Week 5 Pt 1 - Control Of Movement Flashcards
What structures in brain and spinal cord are involved in the control of movement?
- Cerebral cortex
- Basal Ganglia
- Cerebellum
- Thalamus
- Brainstem
- Spinal Cord
What are the CNS regions in the control of movement?
- Motor Cortex
- Brainstem
- Basal Ganglia
- Cerebellum
Motor cortex
Control voluntary movement
What are the tracts of Motor Cortex?
Pyramidal
Corticospinal and Corticobulbar tract
Brainstem
Contain several motor nuclei
Extrapyramidal
What are the several motor nuclei of brainstem?
Rubrospinal
Vestibulospobal
Reticulospinal
What is the Rubrospinal tract?
Participate in voluntary movements
What is the vestibulospibal tract?
Maintain balance and support locomotion and posture
What is the Reticulospinal tract?
Coordinate automatic movements of locomotion and maintain posture
What is the Basal Ganglia?
Modulate activities of motor cortex
What is the cerebellum?
Does not initiate movement
Coordinates the action of all descending motor tracts
What are the 3 regions of motor cortex?
Supplementary motor cortex
Premotor cortex
Primary motor cortex
What is the supplementary motor cortex?
Involved in planning of complex and two handed movements
Coordinate posture
What is the premotor cortex?
Sensory guidance of movement
Receive input from posterior parietal cortex
Contribute to extrapyramidal pathways
What is the primary motor cortex?
Main motor area involved in executing voluntary movements
Corticospinal tract
Body regions
Corticobulbar tract
Face and neck regions
What does the pyramidal system also project to?
Basal Ganglia
Cerebellum
What does lateral corticospinal tract do?
80-90%
Cross over to the contralateral spinal cord at pyramids
What does anterior corticospinal tract do?
10-20%
Cross over at the level of synaptic contacts with spinal motor neurons
What is Tectospinal tract?
Capture and avoidance movements
Why does the visual system first inspect the mug?
To gather information on the distance and position of the cup
Where is the information relayed from and to?
From visual cortex
To posterior parietal cortex
What does the posterior parietal cortex transform visual information into?
Motor commands
Where does the posterior parietal cortex send the command to?
Supplementary motor area
Pre-motor cortex
What is the function of pre-motor cortex?
Decides set of muscles to contract
Sequence of contractions
Required force and trajectory
Sends signals to corresponding motor neurone in primary motor cortex
What does the motor neurons in primary motor cortex send signal directly to what?
Lower motor neurons in central horn of cervical spinal cord that controls the muscles of arm and hand
What does the motor neurons in primary motor cortex send signal to indirectly?
Lower motor neurons via rubrospinal tract
What are examples of sensory information?
Proprioception
Muscle length
To ensure that movements are fast,precise and coordinated sensory information is sent to what?
Brain via ascending sensory tracts
Spinocerebellar tract
What does cerebellum receive information about?
Positions in space of joints and coordinates the movements of groups of muscles
Regulate timing
Correct any errors in movement
When the mug is grasped information from sensory receptors in fingers travel to what?
Spinal cord
Where is the information from sensory receptors also sent to?
Sensory cortex that controls touch
Why does visual signal?
Confirm the grasping are sent to visual cortex
What informs the motor cortex that the mug is now being held?
Sensory cortex
Visual cortex
What is step 1 for grasping a mug?
Visual information required to locate the target
What is step 2 for grasping a mug?
Frontal-lobe motor areas plan the reach and command the movement
What is step 3 for grasping a mug?
Spinal cord carries the information to hand
What is step 4 for grasping a mug?
Motor neurons carry messages to muscles of hand and forearm
What is step 5 for grasping a mug?
Sensory receptors on the fingers send message to sensory cortex saying that the cup has been grasped
What is step 6 for grasping a mug?
Spinal cord carries sensory information to brain
What is step 7 for grasping a mug?
Basal Ganglia Judge grasp forces and cerebellum corrects movement errors
What is step 8 for grasping a mug?
Sensory cortex receives the message that the cup has been grasped
What is required for planning movement?
Basal nuclei
Cortical association areas
Cerebellum
What is required for initiating movement?
Motor cortex
What is required for executing movement?
Cerebellum
What is apraxia caused by?
Damage to the brain
Posterior parietal cortex
What does individual with apraxia have difficulty with?
Motor planning to perform tasks or movements when asked
What is apraxia caused by?
Damage to the brain
Posterior parietal cortex
What does individual with apraxia have difficulty with?
Motor planning to perform tasks or movements when asked
What are examples of Basal Ganglia nuclei?
- Neostriatum
- Paleo stratium
- Substantia Nigra
- Subthalamic nucleus (STN)
What are examples of Neostratium?
Caudate nucleus
Putamen
Central stratium
What are examples of Paleostriatum?
Globus pallidus external segment (GPe)
Globus pallidus internal segment (GPi)
What are examples of Substantia Nigra?
Pars compacta (SNc) Pars reticulata (SNr)
What are the functions of Basal Ganglia?
Control of movement Rewarding Emotion Motivation Procedure learning Cognition
What is the voluntary movement of Basal Ganglia?
