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53 Cards in this Set

  • Front
  • Back

Motor System

There are parallel circuits that flow up and down through the system (it is hierarchical)


Sensory feedback and feedforward are crucial for modulating the output of the motor system

Sensorimotor Spinal Circuits

Consists of Muscle, neuromuscular junction


It is the lowest level of hierarchy = motor unit = where motor neurone and muscle fibres it innervates.


Ach is the neurotransmitter

Muscle

Muscle fibres with membrane attach to tendon, which pulls the bone

Neuromuscular Junction

Point of Innervation

Descending Motor Pathways

Signals descend to muscles through pairs of Dorsolateral Tracts and pairs of Ventromedial Tracts in spinal cord

Dorsolateral Tracts

Terminate in contralateral half of one spinal cord segment and sometimes directly on motor neurone


Two Types: Corticospinal and Corticorubrospinal




Important for movements of limbs and independent movement for fine tune

Corticospinal Tracts

Direct Tracts in Dorsolateral System that go from motor cortex and go straight to distal limb muscles


- they cross over at the medullary pyrmaid

Cortocorubrospinal Tracts

Indirect Tracts in Dorsolateral System that go through red nucleus (where they cross over), some leave to control controlateral facial muscles, via the nuclei of cranial nerve, others go to distal limbs

Lawrence & Kuypers (1968)


Transecting dorsolateral tracts in Monkeys

After transecting dorsolateral corticospinal tracts in medullary pyramids monkeys could stand, walk and climb but could not use limbs for activities i.e. reaching for objects

Ventromedial Tracts

More diffuse with axons innervating interneurones in several segments of spinal cord


Two Types: Ventromedial Corticospinal and Cortico-brainstem-spinal

Ventromedial Corticospinal

Direct tracts in Ventromedial system: from primary motor cortex they are ipsilateral and diffusion doesn't occur until the spinal cord


They activate proximal (close muscles) like thighs




Important for posture and whole-body movements

Cortico-brainstem-spinal

Indirect tracts in Ventromedial system, they stop at the tectum (reticular formation) where they diffuse and have bilateral representation

Lawrence & Kuypers (1968)


Transecting ventromedial tracts in Monkeys

After transecting ventromedial tracts, monkeys had postural abnormalities and impaired walking/sitting.

Cerebellum

Important for sequencing, orientation, and navigation, fine tune movement, balance and learning functions




Takes input from primary and secondary motor cortex


Feedbacks from motor responses from somatosensory and vestibular systems



Cerebellar Ataxia

Fine tune walking is destroyed - more shaky for fine tune movement rather than when not moving.

Basal Ganglia

Complex heterogeneous interconnect nuclei - this makes it a highly interconnected with nuclei that work together in own individual way




Modulates movement and cognitive functions including habitual responses and implicit learning

Feedback loop of Basal Ganglia

It is an ongoing feedback/feedforward loop that has two pathways


Direct: Selection of actions that goes straight to the thalamus (just excitation)


Indirect: Inhibition of actions, that has multiple pit stops, so many nuclei are involved (has a balanced system of excitation and inhibition)


Basal Ganglia > Thalamus > Supplementary Motor Area > Primary Motor cortexs

Putamen

Putamen receives signals from Substantia Nigra, which produces dopamine


Putamen has two dopamine receptors


D1 = excitation = Direct


D2 = inhibition = Indirect

Parkinson's Disease

Imbalance between the activation of nuclei in the intact system of basal ganglia which leads to extra or reduce movements




Loss of Neurones and Pigmentation

Indirect Connections from Basal Ganglia

The output of one nucleus either excites (enhances) or inhibits (suppresses) the output of the next nucleus in the system

Positive Symptoms of Parkinson's Disease

Symptoms that you see that shouldn't be there




Tremor at resting - disappears when use limb


Rigidity - resistance to passive movement = postural problems


Rigidity + Tremor = cogwheel


Forward/Backward Leaning


Postural Hypotension = many falls

Negative Symptoms of Parkinson's Disease

Hypokinesia: Reduction in spontaneous movement


Akinesia: Slow initiation of movement


Progressive slowing or freezing during movement


Reduction of range and scale of movement


Dull weak voice with no inflections (hypophonia)


Unemotional Expression



L-Dopa Side Effects

Disorientation


Affect


Auditory/Vision Hallucinations


Poor working memory




Paradoxical Movement Problems


Dyskinesias at peak dose


End -of-dose dysfunction


On-off cycles


Freezing


Eventual drug failure



Huntington's Disease Components

Hereditary Nature: Autosomal dominant with complete lifetime penetrance, chromosome 4


Manifestation in Adulthood


Tendency to 'insanity and suicide'

Huntington's Disease Neurological Components

Destruction of GABAergic/cholinergic within caudate and putamen


Progressive striatal atrophy


Defective Metabolism precedes loss of tissue

Signs of Huntington's Diseas

First: Depression, anxiety, irritability, impulsivity and aggression


Then:


Restlesness/poor coordination


Altered Speech


Bradyphrenia and Bradykinesia


Poor motor/reduced speed


Athetosis, Chorea

Athetosis, Chorea

Often appear to be fragments of normal behaviour, that look voluntary but are actually involuntary




