The Neural Control of Movement Flashcards
what is the hierarchical organisation of movement
- Lower motoneurons (LMN)
- Upper motoneurons (UMN)
- Cerebellum
- Basal ganglia
what are LMNs
- these are alpha motoneurons that constitute the final common pathway of all motor commands
- they are part of a motor unit
what do the LMNs innervate
Directly innervate skeletal muscles to produce muscle contractions
where are the cell bodies of the LMNs
Cell bodies in the ventral horn of the spinal cord and exit via ventral roots
what are the 4 anatomical points where the LMN injury can occur
- Ventral horn
- Ventral root
- The NMJ
- Skeletal muscle itself
what does Lower motor neurone injury arise from
- arises from damage to alpha motoneurons
- for example diseases that selectively affect alpha motor neurones such as polio or localised lesions near the spinal cord
what are the characteristics set of symptoms symptoms of LMN injury
- Muscle atrophy
- Hypotonia (reduced muscle tone) – because alpha motor neurons are the only way to stimulate extrafusal muscle fibres, the loss of these neurons causes a decrease in muscle tone
- Hyporeflexia (reduced or absent myotactic /stretch reflexes) this is because the alpha motor neuornes that cause muscle contraction are damaged
- Flaccid paralysis / muscle weakness
- Fasciculations- damaged alpha motor neurons produce spontaneous action potentials visible twitches of affected muscle(s).
- Fibrillations
what are Upper motor neurones
All motor system neurons higher in the hierarchy are referred to as UMNs
what do UMN do
these carry voluntary motor commands to LMNs
- they directly or indirectly synapse onto the LMNs
- there are 3 functionally distinct motor tracts
where are the cell bodies of the UMNs
Cell bodies in the cerebral cortex and brainstem
what are the upper motor neurone tracts
Corticospinal (lateral & anterior/ventral)
Reticulospinal & Vestibulospinal
Rubrospinal
what does the corticospinal tract do
precise motor movements
what do the reticulospinal and vestibulospinal tract do
Gross movements
Facilitates flexor movement
what does the rubrospinal tract do
posture and balance
what are the 3 main synaptic inputs into the LMNs
- UMN of descending tracts (corticospinal, reticulospinal, vestibulospinal, rubrospinal)
- interneurons locally
- Local sensory nerve fibres (part of reflex arcs)
where does the corticobulbopsinal tract run
From the motor cortex
To the brainstem
Courses through the internal capsule (a bundle of axons from the motor cortex)
what are the 2 components of the corticokbulbospinal tract
- corticobulbal fibres
- corticospinal tract
where do the corticobulbal fibres decussate
- they decussate at the midbrain
- synapse onto LMNs destined for the face
- will synapse onto motor fibres of the CNV
where do the corticospinal tract decussate
motor fibres destined for the arms & legs continue down and decussate at the lower medulla
what do the corticospinal tract form
- lateral corticospinal tract and small anterior corticospinal tract