Planning Flashcards
What are apraxias?
motor disorders in which there is a difficulty in performing purposeful or voluntary movements
What are the 4 main kinds of apraxia
limb
oral
agraphic
constructional
What are limb and oral apraxias
Limb: problems with arm, hand and finger movements
oral: problems with programming movements of the tongue, lips and throat to produce sequences of speech
What are agraphic and constructional apraxias
agraphic: particular type of writing deficit
constructional; inability to copy mental or visual pictures
What does it mean to say many apraxias are ideomotor apraxias
they represent the inability to perform purposeful movement either to command or on imitation
ie. in limb apraxia, waving, combing ones hair, brushing ones teeth, hammering a nail, dressing, with usually a preserved ability to perform these actions spontaneously
How can you test if an apraxia has affected learning new sequences of actions
Kimura box test
What do apraxias result from generally
damage to posterior parietal cortex (areas 5 and 7) and frontal premotor areas as well as the connections between them
Which apraxias arise from different brain lesions (4)
Constructional apraxia: right parietal damage,
limb apraxia: bilateral damage to parietal or premotor cortex.
Deficits in execution AND recognition of movements associated with parietal damage
deficits in execution but NOT recognition of movements,
associated with premotor damage
What are the the different parts of the posterior parietal cortex involved in (for actions)
Rostral part mainly concerned with integration of somatosensory and proprioceptive information relating the relative position of body segments to their movement,
posterior part is dominated by the integration of visual information about events located in the external environment
What did Mountcastle conclude was one of the main functions of the posterior parietal cortex with respect to action control
control of reaching into extra-personal space, ie. it mediates between spatial perception and the direction of action.
What evidence suggests the posterior parietal cortex controls
reaching into extra-personal space? (2)
1) . Lesions in monkeys impair sequential reaching movements, ie. removing polo mints from a bent wire.
2) . Recordings from single units in monkeys demonstrate the existence of neurons within area 7 that (i) fire when the monkey detects a visual target, increase firing as an arm is projected towards the target and decrease firing when the target is reached (arm projection neurons) and (ii) fire when the target is manipulated (manipulation neurons).
How is the posterior parietal cortex connected to the frontal lobes
reciprocally connected to the lateral and medial premotor areas of the frontal lobes
Both PM and SMA have connections with motor cortex and posterior parietal cortex. What differing connections do they have?
lateral premotor cortex (PM) is connected with the cerebellum (more so than with basal ganglia) whilst SMA is connected with the basal ganglia (more so than with cerebellum)
both have some outputs to the subcortical motor systems as well as to the cortico-spinal tract via primary motor cortex, area 4
What are the PM and SMA both thought to be involved in
programming of actions ie. sequencing the temporal order of movements, selecting the appropriate action when there are alternatives, and optimising the conditions for their performance, eg. postural adjustments and inhibiting irrelevant movements.
How does the specialised function of the PM and SMA differ?
SMA is particularly important for bimanual co-ordination and contributes to movement when there are no external cues (internal generation of action)
whilst lateral premotor cortex makes the greater contribution when a subject has to use external cues to direct action
lateral premotor cortex makes the greater contribution when a subject has to use external cues to direct action. Therefore, what type of neuron might reside here?
mirror neurons (in the ventral regions)
also found in the inferior parietal cortex
When are mirror neurons active
what are they proposed to do
active not only when monkey makes a movement but also when same movement produced by others
contribute to an animal’s ability to determine the intention of others.
Give 3 functional studies of the SMA to investigate its role in planning and action
1) . Ablation of SMA in monkeys causes (i). deficit in bimanual co-ordination, (ii). failure to orient hands and fingers accurately as they approach food, (iii). failure to raise hand (in the absence of external cues) in order to get peanut reward.
2) . Patients with SMA pathology may show alien hand syndrome; its actions are divorced from conscious control.
3) . SMA is far more activated when subjects are performing a learned sequence of finger movements rather than when relying on external cues to signal a novel sequence of finger movements (Old>new)
Give 2 functional studies of the lateral premotor cortex to investigate its role in planning and action
1). Ablation of PM in monkeys causes (i) deficit in performing hand actions based upon, or directed by, external cues.
2). PET studies reveal that there is greater activation in PM when subjects are relying on external cues to determine a sequence of finger movements
compared to when they are performing a sequence of finger movements from memory. (new>old)
Give an integral role of premotor areas eg PM and SMA
ability to inhibit inappropriate actions, in particular inappropriate reflexes
What is an easy way to test for damage to premotor areas
many reflexes that are present at birth and which become inhibited during development re-appear following damage to premotor areas, i.e. sucking, rooting, grasping.
According to Denny-Brown, where do the mechanisms for reflexes present at birth reside?
in the parietal lobe and are normally inhibited by the frontal lobes.
What are the particularly important interactions the prefrontal cortex has with the rest of the brain for executive control
r (i). the specialized processing modules in the posterior cortex including parietal (spatial attention) and inferotemporal (feature attention) areas
(ii) . the declarative memory systems in the temporal lobes including the rhinal cortex (recognition memory) and hippocampus (scene/episodic memory)
(iii) . the limbic structures involved in emotional processing including the amygdala and hypothalamus
(iv) . the basal ganglia that are involved in the higher-order control of action.
True or false
the prefrontal cortex is not a homogenous structure
true
Different areas within the prefrontal cortex have different connectivity patterns with the rest of the brain and lesions of these different
areas in both monkeys and humans result in different ehavioural deficits.
What is the difference between disinhibition of simple reflexes and inhibition of other behaviors when the PFC is damaged?
damage results in inhibition of complex behaviours
eg sorting behaviour
Give a classic deficit in inhibitory control seen following PFC damage?
failure to inhibit previously relevant rules governing behaviour,
i.e. frontal lesioned patients on the Wisconsin Card Sort Test, having learned to sort a pack of cards according to a particular dimension ie. colour, are unable to then switch to sorting the cards according to a different dimension ie. shape. Instead they perseverate, i.e. persist in sorting according to the previously correct dimension.
Perseverative behaviour is associated with what type of PCF damage specifically?
lateral PCF
True or false
Monkeys with PCF damage show perseverative behaviour
true
show behavioral inflexibility:
On a task known as ‘discrimination reversal’, having learned that one object, out of a pair of objects, is associated with reward, monkeys find it difficult to switch their responding to the other object when that object becomes rewarded instead.
What have PET studies shown the PCF to be part of
what was the experiment done?
a distributed neuronal network
involved in spatial and feature attention
Subjects are required to attend to one of three different perceptual features, colour, form or movement (selective attention conditions) or all three (divided attention).
DL/VL PFC activated most when selectively attending to spatial
/visual features, respectively.
How did lesions in monkey PCF affect working memory
impair delayed response tasks that require monkeys to remember, over a brief delay, spatial, object or proprioceptive information.
How are the effects of lesions of the PCF on delayed response tasks tested?
sample stage during which the monkey is a). shown a peanut being hidden in one of two locations (spatial version) , b). shown one of two objects (object version) or c). required to press a lever one or five times (proprioceptive version).
After a brief delay of a few seconds, in the
choice stage of the task, monkeys have to a). choose the spatial location of the food reward that they have just seen hidden b). choose the object they have just seen or c). make the same response that they have just made ie. one or five lever presses
pfc lesions do not impair the ability of the monkey to choose the correct response if there is no delay.
Have there been impairments in working memory in humans who have PCF lesions?
impairments in spatial delayed response have been seen in humans with damage to dorsal pfc (object and proprioceptive not looked at).