasticity

  • Characteristics:

    • Muscles often contain a mixture of different motor unit types.

    • Increased exercise can lead to slower muscle contraction speed while increasing endurance and strength

    • Notable changes in motor unit plasticity occur in both the peripheral and central nervous system


Lower Motor Neuron Syndrome

  • Definition:

    • Damage to LMN in the brainstem and spinal cord results in:

    • Paralysis (loss of movement)

    • Paresis (weakness)

    • Loss of reflexes (areflexia)

  • Muscle Tone:

    • Dependent on reflex arcs connecting muscle spindles to LMN

  • Additional Symptoms:

    • Fibrillations: Changes in excitability of a single denervated muscle fiber.

    • Fasciculations: Changes in excitability of a single denervated motor unit.

    • Long-term effect: Muscle atrophy due to lack of stimulation


Amyotrophic Lateral Sclerosis (ALS)

  • Overview:

    • Also known as Lou Gehrig’s disease, is a neurodegenerative disorder affecting both LMN and UMN

  • Statistics:

    • Prevalence of 0.05%; around 10% is familial.

    • Fatal with an average lifespan of ~5 years post-diagnosis

  • Cognitive Functionality:

    • Typically remains intact despite physical degeneration

  • Pathophysiology:

    • Excitotoxicity occurs when malfunction of EAAT2 leads to glutamate accumulation in synapses, activating receptors that lead to calcium-dependent pathways and free radical generation.


Local Circuits

  • Function:

    • Major sources for synaptic input to LMN

    • Coordination of muscle movements necessary for proper function is critical


Reflexes Overview

  • Definition:

    • Sensorimotor reflexes are automatic, unlearned responses to stimuli that do not require conscious effort. They are faster than responses requiring conscious evaluation.


Types of Spinal Reflexes

  1. Stretch Reflex:

    • Triggered by passive muscle stretching.

    • Involves muscle spindles, a motor neuron, and coordinated movement of the agonist and antagonist muscles.

  2. Golgi Tendon Reflex:

    • Responds to muscle tension through the Golgi tendon organ structure, enhancing muscle protection during high force levels.

  3. Flexor Reflex:

    • Withdraws limb from pain through activation of ipsilateral excitatory interneurons and stabilization through contralateral responses.


Muscle Spindles

Composition:

  • Nuclear Bag Fibers:

    • Types:

      • Dynamic (velocity-sensitive)

      • Static (length-sensitive)

  • Nuclear Chain Fibers:

    • Static (length-sensitive)

  • Governed By:

    • γ motor neurons which modulate response to stretch and regulate muscle tone in reaction to proprioceptive inputs.


Roles of γ Motor Neurons

  • Activate & Modulate:

    • Increase firing during stretch and decrease during relaxation but do not fall silent

  • Maintain Tension:

    • Adjust intrafusal muscle length to enhance proprioceptive input.

  • Implications:

    • Increased γ activity leads to better correlation with feedback and muscle force generation.


Golgi Tendon Organ (GTO)

  • Functionality:

    • Monitors muscle force through single Ib sensory afferent, attaches to extrafusal muscle fibers, generates feedback loops:

  • Feedback Systems:

    • High Force Levels: Synapse onto GABA local circuit neurons inhibiting α motor neurons

    • Low Force Levels: Synapse onto excitatory local circuit neurons activating antagonistic α motor neurons

  • Receive Inputs From:

    • UMNs, cutaneous receptors, muscle spindles, and joint receptors to maintain steady muscle tension and joint stability.


Differences Between Spindle Afferensts and Golgi Tendon Organs

  • Muscle Spindles:

    • Discharge significantly during muscle elongation, less during contraction.

  • Golgi Tendon Organs:

    • Increased firing during contraction, and monitor force generated by muscle activity.


Flexion Reflex Mechanism

  • Activation Process:

    • Nociceptors stimulate dorsal horn neurons, causing limb withdrawal through activation of ipsilateral excitatory interneurons for flexor muscle contraction and inhibition of extensor muscles.

  • Stabilization:

    • Contralateral response, activating the extensor muscle while inhibiting the flexor muscle.


Central Pattern Generators (CPGs)

  • Definition:

    • Found within the spinal cord and brainstem; control programmed rhythmic motor behavior without sensory input (e.g., walking, swimming).

  • Function:

    • Control timing and coordination of complex movement patterns while adjusting to changes.

CPG Regulatory Mechanisms

  • Example in Quadruped Locomotion:

    • Involves stance (limb contact with ground) and swing phases (limb lifted).


CPGs and Independence from Cortical Processing

  • Example of Independent Function:

    • Even when thoracic spinal cord is transected, hind legs retain coordinated movements, indicating independence from somatosensory input to CPGs.

  • Bipedal Consideration:

    • More reliance on local circuits in UMN and cortical processing, possibly due to postural control requirements.


Review Questions

  1. What are LMNs?

  2. What is a motor unit?

  3. How are motor units classified or categorized?

  4. What is the recruitment order?

  5. What constitutes a reflex?

  6. What three reflexes were discussed?

  7. Where are these reflexes located?

  8. Explain Central Pattern Generators (CPGs).