Topic 8.8 Flashcards
5 structures that influence motor functions
- medulla
- midbrain
- cerebellum
- basal ganglia
- motor cortex
Which brodmann area is the primary motor cortex?
brodmann’s area 4
Which brodmann area is the premotor cortex?
brodmann area 6
Where does the movement “decision” begin?
in associative areas or the cortex
What is the motor plan?
It identifies the muscles that need to contract, how much they need to contract, in what sequence
Which structures will also influence the planning and execution stages of the motor plan?
basal ganglia and cerebellum
What is the primary motor cortex responsible for?
execution of a movement
How is the motor cortex organized?
topographically (musculotropic organization)
Which muscle is NOT controlateral?
The tongue
What are the premotor cortex and supplementary motor cortex responsible for?
generating a plan of movement
What are the lateral spinal motor pathways responsible for?
for conscious control of movements of the extremities
What are the 2 lateral motor pathways?
- lateral corticospinal tracts
- rubrospinal tract
1st and 2nd order neurons of the lateral corticospinal tract
1st : betz cells + cells of lamina V of cortex
2nd : pontine nuclei
Decussation of lateral corticospinal tract
in the medulla oblongata
Course in SP of lateral corticospinal tract
in the controlateral lateral funiculus
Destination of lateral corticospinal tract
It synapses with motor neurons in the ventral horn
Function of lateral corticospinal tract?
Fine and precise movement
1st and 2nd order neurons of rubrospinal tract
1st : red nucleus (magnocellular portion)
2nd : alpha motor neurons (upper cervical segments)
Where does the rubrospinal tract decussate?
anterior tegmentum decussation (in midbrain)
Course of rubrospinal tract in SP
controlateral lateral funiculus
destination of rubrospinal tract?
Synapse with motor neurons in ventral horn
Function of rubrospinal tract (2)
- muscle tone, body position
- gait
What are medial motor pathways involved in?
unconscious control of movements in the extremeties
4 medial motor pathways
- Anterior corticospinal
- Reticulospinal
- Tectospinal
- Vestibulospinal
1st and 2nd order neuron of anterior corticospinal tract
1st : betz cells and cells of lamina V of cortex
2nd : pontine nuclei
Course of anterior corticospinal tract in SP
ipsilateral anterior funiculus
Decussation of anterior corticospinal tract
anterior white commissure
Destination of anterior corticospinal tract
synapse at ventral horn
Function of anterior corticospinal tract
gross / large movement
2 reticulospinal tracts
- pontine reticulospinal tract
- medullary reticulospinal tract
Origin of pontine reticulospinal tract
medial pontine reticular formation
Termination of pontine reticulospinal tract
ipsylateral medial group of interneurons
Function of pontine reticulospinal tract
excites motor neurons to the proximal extensors to support posture
Origin of medullary reticulospinal tract
neurons of the medulla
Course of medullary reticulospinal tract
anterior lateral funiculus
Function of medullary corticospinal tract
inhibits motor neurons to the proximal extensors
Origin of tectospinal tract
superior colliculus
Decussation of tectospinal tract
dorsal tegmental decussation
Course of tectospinal tract
in anterior funiculus
Function of tectospinal tract
regulation of head movement in response to stimuli
Vestibulospinal tracts (2)
- lateral vestibulospinal tract
- medial vestibulospinal tract
Course of lateral vestibulospinal tract
descends ipsylaterally throuogh anterior funiculus
Function of vestibulospinal tract (3)
- excites motor neurons to proximal extensors
- inhibits flexor motorneurons
- assists postural adjustements after accelerations of the head
Course of medial vestibulospinal tract
- anterior funiculus to the midthoracic levels
Function of medial vestibulospinal tract
adjusts head position in response to acceleration
What are the postural reflexes for?
For subconscious maintenance of the body’s posture, ensures the body remains upright and aligned
4 categories of postural reflexes
- spinal
- medullary
- midbrain
- cerebral
Medullary reflexes (2)
- tonic neck reflex
- tonic labyrinthine reflex
Receptors for tonic neck reflex
neck proprioceptors
Tonic labyrinthine reflex receptors
otolithic organs (gravity)
What is tonic labyrinthine reflex?
tilting a baby’s head backwards while lying on the back causes stiffening of the back and straightening of the legs
Midbrain reflexes (2)
- Righting reflexes
- Conjugated eye movement
Receptors of righting reflexes
proprioceptors : muscle spindles / exteroceptors
Types of midbrain righting reflexes
- neck righting reflex
- body on head
- body on body
What is conjugated eye movement reflex?
movement of both eyes in the same direction for a binocular gase
Cerebral reflexes (3)
- optical righting reflex
- placing reaction
- hopping reaction
Types of abnormal posturing (2)
- decerebrate
- decorticate
Cause for decerebrate posture
caused by brainstem damage, below the red nucleus
Cause for decorticate posture
caused by damage at the junction of diencephalon and upper midbrain