Test 3 (Lectures 17-25) Flashcards

1
Q

The biggest and most important relay station in the CNS

A

Thalamus

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2
Q

These pathways travel from the periphery to the center

A

Ascending pathways

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3
Q

These pathways travel from the center to the periphery

A

Descending pathways

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4
Q

Ascending and descending pathways have 3 common features

A
  1. Presence of synaptic relays.
  2. Integration of information.
  3. Topographic organization
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5
Q

Information can be amplified or attenuated by

A

Synaptic relays

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6
Q

Topographic organization refers to

A

motor and sensory maps

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7
Q

First order neurons

A

Primary afferent neurons

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8
Q

Second-order neurons

A

Relays between first-order neurons and brain centers;

Typically in the spinal cord and the brain stem

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9
Q

Third-order neurons

A

Commonly in thalamic nuclei.

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10
Q

Afferent fibers enter the spinal cord through the

A

dorsal columns

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11
Q

Pathway of the dorsal column-medial lemniscus pathways

A

Dorsal columns-spinal ganglion-medulla-thalamus-cortex

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12
Q

The ascending fibers of the dorsal column pathways terminate in these medullary nuclei

A

Cuneate nucleus

Gracile nucleus

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13
Q

This tract consists of the axons of neurons that lie in the dorsal and intermediate parts of the gray matter. The axons decusate and travel along the contralateral side of the spinal cord.

A

The spinothalamic tract

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14
Q

Conveys the sensations of touch, pressure, temperature, and pain

A

The spinothalamic tract

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15
Q

Consists of the dorsal spinocerebellar tract (DSCT), ventral spinocerebellar tracts (VSCT), rostral spinocerebellar tract (RSCT), the cuneocerebellar tract, and the spino-olivary-cerebellar tract (SOCT).

A

The spinocerebellar tracts

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16
Q

Ascends in Clarke’s column. Carries proprioception information from the lower extremities. Projects onto nucleus Z and the VPL thalamus.

A

Dorsal spinocerebellar tract (DSCT)

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17
Q

Carries proprioceptive information from the upper extremities

A

Cuneocerebellar tract

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18
Q

Ascends laterally in the ventral horn. Carries flexor reflex afferent information from lower extremities and afferent signals.
Only active during active movements

A

Ventral spinocerebellar tract (VSCT)

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19
Q

Carries flexor reflexor afferent information from upper extremities and also afferent signals.
Only active during active movements.

A

Rostral spinocerebellar tract (RSCT)

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20
Q

Ascends in the ventrolateral fasciculus directly to the reticular formation

A

Spinoreticular tract

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21
Q

Plays a role in controlling the sense of pain

A

Spinoreticular tract

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22
Q

Consists of two major groups of axons which split into separate tracts

A

Pyramidal tract

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23
Q

These axons from the pyramidal tract go down the spinal cord

A

The corticospinal tract

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24
Q

These axons leave the pyramidal tract and innervate the motor nuclei of the cranial nerves

A

The corticobulbar tract

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25
Q

M1 stand for

A

primary motor area

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26
Q

30% from the primary motor area
30% from the premotor and supplementary motor areas
40% from the somatosensory areas

A

Pyramidal tract

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27
Q

Contains most of the fibers (80%) that decussate at the brain stem. Has direct projections to both interneurons and motoneurons.

A

Lateral corticospinal tract

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28
Q

Contains most of the fibers that do not decussate. Mostly controls axial trunk muscles.

A

Ventral corticospinal tract

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29
Q

Exits at the pyramids. Controls cranial nerves (facial muscles, articular, etc.)

A

Cotricobulbar tract

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30
Q

Originates in the red nucleus

A

The rubrospinal tract

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31
Q

Receives input from the motor cortex, the cerebellum, and the olives.

A

The rubrospinal tract

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32
Q

Decussates at the midbrain and descends adjacent to the lateral CST. Has projections onto the olives.

A

The rubrospinal tract

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33
Q

Is suspected of being of major importance for motor control

A

The rubrospinal tract

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34
Q

Is part of the cerebellum-red nucleus-olive-cerebellum loop

A

The rubrospinal tract

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35
Q

Receives inputs from the cerebellum and the labyrinth.

A

The vestibulospinal tracts

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36
Q

Rises from the neurons in Deiter’s (lateral vestibular) nucleus.

A

Lateral vestibulospinal tract

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37
Q

Originates in the medial vestibular nucleus

A

Medial vestibulospinal tract

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38
Q

Descends ipsilaterally to the lumbar level. Makes connections with interneurons.

A

Lateral VST

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39
Q

Plays a role in the control of posture

A

Lateral VST

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40
Q

Descends ipsilaterally to the mid-thoracic level. Makes connections with interneurons.

A

Medial VST

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41
Q

Plays a role in postural control through control of head position

A

Medial VST

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42
Q

Travels ipsilaterally to spinal interneurons. Has mostly inhibitory effects.

A

Medial reticulospinal tract

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43
Q

Travels to interneurons in the ventral spinal cord. Provides postural control of the proximal extensor muscles.

A

Lateral reticulospinal tract

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44
Q

Suspected of bringing about the startle reaction

A

The reticulospinal tract

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45
Q

Comes from neurons in the superior colliculus.

A

The tectospinal tract

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46
Q

Decussates and plays a role in motor reactions to visual stimuli by controlling head orientation to visual stimuli through control of the neck muscles.

A

The tectospinal tract

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47
Q

Comes from neurons in the midbrain.

Its function is a mystery.

A

The interstitiospinal tract

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48
Q

How many cranial nerves are there?

