Motor systems I Flashcards

1
Q

the corticospinal tract arises from what parts of the brain?

A

cortex of frontal and parietal lobes

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2
Q

the corticospinal tract splits into what tracts in the caudal medulla?

A

anterior and lateral corticospinal tracts

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3
Q

where does the anterior corticospinal tract terminate? what is its function?

A
  1. C and upper T spinal cord levels (gray matter - only UMNs that decussate in spinal cord) 2. skilled, voluntary movement of axial muscles (neck, shoulder, upper trunk) on OPPOSITE side of the body
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4
Q

where does the lateral corticospinal tract terminate? what is its function?

A
  1. all spinal cord levels (mostly for UL and LL) 2. skilled, well defined, voluntary movement on OPPOSITE side of the body (especially fingers)
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5
Q

where does the desire to initiate a movement originate?

A

association cortex

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6
Q

what areas are involved in the orientation of the trunk and upper limbs in the direction of intended movement / program the design and sequence of complex movements?

A

SMA and premotor cortex

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7
Q

what is the function of the posterior parietal cortex?

A
  1. sensory integration and visual guidance of movement2. evaluates location or position of body 3. forms movement plan that would accomplish a task
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8
Q

what is the function of the SMA and premotor cortex?

A

orientation of the trunk and upper limbs in the direction of intended movement / program the design and sequence of complex movements

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9
Q

SMA and PMC correspond to which Brodman’s area?

A

6

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10
Q

FEF corresponds to what Brodman’s area?

A

8

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11
Q

the posterior parietal cortex corresponds to what Brodman’s area?

A

7

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12
Q

the primary motor cortex corresponds to what Brodman’s area?

A

4

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13
Q

how does S-1 influence movement?

A

by modulating the relay of sensory input from visceral and somatic structures to the spinal cord

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14
Q

where are the pyramidal cells located? what is their function?

A
  1. layer 5 (internal pyramidal layer of cerebral cortex) 2. give rise to axons that form descending motor pathways (UMNs)
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15
Q

where are the LMNs that control movement of the body located?

A

ventral horn of spinal cord

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16
Q

what are the specific origins of the corticospinal tract?

A
  1. 1/3 from Brodman’s area 4 2. 1/3 from Brodman’s area 6 3. 1/3 from Brodman’s areas 5, 7 and 3, 1, 2
17
Q

what is the course of the corticospinal tract?

A

descends through corona radiata - posterior limb of internal capsule - basis pedunculi - pons - medulla (pyramids)

18
Q

what are the phases of an UMN lesion?

A
  1. initial paresis / hypotonia / hyporeflexia 2. eventual hypertonicity
19
Q

what is the reason for eventual hypertonicity in an UMN lesion?

A

descending inhibitory influences are diminished or eliminated (overactive gamma neurons, cerebellar input)

20
Q

what is the reason for spasticity (severe hypertonicity) of distal limbs in an UMN lesion?

A

exaggeration of stretch reflex

21
Q

what is the reason for eventual hyperreflexia in an UMN lesion?

A

excess stimulation of gamma motor neurons

22
Q

what is the result of a LMN lesion? why?

A
  1. hypotonia, hyporeflexia, areflexia, fibrillations, fasciculations 2. alpha and gamma motor neurons are both damaged
23
Q

what is the blood supply to the medial surface of the precentral gyrus (hip, leg, foot)?

A

anterior cerebral

24
Q

what is the blood supply to the lateral surface of the precentral gyrus (trunk, upper limb, head)?

A

middle cerebral

25
Q

what is the blood supply to the posterior limb of the internal capsule?

A

lenticulostriate (middle cerebral)

26
Q

what is the blood supply to the midbrain?

A

posterior cerebral, basilar

27
Q

what is the blood supply to the rostral medulla?

A

anterior spinal, vertebral

28
Q

what is the blood supply to the caudal medulla?

A

anterior spinal

29
Q

what is the blood supply to the cervical spinal cord?

A

anterior spinal