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Motor Organization

PSYCH 351B

QuestionAnswer
Explain the general organization of the motor systems Diagram
Feedback loop pathways Among cortex, brain stem, thalamus, pons, cerebellum, & basal ganglia
Motor output pathways Cortex and brain stem to spinal cord
Efferent —>out
Afferent <— in
Excitatory input vs inhibitory Helps us regulate Refer to diagram
Primary motor cortex Secondary motor cortex Tertiary cortex Precentral division Premotor division Prefrontal division
What is somatosensory association cortex Parietal association cortex Secondary somatosensory area (in parietal operculum)
Left vs right Somatosensory vs motor Left= somatosensory -leg, hip, head, hand, thumb, eye, jaw, etc Right= motor -knee, shoulder, brow
Primary motor cortexx Connects w cerebellum, basal, thalamus, secondary m.c. Lesions are area specific( paralysis, weakness of limb, body movement) M1-foot hip trunk arm hand face tongue larynx
Secondary M.C Supplemental motor area Face motor area L- Broca’s area R-Corresponding Broca’s Integration of motor skills and learned motor programs Involved in arousal level, invitation (triggering) of responses Patterning of speech, damage disrupts prod of speech, multiple deficits: stutter Premotor and beyond Planning speech, rhythm, music
What are the prefrontal areas (tertiary areas) Where posterior info comes 2/3 is from post tertiary areas Pathways to basal, thalamus, brainstem Where already integrated info enters ongoing activity: attends, formulates, integrates, modifies, judges, monitors, executes all activity
What would damage to PFC do Associated w difficulties in voluntary action, movement initiation, and executive dysfunctions
Specification vs selection Diagram
What is the corticospinal tract Search
Upper motor neurons function Carry motor system outputs from the cortex to lower motor neurons in the brainstem and spinal cord
Lower motor neuron function Synapse w upper motor neurons in the brainstem or spinal cord and project to peripheral muscles
Lateral corticospinal tract Controls movements in extremities Most important descending motor pathway in n.s. U.m.n originate mainly in p.m.c. U.m.n synapse onto lower m.n (& intern) in ventral horn of spinal cord 3% corticos. U.m.n. Are giant Betz cells, largest in human body
Corticobulbar tract Projections from cortex to brainstem (bulb): face Leg->trunk>arm->face
Corticospinal fibers 85% cross over at the pyramidal decussation: lateral corticospinal tract 15% remain in same side: anterior corticospinal tract
Upper motor neuron vs lower motor neuron lesions Babinski’s sign Normal response (toes down) Extensor response (toes up) = babinskis sign
What is ipsilateral Symptoms are on same side
What is the basal ganglia Collection of nuclei in forebrain Caudate nuc + putamen = corpus striatum Glibus pallidus Subthalamic nuc Substantia nigra
Explain the function of basal ganglia Connect w midbrain, dicephalon, thalamus, many cortical areas Sends fibers to m.c Links much of rest of cortex to m.c. Likely acts as a modulator of m.c.
What is GABA Inhibitory neurotransmitter
What are disorders of the basal ganglia Parkinson’s Huntington’s Extrapyramidal disorders (those disorders not effecting motor fibers to the spinal cord [pyramidal fibers])
What are the two classes of disorders of basal ganglia Hypokinetic-rigid syndrome: Parkinson’s disease Hyperkinetic-systolic syndromes: Huntingtons disease -excess motor activity
What is Parkinson’s symptoms Median age of onset is 55 yrs Difficulty to initiate movement Slowness of movement Stiffness Shaking @ rest Postural imbalance
Explain Parkinson’s neuropathology Degeneration & loss of dopamine-producing neurons in the substantia nigra Formation of neuronal inclusions called Lewy bodies
Dopamine 1 and dopamine 2 Dopamine 1 = direct pathway Dopamine 2 = indirect pathway
What are the symptoms of huntingtons disease Severe MOTOR impair 1. Chorea: 2. Rigidity Progressive loss of MENTAL abilities 1. Decreased ability concentrate 2. Dec ab 2 perform daily tasks 3. Deteri of judgem & mem PSYCHIATRIC problems 1. Personality changes 2. Depression 3. Dementia
Explain Huntington’s Neuropathology Dysfunction & death neurons: 60% reduction in striata’s area 20% red in cortical 30% red brain weight Hypothalamus also affected
 

 



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