A

12

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49
Q

Sense of smell

A

Olfactory nerve (cranial nerve I)

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50
Q

Information from the retina

A

Optic nerve (cranial nerve II)

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51
Q

Motor control of the oculomotor muscles, pupillary reflexes

cranial nerve III

A

Oculomotor nerve (cranial nerve III)

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52
Q

Motor control of the oculomotor muscles

cranial nerve IV

A

Trochlear (cranial nerve IV)

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53
Q

Control of jaw movements during speech; sensory information from teeth

A

Trigeminal nerve (cranial nerve V)

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54
Q

Motor control of the oculomotor muscles

cranial nerve VI

A

Abducens (cranial nerve VI)

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55
Q

Control of facial muscles, including lip and eyelid movments; minimal sensory function.
Paralysis of the nerve is known as Bell’s palsy

A

Facial nerve (cranial nerve VII)

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56
Q

Hearing and balance

A

Vestibulocochlear nerve (cranial nerve VIII)

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57
Q

Motor control of the pharynx; control of speech

A

Glossopharyngeal nerve (cranial nerve IX)

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58
Q

Control of autonomic functions of the whole body

Wandering nerve

A

Vagus nerve (cranial nerve X)

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59
Q

Innervation of trapezius, helps control head movements

A

Spinal accessory nerve (cranial nerve XI)

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60
Q

Control of tongue movements; speech

A

Hypoglossal nerve (cranial nerve XII)

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61
Q

Soul is responsible for thinking (cognition); body obeys soul and laws of nature. Considered mind a uniquely human feature independent of the body. Theorized by Descartes.

A

Dualism

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62
Q

All features of human behavior are reflected in measurable physical properties of neurons and synapses (everything can be measured, including specific memory sites)

A

Reductionism

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63
Q

Function of a complex system is an emergent property of all the system elements and cannot be assigned to certain changes in neurons and synapses. The mind is an emergent part of the body. not a separate feature.

A

Neodualism

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64
Q

Semantic and episodic memories; facts and events

A

Declarative memories

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65
Q

Declarative memories are stored in

A

Hippocampus, medial temporal lobe, diencephalon

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66
Q

Procedural, non-associative, and associative memories

A

Nondeclarative memories

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67
Q

Habituation and sensitization

A

Non-associative learning

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68
Q

Skills, habits

A

Nondeclarative memories

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69
Q

Nondeclarative memories are stored in

A

Amygdala, cerebellum, basal ganglia, cortex

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70
Q

Learning not to respond to a stimulus following its multiple presentations (usually, when it is not very meaningful)

A

Habituation

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71
Q

The restoration or recovery of a habituated response (usually requires a new, strong stimulus)

A

Dishabituation

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72
Q

Learning to respond to smaller magnitudes of a stimulus (usually, if it is very meaningful)

A

Sensitization

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73
Q

Non-associative learning and associative learning

A

Implicit memory

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74
Q

Associative learning is a subtype of

A

Non-declarative memory

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75
Q

Involves creating a relationship between two stimuli

A

Associative learning

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76
Q

Generally studied in animals and involves food as a stimulus/reward

A

Associative learning

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77
Q

Example of associative learning

A

Conditioning

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78
Q

Associating a response with a stimulus based on repetitive presentations

A

Classical conditioning

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79
Q

Ringing a bell is associated with getting food; the animal has no initiative

A

Classical conditioning

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80
Q

Considered a conditional reflex, not an inborn reflex

A

Classical conditioning

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81
Q

Searching for an action that leads to a desired consequence; active exploration.

A

Operant conditioning

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82
Q

Even monosynaptic reflexes can show this

A

Operant conditioning

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83
Q

Requires thousands of repetitions

A

Operant conditioning

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84
Q

Example of non-declarative memory

A

Motor skills and motor learning

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85
Q

Typically involves a motor program

A

Motor skills and motor learning

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86
Q

Four stages of memory

A

Encoding
Storage
Consolidation
Retrieval

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87
Q

Putting an event into an internal code

A

Encoding

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88
Q

Maintaining the code over time

A

Storage

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89
Q

The process that makes the temporarily stored and still liable information more stable

A

Consolidation

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90
Q

Using a key (intrinsic or extrinsic) to recover the code/event

A

Retrieval

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91
Q

Typically an acoustic, visual, or somatosensory code

A

Encoding

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92
Q

Limited capacity (7 +/- 2 “pieces”); decay; followed by consolidation or loss of memory. Effectiveness is typically a few minutes or hour

A

Storage

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93
Q

Allocates attentional resources to the verbal and visuospatial subsystems, also monitors, manipulates, and updates stored memory representations.

A

Executive control process

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94
Q

Can be consolidated into long-term memory

A

Short-term memory

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95
Q

Processing a sensory stimulus may lead to creating a short-term memory trace in parallel with producing an effector (motor).

A

Memory consolidation

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96
Q

Pros for synapses serve as the site for memories

A

The phenomena of long term potentiation and long term depression in the cerebellum and hippocampus.

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97
Q

Cons against synapses serving as memory sites

A

Disposable synapses don’t exist

Long term potentiation is too short according to animal studies

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98
Q

Lashley says that

A

each neuron takes part in many memories

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99
Q

partial loss of memory

A

Amnesia

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100
Q

Causes of amnesia

A

Brian injury, stroke, encephalitis, electric shock, etc.

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101
Q

Types of amnesia

A

Anterograde

Retrograde

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102
Q

Affects the ability to recollect events that occurred after an injury

A

Anterograde amnesia

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103
Q

Affects the ability to recollect events that occurred prior to an injury

A

Retrograde amnesia

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104
Q

Caused by chronic alcohol abuse or thiamine deficiency

A

Korsakoff’s syndrome

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105
Q

Characterized by defective retrieval of memories. Partial cues or prompts cause the brain to fill in the gaps in whatever way it can

A

Korsakoff’s syndrome

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106
Q

Type of progressive dementia that causes problems with memory, thinking, and behavior.

A

Alzheimer’s

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107
Q

Earliest sign is inability to remember newly learned things

A

Alzheimer’s

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108
Q

Patients with lesions in this brain structure will solve the same puzzle over and over as if it was a new puzzle every time

A

Hippocampus

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109
Q

Important in storing declarative memory

A

Hippocampus

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110
Q

Crucial for transferring short term memories to long term memories

A

Hippocampus and medial temporal lobe

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111
Q

Long hypothesized to store long-term effects of training, specifically motor memories

A

Cerebellum

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112
Q

Likely occurs in interneurons controlling reflex arcs

A

Spinal memory

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113
Q

An engineer would find human movements to be suboptimal. Why?

A

Because muscles fatigue, get injured, the electromechanical delay, etc.

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114
Q

Human movements are produced by force generating structures called

A

Muscle

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115
Q

Muscles are relatively ____ in their actions.

A

slow

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116
Q

Muscles interact with the nervous system in a _____ fashion.

