This document discusses motor control in the nervous system. It describes three levels of motor control hierarchy: the spinal cord, brainstem, and cortical motor areas. The spinal cord controls locomotion reflexes through central pattern generators and receives input from brainstem areas involved in postural reflexes and locomotion. Voluntary control of movement originates from cortical motor areas and is coordinated with spinal cord and brainstem regions through descending motor tracts in the pyramidal and extrapyramidal systems.
Important structures associated with neural control of locomotion- CPGs, Peripheral receptors and afferents, Basal ganglia, Cerebellum, Brainstem, Cerebellar Cortex.
Understanding the various theories of motor control- reflex-hierarchal theory, ecological theory, dynamic systems theory and it's clinical application; also forming the basis of neurological rehabilitation techniques like Task-orient approach, Constraint induced movement therapy (CIMT), NDT (Neurodevelopmental Facilitation).
Late response are the most helpful findings in some of the diseases affecting the peripheral nerves, (e.g GBS, Radiculopathies, ). How to assess these responses while performing Nerve Conduction Studies, is the most technical and theoretical consideration.... Here we go with the same things in the stated slides
Important structures associated with neural control of locomotion- CPGs, Peripheral receptors and afferents, Basal ganglia, Cerebellum, Brainstem, Cerebellar Cortex.
Understanding the various theories of motor control- reflex-hierarchal theory, ecological theory, dynamic systems theory and it's clinical application; also forming the basis of neurological rehabilitation techniques like Task-orient approach, Constraint induced movement therapy (CIMT), NDT (Neurodevelopmental Facilitation).
Late response are the most helpful findings in some of the diseases affecting the peripheral nerves, (e.g GBS, Radiculopathies, ). How to assess these responses while performing Nerve Conduction Studies, is the most technical and theoretical consideration.... Here we go with the same things in the stated slides
The discipline of Motor Control is the study of human movement and the systems that control it under normal and pathological conditions.
Depends upon -
Environmental result of the movement (Outcome)
Movement pattern
Neuromotor processes underlying movement
Motor learning is the understanding of acquisition and/or modification of movement.
As applied to patients, motor learning involves the reacquisition of previously learned movement skills that are lost due to pathology or sensory, motor, or cognitive impairments. This process is often referred to as recovery of function.
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
The neurophysiology of posture and movement. Its postural framework and CNS structures involved in the control of postural movement and postural reflexes. The influence of muscle tone on posture.
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
The discipline of Motor Control is the study of human movement and the systems that control it under normal and pathological conditions.
Depends upon -
Environmental result of the movement (Outcome)
Movement pattern
Neuromotor processes underlying movement
Motor learning is the understanding of acquisition and/or modification of movement.
As applied to patients, motor learning involves the reacquisition of previously learned movement skills that are lost due to pathology or sensory, motor, or cognitive impairments. This process is often referred to as recovery of function.
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
The neurophysiology of posture and movement. Its postural framework and CNS structures involved in the control of postural movement and postural reflexes. The influence of muscle tone on posture.
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
The presentation focuses on one of the important aspects of Neurophysiology-- The sesnsorimotor integration for planning and execution of movement.
It highlights on the brain regions associated with motor functions, the crosstalk between association areas, hierarchical levels of movement execution and the diseases related to it.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Colonic and anorectal physiology with surgical implications
Reflex and Voluntary Control of Movement
1. Keyboard cat, a fine example of voluntary control of movement in
the animal kingdom.
Reflex & Voluntary
Control of Movement
Csilla Egri, KIN 306, Spring 2012
2. Outline
Locomotion reflexes
Central pattern generators (CPGs)
Descending tracts
Pyramidal tracts
Extrapyramidal tracts
Cortical control of movement
Motor cortex
2
3. Motor Control
3
There are three levels in the hierarchy of motor control:
Spinal cord
Locomotion reflexes
CPGs
Brain stem
Talked about these during
the vestibular and visual
system lectures
Postural reflexes
Locomotor regions
Voluntary control of movement
Cortical motor areas
Voluntary control of movement
These different areas are highly interdependent and movements result
from the coordinated action of these three regions.
