Motor Function
Primary Areas of Motor Control
Cerebral Cortex
Basal Ganglia
Cerebellum
Cerebrum
Primary motor cortex (M1)
Located in precentral gyrus
Origin of cortico-spinal tract
Works with other motor area to plan and implement movement
Lesions to primary motor cortex lead to loss of voluntary movement on contralateral side of body
Premotor and supplementary motor areas
Premotor: located anterior to M1
plays role in Praxis (ability to plan motor movements)
Supplementary motor area: part of premotor area
plays role in bilateral control of posture and praxis
Frontal Eye Fields
Responsible for visual attention and directing visual saccades to stimulus of interest
Motor Planning
Ideational praxis: the ability to cognitively understand the motor demands of a task
Ideomotor planning: the ability to access and execute the motor plan
Basal Ganglia
Stereotypical
Hard wired patterns
Develop as a normal part of nervous system maturation
Walking, arm stretch during yawns, arm swing during walking
- Automated
- Movement patterns that are mediated by conscious control while learning, but become automated once learned
- Riding a bike, driving, writing
May have a role in cognitive processes related to rewarding and addictive behaviors
May play a role in ADHD as it relates to impulse control and turn-taking
Neurotransmitters (Dopamine, GABA, Acetylcholine)
Basal Ganglia Pathways:
- Primary motor cortex (M1) → Basal Ganglia → Thalamus → back to M1 and premotor areas
Lesions of Basal Ganglia
Symptoms = Difficulty initiating, continuing, or stopping movements
Examples = parkinson's disease, huntington’s disease, cervical dystonia, myoclonus-dystonia, tourette’s syndrome
Cerebellum
Coordination of movement
Regulation of muscle tone
Maintenance of posture and equilibrium
Proprioception
Cerebellar lobes
Archicerebellum (Flocculonodular)
Central area, receives information from vestibular nuclei
Damage to this lobe results in impairments of balance and gait
Paleocerebellum (Anterior)
Information from anterior and posterior spinocerebellar tracts
Damage = difficulty with precision movements of body and limbs
Neocerebellum (Posterior)
Receives information from cerebral hemispheres
Damage = impairments with planning anticipatory movements and cognitive function of movement
Cerebellar Lesions
Ataxia (loss of coordination and balance, difficulty with walking)
Dysmetria (inability to judge distance, speed and power of movements)
Inability to regulate reciprocal movements
Sensory Function and Dysfunction
Sensory Pathway: Sensory Information → Thalamus → Postcentral gyrus (SS1)
Damage to the primary sensory cortex will result in contralateral sensory loss
Secondary Somatosensory Cortex (SS2)
Found posterior to the primary somatosensory cortex and is neurally tied to it
This is where meaning is attached to incoming sensory information
Synthesizes multiple sensory inputs to create a complete comprehension of the object being felt
Lesions
Perceptual Dysfunction
Tactile: tactile agnosias (inability to recognize objects by touch)
Visual: visual agnosias (inability to recognize object by sight)
Auditory: auditory agnosias (inability to recognize sounds)