Supra-spinal Control 1 - Cortical Motor Control Flashcards

1
Q

Name the 4 main descending motor pathways.

A
  1. Corticospinal Tracts
  2. Rubrospinal Tract
  3. Reticulospinal Tract
  4. Vestibulospinal Tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where in the spinal cord is the reticular formation’s reticulospinal tract found?

A
  • Medial Pathway
  • Lateral Pathway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the reticulospinal tract (reticular formation) important for?

A
  • Important in modulating locomotion patterns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What occurs in corticospinal tract damage?

A
  • Loss of voluntary movement control
  • Restored due to take-over by other systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What pathway usually takes over if there is damage in the corticospinal tract?

A
  • Rubrospinal Tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

From where does the vestibulospinal tract get its information from?

A
  • Vestibular System
  • Head
  • Semi-Circular Canals

It measures translational movements in these systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the function of the vestibulospinal function?

A
  • Detects Translational Movement
  • Sends information down to the spinal cord
  • Maintains balance as a function of head movements deviations

Important in posture & head movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name the 2 lateral pathways.

A
  • Corticospinal Tract
  • Rubrospinal Tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the functions of the lateral pathways?

A
  • Fine & fractionated movements of the limbs & fingers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name the 4 ventromedial pathways.

A
  • Vestibulospinal Tract
  • Tectospinal Tract
  • Pontine Tract
  • Medullary Reticulospinal Tracts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the functions of the vestibulospinal & tectospinal tracts?

A
  • Control Posture of the Head & Neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the functions of the pontine & medullary reticulospinal tracts?

A
  • Control posture of the trunk & antigravity muscles of the limbs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which area if Primary Motor Cortex (M1)?

A

Area 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which broddman area is premotor cortex?

A

Area 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What 2 regions does the premotor cortex contain?

A
  1. Premotor Area (PM)
  2. Supplementary Motor Area (SMA)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where is the Supplementary Motor Area (SMA)?

A
  • Medial to the Premotor Area
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where are the motor areas located?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How did broddman divide up parts of the brains?

A
  • Based on shape and neuronal patterns from histological sections

They were functionally accurate areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Why are electrodes used on the brain surface?

A
  • Stimulate Parts of the Cortex
  • Check for residual function (e.g. after removing tumour)
  • Used commonly after/before procedures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which area has the lowest threshold for stimulation? (i.e. easiest to get movement if you stimulate)

A
  • Primary Motor Cortex (M1)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are 2 other places that if stimulated can cause movement (but need more than M1)?

A
  1. Premotor Cortex
  2. Somatosensory Cortex (S1)

However these need much more stimulation –> they can do this due to rich connections & some descending projections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Where is the SMA found?

A
  • Dorsal Side
  • Medial Face of the Cortex
  • It is medial to the premotor area (which runs up to the midline before SMA starts)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the parietal regions involved in?

A
  • Movement Control
  • Set up visual space in which out moves are made
  • Give us a sense of allocentric & egocentric space
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is allocentric space?

A

Pointing to places relative to you as a whole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is egocentric space?

A
  • This is the concept of own space
  • Where movements have to be created around yourself and relative to yourself (own personal space)

(e.g. touching your nose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

From where in the thalamus does most of the input to the primary motor cortex (M1) come from?

A
  • Ventral Lateral Nucleus (thalamus)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

From where do most of the input in the thalamus come from going to the Premotor Cortex (PM + SMA)?

A
  • Ventral Anterior Nucleus (thalamus)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Where does the lateral geniculate body of the thalamus project out to?

A
  • Visual Cortex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Where does the medial geniculate body of the thalamus project out to?

A
  • Auditory Cortex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

How can we distinguish between the cortices?

A
  • Thalamic projections to the cerebral cortex allows us to distinguish
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the problem distinguishing between the Ventral Anterior & Ventral Lateral nuclei of the thalamus?

A
  • Difficult to find the division at the thalamus
  • Thus cannot trace it back very easily
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Describe the pathways of the corticospinal system.

A
33
Q

How is the primary motor cortex arranged?

A
  • Somatotopic Arrangement
    i. e. a motor map which means certain parts are for certain movements (found using electrodes & fMRI)
34
Q

What passes through the Posterior Limb of the Internal Capsule?