4. Spinal cord: locomotion reflex
example 4
Stepping reflex in newborns
Disappears around 6 weeks,
gradually replaced by voluntary walking
behaviour
Simplified half-center model for alternating rhythm generation
B&B Figure 14-8
5. Spinal cord: central pattern
generators (CPGs) 5
Neuronal network capable of generating a
rhythmic pattern or motor activity in the
absence of sensory input
Walking, swimming, respiration
Simplest CPGs contain spontaneously bursting or
reciprocally innervated neurons
Basic firing pattern modified by sensory or
descending inputs
6. Spinal cord: CPG example
6
Transect afferent input, and decerebrate cat:
With support, walking motion is reproducible with stimulation of brainstem
Each limb is controlled by its own CPG
7. Spinal Cord: organization of motor
tracts 7
Motor neurons of ventral horn organized topographically
Descending upper motor neurons control lower motor neuron
firing
Also influenced by the activity of interneurons & peripheral
sensory receptors
B&L Figure 9-12
8. Spinal Cord: organization
of motor tracts
8
Medial
reticulospin
al tract
Direct (pyramidal) pathway
lateral and anterior corticospinal tract
corticobulbar tract
Indirect (extrapyramidal) pathway
rubrospinal tract
tectospinal tract
vestibulospinal tract
reticulospinal tract (lateral & medial)
9. Direct (pyramidal)
pathways 9
Pyramidal tracts originate primarily in
motor, premotor and supplementary motor
areas of cortex
~ 90% of descending axons cross in the
medulla and descend in lateral columns
of spinal cord (lateral corticospinal tract)
Control distal muscles; precise,
agile, skilled movements
~ 10% cross over in spinal cord (anterior
corticospinal tract)
Control proximal trunk muscles;
coordinate movements of axial
skeleton
Corticolbulbar tracts also originate in
motor cortex, descend to brainstem
Axons terminate in motor nuclei of
cranial nerves
Control precise, voluntary movement of
head, neck and tongue
10. Indirect (extrapyramidal)
pathways 10
Complex, polysynaptic circuits involving
motor cortex, basal ganglia, thalamus,
cerebellum, and reticular formation
Rubrospinal: from red nucleus to
contralateral muscles controlling precise
movements of distal parts of upper limbs
Tectospinal: from superior colliculus to
contralateral muscles controlling reflexive
movements of head and neck to auditory
or visual stimuli
Medial
reticulospinal
tract
Vestibulospinal: from vestibular nucleus to ispsilateral skeletal muscles of
trunk and proximal parts limbs for maintaining posture and balance
Medial and lateral reticulospinal: from reticular formation to ipsilateral
skeletal muscles of trunk and proximal parts of limbs for maintaining posture
and regulating muscle tone in response to body movements.
