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Voluntary Movement
Voluntary Movement
198
Anatomy
Graduate
03/08/2015

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Term
movements that are goal directed and preplanned by the individula
Definition
voluntary movement
Term
cortical motor areas contributing to the performance of voluntary movement reside in what lobes
Definition
frontal, limbic, parietal
Term
frontal lobe contains 3 motor areas called what
Definition
primary motor cortex (M1), supplementary motor cortex (M2), lateral premotor cortex
Term
the limbic lobe contains what 2 motor areas
Definition
anterior cingulate (M3), posterior cingulate (M4)
Term
posterior parietal cortex contains what two motor areas
Definition
postcentral gyrus, posterior parietal cortex
Term
posterior parietal cortex contains what specific areas for voluntary movement
Definition
Brodman's areas 3,1,2 (postcentral gyrus), Brodmann's areas 5,7 (posterior parietal cortex)
Term
primary motor cortex (M1) is what Brodmann's area?
Definition
4
Term
Primary motor cortex (m1) is located where
Definition
precentral gyrus
Term
the largest component of the primary motor cortex (m1) is buried in what?
Definition
anterior wall of the central sulcus
Term
premotor cortex applies to all of which Brodmann's area
Definition
6
Term
premotor cortex (brodmann's area 6) occupies which 2 hemispheric surfaces?
Definition
lateral and medial hemispheral surfaces
Term
the term pre motor cortex derives from what
Definition
area 6 (premotor) lies rostral to area 4 (primary motor)
Term
pre motor cortex: supplementary motor area is what brodmann's area
Definition
6
Term
pre motor cortex: first premotor area to be recognized as a functional distinct area of the premotor cortex
Definition
supplementary motor area
Term
pre motor cortex: supplementary motor area is located where in the brain?
Definition
superior frontal gyrus on the medial surface of the hemisphere
Term
pre motor cortex: supplementary motor area is immediately rostral to what representation in area 4?
Definition
leg
Term
pre motor cortex: supplementary motor area represents what?
Definition
complete representation of the body
Term
pre motor cortex: supplementary motor area contains complete representation of the body in what order?
Definition
face, arm, leg in a rostrocaudal sequence
Term
pre motor cortex: which would require greater surface electrical stimulation to elicit movement? M1 or M2
Definition
M2
Term
quick phasic movements are elicited with the stimulation of what area?
Definition
brodmann's area 4 (M1)
Term
pre motor cortex: supplementary motor area (m2) is associated with what types of motions
Definition
tonic contractions of the postural type that often are maintained for many seconds after stimulation ceases
Term
pre motor cortex: movements elicited by the supplementary motor area are present on what side?
Definition
bilateral
Term
pre motor cortex: movements involving proximal mm are mediated by direct projections from teh supplementary motor area to where?
Definition
spinal cord
Term
pre motor cortex: some supplementary motor area projections may make what type of connection with alpha LMNs?
Definition
monosynaptic
Term
pre motor cortex: some supplementary motor area projections make monosynaptic connections with what
Definition
lower motor neurons
Term
pre motor cortex: supplementary motor area is involved in what (general)
Definition
planning of movement
Term
pre motor cortex: supplementary motor area is involved in what specifically?
Definition
internal generation of complex movement sequences
Term
pre motor cortex: supplementary motor area is involved in coordination of what?
Definition
bi-manual movements
Term
pre motor cortex: supplementary motor area is involved in what adjustments?
Definition
postural adjustments that precede voluntary movement
Term
pre motor cortex: supplementary motor area may also be involved in the generation and control of what?
Definition
visually guided simple reaching movements
Term
pre motor cortex: a patient with lesions of the supplementary motor area may have difficulty with what (general)
Definition
bimanual coordination?
Term
pre motor cortex: a patient with a lesion of the supplementary motor area would have difficulty with this specific action
Definition
making a fist with one hand and SIMULTANEOUSLY turning their other hand palm up
Term
pre motor cortex: a patient with a lesion of the supplementary motor area would rather perform actions how?