Initiation of movement
Change from one pattern to other
Programming and correcting movement while in progress
What is the postural control of Basal Ganglia?
Righting Reflex
Automatic associated movement (walking)
What are the motor functions of Basal Ganglia?
Voluntary movement
Postural control
Control of muscle tone
Where does Basal Ganglia receive input from?
Cortex
Except primary sensory cortex
What is the overall effect of Direct Pathway?
Stimulate the cortex
What does the cortex provide excitatory input to?
Stratium
What does stratium provide inhibitory output directly to?
GPi/ SNr
What does GPi/SNr provide inhibitory input to?
Thalamus
What does thalamus have excitatory connections to?
Cortex
If the direct pathway is stimulated, what is excited?
Stratium
When stratium is excited what does it Increase?
Increasing inhibition of GPi and SNr
When is the output reduced for the direct pathway?
When the cortex and thalamus is inhibited
Less able to inhibit the thalamus
In the indirect pathway what does the stratium receive?
Excitatory input from the cortex
What does the stratium send inhibitory projects to?
GPe
What does the GPe send inhibitory connections to?
STN (subthalamic nuclei)
Who does STN send excitatory inputs to?
SNr and GPi
When the indirect pathway is stimulated, what does the cortex excite?
Stratium
In the indirect pathway, what does stratium inhibit?
GPe
When the stratium inhibits GPe in the indirect pathway what is inhibited?
Neurons in GPe which are less able to inhibit the neurons of STN
When neurons in GPe are inhibited what does it enable?
STN to excite SNr and allow it to inhibit thalamus
Prevent it from exciting cortex
What does GPe fire under what conditions and what does it inhibit?
Fire under quiescent conditions (absence of movement)
Inhibit STN’s activity
What are direct and indirect pathways regulated by?
Dopaminergic inputs from SNc through D1 and D2 dopaminergic receptors
What does SNc do?
Send fibres to stratium to control direct and indirect pathway
What does D1 receptor excite?
Direct pathway
Facilitate movement
Increase motor activity
What does D2 receptor suppress?
Firing in indirect pathway neurons
Facilitate movement
What does the effect of D1 and D2 receptor activation lead to?
Increased motor activity
What is TAN?
Tonically active neurons
How does stratium TANs discharge in the absence of any synaptic inputs?
2-12 Hz
What does TAN respond to?
Novel stimuli
What does cholinergic interneurons in stratium inhibit?
Direct pathway
Suppresses movement
What is the net effect of cholinergic signalling?
Inhibition of movement
What is the pathophysiology of Parkinson disease?
Loss of nigrostratial DA projection
What is the cause of Parkinson disease?
Loss of dopaminergic neurons in substantia Nigra pars compacta
What happens when DA input is lost?
Direct pathway is suppressed
Indirect pathway is facilities
What is the net effect when DA input is lost?
Increased inhibition of thalamus
Reduced excitation of cortex
What are the main signs and symptoms of Parkinson disease?
Motoric (hypokinetic: reduced movement) Bradykinesia Tremor Rigidity Loss of postural reflexes Micrographia Depression Dementia
What is bradykinesia?
Delay in initiation and execution of voluntary movements
Reduction in automatic movements (swinging arms while walking)
Effective activity may be briefly regained during an emergency
What is tremor?
Resting, 4-5 Hz
Enhanced by emotional stress
Absent during sleep
What is rigidity?
Increased resistance to passive movements
What is Huntington disease?
Genetic condition characterised by autosomal dominant in the Huntington gene
Mutation: loss of cells in the stratium
What is the pathophysiology of Huntington disease?
Happens within neostratium
Gross atrophy of caudate nucleus and putamen
Where is marked neuronal loss seen in Huntington disease?
Deep layers of cerebral cortex Globus pallidus Thalamus Subthalamic nucleus Substantia Nigra Cerebellum
What does loss of stratium GABA neurons lead to?
Decreased inhibition to motor thalamus
Increased activities of motor cortex
What is hyperkinetic disorder?
Psychiatric neurodevelopmental condition
Early childhood
What are the characteristics of hyperkinetic disorder?
Hyperactivity
Impulsivity
What does HD affect?
Shoulders
Hips
Face
What are the motor symptoms of Huntington disease?
Muscle problems
Rigidity is muscle contracture (dystopia)
Slow or abnormal eye movements
Impaired gait, posture and balance
Difficulty with physical production of speech or swallowing
What are other symptoms of HD?
Cognitive disorder
Psychiatric disorder
Input of Ganglia
Stratium
Innervation from cerebral cortex
Thalamus + limbic system
Output to Ganglia
SNr/GPi
Project to thalamus
Project to cortex
Direct pathway
Stimulate the cortex
Cortex provides excitatory input to stratium
Stratium provides inhibitory input to GPi/SNr
Inhibitory input to thalamus
Thalamus has excitatory connection back to the cortex
Indirect pathway
Stratium receives excitatory input from cortex
Stratium sends inhibitory projections to GPE
GPE sends inhibitory connection to STN
STN sends excitatory input to SNr/GPi
Inhibit thalamus
Send excitatory input to cortex