A
  • Motor Projections
  • Sensory Projections
  • Visual Pathways
  • Auditory Pathwys
35
Q

What is the vascular supply to the motor cortex?

Where does it arise from?

A
  • Lenticula-Striate Arteries
    • These penetrate the brain (modest perfusion)
    • Arises from the middle cerebral artery
36
Q

What can cause a stroke in the posterior limb of the internal capsule?

A
  • Middle Cerebral Stroke

(commonly gets damaged in cortical strokes)

37
Q

What is te difference between a cortical and capsular stroke?

A
  • Cortical Stroke (rarer) –> unlikely to lose the whole territory –> may just lose a branch (e.g. loss of nerves of the hand/arm in one region)
  • Capsular Stroke (common) –> complete hemiplegia
38
Q

What is a hemiplegia?

A
  • Paralyses of the one whole side of the body

One side of face | Contralateral side of the body

39
Q

What usually causes a complete hemiplegia?

A
  • Stroke affecting the Internal Capsule (capsular stroke)
40
Q

Describe the corticospinal fibre pathway.

A
  • Converges –> runs through posterior limb
  • Gives off fibres to cranial nerve nuclei on ipsilateral side (e.g. voluntary eye movements)
  • Descends to lower medulla –> pyramidal decussation
  • Takes up either a lateral or dorsal (small) position
  • Supplies muscles on contralateral side
41
Q

How is the motor cortex mapped?

A
  • Not a simple 1:1 projection (it is many-to-1)
  • Pyramidal cells in M1 –> converge onto motoneurone/interneurone –> which then goes to muscle
42
Q

How are the different parts of the body mapped in the cortex

A
  • There are distinctions
  • However there is some overlap (spread)
  • However, once they converge –> it is mostly that one part
43
Q

Describe the conversion of neurones in the motor cortex.

A
  • Many cortical neurones –> converge –> then project down
  • Not a strict map
  • Map of best fit (not precise)
  • This is called principal convergence
44
Q

How are M1 pyramidal neurones from the cortex distributed?

A
  • Project to several motoneurones & interneurone pools

A single corticospinal axos projects widely in the interneurone & motoneurone region of the spinal cord

  • There is divergence of M1 pyramidal neurone inputs upon spinal motoneurones
45
Q

How does a single motor corticospinal neurone distribute itself?

A
  • Corticospinal neurones diverges to lots of differnet motor & interneurone pools (not just individual motor neurones)
  • Controls a range of different motor neurones
46
Q

What 2 important points must be remembered in relation to motor neurones & pyramidal neurones?

A
  1. No privileged communication line (i.e. no single corticospinal neurone synapses a single motoneurone)
  2. Many corticospinal neurones can communicate with one motor/interneurone pool (different corticospinal neurones can communicate various things)
47
Q

What happens in terms of M1 distribution after cutting a nerve (e.g. facial nerve)?

A
  • Cut –> thus no longer has any motor neurone
  • Thus cannot carry out function –> die back & dissapear (movement no longer possible)
  • Motor Cortex (M1) –> Somatotomic Map is remapped
  • Adjacent regions now take over (infiltrate)
    *
48
Q

What 2 reasons can explain the redistribution of parts of the motor cortex?

A
  1. Adjacent Regions were already present in the lost area (no sharp borders)
  2. Adjacent regions have grown into the area

(Probably a mixture of both - it is just a mixture and somthing dominates/wins out)

There is a lot of plasticity –> which is optimistic for stroke recovery

49
Q

What 3 ways can primary motor cortex neurones code for in terms of muscle force?

A
  1. Code for dynamic aspects of force
  2. Code for dynamic & static aspects of force
  3. Code for static aspects of force
50
Q

What causes an increase in force for a motor unit?

A
  • Increased Firing Frequency
51
Q

What does static aspect coding mean?

A
  • Code for the Force (when taking place)
  • Not active when force is low
52
Q

What does dynapic phase aspect coding of movement mean?

A
  • The differential
  • The changing from a rest position
  • Responsive to change
53
Q

What does mixture of dynamic & static aspect coding of movement mean?