A

non-linear

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117
Q

The body is highly

A

adaptable

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118
Q

The requirements of most everyday tasks

A

To move a limb or the whole body to a particular point in space

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119
Q

Movements requires two things:

A

Rotation at one or several joints

Force production using the muscular system

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120
Q

Finding a joint configuration corresponding to the location of the endpoint. Considers different joints, different joint actions, sequencing of actions, etc.

A

Inverse kinematics

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121
Q

Finding patterns of joint torques.

A

Inverse dynamics

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122
Q

The CNS produces active changes in _____ _____ by sending signals to the muscle

A

muscle force

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123
Q

Depends on neural signals sent to the muscles and external loading conditions

A

Force

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124
Q

Computes signals sent to spinal neurons and considers the activation of alpha motoneurons through reflex pathways

A

CNS

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125
Q

Developed by Schmidt in the 1970s

A

Generalized motor program

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126
Q

Brain stores “movement formulas” expressed as mechanical patterns associated with particular actions

A

Generalized motor program

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127
Q

Has support from experiments which demonstrate invariant timing patterns when movement is sped up or slowed down

A

Generalized motor program

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128
Q

These can be changed in a program

A

Parameters

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129
Q

Stay the same in the same motor program; is different in different programs

A

Invariant features

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130
Q

In this model, the CNS computes control signals that produce adequate force patterns

A

Internal models

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131
Q

The 2 factors the brain has to account for in the internal model:

A

1: All the steps involved in transforming neural signals into mechanical variables.
2: Time delays in information transmission from the brain to muscle and from peripheral receptors to the brain

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132
Q

These internal models is similar to feedback

A

Inverse models

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133
Q

These internal models is similar to feedforward

A

Direct models

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134
Q

Compute descending neural commands based on a desired mechanical effect

A

Inverse models

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135
Q

Computations are made from sensory signals that deliver some outdated information

A

Inverse models

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136
Q

Computed signals from the brain reach muscles after substantial time delay

A

Inverse models

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137
Q

Compute the effects of current neural commands on the state of the periphery

A

Direct models

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138
Q

Takes into account possible changes in muscles and limbs due to time delays in the neural pathways

A

Direct models

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139
Q

The common explanation for how internal models work is

A

The internal model is quickly updated (recomputed) based on feedback signals

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140
Q

The problem with internal models

A

The brain does not have an amazingly quick and accurate computational process.

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141
Q

One signal, one response

A

Simple reaction

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142
Q

Different signals with specific responses to each signal

A

Choice reaction

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143
Q

If an agonist-antagonist pair of muscles are relaxed, one will shorten and one will lengthen as the joint moves to a new position. This would require active force production to prevent the joint from moving back to the original position. However, neural structures can modify the spring like properties of muscles. This is known as the ______.

A

Equilibrium Point Hypothesis

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144
Q

The central control structures shift muscle activation thresholds and readdress posture stabilizing mechanisms to a new posture. These mechanisms turn from posture stabilizing into movement producing. This is an example of:

A

A dynamic system

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145
Q

Has the ability to resolve the posture-movement paradox

A

Equilibrium point hypothesis

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146
Q

During active movement, neural commands re-address afferent signals from proprioceptors to the new posture. These signals allow the movement to occur and are used to stabilize the new posture.
Central control structures shift physiological variables associated with muscle activation thresholds and re-address posture stabilizing mechanims to a new posture.

A

Principle of reafference

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147
Q

The central controller finds a unique solution each time a problem emerges

A

Redundancy

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148
Q

Central controller facilitates groups of equally acceptable solutions rather than unique solutions

A

Abundancy

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149
Q

A common approach to the problem of motor redundancy

A

Optimization

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150
Q

Allows selection of a unique solution to a problem

A

Optimization

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151
Q

Particular function of a system’s performance the controller tries to keep optimized, commonly at a minimum or maximum value

A

Cost function

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152
Q

Time derivative of acceleration

A

Jerk

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153
Q

Leads to smooth trajectories with a bell shaped velocity profile and a symmetrical double-peaked acceleration

A

Minimum jerk criterion

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154
Q

Bernstein’s kinematic study of professional blacksmiths found more variability in the _____ than in the _______.

A

joints; trajectory of the hammer

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155
Q

Multiple possibilities

A

Abundancy

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156
Q

Instead of searching for unique solutions, the controller can facilitate similar solutions that can solve the task

A

Abundancy

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157
Q

A task specific organization of elements, while each element within a structural unit is itself a structural unit at a different level of the analysis

A

Structural unit

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158
Q

Purposes of structural units

A

Synergies

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159
Q

Extrinsic patterns reflecting a synergy under particular external conditions

A

Behaviors

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160
Q

Based on a structural unit that consists of a neural network uniting different extremities.

A

Locomotion

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161
Q

Motion of the arms or legs is based on a structural unit comprising

A

individual joint rotations

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162
Q

Each joint rotation is based on a structural unit involving

A

muscle actions as elements

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163
Q

Each muscle is a structural unit of it

A

motor units

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164
Q

What would happen if the far motor neuron in a muscle stopped firing?

A

Muscle force drops, the muscle lengthens.
As the muscle lengthens, muscle force increases due to an increased activation of the remaining motor neurons due to the tonic stretch reflex.

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165
Q

If two fingers work in parallel to produce 20 N of force, the could accomplish this in three different ways

A

25/75%
50/50%
75/25%

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166
Q

Controller do not prescribe what each element should do in a synergy, they only set the overall task and organize feedback loops to assure task stability. This is opposite of an internal mode.

A

Hierarchy of a structural unit

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167
Q

According to the uncontrolled manifold hypothesis, the controller acts in

A

a space of elemental variables

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168
Q

In the uncontrolled manifold hypothesis, a subspace is termed

A

the uncontrolled manifold

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169
Q

These variables do not have to be controlled within the sub-space

A

Elemental variables

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170
Q

Within space, the controller selects a subspace corresponding to a desired value of a performance variable of the whole system.
The controller then tries to limit variability of elemental variables outside the subspace while allowing relatively large variability within the subspace

A

Uncontrolled manifold hypothesis

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171
Q

This is within the uncontrolled manifold. Does not affect performance variables and therefore may be relatively large

A

Good variability

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172
Q

This is outside the uncontrolled manifold. Changes important performance variables and needs to be kept low

A

Bad variability

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173
Q

An inverted pendulum in the field of gravity

A

Posture

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174
Q

Maintenance of body alignment and spatial orientation in order to put the body in a position to enable effective movement

A

Postural control

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175
Q

A position that is resistant to disturbance or returns to its normal state after disturbance

A

Stability

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176
Q

Sources of problems with postural control

A

High center of mass/center of gravity
Multiple joints
Small support area (1 square foot)

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177
Q

The location of the center of gravity of a human being in the normal standing position varies with

A

body build, age, and sex

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178
Q

Female’s center of gravity is ___ of standing height.

