Motor Control Motor Control • In order to learn about how the nervous system can coordinate complex movement patterns we must look at all the players involved. • Key brain structures. • Spinal cord structures. Spinal Cord Pathways Motor Neuron Topography of the Spinal Cord • Flexors vs. extensors: motor neurons that innervate extensors muscles are located anterior to the motor neurons that innervate the flexor muscles. Proximal vs. distal: motor neurons that innervate proximal muscles are located medial to motor neurons that innervate distal muscles. Three Ascending Pathways • The nonspecific (Anterior Lateral) and specific (Dorsal Column Ascending Pathway) send impulses to the sensory cortex – These pathways are responsible for discriminative touch, pain and conscious proprioception • The spinocerebellar tracts send impulses to the cerebellum. – This pathway is important in providing procrioceptive feed back from muscles, joints necessary from proper coordination – This will not contribute to sensory perception since it doesn’t ascend to the cortex Spinothalamic Pathway • Detects pain, pressure, temperature, crude touch, tickle and itch • Cross occurs in spinal cord usually 1-2 levels above where afferent input entered. • Synapses in the thalamus and continue to cerebral cortex Dorsal Column Ascending Pathway • Detect deep touch, pressure, vibration, and proprioception. • Carry signals from arm and leg • Cross in the medulla • Synapses in the thalamus carries signal to cerebral cortex Spinocerebellar/ Dorsal Column tracts • Dorsal Column is the primary pathway that allows us to perceive sensory input. • Spinocerebellar tracts: allow our cerebellum to interpret sensory information from muscles and joints to help coordinate descending cortical spinal pathways (Motor) Systems • Descending tracts deliver efferent impulses from the brain to the spinal cord, and are divided into two groups – Direct pathways (pyramidal): tracts which originate in the cerebral cortex. • Initiate movement from premotor and prefrontal areas that are receiving sensory information ( Multimodal) from many areas of the brain. • controls contra lateral side of body. – Indirect pathways, (extra pyramidal) originate in other area of the brain. i.e. midbrain. • This system is involved in executing of subconscious motor programs i.e. arm swing. • Helps maintain appropriate level skeletal muscular tone. • Cerebellum contain ½ of the brains neurons(50 billion) and 75% of the surface area of the cerebral cortex. It allows us to correct errors in movement on an ongoing basis The Direct (Pyramidal) System Lateral Corticospinal Tract • Controls and initiates voluntary movement. Originate with the pyramidal neurons in the precentral gyri • Impulses project down through internal capsule to the cerebral peduncles to the medulla. • 90% of fibers decussate to the opposite side and continue to descend down through the lateral corticospinal tracts. It will enter the gray matter and synapse in the anterior horn • Stimulation of anterior horn neurons activates skeletal muscles Corticospinal Tract • Voluntary coordinated movements for striated muscle has a 2 neuron pathway – upper motor neuron runs from the cerebral cortex to the alpha motor neuron. – lower motor neuron runs from the alpha motor neuron in spinal cord to the target muscle. • Upper motor neurons cross in the medulla which means the left side of your brain controls the right side of your body. Indirect (Extrapyramidal) System • These motor pathways are complex and multisynaptic, and regulate: – Axial muscles that maintain balance and posture – Muscles controlling coarse movements of the proximal portions of limbs – Head, neck, and eye movement – Has no projection to the spinal cord. – Extra Pyramidal Pathways • • • Tectospinal tract :colliculi of midbrain – reflex turning of head in response to sights and sounds Reticulospinal tract (reticular formation) – No conscience control during surprise. (Upper truck extensor tone) – controls limb movements important to maintain posture and balance Vestibulospinal tract (brainstem nuclei) – postural muscle activity in response to inner ear signals Basal Ganglia Kinesthetic Sense • Provides constant feedback to the brain about what activity has just occurred. – Muscles Spindles, – Joints and Ligament receptors – Golgi Tendon organs. • These are critical in motor planning The Stretch (Myotatic) Reflex • When a muscle is stretched, it contracts and maintains increased tonus (stretch reflex) – helps maintain equilibrium and posture • head starts to tip forward as you fall asleep • muscles contract to raise the head – stabilize joints by balancing tension in extensors and flexors smoothing muscle actions • Very sudden muscle stretch causes tendon reflex – knee-jerk (patellar) reflex is monosynaptic reflex – testing somatic reflexes helps diagnose many diseases • Reciprocal inhibition prevents muscles from working against each other Nature of Somatic Reflexes • Quick, involuntary, stereotyped reactions of glands or muscle to sensory stimulation – automatic responses to sensory input that occur without our intent or often even our awareness • Functions by means of a somatic reflex arc – – – – – stimulation of somatic receptors afferent fibers carry signal to dorsal horn of spinal cord one or more interneurons integrate the information efferent fibers carry impulses to skeletal muscles skeletal muscles respond The Patellar Tendon Reflex Arc Monitoring of Muscle Length and Tension • Skeletal muscle has 2 sensory receptors that monitor muscle length and tension • Extrafusal fibers are those that contract to produce tension and movement ( Actin /Myosin) • Muscle spindles are called intrafusal muscle fibers that are in the center of extrafusal fibers. They are wrapped around by an afferent neuron which sends information about the length of a muscle and the speed at which the length changes during contraction or stretching. • Golgi tendon organs are afferent neurons that are wrapped around the collagen fibers of a tendon near the attachment to muscle which sends information about the tension that a muscle produces during contraction. Sensory Receptors of Muscle • Muscle spindles change shape depending if the muscle is stretched or shortened – the afferent neurons wrapped around the spindle will increase or decrease AP frequency respectively • Afferent neurons synapse with interneurons and motor neurons in the spinal cord Activity of Muscle Spindles • Regardless of the reason for a change in length, the stretched spindle in (a) generates a burst of action potentials as the muscle is lengthened in (b), the shortened spindle produces fewer action potentials from the spindle Alpha/Gamma Co-Activation • Since muscle spindle activity would decrease during muscle contraction (Spindle on slack) the spindle would not be providing proprioceptive input. • To avoid this problem both the smaller gamma motor neurons( Ў ) and the larger alpha motor neuron are both innervated simultaneously. • Gamma motor neurons originate in the brain stem. Regulate the resting muscle tone. Dynamic nuclear bag fibers detect initiation of stretch while nuclear chain fibers monitor sustained stretch. • ( Ў ) maintain tension within the spindle apparatus while the muscle is contracting to provide continuous afferent input. Golgi Tendon Organ • Compared to when a muscle is contracting, passive stretch of the relaxed muscle produces less stretch of the tendon and fewer action potentials from the Golgi tendon organ Golgi Tendon Reflex • Contraction of the extensor muscle of the thigh tenses the Golgi tendon organ and activates it to fire action potentials. Responses include: – inhibition of the motor neurons that innervate this muscle (A) Autogenic Inhibition – excitation in the opposing flexor’s motor neurons (B) Withdrawal (Flexion) and Crossed Extensor Reflexes • Pain sensory afferents detect pain in foot and send APs to the spinal cord • Interneurons in the cord activate flexors and inhibit extensors on the “pained” side of the body – lift leg to move away from painful stimulus • Interneurons in the cord activate extensors and inhibit flexors on the opposite side of the body – body weight is supported by one leg