upper and lower motor neurons Flashcards
upper motor neuron
voluntary movements
lower motor neuron
involved in all movements (voluntary and reflexive)
cell bodies in spinal cord
motor homunculus
- There are 3 major representations in M1 –face; arms; legs.
- Adjacent muscle groups are targeted by adjacent regions of cortex
- Surface area in cortex is proportional to level of fine muscular control
lateral pathways
voluntary movements
direct cortical control-descend directly from cortex
ventromedial pathways
posture and locomotion
brain stem control
lateral corticospinal tract
-origin
motor cortex
lateral corticospinal tract
-decussation location
medullary pyraminds- junction of medulla and spinal cord
lateral corticospinal tract
-termination
dorsolateral region of ventral horns
lateral corticospinal tract
-functional control
distal muscles (eg fine motor control of fingers and hand)
lower motor neurons lesions symptoms
flaccid paralysis (-plegia)
paresis (weakness/incomplete paralysis)
muscle atrophy
areflexia
upper motor neuron lesions symptoms
first day - flaccidity, hypotonia, areflexia
long term symptoms-
loss of find/fractionated movements
spasticitiy (hyperflexia and hypertonia)
babinski sign