Sensory & Motor Pathways faizan There is a continuous flow of information between the brain, spinal cord, and peripheral nerves. This information is relayed by sensory (ascending) and motor (descending) ‘pathways’. Generally the pathways: Consists of a chain of tracts, associated nuclei and varying number of relays (synapses) Consist of two or three neurons Exhibit somatotopy (precise spatial relationships) Decussate Involve both the brain and spinal cord Are paired (bilaterally and symmetrically) Somatic Sensory Pathways Sensory Pathways Monitor conditions both inside the body and in the external environment Sensation-stimulated receptor passes information to the CNS via afferent (sensory) fibers Most sensory information is processed in the spinal cord , thalamus, or brain stem. Only 1% reaches the cerebral cortex and our conscious awareness Processing in the spinal cord can produce a rapid motor response (stretch reflex) Processing within the brain stem may result in complex motor activities (positional changes in the eye, head, trunk) Sensory Pathways Contain a sequence of THREE neurons from the receptor to the cerebral cortex First order neuron: Sensory neuron that delivers information from the receptor to the CNS. Cell body located in the dorsal root ganglion. The Axon (central process) passes to the spinal cord through the dorsal root of spinal nerve gives many collaterals which take part in spinal cord reflexes runs ipsilaterally and synapses with second-order neurons in the cord and medulla oblongata 3 2 1 Second order neuron: Has cell body in the spinal cord or medulla oblongata Axon decussate & Terminate on 3rd order neuron Third order neuron: Has cell body in thalamus Axon terminates on cerebral cortex ipsilaterally White Matter: Pathway Generalizations Ascending and descending fibers are organized in distinct bundles which occupy particular areas and regions in the white matter Generally long tracts are located peripherally in the white matter, while shorter tracts are found near the gray matter • The TRACT is a bundle of nerve fibers (within CNS) having the same origin, course, destination & function • The name of the tract indicates the origin and destination of its fibers • The axons within each tract are grouped according to the body region innervated Tracts of the Spinal Cord Tracts that serve to join brain to the spinal cord Ascending Descending Fibers that interconnect adjacent or distant segments of the spinal cord Intersegmental (propriospinal) Ascending Spinal Tracts Transmit impulses: Concerned with specific sensory modalities: pain, temperature, touch, proprioception, that reach a conscious level (cerebral cortex) Dorsal column funiculi Spinothalmic tracts From tactile and stretch receptors to subconscious centers (cerebellum) Spinocerebellar tracts Three major pathways carry sensory information Posterior column pathway (gracile & cuneate fasciculi) Anterolateral pathway (spinothalamic) Spinocerebellar pathway Ascending Spinal Tracts Dorsal white column Lateral spinothalamic Anterior spinothalamic Anterior spinocerebellar Posterior spinocerebellar Cuneocerebellar Spinotectal Spinoreticulr Dorsal Column Contains two tracts, Fasciculus gracilis (FG) & fasciculus cuneatus (FC) Carry impulses concerned with proprioception and discriminative touch from ipsilateral side of body Lateral Spinothalamic Tract Carries impulses concerned with pain and thermal sensations. Anterior Spinothalamic Tract Carries impulses concerned with non- discriminative touch and pressure Spinocerebellar Tracts The spinocerebellar system consists of a sequence of only two neurons Two tracts: Posterior & Anterior Carry information derived from muscle spindles, Golgi tendon organs and tectile receptors to the cerebellum for the control of posture and coordination of movements Somatic Motor Pathways Motor Pathways CNS issues motor commands in response to information provided by sensory systems, sent by the somatic nervous system (SNS) and the autonomic nervous system (ANS) Conscious and subconscious motor commands control skeletal muscles by traveling over 3 integrated motor pathways The corticospinal pathway – voluntary control of motor activity Corticobulbar tracts Corticospinal tracts The medial and lateral pathways – modify or direct skeletal muscle contractions by stimulating, facilitating, or inhibiting lower motor neurons Motor Pathways • Contain a sequence of TWO neurons from the cerebral cortex or brain stem to the muscles • Upper motor neuron : has cell body in the cerebral cortex or brain stem, axon decussates before terminating on the lower motor neuron • Lower motor neuron: has cell body in the ventral horn of the spinal cord, axon runs in the ipsilateral ventral root of the spinal nerve and supply the muscle. UMN LMN Descending Spinal Tracts Originate from the cerebral cortex & brain stem Concerned with: Control of movements Muscle tone Spinal reflexes & equilibrium Modulation of sensory transmission to higher centers Spinal autonomic functions The motor pathways are divided into two groups Direct pathways (voluntary motion pathways) - the pyramidal tracts Indirect pathways (postural pathways), essentially all others the extrapyramidal pathways Direct (Pyramidal) System Regulates fast and fine (skilled) movements Originate in the pyramidal neurons in the precentral gyri, Impulses are sent through the corticospinal tracts and synapse in the anterior horn Stimulation of anterior horn neurons activates skeletal muscles Part of the direct pathway, called corticobulbar tracts, innervates cranial nerve nuclei Indirect (Extrapyramidal) System Complex and multisynaptic pathways The system includes: • Rubrospinal tracts: control flexor muscles • Vestibulospinal tracts: maintain balance and posture • Tectospinal tracts: mediate head neck, and eye movement • Reticulospinal tracts Descending Spinal Tracts Pyramidal Extrapyramidal Corticospinal Rubrospinal Tectospinal Vestibulospinal Olivospinal Reticulospinal Descending Autonomic Fibers Corticospinal Tracts Concerned with voluntary, discrete, skilled movements, especially those of distal parts of the limbs (fractionated movements) Innervate the contralateral side of the spinal cord Provide rapid direct method for controlling skeletal muscle Origin: motor and sensory cortices Axons pass through corona radiata, internal capsule, crus cerebri and pyramid of medulla oblongata In the caudal medulla about 75-90% of the fibers decussate and form the lateral corticospinal tract Rest of the fibers remain ipsilateral and form anterior corticospinal tract. They also decussate before termination Rubrospinal Tract Controls the tone of limb flexor muscles, being excitatory to motor neurons of these muscles Origin: Red nucleus Cortico-rubro-spinal pathway (Extrapyramidal) Tectospinal Tract Mediates reflex movements of the head and neck in response to visual stimuli Origin: Superior colliculus Vestibulospinal Tracts Lateral Vestibulospinal Tracts Origin: lateral vestibular (Deiter’s) nucleus Has excitatory influences upon extensor motor neurons, control extensor muscle tone in the antigravity maintenance of posture Vestibulospinal Tracts Medial vestibulospinal tract Origin: medial vestibular nucleus Involved in movements of the head required for maintaining equilibrium Reticulospinal Tracts Influence voluntary movement, reflex activity and muscle tone by controlling the activity of both alpha and gamma motor neurons Are involved in control of breathing Origin: pontine & medullary reticular formation