Lecture 15- Control of Movement Flashcards

1
Q

What are the four basic neural systems invovled in controlling movement?

A
  • Local spinal cord and brainstem circuits
  • Descending systems
  • Cerebellum
  • Basal nuclei
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2
Q

Where do motor neurons have their cell body?

A

Ventral horn of spinal cord

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3
Q

What do motor neurons form?

A

The final common pathway between the brain and muscle

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4
Q

Where do acetylcholine receptors sit in terms of the nerve terminal and what does this mean in terms of their pattern?

A
  • Sit directly beneath nerve terminal

- Means that receptor locations correspond closely with nerve terminal branches

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5
Q

Describe the circuit formed with local motor neurons?

A
  • Lower motor neurons in brainstem and spinal cord send axons out of CNS to make direct excitatory contact with skeletal muscle fibres to cause movement
  • Sensory and local neurons provide input to lower motor neurons (feedback)
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6
Q

What are central pattern generators?

A

-Networks of neurons in spinal cord capable of driving rhythmic,
stereotyped behaviours (eg walking, breathing) without input from higher centers
- This activity may be initiated & modulated by input from higher centers (if required: override mechanism)
-Alternating rhythmic activity typically arises out of bursting activity of
neurons, and reciprocal inhibition (coupled to action of other muscles that need to be inhibited e.g. flexion in one and extension in other)

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7
Q

True a false a large amount of the brain is invovled in the planning + performing of movements…

A

True!

This means damage to many different parts of the brain can result in a decrease in motor function

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8
Q

What parts of the brain are invovled in planning movement (the sequence)?

A
  • Decision made in frontal lobes
  • The premotor cortex coordinates with the basal nuclei and cerebellum (providing sensory info) to send signal to primary motor cortex
  • Primary motor cortex then feeds onto lower motor neurons to cause action/ activity
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9
Q

What are the two ways in which the basal nuclei can adjust patterns of movement?

A
  1. Alter the sensitivity of pyramidal cells to adjust the output along the corticospinal tract
  2. They change the excitatory or inhibitory output of medial and lateral pathways
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10
Q

How does the cerebellum work to alter motor activity?

A

-Monitors balance and equilibrium and adjust upper motor neurons activity
-Helps plan, execute and learn motor programs
-Integrates sensory info with planned events
-Organises timing of muscle contractions
-Compares planned movement with actual result, modifies ongoing
activity to make movements smooth and accurate

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11
Q

What areas of the cortex are primarily invovled in producing movement?

A
  • Pre-central gyrus= primary motor cortex

- SMA= supplementary motor area

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12
Q

What do we mean when we say somatotopic organization of primary motor cortex?

A
  • There is a ‘map’ in the cortex with each area connecting to a specific body part
  • Area devoted to muscles in each region related to level of fine control & movement complexity (i.e not to muscle size)
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13
Q

Because of somatotopic organization what is the result of damage to a particular muscle area?

A
  • Damage to the corresponding cortex region
  • Remember outputs are crossed so damage to cortex on the left side will cause damage to body areas in the right side of body
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14
Q

How is somatotopic organization plastic?

A

-Area may change as a function of its use e.g. if your a pianist area associated with fine movement in fingers may expand

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15
Q

List the two descending pathways…

A
  • Corticospinal tract

- Brain stem pathways

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16
Q

Describe the corticospinal tract…

A
  • Output from motor cortex controls fine movements
    (esp. fingers)
  • Axons reach the medulla ipsilaterally, then most cross to the opposite side & descend as lateral CST
  • Axons terminate at all spinal cord levels mostly on interneurons (some directly on motoneurons)
  • Motoneurons to most limb muscles located laterally in SC grey matter
17
Q

Describe the Brainstem pathways…

A
  • Reticulospinal & vestibulospinal pathways (medial- e.g. muscles in trunk)
  • Co-ordinated activity in large axial & proximal muscle groups (posture,
    locomotion) & routine activities
  • Motoneurons to body wall muscles located medially in SC grey matter
  • Midbrain locomotor region initiates walking behaviour, and interacts with CPGs in spinal cord
18
Q

What does cerebellar injury result in?

A

Loss of cerebellar function (damage, disease) results in
movements that are slow and uncoordinated (ataxia):
• “Drunken gait”-sway and stagger when walking
• Dysmetria – inability to judge distances and stopping points
• Tremors – eg “essential tremor”
• Muscular weakness (hypotonia)
• Slurred speech (ataxic dysarthria)
• Abnormal eye movements (nystagmus)

19
Q

True or false damage to the cerebellum on one side results in motor
impairment on the same side….

A

True since cerebellar pathways cross the midline twice

20
Q

What nuclei are collectively known as the basal nuclei?

A
  • Deep cerebral nuclei:
    • Caudate nucleus
    • Putamen
    • Globus pallidus

-Mid-brain nuclei:
• Substantia nigra

21
Q

What is the mechanism for which basal nuclei adjust motor activity?

A

-Input from many cortical areas to caudate/putamen
-C/P output via direct and indirect pathways to globus pallidus, then to
thalamus and on to motor cortex

  • Direct pathway influences motor planning and enhances motor activity
  • Indirect pathway reduces activation of neurons in motor cortex
22
Q

What is Parkinson’s disease a result of?

A

-Dopaminergic input to caudate/putamen from substantia
nigra is essential to proper BG function
-Death of SN neurons reduces dopamine output and results in
inability to initiate movements, slowed movements (Bradykinesia), stiffness, and tremor
-Typically results in decrease in activity of direct pathway, and increases activity in indirect pathway
-Incr. activity of GPi, incr. inhibition of thalamic nuclei, reduced activation of motor cortex, movement inhibited

23
Q

What are some treatments for Parkinson’s?

A

-Drugs that either mimic or replace dopamine (incl. dopamine precursors - levodopa)
-Deep Brain Stimulation – surgical implantation of stimulating electrodes into nuclei in thalamus, globus pallidus, subthalamic nuclei: Mechanism not known for sure, thought to modulate activity of GP
neurons