Definition
same movement with both hands or execute the movements sequentially
Term
lateral premotor cortex is what brodmann's area?
Definition
6
Term
the lateral pre motor cortex is divided into what 2 areas?
Definition
6a alpha, 6a beta
Term
lateral pre-motor cortex: area 6a alpha occupies most of what section of the brain
Definition
precentral gyrus
Term
electrical stimulation of the lateral premotor cortex 6a alpha results in movements similar to those from area 4 (M1) but requires what?
Definition
higher current intensities for lateral pre motor cortex
Term
movements of the lateral pre-frontal cortex 6a alpha are mediated by what
Definition
corticospinal fibers
Term
movements of the lateral premotor cortex 6a alpha are mediated by corticospinal fibers originating from what
Definition
pyramidal cells of area 6a alpha
Term
lateral premotor cortex 6a beta is located where on the brain
Definition
caudal part of teh superior frontal gyrus
Term
lateral premotor cortex 6a beta is immediately rostral to what
Definition
area 6a alpha
Term
electrical stimulation of lateral premotor cortex area 6a beta evokes what types of movements?
Definition
general movement patterns: rotation of the eyes, head, and trunk to opposite side
Term
what type of synergistic patterns may be elicited by the lateral pre-motor cortex 6a beta area
Definition
flexion or extension of teh contralatereal limbs
Term
lateral pre-motor cortex: functions (2)
Definition
initial phases of orienting the body and arm towards a desired target, controlling the proximal movements that project the arm to the target (reaching)
Term
lateral pre-motor cortex: controlling the proximal movements that project that arms to the target (reaching) would be consistent with what?
Definition
corticospinal projections from parts of the lateral premotor cortex terminate primarily on the LMN's innervating proximal limb muscles
Term
cingulate motor areas are part of what lobe
Definition
limbic
Term
cingulate motor areas, M____, M____
Definition
M3, M4
Term
where is the cingulate motor area located on the brain?
Definition
base and inferior bank of the cingulate sulcus of each hemisphere
Term
the cingulate motor area is divided into what 2 areas?
Definition
rostral cingulate motor area (CMAr, M3) and caudal cingulate motor area (CMAc, M4)
Term
rostral cingulate motor area is located in what brodmann's area
Definition
24
Term
caudal cingulate motor area is located in what brodmann's area
Definition
area 23
Term
M3 rostral cingulate motor area, contains what somatotopic representations
Definition
face, arm, and leg in rostral to caudal topography
Term
caudal cingulate motor area (M4) contains what somatotopic representation?
Definition
arm and leg
Term
each cingulate motor area is reciprocally connected to what?
Definition
primary (m1) and supplementary (m2) motor cortices
Term
posterior parietal cortex comprises what brodmann's areas?
Definition
5,7
Term
posterior parietal cortex occupies what part of the brain
Definition
superior parietal lobule
Term
posterior parietal cortex is involved in what?
Definition
regulating movement, in particular the extremities
Term
posterior parietal cortex is involved in what general movements?
Definition
goal-directed movements (reaching for and grasping an object)
Term
Posterior parietal cortex: 1st requirement prior to goal oriented movement
Definition
spatial relationships between person and object
Term
posteiror parietal cortex: 2nd requirement prior to goal oriented movement
Definition
orientation of the body to the object
Term
posterior parietal cortex: 3rd requirement prior to goal oriented movement
Definition
physical properities of the object
Term
brodmann's areas 5 and 7 (posterior parietal cortex) receive what information?
Definition
somatosensory (tactile and proprioceptive) and visual information
Term
important distinctions about areas 5 and 7 in regards to recieving somatosensory and visual information
Definition
some sub-areas process primarily one type or the other, others integrate both types of information
Term
posterior parietal cortex contains representaitons of what structures?
Definition
face, arm, leg
Term
Sub areas of the posterior parietal cortex send information out to where?