A

55%

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179
Q

Male’s center of gravity is ___ of standing height.

A

57%

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180
Q

The center of gravity can be considered to be almost directly over the center of pressure when

A

in quiet standing

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181
Q

The point at which the force vector for ground reaction force is applied

A

Center of pressure

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182
Q

Sway increases under these conditions:

A

Closed eyes
Standing on a narrow support
Age, disorder

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183
Q

Sway decreases under these conditions:

A

Light finger touch (to virtually any part of the body)

Holding an object connected to the external world

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184
Q

Center of gravity must remain within the base of support in order to maintain

A

equilibrium

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185
Q

It is easier to maintain center of gravity with a

A

larger base of support

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186
Q

Migration of the reference point, with respect to which equilibrium is instantly maintained

A

Rambling

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187
Q

Likely a reflection of a central search process (supraspinal process)

A

Rambling

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188
Q

Likely a reflection of the mechanical properties of the effectors and reflex loops (subspinal process)

A

Trembling

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189
Q

The body oscillates about a reference point, while

A

the reference point migrates for reasons that are not well understood.

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190
Q

One of the least prominent senses

A

Sense of balance

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191
Q

Are innvervated by the peripheral ends of bipolar sensory neurons in the ampullary nerve

A

Vestibular hair cells

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192
Q

The ampullary crest is covered by a gelatinous, diaphragm-like mass called the

A

cupula

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193
Q

The structure that aids in balance

A

Vestibular apparatus

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194
Q

Sensitive to angular acceleration of the head

A

Semicircular canals

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195
Q

The fluid in the semicircular canals move when the head

A

rotates

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196
Q

Action potentials are generated when fluid acts on the ____ and displace hair cells.

A

cupula

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197
Q

Sensitive to linear acceleration of the head

A

Otoliths

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198
Q

The zone in the utricle where the floor is thickened and contains hair receptors

A

Macula

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199
Q

Is covered with a gelatinous substance containing crystals of calcium carbonate (otoliths)

A

Macula

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200
Q

Otoliths deform the floor and bend the hair cells which generate action potentials when

A

The head is tilted or accelerated in a certain direction

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201
Q

Vestibular nuclei occupy a large part of the

A

medulla

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202
Q

Innervated by the 8th cranial nerve via Scarpa’s ganglion. Neurons here are bipolar.

A

Vestibular apparatus

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203
Q

What is necessary to maintain posture?

A
  1. Adequate perception of a reference point or reference vertical.
  2. Timely generation of appropriate muscle torques.
  3. Control of posture under external and internal perturbations.
204
Q

There are many different sources of

A

postural perturbations

205
Q

Some of these are caused by our own movements

A

postural perturbations

206
Q

Many voluntary movements are associated with changes in the activity of postural muscles, even

A

before the movement begins

207
Q

These minimize perturbations to vertical posture

A

Anticipatory postural adjustments (APAs)

208
Q

Time delay of anticipatory postural adjustments

A

< 0 ms

209
Q

Time delay of muscle elasticity

A

0 ms

210
Q

Time delay of monosynaptic reflexes

A

30 ms

211
Q

Time delay of polysynaptic reflexes

A

50 ms

212
Q

Time delay of preprogrammed reactions

A

70 ms

213
Q

Time delay of voluntary action

A

150 ms

214
Q

A fast arm movement by a standing person is a source of postural perturbation because of

A

joint coupling

215
Q

A fast shoulder flexion creates reactive torques that try to tilt the body

A

backward

216
Q

Are generated prior to a perturbation

A

Anticipatory postural adjustments

217
Q

If perturbations are predictable,

A

it is easier to anticipate

218
Q

Perturbation are typically associated with

A

an action by the person

219
Q

Produces forces/torques acting against the expected perturbation

A

Anticipatory postural adjustments

220
Q

Anticipatory postural adjustments are always

A

suboptimal

221
Q

Slow forward or backward translations lead to this in young participants:

A

Ankle strategy

222
Q

Slow forward or backward translations lead to this in older subjects:

A

Hip strategy

223
Q

When standing on a narrow surface or during fast translations, young participants employ

A

Hip strategy

224
Q

Leads to larger horizontal displacement of the center of mass

A

Ankle movement

225
Q

Is more effective, but increases the risk

A

Ankle strategy

226
Q

Is a task-specific organization of many elements (elemental variables) by a controller

A

Synergy

227
Q

Its purpose is to stabilize a value or a pattern of an important performance variable or of several variables.

A

Postural synergies

228
Q

A combination of control signals sent to several muscles to ensure stability of a limb or whole body either in anticipation of a predictable postural perturbation or in response to an actual perturbation

A

Postural synergy

229
Q

In the two pockets hypothesis of brain pockets, motor commands are split into action and postural commands are done

A

separately, but simultaneously

230
Q

In the one pocket hypothesis of brain pockets, motor commands are done

A

at the same time

231
Q

Are the source of kinesthetic information

A

Proprioceptors

232
Q

Awareness of the position of the body segments in space and in relation to each other

A

Kinesthesia

233
Q

Allows us to perform movements without continuous visual control, to adjust patterns of control variables, and perform tasks requiring multi-limb coordination

A

Kinesthesia

234
Q

Under isometric conditions, muscle activation increases lead to an increase in the gamma-system activity. This leads to an increase in the firing level of muscle spindle sensory endings. How might the CNS interpret this?

A

The CNS may interpret this as a joint motion corresponding to an increase in muscle length.

235
Q

Why would one possibly see the same average firing level of muscle spindle sensory endings at different joint positions under non-isometric conditions?

A

An increase in muscle activation level leads to muscle shortening. This leads to an increase in gamma-system activity.

