motor pathways Flashcards

1
Q

what is the order of a motor plan

A

frontal lobes for motivation
premotor Cx for motor plan
primary motor Cx for action

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2
Q

What are the inputs for the motivation of a plan

A

sensory stimuli from parietal area

emotions and memory from limbic system

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3
Q

What BA is the premotor and supplementary Cxs

A

BA 6 and 8

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4
Q

Where are the UMN found

A

primary motor Cx and brainstem nuclei

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5
Q

What is the final common pathway

A

LMN always excitatory

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6
Q

Which motor neurons decussate

A

UMN not LMN

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7
Q

where are alpha LMN found

A

spinal cord ventral horn and CN motor nuclei

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8
Q

What are the inputs to LMNs

A

primary afferents in the reflex arcs
UMN
local pattern generators

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9
Q

What is a motor unit

A

1 LMN and all the mm fibers it innervates

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10
Q

each m fiber is inn by what

A

1 LMN

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11
Q

what is the AP of a motor unit

A

all or nothing

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12
Q

What do the lateral motor systems control

A

distal limb mm

fine fractionated movements

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13
Q

what do the medial motor systems control

A

axial/proximal limb mm

postural

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14
Q

What are the inputs to UMN

A

cerebellum
association cortices
basal ganglia

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15
Q

What are the 2 cortical UMN pathways

A
corticospinal tract (lateral)
corticobulbar
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16
Q

which is the largest motor tract of humans

A

lateral corticospinal tract

17
Q

where does lateral corticospinal tract originate

A

Area 4

frontal lobes and somatosensory cortices

18
Q

Where is the supplementary motor cortex

A

medial BA 6

interconnected with the contralateral side to allow for bimanual movements

19
Q

what type of LMNs does the corticobulbar tract work on

A

LMN for CN

and UMN to proximal limb postural mm

20
Q

what is the laterality of corticobulbar

A

CN receive bilateral usually

21
Q

What are signs of a LMN damage

A

hypo or areflexia
paralysis or paresis (flaccid)
rapid severe atrophy”neurogenic”
fasiculations and fibrillations

22
Q

what are signs of UMN damage

A
normal to hypereflexia
hypertonia
pathological reflexes
spastic paralysis
disuse atrophy
23
Q

what does the term plegia mean

A

stroke paralysis

24
Q

The non cortical UMN systems primarily act on what

A

axial and proximal limb mm

25
What are the tracts of the medial motor system
``` medial vestibulospinal tract lateral vestibulospinal medial reticulospinal lateral reticulospinal tectospinal ```
26
what system is the rubrospinal tract apart of
lateral non cortical
27
describe rubrospinal tract
cell bodies in red nucleus of midbrain, axons decussate and descend in contralateral funiculus goes to distal mm of arms in cervical cord
28
where are the cell bodies for the medial vestibulospinal tract
medial and inferior vestibular nuclei
29
where are the cell bodies for the lateral vesticulospinal tract
lateral vestibular nuclei
30
what is another name for the medial vestibulospinal tract
descending MLF
31
what mm does MVST act on
neck and postural head mm
32
What mm does LVST work on
axial and antigravity mm like trunk posture
33
Where are the cell bodies for the ascending MLF
medial and inferior vestibular nuclei
34
what LMN does the ascending MLF go to
motor nuclei for CN III IV and VI | bilaterally
35
Where are the cell bodies for the reticulospinal tracts
MRST pontine reticular formation | LRST medullary reticular formation
36
Describe th tectospinal tract
cell bodies in superior colliculus | decussate and go to the neck mm and also involved in visual grasp reflex
37
What is decroticate
loss of LCST still have rubrospinal etc
38
what is decerebrate
loss of rubrospinal and unopposed reticulospinal tract