Motor Control Flashcards
Levels of the motor system
High
Middle
Low
Function of the higher level of the motor system
Strategy
Function of the middle level of the motor system
Tactics
Function of the low level of the motor system
Execution
Structures of the higher level of the motor system
Association neocortex
Basal ganglion
Structures of the middle level of the motor system
Motor cortex
Cerebellum
Structures of the lower level of the motor system
Brain stem
Spinal cord
What is the strategy?
The goal and the movement strategy best to achieve that goal
What are the tactics?
The sequence of spatiotemporal muscle contractions to achieve a goal smoothly and accurately
What is the execution?
Activation of motor neurone and interneuron pools to generate a goal directed movement
How is the brain connected to the spinal cord?
Lateral pathways
Ventromedial pathways
Function of lateral pathways
Control voluntary movements of distal muscles
Lateral pathways are under direct control of what?
Direct cortical control
Function of ventromedial pathways
Control posture and locomotion
What are ventromedial pathways under control of?
Brainstem
What are the lateral pathways?
Corticospinal tract
Rubrospinal tract
What are the ventromedial pathways?
Tectospinal tract
Vestibulospinal tract
Pontine reticulospinal tract
Medullary reticulospinal tract
What is the most important lateral pathway?
Corticospinal tract
Where does the corticospinal tract originate from?
2/3rds in areas 4 and 6 of the frontal motor cortex
Rest is somatosensory
Journey of the Corticospinal tract
At the medulla/spinal cord junction the CST crosses over (decussates) so that
- the right motor cortex controls the left side and the left motor cortex controls the right side
CST axons synapse on the ventral horn motor neurones and interneurons to control muscles
Where does the rubrospinal tract start?
Red nucleus of the midbrain
What are the inputs to the rubrospinal tract?
Same as the CST
Size difference CST vs RST
CST - larger, longer
If you have a lesion in CST and RST, what would happen?
Fine movements of arms and hands lost
Cant move shoulders, elbows, wrists and fingers indepdently
If you have a lesion in the CST alone, what would happen? Why?
Same deficits, but after a few months functions reappear.
Happens because been taken over by the RST
What do the RST and the CST have?
Duality of function
What are the two ventromedial pathways which control posture and locomotion?
Vestibulospinal tract
Tectospinal tract
Function of Vestibulospinal tract
Stabilises head and neck
Function of the tectospinal tract
Ensures eyes remain stable as the body moves
When are TST and VST critical?
When the body is carrying out complicated body movements
Where does the VST originate?
Vestibular nucleus
Where does the TST originate?
Superior colliculus
Which ventromedial pathways control the trunk and antigravity muscles?
Pontine and medullary reticulospinal tracts
Where do the pontine and medullary reticulospinal tracts originate?
Brainstem
How do the pontine and medullary reticulospinal tracts work?
Use sensory info about balance, body position and vision
Reflexly maintain balance and body position
What do antigravity muscles do?
Hold the body up
How does the lateral pathways work?
Motor cortex directly activates spinal motorneurones and frees them from reflex control by communicating via nuclei of ventromedial pathways
What parts of the brain plan and control precise voluntary movements?
Primary motor cortex and pre motor areas
What do UMNs in the cortex and brainstem target?
LMN in the spinal cord
Some also form circuits that control reflexes such as the stretch reflex and withdrawal reflex
Medial tracts in the spinal c ord control what?
Axial and proximal limb muscles
Lateral tracts in the spinal cord control what?
Distal limb muscles