236
Q

How are muscle fibers shortened and tendons stretched under isometric conditions?

A

Under isometric conditions, an increase in muscle activation level leads to an increase in muscle fiber stiffness.

237
Q

The sum of products of muscle forces and corresponding lever arms

A

Joint torque

238
Q

Leads to a change in the lever arm

A

Joint movement

239
Q

Is dependent on both muscle force and joint angle

A

Joint torque

240
Q

Why would a system within the human body appear to be imperfectly designed?

A

Something has probably been overlooked or misinterpreted

241
Q

Accurate kinesthetic information is likely to emerge through participation of signals from

A

various sensors

242
Q

A copy of a voluntary motor command

A

An efferent copy

243
Q

Efferent copies participate in deciphering the mixed information from peripheral receptors. This helps to

A

reduce the cognitive load

244
Q

Spindle activity is dependent on

A

gamma activity

245
Q

Gamma activity is dependent on

A

the current descending motor command

246
Q

Is based on signals from proprioceptors

A

Kinesthetic perception

247
Q

Information provided by each proprioceptor is

A

insufficient to extract values of joint angles or torques

248
Q

Combined information from several proprioceptors is

A

sufficient to extract values of joint angles or torques

249
Q

Is an activity leading to a change in the location of the body in external space

A

Locomotion

250
Q

4 important characteristics of locomotion

A

Velocity
Stride length
Relation between the support and swing phases
Relative timing of the extremities (gait)

251
Q

The two different views of locomotion

A

Motor programming

Dynamic systems

252
Q

Central pattern generator is part of

A

motor programming

253
Q

Hypothetical neural structure that generates neural activity, activity is transformed into rhythmic muscle activity, leading to rhythmic behavior

A

Central pattern generator

254
Q

Rhythmicity of locomotion is caused by interaction of neural activity and the periphery

A

Dynamic systems

255
Q

According to Sherrington, locomotion was a pattern produced by

A

alternating reflex responses

256
Q

According to Sherrington, voluntary movement is a result of

A

modulating reflexes

257
Q

This view has been shown to be false

A

Sherrington’s view

258
Q

Rhythmic motor pattern of locomotion was produced by a special neural network (CPG) that could produce activity even in the absence of reflexes

A

Brown’s view

259
Q

This view is still supported today

A

Brown’s view

260
Q

A hypothetical structure in the CNS that can generate patterned (rhythmical) activity

A

Central pattern generator (CPG)

261
Q

Can be driven by “higher” centers as well as by peripheral information

A

Central pattern generator

262
Q

4 problems with the CPG

A

Undefined “higher center”
Peripheral input could change the pattern of gait activity
Difficult to determine if changes in gait are produced by higher center or peripheral input
Many important variables lack a good definition

263
Q

Leads to rhythmic movements of the cat’s limbs

A

Stimulation of the cat’s reticular formation

264
Q

Different levels of stimulation to the reticular formation could

A

slow down or speed up locomotion

265
Q

Found in the upper cervical region of the spinal cord

A

Locomotor strip

266
Q

Electrical stimulation of certain brain (and spinal) areas can induce

A

Locomotion

267
Q

Changes with the strength of the stimulation

A

Gait

268
Q

Can also be induced by treadmill motion and by intraspinal drugs (GABA)

A

Locomotion and gait changes

fictive locomotion

269
Q

How many central pattern generators are likely contained in the spinal cord

A

1, 2, or even 4 CPGs

270
Q

Can be driven by descending and ascending signals

A

Central pattern generator

271
Q

Does not necessarily require a signal

A

Central pattern generator

272
Q

Can produce different gaits

A

Central pattern generator

273
Q

Better explains issues of stability particularly in medial and lateral directions

A

Dynamic systems approach

274
Q

System for movement production including the CNS, effectors and the connections with the CNS, and the environmental forces and sources of sensory information, can be modeled with complex, non-linear equations

A

Dynamic systems approach

275
Q

Success in describing inter-limb and inter-joint coordination

A

Dynamic systems approach

276
Q

The equations developed by this approach can describe these rather complex changes in behavior

A

Dynamic systems approach

277
Q

Lacks coordination; all details of coordination are delegated by the ultimate controller

A

Motor programming

278
Q

Coordination can emerge without supreme problem solver, but it lacks control

A

Dynamic systems

279
Q

All elements are linked, and there is an upper neural structure that can send descending signals

A

Combination of the different approaches to locomotion

280
Q

The approaches to locomotion

A

Motor programming

Dynamic systems

281
Q

Step initiation

A
  1. The stepping foot must be unloaded.

2. The body must start moving in the direction of the planned step.

282
Q

When the stepping foot is unloaded,

A

body weight is shifted to the supporting foot.

283
Q

What happens when the body starts moving in the direction of the planned step?

A
  1. Center of pressure shift starts 0.5 seconds before the stepping leg leaves the ground.
  2. In the M/L direction, COP shifts toward the stepping foot and then back toward the supporting foot.
  3. COP also shifts backward in the A/P direction.
  4. This backwards shift creates a moment of reactive force that rotates the body forward.
284
Q

Occurs during locomotion

A

Corrective stumbling reaction

285
Q

Can be induced by a mechanical stimulus to the foot

A

Corrective stumbling reaction

286
Q

Represents a complex pattern of EMG changes

A

Corrective stumbling reaction

287
Q

Leads to a quick step over the obstacle

A

Corrective stumbling reaction

288
Q

What are some general changes in the neuromotor system that occur due to aging?

A
Strength decline
Longer reaction time
Impaired control of posture/gait
Impaired accurate control of force/movement
Unintended force production
289
Q

Behavioral changes with aging

A

Weakness
Slowness
Higher variability
Larger postural sway; delayed APAs

290
Q

With aging, strength tends to

A

decline

291
Q

With aging, reaction times tend to

A

increase

292
Q

With aging, control of posture and gait becomes

A

impaired

293
Q

With aging, the accurate control of force and movement becomes

A

impaired

294
Q

As age increases, there is more ____ force production.