Increase with stress and voluntary movements




Quasi-undulating character is idiosyncratic to individuals

Neuropathology of Huntington's Disease

The caudate nucleus shrinks to a sharp thin strip, below the ventricle; there is ventricular enlargement

Tourettes

Affects: Motor and Verbal, otherwise normal sensory and cognition




Effects: Echolalia, Coprolalia, involuntary (worse under stress), partly suppressible, sleep deprivation increases, premonitory sensory phenomena




Causes: Genes and environment


Imbalance of GABA in basal ganglia


Management when severe

Cortical Areas involved in Tourettes

Before tic onset: mesial and lateral pre-motor activation


At tic onset: sensorimotor including superior parietal lobe activation




Plus basal ganglia

Primary Motor Cortex

Located: Precentral Gyrus of Frontal Lobe




Major hub of convergence of cortical motor signals and outgoing point of signals




Mapped by homunculus

Hemiplegia

Damage to Primary Motor Cortex


Results in weakness (loss of power) in the body part represented by that site on body map

Secondary Motor Cortex

Input from association cortex


Output to primary motor cortex




Consists of:


preSMA
SMA - supplementary motor area


Dorsal and Ventral Premotor


3 x cingulate motor areas




Programming of specific patterns of movement

Sensorimotor Association Cortex Input

Posterior Parietal Lobe


Input from more than one sensory system: integrations knowledge of position of objects, position of body parts and direct attention




Damage: results in ataxia and impaired body representation

Sensorimotor Association Cortex Ouput

Posterior Parietal Lobe


Output to Dorsolateral prefrontal association cortex, secondary motor cortex and frontal eye fields




Damage: results in apraxia and contralateral neglect

Dorsolateral Prefrontal Association Cortex

Involved in decision to make an action - not the action itself and not processing the target




Input: Posterior parietal cortex


Output: Secondary motor, primary motor, and frontal eye fields

Ataxia

Inability to use visual information


Deficit is more severe in periphery of visual field


Visual fixation preserved




Results in: Awkward or incorrect movements and errors in accuracy

Patient AT and Ataxia

Had a stroke


Had to reach out to dots whilst fixating on centre dot


Deficit more severe in periphery of visual field and often over/undershot

Apraxia

Inability to act in a meaningful/purposeful way


A disorder of skilled movement resulting from neurological dysfunction

Intrinsic Spatial Coding

Knowing what our own body parts are doing is essential when a body part is obscured from vision during planning and execution of movement

Wolpert, Goodbody & Husain (1998)


Maintaining Internal Representations

Patient had head injury and had cyst enroaching on cortex - there was no visual neglect or extinction - on left superior parietal lobe




Complaint: perceives her right arm and leg to drift and fade unless she is able to see them


So in bed - loss of limb position knowledge




Conclusions: Superior Parietal Lobe is critical for sensorimotor integration by maintaining an internal representation of body's state

Components of Motor Control System

Desired, predicted and estimate state talk via comparator
Efference copier: know you have touched your own skin
Affordances = environment evokes action
Inappropriate actions are suprressed

Desired, predicted and estimate state talk via comparator


Efference copier: know you have touched your own skin


Affordances = environment evokes action


Inappropriate actions are suprressed

Affordances

Controllers (perception of goal to movement


Links to motor commands and predictors (efference copy)

Efference Copy

Predictors of movement to perception


Links to predicted state

Why can't you tickle yourself

Because of the efference copier, you know you are about to touch yourself so you are prepared for it

Anarchic Hand Syndrome

Can't suppress the actions of the hand


There is no connection between goal and affordances, so there is no efference copy to go to parietal lobe (it is unexpected)




Activation of actions by irrelevant affordances which are not suppressed by intended actions

Mirror Neurone System

A basis for action comprehension and action imitation


The action observation system


William James - every mental representation of a movement awakens to some degree the actual movement which it is object

Gallesse, Rizzolatti et al. (1980) Mirror Neurones in Monkeys

They respond to sight of only goal-directed actions, as long as the goal is achieved (even out of sight), to sound of an action and when action is performed by hands but not tools




Premotor and Parietal Cortices activated by perception and greater activation when replicating movement




Allows for understanding and planning of actions

Gallesse, Rizzolatti et al. (1980) Mirror Neurones in Monkeys Physical Results

Did not occur when used pliers




Delayed execution




Activated when sees the action even when behind screen, but not when there is no object there

Mirror Neurones in Humans

If you give people time to learn about pliers/robots then people can learn/elicit the action




context matters


experience matters


indivudal differences matter

Lahv, Saltzman and Schlaug - Newly acquired actions

Hearing - doing system that is highly dependent on the individuals motor repertoire


Used trained (knew how to play) and untrained music sequences




Frontoparietal motor regions were observed in trained but not when untrained




Activation was more active during listening of trained music than untrained





Influence of Visual and Motor Familiarity in Action Observation

Experience-Specific - movements are not goal-directed but they are meaningful


e.g. dances have meaning of the final body position of the people doing the moves

Mirror Neurons and Robots

Humans can respond to 'robotic' stimuli as well as other humans if we have experience with those stimuli