Definition
each of the different frontal and limbic lobe motor areas (m1, M2, lateral premotor CMA)
Term
input from teh posterior parietal cortex to the frontal and limbic lobes form what circuit?
Definition
parieto-frontal circuit
Term
how does information from the primary somatosensory cortex reach the primary motor cortex (areas 3,1,2)
Definition
short association fibers
Term
neurons of M1 have this type of receptive field
Definition
peripheral
Term
M1 recieves projectiosn from these 3 areas
Definition
premotor cortices, cingulate motor area, area 5 of the posterior parietal cortex
Term
M1 recieves projectiosn from these 3 areas
Definition
premotor cortices, cingulate motor area, area 5 of the posterior parietal cortex
Term
each of the premotor cortices, recieves it predominant input from subregions of what areas?
Definition
5 or 7
Term
area 46 of the prefrontal cortex aka
Definition
dorsolateral prefrontal cortex
Term
the dorsolateral prefrontal cortex is connected how to the premotor cortex, cingulate motor area, and supplementary motor area
Definition
reciprocally
Term
the dorsolateral prefrontal cortex is reciprocally connected to what areas
Definition
pre motor cortex, supplementary motor area, cingulate motor area
Term
the dorsolateral prefrontal cortex is involved in what? (3)
Definition
involved in short term memory for action-related sensory information, preparatory motor set, inhibition of motor responses to distracting stimuli
Term
M1 and the premotor cortices are reciprocally connected to what (2)
Definition
cerebellum, basal ganglia
Term
projections between M1, premotor cortices, cerebellum and ganglia form what type of circuits?
Definition
cortical-subcortical circuits
Term
what are the 2 cortical-subcortical cirucits formed by the M1, premotor cortex, cerebellum, and basal ganglia?
Definition
cortico-basal ganglia-thalamo cortical circuit, cortico-cerebello-thalamo-cortical circuit
Term
the cortical-subcortical loops synapse in different portions of what
Definition
ventrolateral thalamus
Term
the internal segment of the globus pallidus synapses in what part of the ventrolateral nucleus
Definition
oral part
Term
the internal segment of the globus pallidus synapses in the oral part of what nucleus
Definition
ventrolateral nucleus
Term
the internal segment of the globus pallidus synapses in the oral part of the ventrolateral nucleus that, in turn, projects to what
Definition
supplementary motor area
Term
output from the cerebellum synaposes in two areas of what?
Definition
ventrolateral thalamus
Term
output from the cerebellum synapses in two areas of the thalamus one of which projects to where?
Definition
premotor cortex
Term
output from the cerebellum synapses in two areas of the thalamus one of which projects to the premotor cortex, and the other to where?
Definition
M1
Term
the cortico-subcortical loops are differentially deployed depneding on what firstly?
Definition
upon the type of voluntary movement being executed
Term
the cortico-subcortical loops are differentially deployed depneding on what secondly?
Definition
the extent to which the motor skill has been learned
Term
To understand purposeful movement we first consider the role of what?
Definition
perception
Term
purposeful movement does not occur in isolation from what
Definition
the sensory perceptual experience of the environment
Term
purposeful movement occurs with movement and sensory perceptual experience working in concert as movement evolves
Definition
perceptual action system
Term
exploration by the hand
Definition
haptic sensing
Term
haptic sensing by object manipulation depends on what firstly?
Definition
integration of different modalities of sensory signals
Term
haptic sensing by object manipulation depends on what secondly?
Definition
requires the integration of sensory information with the motor commands that themselves are responsible for for the temporal modulation of the sensory signals
Term
sensory modalities of haptic sensing
Definition
cutaneous and proprioceptive
Term
most important cutaneous information of haptic sensing is derived from what surfaces of the finger tips?
Definition
volar surfaces
Term
most important cutaneous information is derived from activation of what?
Definition
both slowly and rapidly adapting mechanoreceptors
Term
the most important proprioceptive information of haptic sensing is derived from what?