A

unintended

295
Q

With age, muscles become

A

weaker

296
Q

With age, movement becomes

A

slower

297
Q

With age, joint variability is

A

higher

298
Q

With age, postural sway becomes

A

larger

299
Q

With age, anticipatory postural adjustments are

A

delayed

300
Q

With age, antagonist co-contraction becomes

A

higher

301
Q

With age, safety margins become

A

higher

302
Q

The central changes with movements and aging

A
Longer reaction time
Slower movements
Higher antagonist co-contraction
Higher safety margins
Changed synergies
303
Q

With age, the number of apha-motoneurons

A

declines

304
Q

This is a consequence of the decline in motoneurons in aging:

A

There are fewer motoneurons, meaning that on average, motonuerons are larger in size and slower

305
Q

When smaller motor units are absent, there is

A

poor control of low forces

306
Q

With less motor units, force production is

A

not as smooth

307
Q

With age, twitch contraction time increases from 100-150 ms to

A

125-200 ms

308
Q

With age, muscle mass is

A

reduced and partly replaced by fat/connective tissue

309
Q

With age, cross-sectional area is

A

reduced

310
Q

With age, normalized force (MVIC/cross-sectional area) is

A

reduced

311
Q

With age, neural activation

A

depends on the muscle

312
Q

With age, co-activation of antagonist muscles are

A

increased by 30%

313
Q

Do all muscles show similar force losses?

A

No. Distal muscles are more affected, typically.

314
Q

With age, H-reflex amplitude is

A

slightly reduced (may show a delay)

315
Q

With age, the tendon tap reflex is

A

slightly reduced (may show a delay)

316
Q

With age, polysynaptic reflexes are

A

reduced

317
Q

With age, simple reaction time is

A

increased

318
Q

With age, postural sway is

A

increased

319
Q

Anticipatory postural adjustments are delayed with aging due to

A

loss of asynchronous involvement

320
Q

With age, preprogrammed reactions are

A

decreased and delayed

321
Q

Do older people tend to use ankle or hip strategy for postural control?

A

Hip strategy

322
Q

How does training in older people effect forces?

A

Induces higher forces

323
Q

How does training in older people effect antagonist co-contraction?

A

Lowers antagonist co-contractions

324
Q

How does training in older people effect cross-sectional area?

A

Induces small changes in cross-sectional area through neural adaptations.

325
Q

Characteristics of gait in older people?

A

Short, slow strides; wide base

326
Q

__ of those over 60 have gait problems, reduced arm swing, stiff turns, and tendency to fall.

A

15%

327
Q

Postural reflexes are impaired in __ of elderly over 80 years of age.

A

70%

328
Q

With age, recovery after perturbation is

A

impaired

329
Q

With age, spontaneous and induced sway are

A

exaggerated

330
Q

The posture of elderly:

A

flexed in neck and trunk, extended in knees and elbows

331
Q

Why can it be said that humans are born “prematurely?”

A

Their nervous system is not fully developed.

332
Q

At birth, the brain weighs approximately

A

300 grams

333
Q

After birth, myelination proceeds over

A

the first 6 months of life in the cephalocaudal direction.

334
Q

These sensory systems are mature at birth

A

Kinesthetic system

Vestibular system

335
Q

This sensory system is not mature at birth. Why?

A

Visual system

The optic nerve axons are still being myelinated

336
Q

Visual acuity of newborns

A

20/200 to 20/400

337
Q

The motor systems of newborns consist of

A

primitive reflexes (sucking, grasping); atypical monosynaptic reflexes

338
Q

Current thinking is that the actions of newborns of kicking, rocking, arm waving, etc. are

A

preceding the emergence of new functional patterns such as walking and reaching.

339
Q

Cause of Down Syndrome

A

Trisomy 21 or mosaicism

340
Q

Life expectancy of Down Syndrome

A

Over 60 years

341
Q

Reaction time in Down Syndrome is

A

longer

342
Q

Movement time in Down Syndrome is

A

longer

343
Q

Trajectories in Down Syndrome are

A

irregular

344
Q

Joint variability in Down Syndrome is

A

higher

345
Q

The movement patterns of this disease are similar to elderly movement patterns

A

Down Syndrome

346
Q

When do Down Syndrome patients have a preference for co-activation patterns?

A

During movements
During preprogrammed reactions
During anticipatory postural adjustments

347
Q

During grip taks, people with Down Syndrome have a

A

high safety margin

348
Q

Down Syndrome patients can show significant improvement in motor performance with

A

training and rehabilitation

349
Q

In Down Syndrome patients, cerebellum weight is typically reported as

A

low

350
Q

This brain structure is important for coordination

A

Cerebellum

351
Q

The clumsiness of Down Syndrome patients is though to be

A

a deliberate choice by the brain - a safety catch

352
Q

Can Down Syndrome patients show improvements in the ability to coordinate effectors?

A

Yes

353
Q

Can Down Syndrome patients show improvement in general indices of motor performance (speed and force)?

A

Yes

354
Q

Most common pervasive developmental disorder

A

Autism

355
Q

Resistance to change is seen in

A

Autism

356
Q

Difficulty in verbal expression is seen in

A

Autism

357
Q

Autistics are sometimes distressed for

A

unclear reasons

358
Q

Have difficulty mixing with others

A

Autism

359
Q

Have a lack of responsiveness to words

A

Autism

360
Q

Sustained odd play is seen in

A

Autism

361
Q

Physical over activity or extreme under-activity is seen in

A

Autism

362
Q

Gross and fine motor skills in autistics tend to be

A

uneven

363
Q

Causes of autism

A

Unknown

364
Q

Contributing factors to autism

A

Genetic
Certain medical conditions
Harmful substances during pregnancy

365
Q

With autism, cerebellum weight is sometimes reported as

A

low

366
Q

Causes of developmental coordination disorder (DCD)

A

Unknown

367
Q

More common in boys; prevalence of 5%

A

Developmental coordination disorder (DCD)

368
Q

Typical features of developmental coordination disorder

A
Tripping
Running into others
Dropping objects
Unsteady gait
Speech problems (sometimes)
369
Q

Cocontraction levels in DCD are

A

increased

370
Q

Safety margins (grip forces) in DCD are

A

increased

371
Q

The cerebellum in developmental coordination disorder is typically

A

smaller

372
Q

The developmental delays seen in DCD

A

Delays in:

Sitting up, crawling, walking
Deficits in handwriting and reading
Problems in fine and gross motor skills

373
Q

ALS (Lou Gehrig’s disease) affects

A

the neuron cell body in the motor cortex

374
Q

Cervical or lumbar radiculopathy affects the

A

spinal root

375
Q

Axonal neuropathy affects the

A

axon

376
Q

Guillain-Barre syndrome and multiple sclerosis affects the

A

myelin

377
Q

Myasthenia gravis affects the

A

neuromuscular synapse

378
Q

Muscular dystrophy or myopathy affects the

A

muscle

379
Q

Muscular dystrophies affect mostly

A

males

380
Q

Muscular dystrophy is a ____ disease.