11. Motor areas of cerebral cortex
11
Primary motor cortex
Main motor area involved in executing
voluntary movements
Movement elicited with least amount of
electrical stimulation
Pre motor cortex
Sensory guidance of movement (receive
input from posterior parietal cortex
Contributes to extrapyramidal pathways
Lesion impairs ability to develop strategy
for movement
Supplementary motor cortex
Involved in planning of complex and two
handed movements
Coordinates posture
13. Specialized cortical motor areas
13
Broca’s area (area 44, 45)
Coordinated movements of
tongue and vocal cords for
word formation
Lesion results in expressive
aphasia
Voluntary eye movement
field
Also controls voluntary blinking
Area for hand skill
Lesions result in motor apraxia:
uncoordinated, nonpurposeful
hand movements
Guyton Figure 55-3
14. Voluntary movement: simplified
linear sequence of events 14
Command must be organized by the brain
1. Identify target in space
a) objective is identified in posterior parietal cortex
which receives input from somatosensory, visual,
vestibular and auditory systems
b) Sense of body position in relation to target also required
2. info transmitted to supplementary & premotor areas
where the motor plan is developed
a) Choice of muscles, sequence of contractions, required
force and trajectory computed
3. Motor plan transmitted to primary motor cortex and
down descending pathways to interneurons & motor neurons
15. Motor Plan
15
Sensory feedback provided through ascending
afferent pathways
Transmitted to motor cortex either directly from
thalamus or indirectly thru connections between
somatosensory & visual cortex
Motor cortex has bidirectional connections with
thalamus, cerebellum & basal ganglia
Important in planning & execution of movement
(more in next lecture)
16. Objectives
After this lecture you should be able to:
Give an example of a locomotion reflex and an activity
governed by a CPG
Discuss the organization of the spinal cord and how it
relates to voluntary control of movement
Include both pyramidal and extrapyramidal descending tracts
Describe the organization of the motor cortices
Outline the sequence of events involved in initiation of
voluntary movement
16
17. 17
Test your knowledge
1. A lesion to Broca’s area results in
_____________________
2. Precise, voluntary movements of the head, neck and
tongue are controlled by descending inputs via the
__________________________ tract
3. Motor neurons descending in the pyramidal tracts
originate in ________________________ whereas motor
neurons descending in the extrapyramidal tracts
originate in
_______________________________________________.
Editor's Notes
Gutyon is best
Vestibulospinal Reflexes
Senses falling/tipping
contracts limb muscles for postural support
Vestibulocollic Reflexes
acts on the neck musculature to stabilize the head if body moves
Vestibulo-ocular Reflexes
stabilizes visual image during head movement
causes eyes to move simultaneously in the opposite direction and in equal magnitude to head movement
Locomotor regions: midbrain locomotor regions: when stimulated, leads to sustained locomotion. Involved in initation of movement.
When one motor neuron is active, the other is inhibited
Modification by afferent input ensures can adapt to certain situations (terrain for example) can see CPG activity in transected cat
The simplest
movements are reflexes (knee jerk, pupil dilation), which are involuntary, stereotyped and graded
responses to sensory input, and have no threshold except that the stimulus must be great enough to
activate the relevant sensory input pathway. Fixed action patterns (sneezing, orgasm) are involuntary and
stereotyped, but typically have a stimulus threshold that must be reached before they are triggered, and
are less graded and more complex than reflexes. Rhythmic motor patterns (walking, scratching,
breathing) are stereotyped and complex, but are subject to continuous voluntary control. Directed
movements (reaching) are voluntary and complex, but are generally neither stereotyped nor repetitive.
Rhythmic motor patterns comprise a large part of behaviour. They are also complex (unlike reflexes) yet
stereotyped (unlike directed movements) and, by definition, repetitive (unlike fixed action patterns). As a
consequence of this combination of behavioural importance and experimental advantage, rhythmic motor
pattern generation has been studied extensively.
Key to understanding rhythm generation in this (and many other network-based CPGs) is the concept of
a half-centre oscillator. A half-centre oscillator consists of two neurons that individually have no
rhythmogenic ability, but which produce rhythmic outputs when reciprocally coupled. Several types of
interacting processes can support this rhythm generation (see
showed that when a portion of the brain stem of a cat was cut across the middle—thus severing any connections between the brain and the spinal cord—the cat was still capable of standing. Furthermore, if a specific region of the brain stem was stimulated, the cats could be induced to walk on a treadmill, and alternating bursts of muscle activity could be recorded in extensors and flexors in conjunction with walking (Shik et al., 1966). These series of experiments led to the conclusion that each limb is controlled by a central pattern generator (CPG) in the spinal cord, which controls rhythmic motor activity, including walking.
Shik and colleagues experimented with a cat whose brain stem was severed but that was still able to walk on a treadmill when a specific region of the brain stem was stimulated. The top of the figure shows the brain and the spinal cord. The muscle activity recorded from the flexors and extensors demonstrates that they are contracting and relaxing at opposite times from each other, consistent with normal function.