Definition
muscle spindles
Term
integration of cutaneous and proprioceptive information from the hand to identify an object
Definition
haptic sensing
Term
what functions to store the information in working memory?
Definition
dorsolateral prefrontal cortex
Term
the dorsolateral prefrontal cortex is reciprocally connected to what? (2)
Definition
premotor areas of the frontal lobe and posterior parietal cortex
Term
movements of an individual finger are controlled by neurons in the hand area of the primary cortex via what projection?
Definition
direct corticomotoneuronal projection
Term
motor information processed in the motor cortex eventually reaches skeletal muscle to produce movement, travelling in what tract?
Definition
corticospinal tract
Term
Corticospinal tract origin
Definition
motor cortex
Term
corticospinal tract: step 1 of 6
Definition
posterior limb of internal capsule
Term
corticospinal tract: step 2 of 6
Definition
crus cerebri
Term
corticospinal tract: step 3 of 6
Definition
basilar pons
Term
corticospinal tract: step 4 of 6
Definition
medullary pyramid
Term
corticospinal tract: step 5 of 6, ipsilateral
Definition
anterior corticospinal tract
Term
corticospinal tract: step 5 of 6, contralateral
Definition
lateral corticospinal tract
Term
information from the lateral corticospinal tract continues through what?
Definition
ipsilateral upper motor neurons
Term
after passing information through the upper motor neurons, the lateral corticospinal tract continues information through what
Definition
ipsilateral motor neurons to skeletal muscle
Term
information from teh anterior corticospinal tract continues through what
Definition
ipsilateral upper motor neurons
Term
information from teh anterior corticospinal tract after passing through the ipsilateral upper motor neurons continues through what
Definition
contralateral lower motor neurons and skeletal muscle
Term
which corticospinal tract is capable of bypassing both upper and lower motor neurons and synapsing on distal skeletal musculature?
Definition
lateral corticospinal tract
Term
corticospinal tracts: controls the precision and speed of highly skilled movements especially those of the distal parts of the limbs
Definition
lateral corticospinal tracts
Term
why does the lateral corticospinal tract control the precision and speed of highly skilled movements especially those of the distal part of the limbs?
Definition
lateral CST fibers possessing few collateral branches, allowing for discrete control of single distal muscles
Term
which corticospinal tract has more collateral axons
Definition
anterior corticospinal tract
Term
anterior corticospinal tract axons terminate on motor neurons that innervate which muscles?
Definition
axial
Term
lower (alpha) motor neurons are located in the spinal cord are located in which lamina
Definition
IV-IX
Term
some lateral corticospinal tract fibers synapse directly on lower motor neurons in which lamina?
Definition
IX
Term
lamina IX are arranged into what columns?
Definition
medial and lateral
Term
lamina IX medial column supplies what
Definition
paravertebral muscle
Term
which lamina IX column stays uniform in size as it extends through the length of the spinal cord
Definition
medial column
Term
lamina IX lateral column supplies what muscles
Definition
all muscles except paravertebral
Term
the lamina IX lateral column is smaller in which regions?
Definition
thoracic
Term
why is the lamina IX lateral column smaller in thoracic regions
Definition
supplies only the intercostal and abdominal mm
Term
the lamina IX lateral column is extremely large in what regions
Definition
cervical and lumbosacral regions
Term
why is the lamina IX lateral column larger in the cervical and lumbosacral regions
Definition
supplies mm of the upper and lower extremities
Term
in the cervical and lumbosacral regions the lateral subdivisoin of the lateral column of lamina IX supplies which mm
Definition
more distal mm
Term
in the cervical and lumbosacral regions the medial subdivisoin of the lateral column of lamina IX supplies which mm
Definition
more proximal mm
Term
corticobulbar tract origin
Definition
motor cortex
Term
corticobulbar tract: step 1 of 3
Definition
genu of the internal capsule
Term
corticobulbar tract: step 2 of 3
Definition
brain stem
Term
corticobulbar tract: step 3 of 3, cranial
Definition
cranial nerve nuclei
Term
corticobulbar tract: step 3 of 3, brain
Definition
other brain stem centers
Term
the corticobulbar tract continues to cranial nerve nuclei which innervate what?
