Chapter 14: Brain Movement Flashcards
What are the three levels of hierarchical motor control? What is their main function? What are the structures involved?
LEVELS:
- High
- Middle
- Low
FUNCTION:
- strategy
- tactics
- execution
STRUCTURES:
1. association areas of neocortex, basal ganglia
- motor cortex and cerebellum
- brain stem and spinal cord
Quick movements cannot be altered by sensory feedback.
Why is it that obtaining sensory information during the movement crucial?
not for the movement at hand but for improving subsequent similar movements
Lateral pathways are involved in […] of the […] and are under […] control.
Ventromedial pathways are involved in […] and […] and are under […] control.
voluntary movement; distal musculature; direct cortical control
control of posture; locomotion; brain stem control
What is the most important component of the lateral pathways?
corticospinal tract/pyramidal tract
Describe the corticospinal tract (2):
- longest and largest in the CNS
2. two-thirds of the axons originate in areas 4 & 6 of the frontal lobe (motor cortex)
Along the corticospinal tract, where does decussation occur?
at the junction of the medulla and spinal cord (pyramidal decussation)
Along the rubrospinal tract, where does decussation occur?
in the pons (almost immediately)
Describe the pathway of the corticospinal tract:
CORTICAL:
motor cortex (3/4) — inter capsule [telencephalon and thalamus] — cerebral peduncle — midbrain [pons] — medulla [medulla pyramid] — *** — lateral column of the spinal cord
*** = decussation occurs
Describe the pathway of the rubrospinal tract:
RUBRO:
red nucleus [midbrain] — *** — lateral column of the spinal cord
*** = decussation occurs
What is the effect of lesions in both corticospinal and rubrospinal tracts?
- unable to make fractioned movements of the arms and hands
- could not move shoulders/elbows/wrists/fingers independently
- voluntary movements were slower and less accurate
What is the effect of lesions in the corticospinal tract?
- temporary– movement deficient
- permanent– flexor weakness and inability to move fingers independently
Summary: immediate paralysis on contralateral side but considerable recovery
If there were only lesions in the corticospinal tract and then later a subsequent lesion in the rubrospinal tract, what would occur?
recovery would reverse
The ventromedial pathways contain […] tracts that originate in the […] and terminate among the […] controlling […] and […] muscles.
4 descending; brain stem; spinal interneurons; proximal; axial
What are the 4 tracts in the ventromedial pathway?
- vestibulospinal tract
- tectospinal tract
- pontine reticulospinal tract
- medullary reticulospinal tract
What sensory information does the ventromedial pathway use (3)?
- balance
- body position
- visual environment
Using sensory information, what does the ventromedial pathway maintain (2)?
- balance
2. body posture
Which tracts function to:
Keep the head balanced on the shoulders as the body moves through space and to turn the head in response to new sensory stimuli.
vestibulospinal and tectospinal tracts
Where does the vestibulospinal tract originate?
Where does the tract relay information?
vestibular nuclei of the medulla
relay from the vestibular labyrinth (inner ear)
Vestibular labyrinth consists of […] and […] in the […] bone that are closely associated with the […].
fluid-filled canals; cavities; temporal; cochlea
Movement of the head and motion of the labyrinth leads to
- fluid movement of the labyrinth activates the hair cells
2. hair cells signal vestibular nuclei via CN VIII
Components of the vestibulospinal tract projection (2):
- projects bilaterally down the spinal cord
2. projects ipsilaterally as far down as the lumbar spinal cord