Wk9 Motor Control & Action Flashcards
What is the neuromuscular junction?
where the neuron connects to the muscles
What are two descending motor pathways?
Dorsolateral tracts and ventromedial tracts
Which descending motor pathways is ipsilateral (1) vs contralateral (1)?
ventromedial; Dorsolateral
Which dorsolateral tracts are indirect (1) and direct (1)?
Corticorubrospinal; Corticospinal
Where do direct & indirect dorsolateral tracts decussate?
indirect = after red nucleus (first) direct = medullary pyramids
Where do nerves for facial motor actions come from?
Corticorubrospinal tracts (indirect)
What would happen to motor pathways for a cortical lesion vs a lower brainstem lesion?
Some functions may be intact depending for lower level lesions (before nuclei)
What do dorsolateral tracts control?
Distal limb muscles: independent movement activities (reaching)
Which ventromedial tracts are indirect (1) and direct (1)?
Cortico-brainstem-spinal; Ventromedial corticospinal
what do ventromedial tracts control?
Posture, whole-body movements
Which movement tracts pass through the vestibular nucleus?
Cortico-brainstem-spinal ventromedial tracts. This is to coordinate movement such as walking/posture
What is cerebellar ataxia?
Unsteady, wide-based gait
What functions is the cerebellum involved in?
Fine-tuning and learning motor movements; also important in environment navigation
What is intentional tremor?
Result of cerebellum damage; tremor at the end range of action closer to end-goal
What does the basal ganglia do?
Modulate movement;
What cognitive functions does the basal ganglia assist with?
habitual responses & implicit learning
Why are there direct and indirect pathways from the basal ganglia to thalamus?
Selection of actions; inhibition of actions
What are problems with basal ganglia pathways in Parkinson’s? (In terms of D receptors) what are the implications for the condition?
The balance of excitatory and inhibitory connections is thrown off; Movements can be insufficient, excessive, poorly controlled
What are positive symptoms of Parkinson’s? 3
Resting tremor Rigidity or akinesia Cognitive dysfunction, dementia, depression
What is cogwheel rigidity?
passive movement is not smooth
What types of Parkinson’s symptoms might manifest before tremors, and why?
Weightloss and lack of energy; loss of motor movement/control