Refer to overhead slide # 1 regarding these notes:
interneurons located in medial part of spinal cord make bilateral synaptic connections with motoneurons on axial muscles
interneurons located more laterally make ipsilateral synaptic connections with motoneurons of girdle muscles (shoulder and pelvis)
interneurons located in lateral part of spinal cord make synaptic connections with distal limb muscles
The Propriospinal system is a series of neurons whose axons run up and down (rostral-caudal direction) the spinal cord. They connect different segmental levels of the spinal cord together by synapsing with interneurons and motoneurons.
Medial propriospinal neurons have long branching axons – some extend the length of the spinal cord – to coordinate movements of the neck and pelvis allowing the axial muscles to be coordinated. They are located in the ventral and medial columns.
Lateral propriospinal neurons interconnect a smaller number of segments and have more focused connections. This explains the greater interdependence of action of more distal muscles at the hand and wrist. The shoulder and elbow have more stereotyped movements and thus are more interconnected than the hand and wrist but less than the axial muscles. They are located in the dorsal and lateral columns.
Direct: input to lower motor neurons via axons that extend directly from the cerebral cortex.
Indirect pathway: input to lower motor neurons from motor centers in the brainstem. These brain stem centers in turn receive input from the basal gangli, thalamus, brainstem nuclei, reticular formation, cerebellum and cerebral cortex.
Some axons of corticobulbar tract cross over, some do not
Rubrospinal red nucleus located in midbrain
Lateral Vestibulospinal Tract
primarily excites proximal extensor motoneurons & inhibits flexor motoneurons of both upper and lower limbs through interneurons & propriospinal neurons
Medial Vestibulospinal Tract
makes synaptic connections with medial motoneuron groups (neck and back muscles) and with nearby interneurons and propriospinal neurons
some monosynaptic excitatory connections to ipsilateral neck motoneurons and monosynaptic inhibitory connections to contralateral neck motoneurons
Both are important in the reflex control of balance and posture in response to head movements.
Medial Reticulospinal Tract
axons from pontine reticular formation descend in ventral columns on ipsilateral side of spinal cord
make excitatory synaptic connections with axial muscles and proximal limb extensor muscles
Functions to support posture
Neurons in the reticulospinal tract rise from a cluster of nuclei in the reticular formation in the pons and medulla.
Lateral Reticulospinal Tract
axons from medullary reticular formation descend bilaterally in ventral part of lateral columns
make inhibitory synaptic connections with neck and back motor neurons
has widespread polysynaptic inhibitory connections with extensor motor neurons & excitatory connections with flexor motor neurons
Tectospinal Tract
originates in deep layers of superior colliculus
axons cross to contralateral side of body just below periaqueductal gray matter
project to medial interneurons in upper cervical segments
regulates contralateral movements of head in response to visual, auditory and somatic stimuli
Receives inputs from the cortex via a cortico-tectospinal pathway
The motor cortex itself is subdivided into three areas, each with its own topographical representation of muscle groups and specific motor functions; M1 is primary motor cortex, PMA is premotor area, and SMA is supplementary motor area, initially subdivided based on electrophsyiological experiments: which area can evoke movement with the lowest stimulation
Motor cortex is plastic: meaning the representation of body parts can change with practice or disuse. Important for rehabilitation after stroke.
motor regions of the cortex contain somatotopic motor map of body (mapping from cortical activation site to muscles on contralateral side of body) - found in primary motor cortex, premotor cortex, and supplementary motor areas.
orderly arrangement of control areas for face, digits, hand, arm, trunk, leg and foot
fingers, hands and face (used in tasks requiring greatest precision and finest control) have disproportionately large representation
Voluntary eye movement controls tracking or moving eyes voluntarily to different objects. Damage results in locking involuntarily on certain objects
commands from the brain got to spinal motor neurons or interneurons carried by descending pathways (e.g. corticospinal tract as discussed earlier)
posterior parietal cortex = association area
motor plans include: choice of muscles, strength of contraction and sequence of contraction
This is also true for correction of errors (more later with basal ganglia and cerebellum).