Descending Motor System (Exam 1) Flashcards
What does paresis mean?
weakness (partial)
What does plegia mean?
No voluntary movement
What does paralysis mean?
No voluntary movement
What does palsy mean?
Weakness or no movement
What does hemi mean?
one side of the body
What does para mean?
both legs
What does mono mean?
one limb
What doe di mean?
both sides of body equally affected
What does quadri or tetra mean?
all four limbs
Where are the cell bodies located for upper motor neuron?
cortex or brainstem
Where does the upper motor neuron project to?
Descend within the CNS to govern activity of lower motor neuron cell bodies
Where are cell bodies located for lower motor neuron?
Spinal cord and brainstem
Where does the lower motor neuron projects to?
Muscles in the periphery
What is the criteria to be considered an Alpha motor neruon?
-Large cell body
- Target skeletal muscle
What is the criteria to be considered a Gamma motor neuron?
- Smaller axon diameter
- Target muscle spindles to help control stretch reflex
What is the criteria to be considered a Beta motor neuron?
- Fewer in number
- Innervate both muscles both within and outside of the muscle spindle
Where do lateral motor system UMN descend and synapse?
- Lateral column of the spinal cord
- Synapse on lateral ventral horn motor neurons (LMN) and interneurons
What muscles does the lateral motor system target?
distal limb muscles
Where do the medial motor system UMN descend and synapse?
- Descend in the anteromedial columns of the spinal cord
- Synapse on medial ventral horn motor neurons (LMN) and interneurons
What muscles does the medial motor system target?
Proximal axial muscle
What tracts are within the lateral motor system?
- Lateral Corticospinal Tract
- Rubrospinal Tract
What tracts are within the Medial Motor System?
- Anterior Corticospinal Tract
- Vestibulospinal Tract
- Reticulopsinal Tract
- Tectospinal Tract
Where do pyramidal tract originate and terminate?
- Originate in cortex
- Terminate on LMN cell bodies in brainstem (CNN) & spinal cord (anterior horn)
What does pyramidal tract control?
Volitional movement
Where do extrapyramidal tract originate and terminate?
- Originate in brainstem
-Terminate in spinal cord (LMN)
Extrapyramidal tracts are are modulated by and what do they control?
- Modulated by other inputs
- Control involuntary & automatic control of muscle tone, balance, posture & modulation of motor plans
Which of the lateral motor systems are pyramidal?
Lateral corticospinal tract
Which of the lateral motor system are extrapyramidal?
Rubrospinal Tract
Which of the medial motor system tracts are pyramidal?
Anterior Corticospinal Tract
Which of the medial motor system are extrapyramidal?
Vestibulospinal Tract
- Reticulospinal Tract
- Tectospinal tract
What is the origin of the lateral corticospinal tract?
Primary motor cortex and other frontal & parietal areas
Where is the decussation of the lateral corticospinal tract?
Pyramidal decussation at cervicomedullary junction
Where is the level of termination of the lateral corticospinal tract?
- Lateral ventral horn
- Entire cord
What is the function of the lateral corticospinal tract?
Volitional movement of contralateral limbs
What fibers make up the Corticobulbar Tract?
Fibers project from the cortex to the brainstem
Where is CN V (trigeminal - muscles of mastication) located?
Upper pons
Where is CN VI (facial- lower facial muscles) located?
Lower pons
Where is the CN XII (hypoglossal - tongue protrusion) located?
medulla
Where is the origin of the rubrospinal tract?
Red nucleus
Where does the decussation of the rubrospinal tract occur?
Ventral tegmental decussation (midbrain)
Where is the level of termination of the rubrospinal tract?
- Lateral ventral horn & intermediate zone
- Cervical cord
What is the function of the rubrospinal tract?
- Movement of contralateral upper limb
- Function uncertain in humans
Lesions to the corticospinal tract above the red nucleus cause what posture?
Decorticate (flexor)
Lesions to the corticospinal tract below the red nucleus cause what posture?