A

genetic

381
Q

Progressive weakness and degeneration of skeletal muscles

A

Muscular dystrophy

382
Q

This form of muscular dystrophy typically affects children

A

Duchenne dystrophy

383
Q

This form of muscular dystrophy typically affects adolescents

A

Becker dystrophy

384
Q

Mutation of a gene responsible for dystrophin, a protein involved in maintaining integrity of muscle fibers

A

Duchene dystrophy and Becker dystrophy

385
Q

Clinical symptoms at 2 to 6 years; all muscles are affected

A

Duchenne dystrophy

386
Q

This form of muscular dystrophy is characterized by the subject being late to walk and having a waddling, unsteady gait

A

Duchenne dystrophy

387
Q

Respirator dependence by the age of 20

A

Duchenne dystrophy

388
Q

Clinical symptoms appear at adolescence

A

Becker dystrophy

389
Q

Slower disease progression; longer life expectancy

A

Becker dystrophy

390
Q

Most common adult form of muscular dystrophy

A

Myotonic dystrophy

391
Q

Prolonged episode of muscle activity after its voluntary contraction

A

Myotonia

392
Q

This muscular dystrophy commonly affects finger and facial muscles

A

Myotonic dystrophy

393
Q

Characterized by high-stepping, floppy-footed gait (gait drop)

A

Myotonic dystrophy

394
Q

Long face; drooping eyelids

A

Myotonic dystrophy

395
Q

Types of peripheral neuropathies

A

Mononeuropathies
Diabetic neuropathies
Polyneuropathies

396
Q

Slowed conduction in a single nerve

A

Mononeuropathies

397
Q

Reduced amplitude of motor and/or sensory potentials

A

Mononeuropathies

398
Q

Signs of denervation

A

Mononeuropathies

399
Q

Types of mononeuropathies

A
Carpal tunnel syndrome
Entrapment of the ulnar nerve
Brachial plexus lesions
Peroneal pressure palsy
Tarsal tunnel syndrome
Sciatica
400
Q

Entrapment of the median nerve at the wrist

A

Carpal tunnel syndrome

401
Q

Most common mononeuropathy

A

Carpal tunnel syndrome

402
Q

Can be entrapped near the elbow

A

Ulnar nerve

403
Q

Mostly seen in muscles innervated by median and ulnar nerves

A

Brachial plexus lesions

404
Q

Affects the peroneal nerve

A

Peroneal pressure palsy

405
Q

Affects the tibila nerve

A

Tarsal tunnel syndrome

406
Q

Affects the sciatic nerve

A

Sciatica

407
Q

Long-term complications of diabetic neuropathies

A

Peripheral sensory neuropathy
Peripheral motor neuropathy
Loss of autonomic nerve function
Atrophy of peripheral tissues

408
Q

Consequences of diabetic neuropathies

A

Loss of balance and coordination

Increased probability of falls, fractures, bruises, etc.

409
Q

Reduced recruitment; conduction block; may result in permanent axonal loss

A

Guillain-Barre syndrome

410
Q

Common recovery, but nerve conduction velocity may remain slow

A

Chronic inflammatory demyelinating polyneuropathy

411
Q

ALS and poliomyelitis are classified as

A

Neuronal degenerations

412
Q

Enterovirus destroys anterior horn cells; EMGs show chronic denervation; may lead to weakness and pain

A

Poliomyelitis

413
Q

A postpolio syndrome

A

Poliomyelitis

414
Q

problems with swallowing

A

Dysphagia

415
Q

Problems speaking or forming words

A

Dysarthria

416
Q

Tight and stiff muscles

A

Spasticity

417
Q

Exaggerated reflexes

A

Hyperreflexia

418
Q

Early symptoms include twitching, cramping, or stiffness of muscles; muscle weakness affecting an arm or a leg; slurred and nasal speech; or difficulty chewing or swallowing

A

ALS

419
Q

Patients have increasing dysphagia, dysarthria, spasticity, and hyperreflexia

A

ALS

420
Q

Causes of spinal cord injury

A

Motor vehicle accidents (36%)
Violence (28.9%)
Falls (21.2%)

421
Q

Partial loss of voluntary control of muscle activity

A

Paresis

422
Q

Total loss of voluntary motor control

A

Plegia

423
Q

Two extremities are involved - forelimbs or hindlimbs

A

Para

424
Q

Half of the body (left or right) is involved

A

Hemi

425
Q

All four extremities are involved

A

Quadri

426
Q

With positive signs of spasticity (hyperreflexia)

A

Spastic

427
Q

Without positive signs of spasticity (areflexia)

A

Flaccid

428
Q

Quadriplegia is commonly seen in

A

Cervical injuries

429
Q

Ventilator may be required when the injury is

A

above C4 level

430
Q

Shoulder and biceps control, no wrist or hand control

A

Injuries at C5

431
Q

Wrist control, but not hand function

A

C6 injuries

432
Q

Can straighten arms; dexterity problems with hand and fingers

A

C7 and T1 injuries

433
Q

Commonly paraplegia

A

Thoracic-Lumbar injuries

434
Q

Hands not affected

A

Thoracic-lumbar injuries

435
Q

Poor trunk control; lack of abdominal muscle control

A

T1 to T8 injuries

436
Q

Good trunk control and good abdominal muscle control; sitting balance is very good

A

T9 - T12 injuries

437
Q

Decreasing control of hip flexors and legs

A

Lumbar and sacral injuries

438
Q

Demyelination of CNS axons

A

Multiple sclerosis

439
Q

Macrophages and mononuclear cells strip away myelin

A

Multiple sclerosis

440
Q

Effects of MS on the optic nerve

A

Sudden onset of blurred vision
Dull ache in the eye
Impaired acuity (rarely blindness)