Definition
bilateral innervation to cranial nerve nuclei
Term
the corticobulbar tract continues to cranial nerve nuclei which have bilateral innervation to cranial nerve nuclei, except to what?
Definition
lower facial muscles
Term
which tract mediates postural adjustments
Definition
lateral vestibulospinal tract
Term
fibers of the lateral vestibulospinal tract descend how
Definition
ispilaterally
Term
fibers of the lateral vestibulospinal tract descending ipsilaterally producing characteristic black dots on what nuclei?
Definition
inferior vestibular nucleus
Term
fibers of the lateral vestibulospinal tract pass through the inferior vestibular nucleus before entering what?
Definition
anterior part of the lateral funiculus of the spinal cord
Term
the lateral vestibulospinal tract facilitates what?
Definition
motor neurons that innervate extensor muscles
Term
the medial vestibulospinal tract fibers descends how
Definition
bilaterally
Term
the fibers of the medial vestibulospinal tract form what
Definition
spinal extenion of the medial longitudinal fasciculus
Term
fibers of the medial vestibulospinal tract descend only to where?
Definition
upper thoracic levels
Term
medial vestibulospinal tract functions to influence what?
Definition
axial muscles in the neck
Term
2 reticulospinal tracts
Definition
pontine (medial), medullary (lateral)
Term
cell bodies of the pontine (medial) reticulospinal tract are located where?
Definition
medial pontine reticular formation
Term
fibers from the pontine (medial) reticulospinal tracts descend how
Definition
ipsilaterally
Term
pontine (medial) reticulospinal tract function
Definition
excitatory to lower motor neurons that innervate proximal extremity extensor muscles
Term
medullary (lateral) reticulospinal tract cell bodies are located where
Definition
medial 2/3 of the medullary reticular formation
Term
fibers from the medullary (lateral) reticulospinal tract descend how
Definition
bilaterally
Term
medullary (lateral) reticulospinal tract descends to where
Definition
to all cord levels
Term
medullary (lateral) reticulospinal tract function
Definition
conveys autonomic nervous system information from higher levels
Term
cell bodies of the rubrospinal tract are located where
Definition
red nucleus
Term
what happens to axons as soon as they leave the red nucleus
Definition
cross
Term
as soon as axons leave the red nucleus they cross where
Definition
ventral tegmental decussation
Term
what happens when axons leaving they red nucleus cross the ventral tegmental decussation
Definition
they form the rubrospinal tract
Term
rubrospinal tract serves to facilitate whta
Definition
lower motor neurons that innervate flexor muscles, especially those associated with gripping
Term
cortical areas responsible for extraocular eye muscle activity project to where
Definition
midbrain tectum
Term
the fibers from cortical areas to the midbrain tectum are concerned with what movements?
Definition
turning movements of the head and eyes
Term
the fibers from cortical areas to the midbrain tectum are concerned with what type of movements?
Definition
greater influence on reflexive rather than voluntary eye movements
Term
many corticotectal fibers project to what 3 areas?
Definition
superior colliculus, interstitial nucleus of cajal, nucelus of darkschewitsch
Term
tectospinal fibers from the interstitial nucleus of cajal and nucleus of darkschewitsch project to what CN?
