cerebrum Flashcards

1
Q

praxic

A

how

fcn of cerebral cortex

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2
Q

intentional programs

A

when

fcn of basal ganglia and cerebellum

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3
Q

elements of voluntary movement

A
  1. locate and identify target
  2. movement programming
  3. execution of the movement
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4
Q

external cues

A

PMC, PMA

sensorimotor transformations

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5
Q

internal cues

A

SMA

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6
Q

M-1

A

primary motor cortex
Brodmann’s area 4
precentral gyrus
motor homonculus - feet medial
neurons of Layer 5 become corticospinal tract with varying levels of divergence
fcn - fine, well-defined distal movements around a single joint
low electrical threshold
kept informed through thalamocortical connects and inputs from S-1 about position of limb and speed of movement

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7
Q

PMC

A

premotor cortex
Brodmann’s area 6
superior and middle frontal gyri, lateral aspect
6* larger than M-1
imprecise motor homunculus
connections w/ M-1, SMA, *PMA
outputs to brainstem RF
small contribution to CST, proximal and axial m.
- elicits complex motor responses
*prepares motor system, less during - planning
*triggered by external stimuli incl. visual stimuli
*planning and executions reliant on sensorimotor transformations done here and PMA
*coordinated movements of a limb - multiple joints ex: reaching, grasping

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8
Q

SMA

A
supplementary motor area
brodmann's area 6
medial and  superior frontal gyrus 
imprecise motor humunculs
small contribution to CST - proximal m. 
extensive connections w/ M-1 & PMC
high threshold for movement
coordinates complex movements on both sides of the body directly and indirectly - postures, dancing
internally generated movement
selects motor programs via presupplementary cortex that learns them and stores them
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9
Q

PMA

A

posterior parietal motor area
brodmann’s 5&7
parietal lobe
inputs from s-1, PMA
area 5 - vestibular system (proprioception of head) and PMC motor plans and limbic system - motivational state
area 7 - visual and auditory inputs
fcn - correlates information about external world, proprioception, and motivation
- modulated by state of attention
- initiation of movement via frame of reference
-sensorimotor transformations

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10
Q

FEF

A

frontal eye field
posterior portion of middle frontal gyrus
Brodmann’s area 8
initiates rapid eye movements - horizontal or oblique conjugate eye movements to the contralateral side (saccades)

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11
Q

lesion to FEF

A

unilateral- gaze preference to the side of the lesion at rest and an inability to voluntarily look to contralateral side, no inhibition of vertical eye movement
bilateral - no saccades at all

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12
Q

S-1

A

primary somatosensory cortex
projects of M-1 and PMA directly
contributes fibers to CST that terminate in the dorsal horn of the spinal cord that modulate incoming sensory information before conscious awareness
lesions can cause apparent motor deficits really cause by the lack of sensory info

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13
Q

prefrontal cortex

A

part of frontal lobes anterior to PMC, SMA, FEF
helps regulate complex motor activities through connections with PMC, SMA and PMA
receives info about all senses and motivational /emotional state
ability to weigh consequences of actions and plan acordinly

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14
Q

prefrontal cortex lesions

A

alterations in attention, motivation, and ability to change a response when a stimulus changes

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15
Q

M-1 lesions

A

UMN signs
paresis
inability to make fine distal movements
pronator drift test

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16
Q

PMC lesions

A

apraxia of complex tasks
perseveration
no paresis

17
Q

SMA lesions

A

can’t coordinate both sides
difficulty learning new motor tasks
no paresis

18
Q

PMA lesions

A
apraxia
difficulty with hand orientation
astereognosia
agraphesthesia
contralateral hemineglect
no paresis
may not known motor movements are incorrect
19
Q

UMN lesion signs

A
paresis
hypertonia
hyperreflexia
positive babinski sign
disuse atrophy
20
Q

spasticity

A

UMN sign
hypertonia and hyperreflexia
lesion of frontal lobe or CST
seen in anti-gravity muscles - flexors of upper extremities and extensors of the lower extremity
velocity dependent - rapid passive strech exhibits hypertonicity or clasped-knife effect

21
Q

clonus

A

repetitive contraction of the same muscle initiated by a single stimulus