441
Q

Unilateral deafness can happen when MS affects the

A

olfactory and auditory nerves

442
Q

MS can impair balance when it afffects

A

the brain stem pathways

443
Q

MS can cause intentional tremors when it affects

A

the brain stem pathways

444
Q

MS can cause ataxia when it affects the

A

brain stem pathways

445
Q

MS can cause dysarthria when it affects the

A

brain stem pathways

446
Q

MS can cause facial weakness and numbness when it affects the

A

brain stem pathways

447
Q

MS can cause unilateral opthalmoplegia when it affects the

A

brain stem pathways

448
Q

When MS affects the spinal cord, is it commonly high in

A

the posterior columns

449
Q

MS can cause tingling in hands and arms when it affects the

A

spinal cord

450
Q

If the spindle afferents are affected by MS in the spinal cord, it can cause

A

discoordination

451
Q

IF MS affect nerves innervating the lower limbs in the spinal cord, it can cause

A

instability of stance

452
Q

If MS affects the pyramidal tract, it can cause

A

heaviness
dragging of legs
weakness, even acute paraplegia
spasticity

453
Q

Fatigue in MS is viewed as

A

very different feeling than generic fatigue

454
Q

Fatigue in MS can be disproportionate

A

to the amount of effort

455
Q

Evoked potentials with MS are

A

delayed

456
Q

An MRI to assess MS can show

A

plaques on affected tracts

457
Q

Spontaneous improvements with MS are

A

typical

458
Q

MS can be treated with

A
Hormone thereapy
Diet modification
Hyperbaric oxygenation
Immunosuppressive treatment
Antispastic treatment
459
Q

Prognosis for MS

A

Very uncertain

460
Q

First MS episode may be followed by

A

20 years of no symptoms, and then MS strikes again

461
Q

Older persons and males with MS

A

do worse

462
Q

Parkinson’s disease has these affects on single-joint movements

A

Slowness
High variability
High sensitivity to accuracy requirements

463
Q

Parkinson’s disease has these affects on multijoint movements

A
Impaired interjoint coordination
Less smooth (high jerk)
Impaired compensation for interaction torques
High variability
Sensitivity to accuracy requirements
464
Q

Parkinson’s disease causes anticipatory postural adjustments to be

A

reduced

465
Q

Parkinson’s may cause reduced APAs because of

A

bradykinseia (small perturbations during movement)

466
Q

The gait in Parkinson’s tends to be

A

shuffling

467
Q

If stripes are painted on the floor, Parkinson’s patients will show a

A

more normal looking gait when walking over the stripes

468
Q

Why is the Parkinson’s gait a shuffling gait?

A

It is likely an adaptation to postural problems. It leads to smaller contact forces

469
Q

Atrophy of caudate nucleus

A

Huntingdon’s disease

470
Q

A neurodegenerative disorder

A

Huntingdon’s disease

471
Q

Huntingdon’s is

A

hereditary (the gene has been located)

472
Q

Huntingdon’s usually starts in

A

midlife

473
Q

Is characterized by chorea and dementia

A

Huntingdon’s

474
Q

Huntingdon’s usually sees death after

A

15-20 years

475
Q

Huntingdon’s disease has these clinical features

A

Motor disorders
Depression
Irritability
Loss of social skills

476
Q

Generalized, irregular, restless, often pseudopurposive movements (Fidgeting hand movements, dancelike gait, clumsiness, slurry speech, etc.)

A

Chorea in Huntingdon’s disease

477
Q

Chorea in Huntingdon’s disease tends to involve

A

all parts of the body

478
Q

At early stages, it can be suppressed voluntarily and looks like restlessness or movements under emotional stress

A

Chorea

479
Q

At later stages, it can be masked by rigidity and bradykinesia

A

Chorea

480
Q

Cerebellar disorders are characterized by

A

Delays in movement initaition
Incomplete and inaccurate movement forms
Muscle strength is diminished somewhat

481
Q

Abnormalities of stance and gait are seen in

A

Cerebellar disorders

482
Q

Rhythmic tremor of the body or head [rocking or rotational movement] a few times per second

A

Titubation

483
Q

Titubation is seen in

A

Cerebellar disorders

484
Q

Rotated or tilted postures of the head

A

Cerebellar disorders

485
Q

Disturbances of extraocular movements

A

Cerebellar disorders

486
Q

Decompostion of movement

A

Cerebellar disorders

487
Q

Ataxia is characteristic in

A

cerebellar disorders

488
Q

Ataxic dysarthria is seen in

A

cerebellar disorders

489
Q

Copper deposits in the brain (cortex and basal ganglia) and also in the liver and other organs

A

Wilson’s disease

490
Q

Wilson’s disease is probalby

A

genetic

491
Q

Wilson’s disease can be seen in

A

young persons

492
Q

Wilson’s disease has these clinical signs

A
Tremor
Slurred speech
Masklike face
Shuffling gait
Stooped posture
493
Q

A nonprogressive disorder in young children

A

Cerebral palsy

494
Q

Cerebral palsy causes these motor disorders

A

Discoordination
Spasticty
Dystonia
Dysarthria

495
Q

Epilepsy, mental retardation, and visual disturbances can be seen in some, but not all cases of

A

Cerebral palsy

496
Q

Cerebral palsy can be caused by

A
Labor complications
Preterm birth, low birth weight
Hypoxia
Genetic factors
Infections during pregnancy
Commonly seen CNS congenital malformations
497
Q

This type of cerebral palsy affects the majority of patients

A

Spastic cerebral palsy

498
Q

Scissor gait

A

Spastic cerebral palsy

499
Q

This type of cerebral palsy may affect face muscles

A

Athetoid cerebral palsy

500
Q

Characterized by uncontrollable, slow, writhing movements

A

Athetoid cerebral palsy

501
Q

Usually increases during stress and disappears when asleep

A

Athetoid cerebral palsy

502
Q

Affects the quality of balance and depth perception

Unsteady walk with wide-base gait

A

Ataxic cerebral palsy

503
Q

Cerebral palsy can present with mixed forms. Most common is

A

Spastic + athetoid

504
Q

Should one try to improve motor patterns or function?

A

Function

505
Q

If an atypical motor pattern is optimal for an atypical person

A

Hands off!

506
Q

If exercise through discomfort will efficiently improve motor performance

A

Hands on!