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Chapter 11 - Movement

Megan Willerth Englisch 35 Karten

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  1. 1Sensory feedbackProprioception - info about body movement & position - guides/refines/coordinates movements
    Muscle Receptors - muscle spindle (stretch) & Golgi tendon organ (tension)
  2. 2Stretch reflexDisturbance -> muscle stretched -> activates muscle spindle fibers -> excites motoneurons in agonist & activates interneurons to inhibit antagonist
  3. 3Functions of spinal cordConvey info between brain & periphery
    Can regulate movements unconsciously - reflexes, simple (ext/withdrawal) or complex (walking, scratching)
  4. 4Motor neuronsIn Ventral horn of spinal cord
    Project to muscles
    Topographically arranged
  5. 5Corticospinal tractPath between motor cortex & brain stem/spinal cord
    Ventral CST activates most medial calls, lateral CST activates rest
    Spinal tracts contact both motor & interneurons
    Most axons in tract originate in pyramidal cells in layer V of M1 (some from premotor & sensory)
    Decends into brainstem
    Most cross to contralateral = lateral CST
    Some stay ipsilateral = ventral CST
  6. 6Researchers in motor cortex organizationFritisch & Hitzig - stimulated dog's brain -> movements on contralateral side
    Penfield - mapped brain areas (detailed) including M1, topographically arranged
  7. 7What activates motor cortex cells?When a certain muscle is activated
    When a limb moves a certain direction (regardless of what muscles are used)
  8. 8Old understanding of executive control of movementMove -> feedback -> analyze -> adjust -> repeat
  9. 9Lashley's understanding of executive movement controlSpeed limits in CNS too slow for constant feedback
    Complex behaviours are broken into motor sequences
  10. 10Closed vs. open loop controlClosed: uses feedback, maximizes accuracy, usually for slow/smooth sustained movements
    Open: too fast for feedback, anticipate error through experience/learning, ballistic movements
  11. 11Frontal lobesPlanning & initiation of movements
    Plans, coordinates & executes precise movements
    4 main areas: Prefrontal cortex, Supplementary motor cortex, Premotor cortex, Primary motor cortex
  12. 12Prefrontal cortexPlans complex behaviours (not simple movements)
    IDs goals for behaviours
    Regulates premotor area
  13. 13Supplementary motor areaFor movement initiation
    Planning of movement based on memory (implicit, rehearsal)
    Receives input from basal ganglia to modulate M1 activity
    Lesions -> impairment of movement initiation
  14. 14Premotor areaProduces complex movement sequences - not for details of particular movement
    Selects right motor program
    Coordinates simultaneous movements
    Regulates primary motor cortex
    Lesions -> can't coordinate seperate movements
  15. 15Primary motor cortexFor executing skilled movements with fine detail & for complex movements
    Larger areas for parts with fine/complex movements - representations can change with training
    Damage -> partial paralysis (opposite side)
  16. 16Pincher vs. power graspPincher - requires skill, coordination of digits & dexterity -> can't do with primary motor cortex damage
    Power - strong but unskilled & doesn't require dexterity -> persists with primary motor cortex damage
  17. 17Basal gangliaParts: caudate, putamen, global pallidus, substantia nigra
    1) Amplitude/force & direction of movement, 2) modulates activity from other cortical regions, 3) guides memory-influenced behaviours
    Input from & projects back to: all cortex, limbic system, substantia nigra through thalamus
    Contains topographic representation
  18. 18CerebellumFor movement skill - acquiring & maintaining motor skills
    Role in timing & coordination - rapid skilled movements & learned motor responses
    Regions specialized for different functions
    Purkinje cells - only inhibitory
  19. 19Huntington'sDamage to caudate putamen (in basal g)
    -> involuntary exaggerated movements
    Clumsiness & twitches -> intense jerks
    Can also have behavioural changes
    Genetic - trinucleotide repeat (number ~ severity & onset)
    Hyperkinetic
  20. 20Parkinson'sLoss of dopaminergic cells in substantia nigra (in basal ganglia) -> decreased input to caudate & putamen -> inability to produce normal movements - difficulty initiating
    Tremors, rigidity, less voluntary motion
    Treatment: L-DOPA, transplants, DBS
    Hypokinetic
    Can be hereditary - α-synuclein or parkin
  21. 21Regions of cerebellumFlocculus - balance & eye movements
    Medial - face & midline; damage -> deficits in balance, eye movements, posture & walking
    Lateral - regulates cortical areas for movement of limbs, hands, feet & digits; damage -> decomposition of movements
  22. 22Muscular dystrophyMuscle wasting
    Duchenne's - x-linked, early onset
    No dystrophin gene
  23. 23Myasthenia gravisAutoimmune - attacks AChRs
    Causes muscle weakness - head & face first, then speech & breathing
    Treat with immune suppressors
  24. 24Amyloid lateral sclerosis (ALS)Lou Gehrig's disease
    Destroys motoneurons in spinal cord & brainstem
    Muscles waste away without input
    Unknown cause - sometimes aging, toxins, hereditary (10%) , virus, autoimmune, endocrine
  25. 25Spinal damageSevered -> flaccid paralysis - loss of reflexes below transection
    Hemisection -> damage on contralateral or ipsilateral side depending on where nerves for that function cross
    CNS can't regrow nerves
    Treatment: stem cells, glial bridge, neurotrophins, peripheral nerve bridge
  26. 26Views on motor controlBehavioural - basic units of behaviour are reflexes; movement determined by motor plans; limits for complex behaviour
    Control Systems - 2 goals: accuracy & speed; closed-loop = feedback for accuracy vs. open-loop = no feedback for speed
    NS - hierarchically organized motor control systems
  27. 27Muscle spindlePrimary sensory ending (annulospiral) - middle of fiber, early max discharge then slow - for dynamic length/change
    Secondary endings (flower spray) - ends of fiber, slow to stretch - for static length
    Gamma MNs - change tension of spindle to control sensitivity
    Alpha MNs - fast, control extrafusal muscle fibers
  28. 28Golgi Tendon OrganMonitor force of contractions
    Stimulation -> inhibition of active muscle
  29. 29Central pattern generatorNeural circuitry for generating rhythmic patter of behaviour (ex walking)
    Spinal cord level
  30. 30Nonprimary motor cortexAnterior to primary
    Aids complex behaviours
    Supplementary motor area + premotor cortex
  31. 31Extrapyramidal systemIncludes brainstem structures
    Reticulospinal tract - originates in reticular formation (brainstem)
    Rubrospinal tract - originates in red nucleus (midbrain)
    Both synapse spinal interneurons
    Most important structures = basal ganglia & cerebellum
  32. 32Divisions of cerebellumSpinocerebellum - muscle tone & coordination - upper
    Cerebrocerebellum - motor planning, learning & memory - lower
    Vestibulocerebellum - balance, posture, eye movement coordination
  33. 33Strokes & cortex injuriesPlegia - paralysis or Paresis - partial paralysis/weakness
    Usually contralateral
    Spasticity - increased rigidity (exaggerated stretch reflex)
  34. 34ApraxiaImpairment of ability to start & execute skilled movement without paralysis
    Damage in non-motor parts
    Ideomotor - can't do simple action in response to verbal command but can spontaneously
    Ideational - can't do sequence but can do individual steps
  35. 35Cerebellum damageAtaxia - spinocerebellum damage - impairs direction, extent & rate of movement
    Decomposition of movement - cerebrocerebellum damage - gestures broken up into segments, not smooth

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Karteikarten am Chapter 11 - Movement, erstellt von Megan Willerth am 30/10/2014.
Erstellt von
Megan Willerth
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