Unit 5 - Cortical Control of Movement Flashcards

1
Q

Overview of control of movement

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

What do the basal ganglia and cerebellum act as

A

Dimmer switches

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

Upper vs lower motor neurons in the control of movement

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

Initial idea, planning, initating & executing movement - where do they originate

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

How do the primary motor and pre motor cortex differ in function

A

Pre motor cortex - PLANNING

Primary motor cortex - INITIATING

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

How do the primary and premotor cortex carry out their functions (ie what tract is involved)

A

Each area projects directly to spinal cord via CORTICOSPINAL TRACT

and indirectly via brainstem pathways (EXTRAPYRAMIDAL TRACTS)

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

What is the motor cortex responsible for

A

Planning, shaping and initiating movements

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

Where is the primary motor cortex

A

Pre central gyrus

Brodmanns area 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where are pyramidal cells found

What tract do they connect to

A

Layer 5

Direct connections to corticospinal tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does stimulation of discrete motor cortical areas produce

A

Contralateral muscle contractions

Muscles are represented by column of neurons

Not as organised as somatosensory cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does the motor cortex encode

A

Motor cortex encodes purposeful and precise motor movements

Control individual movements or sequences of movements that require the activity of multiple muscle groups

Encodes the force of a movement - minority of primary motor cortex neurons encode individual muscle force - a large number encodes the amount of force necessary for a particular movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When do neurons fire when the primary motor cortex encodes a movement

A

5-100 msec before onset of movement

Relaying motor commands to the alpha motor neurons that eventually cause the appropriate muscles to contract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Relating to movement, what does the primary motor cortex encode

A
  1. Force
  2. Direction - 1 cell may fire strongly when the hand is moved to the left, and inhibited when the hand is moved to the right
  3. Extent - the firing of some neurons is correlated with the distance of a movement
  4. Speed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Function of premotor cortex

Where does it get info from

How does it influence motor activity (i.e via what connections)

A

Selects movements appropriate to context of action - complex task related movements

Information travels from parietal lobe, prefrontal cortex, cerebellum and basal ganglia

Influences motor activity via connections to

  • Primary motor cortex
  • Corticospinal - 30% of corticospinal tracts
  • Corticobulbar tracts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the movements the premotor cortex is involved in

When is it most active

What does damage result in

A
  • Co-ordinated contraction of more than 1 joint
  • More COMPLEX movements than primary motor cortex
  • Involved in orienting the body towards a stimulus
  • Most active during the early learning phases of a movement sequence, or when modifications are needed
  • Difficulty developing motor strategies when damaged
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When do neurons of the lateral premotor cortex fire

A

In anticipation of a movement

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

What movements is the lateral premotor cortex responsible for

What does damage result in

A

Cue-directed movements (65% of premotor neurons)

  • Visual cued conditional tasks
  • Increased firing as cue associated with movement
  • Encode intention to induce particular movement
  • Damage - cannot choose right movement for cue
19
Q

What is the a subset of the lateral premotor cortex

A

Mirror motor neurons

Imitation learning is important in learned behavioural movements

20
Q

What are the neurons of the lateral premotor cortex sensitive to

A

Behavioural context - lifting a full vs empty glass

Neurons signal correct & incorrect movements

* greater activation with correct movement - learning correct motor programme

21
Q

What area is responsible for production of speech

Where is it located

A

Brocca’s area

Within lateral premotor cortex

22
Q

Synonym for medial premotor cortex

A

Supplementary motor cortex

23
Q

What movements is the medial premotor cortex responsible for

A
  • Spontaneous movements - carry out movement from memory - not to external cue
  • Responds to sequences of movements and to mental rehearsal of sequences of movements
  • Neurons discharge before onset of movement
24
Q
A
25
Q

MCQ

A
26
Q

What do the corticospinal and corticobulbar (neck down) tracts do

A

Initiate complex voluntary movement

LATERAL - 90%

VENTRAL - 10%

ipsilateral side

27
Q

Name the brainstem circuits

What are they responsible for

A

Lateral & medial vestibulospinal tracts, reticulospinal tract, colliculospinal tract

Balance, posture and orient gaze

28
Q

How are lower motor neurons organised within the spinal cord

A

Medial => axial and proximal muscles

Lateral => distal muscles

29
Q

Where zone does the brainstem terminate in

A

Medial zone

balance, posture, orienting mechanisms

30
Q

What zone does the motor cortex terminate in

A

Lateral zone

Voluntary expression of precise, skilled movement of distal parts

31
Q

What does damage to motor cortex/upper motor neurons result in

A

Immediate flaccidity of muscles on contralateral side

Spinal shock - hypotonia => reduced activity at spine due to reduced input from upper motor neurons

AFTER DAYS

Loss of ability to perform fine movements

Increased muscle tone

Spinal circuits regain activity

Spasticity

Babinski sign (normal in babies)

32
Q

Increased muscle tone

Spinal circuits regain activity

Spasticity

What are these symptoms due to

A

Lesioning of the medullary reticulospinal tracts which normally act to inhibit spinal reflexes and actions of gamma motor neurons

33
Q
A
34
Q

Localising neurological injury by the patterns of facial weakness

A
35
Q

Signs and symptoms of upper and lower motor neuron lesions

A
36
Q

MCQ

A
37
Q

MCQ

A
38
Q

MCQ

A
39
Q

MCQ

A
40
Q

MCQ

A
41
Q

MCQ

A
42
Q

MCQ

A
43
Q

MCQ

A
44
Q

MCQ

A