Lecture 10 - Motor Control + Disorders of Action Flashcards

1
Q

How do we control our movements?

A

Most actions require multiple muscles, precise timing, multiple components of movement

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2
Q

What are the higher cognitive aspects of motor control?

A

Planning/timing, sequencing, imagery (mirror neurons), expertise

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3
Q

What are the key brain areas + their functions in motor movement?

A

Primary motor cortex - execution
Premotor cortex - preparation of actions
Prefrontal cortex - higher level of planning
Parietal cortex - sensory-motor skills

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4
Q

What does the primary motor cortex (M1) do?

A

In pre-central gyrus, somatotopic organisation (soma=body, topos=place)

Activation in particular parts of M1 causes movement in particular body parts on opposite side

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5
Q

What can brain lesions do to movement?

A

Stroke affecting one side of brain can affect movement of opposite side of body

Hemiplegia – paralysis of one side, hemiparesis – weakness of one side

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6
Q

How are movements coded in M1?

A

Cells in M1 have preferred direction of movement, populations of cells code direction of movement (vector coding)

M1 gets input from supplementary motor area/premotor area/primary somatosensory area + output to spinal cord (control muscles)

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7
Q

What did Gordon et al study?

A

2 parallel systems in M1 form integrate-isolate pattern

Body part specific for fine motor control of foot/hand/mouth

Somato-cognitive action network (SCAN) for integrating goals + whole body movement

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8
Q

What does the premotor cortex do?

A

Lateral premotor cortex – externally generated actions

Supplementary motor area (medial PC) - internally generated actions (eg. Well learnt sequences)

Areas more active in difficult bimanual tasks (cerebellum, SMA, pre-motor area)

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9
Q

What is sequence learning?

A

Faster/more accurate movements, change from effortful to automatic

Lower dorsolateral, higher SMA, lower lateral premotor cortex, lower primary motor activation

Repetitive TMS to block activity –> SMA only interfered with performing most complex sequence

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10
Q

What does the prefrontal cortex do?

A

Higher level, choosing what action to perform with which finger

Attention to action –> difficult/learning, longer term goals/intentions, not specific to action (generating random numbers)

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11
Q

What can lesions in the prefrontal cortex do?

A

Perseveration – repeat same action when no longer relevant

Utilisation behaviour – act on irrelevant object in environment

Disinhibition – Anti saccade task (look at opposite side than dot)

Frontal apraxia – not able to follow steps in routine tasks

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12
Q

What are antisaccades?

A

Study where people required to look opposite direction to target

Must inhibit tendency to look at target

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13
Q

What is Normal and Shallice model?

A

Contention scheduling – selects appropriate schema

Supervisory attentional system (SAS) - required for novel/less automatic actions

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14
Q

Why do perseveration/utilisation behaviour happen?

A

P: unable to change schemas when not appropriate
U: schemas activated by environment without SAS suppressing them

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15
Q

What can damage to parietal cortex (sensory motor links) do?

A

Damage to parietal cortex can lead to apraxia (inability to perform skilled purposeful movement)

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16
Q

What is Ideomotor apraxia?

A

Idea/execution disconnected – retain knowledge of action

Can recognise action performed by another, fail in pantomiming action, can perform sequence but not components

17
Q

What are the subcortical motor areas?

A

Basal ganglia, cerebellum

18
Q

What can damage in cerebellum do?

A

Action tremor, dysmetria (over/undershooting of movements), deficits in coordination across joints/motor learning/timing

19
Q

What are signs of Parkinson’s?

A

1 in 1000, 1 in 100 over 65

Bradykinesia – slow movement, tremor (resting), rigidity

Shuffling: death of dopaminergic cells in substantia nigra pars compacta

Writing, small in size, may reduce while writing – fatigue

20
Q

What deficits does Parkinson’s bring?

A

Internal/external (more problems w/ internally generated movements)

Complex movements (bimanual, sequences)

Cognitive effects (attention shifting, everyday cognitive failures)