Pratique - AI questions on APAs and CRSP system Flashcards

1
Q

What are the main components of the Cortico-reticulo-spinal-pontine (CRSP) system?

A

The main components are:

  1. Cortical Areas (M1, PMC, SMA, ACC)
  2. Reticular Formation (pontine and medullary)
  3. Spinal Pathways (reticulospinal and vestibulospinal tracts)
  4. Medial pathways
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2
Q

What are the key cortical areas involved in the CRSP system and their roles?

A

Key cortical areas include:

-Primary Motor Cortex (M1): Primary movement execution
- Premotor Cortex (PMC): Movement planning and APA initiation
- Supplementary Motor Area (SMA): Movement sequencing and APA generation
- Anterior Cingulate Cortex (ACC): Motor control and attention

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3
Q

What is the role of the reticular formation in the CRSP system?

A

The reticular formation:

  • Integrates posture and movement signals
  • Coordinates APAs
  • Processes information between cortical and spinal levels
  • Modulates muscle tone and postural control
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4
Q

Define Anticipatory Postural Adjustments (APAs) and their timing.

A

APAs are:

  • Automatic postural responses
  • Occur 50-100ms before primary movement
  • Prepare body for upcoming perturbation
  • Maintain postural stability during movement
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5
Q

What are the main functions of APAs?

A

Main functions include:

  • Maintaining postural stability
  • Counteracting upcoming forces
  • Optimizing movement efficiency
  • Protecting against balance loss
  • Preparing body for voluntary movement
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6
Q

How do APAs contribute to movement initiation?

A

APAs contribute by:

  • Pre-activating postural muscles
  • Shifting weight appropriately
  • Establishing dynamic stability
  • Creating optimal conditions for movement
  • Minimizing perturbation effects
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7
Q

How does the CRSP system generate APAs?

A

The process involves:

  • SMA and PMC initiate APA signals
  • Signals travel through reticular formation
  • Activation of appropriate postural muscles
  • Coordination of timing with primary movement
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8
Q

Explain the relationship between CRSP and movement coordination.

A

CRSP coordinates:

  • Simultaneous activation of postural and movement systems
  • Integration of feedforward and feedback mechanisms
  • Timing of APAs with primary movement
  • Muscle activation sequences
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9
Q

What are common pathological presentations in CRSP system dysfunction?

A

Common presentations include:

  • Delayed APA onset
  • Reduced APA amplitude
  • Poor coordination
  • Inappropriate timing
  • Instability during movement initiation
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10
Q

How does Parkinson’s Disease affect the CRSP system and APAs?

A

Parkinson’s Disease effects include:

  • Reduced APA amplitude
  • Delayed APA onset
  • Poor weight shifting
  • Increased postural instability
  • Difficulty initiating movement
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11
Q

What are key assessment components for CRSP system function?

A

Assessment should include:

  • APA timing analysis
  • Movement initiation quality
  • Postural control assessment
  • Balance strategies evaluation
  • Muscle activation patterns
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