Sensory and motor innervation of muscle Flashcards
The descending motor system is not a linear system, from what 2 places can motor signals originate, what is each involved in?
1) Motor cortex - planning, initiating and directing voluntary movements
2) Brainstem centers - basic movements and postural control
Which 2 parts of the brain can give inputs to the motor cortex and brainstem centers where motor signals originate, what is the role of each?
1) Basal ganglia - has a role in dampening down the level of movements we carry out (called proper initiation of movement)
2) Cerebellum - has a role in sensory motor coordination, making sure the correct movement has been carried out and coordinating patterns of movement
By which 2 circuits can UMNs make contact with LMNs?
1) Directly - straight from UMNs to LMN pools
2) Indirectly - via local circuit neurones - interneurones - involved in reflex coordination
What are the 3 basic roles of the brain in terms of the motor system?
1) Initiation
2) Integration
3) Coordination
What are the 2 basic roles of the spinal cord in terms of the motor system?
1) Simple reflexes
2) Pattern generation
What is the clinical consequence of the route taken by UMNs to reach LMNs?
Those which go via local circuits - ie interneurones - have a greater capacity for neuronal plasticity and thus recovery of function if damage occurs
What are the 4 brain stem centers involved in the motor system?
1) Red nucleus
2) Reticular formation
3) Vestibular-nuclear complex
4) Also houses the LMNs responsible for movements of head and neck
The motor cortex is mainly confined to which 2 Brodmann areas?
4 & 6
The primary motor cortex is found within which lobe?
Frontal
What is the role of the motor cortex?
Responsible for planning and initiating voluntary movement
Upper motor neurons are what kind of cells?
Pyramidal cells
The pyramidal cells which are the UMNs are located within which of the 6 layers of the cortex?
Located within the 5th layer
Via which 2 tracts do UMN axons descend?
1) Corticobulbar
2) Corticospinal
Motor signals to below the neck are carried within which tract?
Corticospinal
Motor signals to the head, neck and face are carried within which tract?
Corticobulbar
What is the other name for the corticospinal tract?
Pyramidal tract
Where in the spinal cord do UMNs terminate either directly or indirectly via interneurones on the LMNs?
In the ventral horn
In the medulla 95% of corticospinal fibres cross the midline, why do 5% continue to descend ipsilaterally?
It is thought to be because postural muscles require input to both sides in order for left and right postural muscles to act in a coordinated fashion thus you need corticospinal fibres running down both sides
The 95% of UMNs which cross the midline to travel contralaterally do so within which tract?
Lateral/ posterior CST
The 5% of UMNs which continue to descend ipsilaterally do so within which tract?
Anterior/ ventral CST
LMNs are localised within which lamina of the ventral grey horn?
Lamina IX
What are the 2 types of LMNs?
1) Alpha motor neurons
2) Gamma motor neurons
How many axons is each muscle fibre innervated by?
A single axon
Does each LMN give off a single axon?
No - give off many collaterals - each motor neuron can give off many different axons
Which type of LMNs are directly responsible for the generation of force by muscle?
Alpha motor neurones
What is a muscle fibre composed of?
Each muscle fibre is composed of fibrils which are composed of sarcomeres
Why is damage to LMNs often catastrophic?
Because the only route by which impulses can reach muscles is via LMNs
How does the size of lamina IX within the ventral grey horn vary?
Varies rostro-caudally, the size variation reflects demands of peripheral musculature and its innervation
Lamina IX is largest within the cervical and upper lumbar segments which control upper and lower limb musculature
How many alpha motor neurons are there estimated to be on each side of the cord?
150,000
What is meant by the motor neuron pool?
The motor neuron pool of a muscle is all the motor neurons which innervate that single muscle
What is the distribution of a motor neuron pool within the spinal cord?
Each motor neuron pool extends rostro-caudally along the spinal cord axis
How would the motor neuron pools for a powerful muscle such as gastrocnemius and a more postural muscle such as soleus vary?
There motor neuron pools would lie close to each other as they come from similar spinal cord levels (Gastrocnemius is L5-S2 and soleus is L4-L7) but gastrocnemius’ pool is likely to be larger as it is a more powerful muscle