Definition
oculomotor, trochlear, abducens
Term
tectospinal fibers decussate where
Definition
dorsal tegmental decussation
Term
tectospinal tract fibers descend how
Definition
contralateral to their cell bodies of origin near the medial longitudinal fasciculus
Term
tectospinal tract only descends to which spinal levels
Definition
rostral thoracic spinal levels
Term
why does the tectospinal tract only descend to rostral thoracic spinal levels
Definition
because it influences motor neurons innervating neck muscles
Term
lesions of primary cortex affect what side
Definition
contralateral
Term
lesions of the primary cortex intially present how (5)
Definition
weakness/paresis/hypotonia, reduced postural reactions, hyporeflexia
Term
lesions of the primary motor cortex present how later
Definition
spasticity or hypertonia develop along with hypereflexia
Term
which movements usually show the greatest recovery with lesions of the primary motor cortex
Definition
proximal movements
Term
which movements usually remain weak and show lesser recovery with lesions of the primary motor cortex
Definition
distal movements
Term
lesions of the supplementary motor cortex affect what side
Definition
contralateral
Term
5 symptoms of lesions of the supplementary motor cortex
Definition
severe controlateral akinesia, mutism, loss of facial expression, difficulty with tasks requiring cooperative movements of both hands, trouble performing self-initiated tasks
Term
akinesia
Definition
poverty of or absence of movement
Term
mutism
Definition
inability to speak
Term
a patient with a lesion of the supplementary motor cortex will not be able to use a hammer when placed in their hand, and will need what to get started?
Definition
sensory cue of the hammer in hand is not enough, a visual, auditory, or tactile cue is needed to get started
Term
lesions of the premotor cortex include what 6 symptoms
Definition
apraxia, slow/clumsy movements, proximal joint weakness, loss of proximal joint coordination, inability to learn and produce complex or sequential motor tasks, possible disruption of rhythmic movements
Term
loss of ability to carry out purposeful movements in the absecne of paralysis or sensory loss
Definition
apraxia
Term
a patient with a premotor cortex lesion would have difficulty with which task: riding a bike, tying their shoe?
Definition
riding a bike (rhythmic action)
Term
a patient with a premotor cortex lesion would not have difficulty with which task: riding a bike, tying their shoe?
Definition
tying their shoe, requires DISTAL not proximal coordination
Term
difference with premotor cortex lesions and supplementary motor area lesions
Definition
Premotor lesion patients can perform self initiated tasks, but have difficulty with sensory triggered tasks
Term
premotor cortex lesion vs supplementary motor area lesions: hammer example
Definition
premotor cortex lesion could use the hammer unprompted, but would have difficuluty learning to use the hammer in response to a sensory cue
Term
upper motor neuron lesions refer to lesions anywhere in the CNS that affect which pathwyas?
Definition
descending pathways controlling activity of lower motor neurons
Term
characteristics of upper motor neuron lesions (4)
Definition
hypertonia, increased DTRs, spastic paralysis, babinski sign
Term
increased/spastic muscle tone
Definition
hypertonia
Term
characteristics of lower motor neuron lesions
Definition
hypotonia, decreased or absent DTRs, flaccid paralysis, progressive muscle atrophy of the muscles innervated by the lower motor neuron
Term
decreased/abscent muscle tone
Definition
hypotonia
Term
overall funciton of the corticoreticulospinal pathway is
Definition
strongly inhibit interneurons involved in stretch reflexes
Term
inhibitory cortical influences on the reticular formation supresses stretch reflexes by decreasing the usual facilitatory "tone" in what tracts
Definition
reticulospinal tracts
Term
bilateral lesion of descending cortical tracts that occurs below the red nucleus
Definition
decerebrate rigidity
Term
decerebrate rigidity results in what posturing
Definition
extensor posturing
Term
in decerebrate rigidity loss of inhibitory cortical input to the reticular formation "releases" the reticulospinal and vestibulospinal tracts resulting in facilitation of what
Definition
extensors and axial muscles
Term
lesiosn large enough to cause decerebrate rigidity also produce what
Definition
coma
Term
bilateral lesion of descending cortical tracts that occurs above the red nucleus
Definition
decorticate rigidity
Term
decorticate rigidty is characterized by what?
Definition
high flexor tone in upper limbs, high extensor tone in the lower limbs
Term
decorticate rigidity is different from decerebrate rigidity in that what influences are also exaggerated in decorticate rigidity
Definition
rubrospinal influences
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