Decerebrate (extensor)
Where does the anterior corticospinal tract originate?
Primary motor cortex and supplementary motor area
Where does the decussation of the anterior corticospinal tract occur?
-Some remain ipsilateral
- Some cross in the ventral white commissure of the spinal cord
Where is the level of termination of the anterior corticospinal tract?
Cervical and upper thoracic cord
What is the function of the anterior corticospinal tract?
Bilateral axial & girdle muscles
What is the origin of the medial vestibulospinal tract?
Medial & inferior vestibular nuclei
Where does decussation of the medial vestibulospinal tract occur?
Descends bilaterally
Where is the level of termination of the medial vestibulospinal tract occur?
Cervical & upper thoracic cord
What is the function of the medial vestibulospinal tract?
Positioning of the head and neck
Where is the origin of the lateral vestibulospinal tract?
Lateral vestibular nucleus
Where does the decussation of the lateral vestibulospinal tract occur?
Does not cross
Where does the lateral vestibulospinal tract terminate?
Enter cord
What is the function of the lateral vestibulospinal tract?
balance
Where does the medial vestibulospinal tract receive input from?
Semicircular canals (rotation)
What does the medial vestibulospinal tract target, muscles does it activate and do?
- Neck and proximal shoulder muscles
- Activate extensors
- Align head with body
Where does the lateral vestibulospinal tract receive input from?
Primarily from otoliths (gravity and linear acceleration)
What does the lateral vestibulospinal tract target, muscles does it activate and do?
- Proximal limb and trunk muscles
- Activate extensors & inhibits flexors
- Postural alignment & balance
What do both medial and lateral vestibulospinal tract do?
- Activate postural extensors (antigravity muscles- involuntary)
- Compensatory feedback response to postural instability detected by vestibular system
Where does the reticulospinal tract originate?
Pontine & medullary reticular formation
Where does the decussation of the reticulospinal tract occur?
Does not cross
Where is the level of termination of the reticulospinal tract occur?
Entire cord
What is the function of the reticulospinal tract?
Automatic posture and gait related movements
Where does the reticular formation receive input from?
Cortex, hypothalamus, & brainstem
What does the reticulospinal tract initiate?
- Feedfoward adjustments to stabilize posture with planned movement
- Assists with temporal & spatial coordination of limb & trunk movement
Where does the tectospinal tract originate?
Superior colliculus (in tectum)
Where does the decussation of the tectospinal tract occur?
Dorsal tegmental decussation
Where does the tectospinal tract terminate?
Cervical cord
What is the function of the tectospinal tract?
Coordination of head and eye movement
What does the tectospinal tract allow?
Coordination of head and neck movements to orient towards visual stimuli
What does the sympathetic part of the autonomic nervous system have?
- T1-L2 (or L3)
- Fight or flight
What does the parasympathetic part of the autonomic nervous system have?
- CNN and S2-S4
- Rest and digest
Where do preganglionic neurons travel in the sympathetic nervous system?
- Paired paraverterbal ganglia which runs from cervical to sacral levels
- Unpaired preverterbal ganglia
Where do postganglionic neurons travel to in the sympathetic nervous system?
Distance to effector organ
What do preganglionic neurons release in sympathetic nervous system?
Acetylcholine
What do postganglonic neurons release in sympathetic nervous system?
Norepinephrine
Where do preganglionic neurons in the parasympathetic nervous system travel to and release?
- Travel long distance to terminal ganglia
- Release acetylcholine
Where do postganglionic neurons in the parasympathetic nervous system travel to and release?
- Travel short distance to effector organ
- Release primarily acetylcholine
What other things give input to the autonomic nervous system?
- Hypothalamus
- Brainstem nuclei
- Amygdala
- Limbic cortex
- Sensory afferents
- Internal receptors
What causes autonomic dysreflexia?
Caused by disconnect between the brain and the sympathetic neurons in the thoracolumbar spine