A
  • 65% of neurones are like this
  • Mixture of dynamic & static types
  • This is how most motor & somatosensory system coding is managed
54
Q

How are the 3 different types of neurones distributed? (percentages)

A
  • Dynamic Aspect –> 10%
  • Mixture (dynamic + static) –> 65%
  • Static Aspect –> 25%
55
Q

When is M1 active?

A
  • Before Movement (thinking about movement you are about to execute)
  • During Movement
56
Q

When is M1 active?

A
  • Before Movement (thinking about movement you are about to execute)
  • During Movement
57
Q

What else does the Primary Motor Cortex (M1) code for?

A
  • Directionality

Coarse coding for direction –> by individual neurones

58
Q

What does primary motor cortex code for?

A
  • Direction of Movement
  • Coding is coarse –> the neurone will fire in a range of movement directions
59
Q

What is the mechanism called for accurately coding for directionality?

A
  • Population Coding
60
Q

How does the motor cortex code for accurate directions?

A
  • Vector sum of all motor cortex neuronal activity –> gives a close approximation of the direction of movement
61
Q

How does population coding work for M1?

A
  • Firing rate of lots of different neurones are recorded
  • Take the vector sum of the magnitudes & directions of each neurone
  • Look at entire population (population coding) –> look at their vector sums –> and see the overall direction
  • This is very similar to direction the arm took
62
Q

What is population coding an example of?

A
  • Higher Level Aspects of coding
  • Population coding
63
Q

What occurs if you use trains of microstimulation on the Premotor cortex & M1?

A
  • Complex Movements
    (e. g. causes hand movement to the mouth from any point)

This is an example of egocentric movements (defined point on the body where you move to regardless of starting posiiton - M1 is a lot more complex than initially thought)

64
Q

What are the 2 parts of the premotor cortex?

Where are they found?

A
  • Premotor Area (PM) –> Lateral
  • *Supplementary Motor Area (SMA)** –> Medial
65
Q

Where do the premotor area (PM) and supplementary motor area (SMA) project to?

A
  • Primary Motor Cortex (M1)
66
Q

What does the Premotor Area (PM) have strong inputs from?

A
  • Cerebellum (via the thalamus)
67
Q

What does the Supplementary Motor Area (SMA) have strong inputs from?

A
  • Basal Ganglia (via the thalamus)
68
Q

What is the function of the Premotor Area (PM)?

A
  • Planning Movements (before movement)
  • Based on External (especially) visual cues

(e.g. picking up something infront of you)

69
Q

What is the function of the Supplementary Motor Area (SMA)?

A
  • Planning Movements
  • Based on internally generated strategies (e.g. learning sequences of movements)

(e.g. drawing a question mark in mid-air - as you already know the shape & movement so you are bringing it from memory store)

70
Q

Where are PM & SMA relative to M1 in hierarchy?

A
  • PM & SMA –> are higher in hierarchy of coding

(but M1 is not lower than we thought - it is slightly more complex)

71
Q

What is responsible for planning movements for external & internal cues?

A
  • Premotor Area (PM) –> External Cues
  • Supplementary Motor Area (SMA) –> Internal Cues
72
Q

What occurs if there is a lesion in the Premotor Area (PM)?

A
  • Severe impairement on visual conditional motor task
    (e. g. pulling handle if light is blue and twisting if light is red)
73
Q

What occurs if there is a lesion in the Supplementary Motor Area (SMA)?

A
  • Severe impairement on motor sequence learning task
    (e. g. learning to open a lid by pushing, twisting & then lifting)
74
Q

When is M1 active?

A
  • During all tasks (whether internal or external/visual cue)
75
Q

Which neurones are active during preparation to move in a visually cued task?

A
  • Set-related neurones in the dorsal Premotor Area

Active during instruction-movement interval

76
Q

When is supplementary motor area active?

A
  • During sequenced movement tasks (e.g. learning to play sequence on piano)
  • During mental rehearsal of tasks (e.g. mentally playing it in your head)

Involved in movement planning

77
Q

What is active during visually cued behaviour movements?

A
  • Premotor Areas
  • M1 (for everything!)
78
Q

What is active during movement (e.g. wriggling finger)?

A
  • M1 (hand area)
  • Somatosensory Cortex (propioceptive information coming back + information from skin)
79
Q

When is the SMA active?

A
  • Planning movements based on internally generated strategies (e.g. learned patterns)