Upper and Lower Motor Neurons Flashcards
Variations in muscle tone
-variations in muscle tone are noted with the degeneration of the reflex center of the spinal cord
>a decrease in muscle tone (flaccid limbs) is noted with damage to the lower motor neurons (LMN)
>a increase in muscle tone (rigid limbs) is noted with damage to upper motor neurons (UMN)
Motor neurons within CNS
-have cell bodies within grey matter
-myelinated axons into either the CNS (tracts) or PNS (nerves)
Motor neurons role
-responsible for controlling somatic and autonomic functions
Neuromuscular junctions
-motor neurons form specialized synapses onto muscle fibers in periphery
Types of motor neurons
1.Upper motor neurons (UMN)
2.Lower motor neurons (LMN)
Upper motor neurons
-motor neurons that have cell bodies within the motor cortex of the brain (cerebrum, midbrain, pons, medulla), and have axons extending through the CNS that synapse on LMN
**they control or regulate the movements of LMNs
Lower motor neurons
-motor neurons within the CNS (brainstem, cranial nerves except 1,2,8, and the spinal cord) that have axons extending into the PNS to innervate targets
Sub types of Lower motor neurons
-alpha
-beta
-gamma
Clinical Signs of Lower motor neuron damage
**signs seen at level of lesion
1. paresis (partial loss of motor function) or paralysis (complete loss) = flaccid
2. decreased or absent muscle tone
3. muscle atrophy (quite quickly)
4. decreased or loss of local reflexes
Clinical signs of upper motor neuron damage
**signs seen caudal to lesion
1. paresis or paralysis
2. increased or normal muscle tone
3. muscle atrophy (will take much longer)
4. increased or normal local reflexes
Functional Segments
-Brain and Brainstem- all 4 limbs affected in same way
-C1-C5 (all 4 limbs affected in same way)
-C6-T2 (brachioplexus- LMN signs to thoracic limbs; UMN signs to pelvic limbs)
-T3-L3 (Thoracic limbs normal; pelvic limbs with UMN signs)
-L4-S2 (lumbosacral plexus- thoracic limbs normal; pelvic limbs LMN signs)
-Caudal (cauda equina)- Possibly LMN to tail and pelvic limbs + perineum