CONTRIBUTION OF CEREBELLUM TO OVERALL MOTOR CONTROL Anatomical Functional Areas of the Cerebellum ► Anatomically, the cerebellum is divided into three lobes by two transverse fissures (1) the anterior lobe (2) the posterior lobe, and (3) the flocculonodular lobe(the oldest of all portions of the cerebellum Longitudinal Functional Divisions ► The anterior and posterior lobes are organized along the longitudinal axis into: 1) A central narrow band called the vermis 2) A large, laterally protruding cerebellar hemisphere to each side of the vermis.Each of these is divided into an intermediate zone and a lateral zone ► Vermis is separated from the hemispheres by shallow grooves Topographical Representation of the Body In the vermis for muscle movements of the axial body, neck, shoulders, and hips In the intermediate zone In the lateral zone for muscle movements in the distal portions of the upper and lower limbs, especially the hands and fingers and feet and toes do not have any Topographical Representation of the Body Afferents In turn, they send motor signals back to the same respective topographical areas of the cerebral ► corresponding topographical motor motor cortex and those of the red nucleus and areas in the cerebral cortex and brain stem reticular formation in the brain stem. ► all the respective parts of the body Efferents Lateral Zone of Cerebellar Hemisphere The connectivity with the cerebral cortex allows the lateral zones to play important roles in planning and coordinating the body’s rapid sequential muscular activities occuring within fractions of a second Neuronal Circuit of the Cerebellum 1) Afferent Pathways to the Cerebellum: 1) from Other Parts of the Brain ► Cerebral cortices →the corticopontocerebellar pathway ► From brain stem → olivocerebellar tract → vestibulocerebellar fibers → reticulocerebellar fibers 2) Afferent Pathways from the Periphery ► dorsal spinocerebellar tract ► ventral spinocerebellar tract The cerebellum continually collects information about the movements and positions of all parts of the body even though it is operating at subconscious level. PATHWAYS…. 1) Corticopontocerebellar Pathway Cerebral motor ,premotor and somato- sensory cortices → by way of the pontile nuclei and pontocerebellar tracts →mainly to the lateral divisions of the cerebellar hemispheres on the opposite side of the brain 2) Olivocerebellar tract Inferior olive →to all parts of the cerebellum and is excited in the olive by fibers from the cerebral motor cortex, basal ganglia, widespread areas of the reticular formation, and spinal cord 3) Vestibulocerebellar fibers Vestibular apparatus and brain stem vestibular nuclei →almost all terminate in the flocculonodular lobe and fastigial nucleus of the cerebellum 4) Reticulocerebellar fibers Different portions of the brainstem reticular formation →terminate in the midline cerebellar areas ,mainly the vermis 5) Dorsal spinocerebellar tract ► 2 on each side (4 in all) ► Enters –through the inferior cerebellar peduncle Terminates – in the vermis and intermediate zones on the same side ► Signals 1) mainly from the muscle spindles 2) to a lesser extent from other somatic receptors (such as Golgi tendon organs, large tactile receptors of the skin, and joint receptors) ► All these signals apprise the cerebellum of the momentary status of (1) muscle contraction (2) degree of tension on the muscle tendons (3) positions and rates of movement of the parts of the body (4) forces acting on the surfaces of the body 6) ventral spinocerebellar tract ► Enters –through the superior cerebellar peduncle Terminates – in both sides of the cerebellum. ► Signals Receive less information from the peripheral receptors. Instead, are excited mainly by motor signals arriving in the anterior horns of the spinal cord–efference copy of the anterior horn motor drive. ► Significance The spinocerebellar pathways has the most rapid conduction in any pathway in the CNS (velocities up to 120 m/sec) – important for instantaneous apprisal of the cerebellum of changes in peripheral muscle actions. VENTRAL SPINOCEREBELLAR TRACT DORSAL SPINOCEREBELLAR TRACT 2) Efferents from the Cerebellum: ► Organization ► Functional ► Neuronal of cerebellum unit circuits ● Inputs ● Outputs 1) Organization of cerebellum: 1) An external 3 layered cerebellar cortex ● External molecular Layer ● Purkinje Cell Layer ● Internal granular layer 2) White matter 3) Deep cerebellar nuclei (4 on each side) ● dentate n. ● globose n. Interpositus n. ● emboliform n. ● fastigial n. 2) Functional unit: ► 30 million ► centers on a single Purkinje cell and on a corresponding deep nuclear cell The Purkinje cells are among the biggest neurons in the body ● They have very extensive dendritic arbors that extend throughout the molecular layer, and are oriented at right angles to the parallel fibers. ● Their axons, which are the only output from the cerebellar cortex→ deep nuclei 3) Neuronal circuits: 2 main Inputs Climbing fibers Mossy fibers Origin single (inferior From multiple olivary nuclei) sources (higher brain, brain stem and spinal cord) Collateral To deep cerebellar To deep cerebellar nuclei nuclei Extent External molecular Inner granule cell layer layer Climbing fibers Termination dendrites of a PC, around which it entwines like a climbing plant (1 for 5-10 PC) Mossy fibers dendrites of GC in complex synaptic groupings called glomeruli Effect +++ effect on single PC + on many PC via GC’s parallel fibers (500-1000 GC for 1 PC) AP Complex spike Simple spike PARALELL FIBERS + +++ CLIMBING FIBER MOSSY FIBER Other Inhibitory Cells in the Cerebellum other types of neurons are basket cells and stellate cells. ► These are inhibitory cells ► Located in the molecular layer of the cerebellar cortex ► Stimulated by the parallel fibers ► In turn send their axons to cause lateral inhibition of adjacent PCs → sharpening the signal ►2 Outputs ► All input signals that enter the cerebellum eventually end in the deep nuclei in the form of initial excitatory signals followed a fraction of a second later by inhibitory signals ► However,output of the deep cerebellar nuclei to the brainstem and thalamus is always excitatory. Role of Cerebellum in Movement Signal to Movement agonist Signal to antagonist at the onset turn-on turn-off Near termination turn-off turn-on 1) Mechanism for agonist muscle: A complete cerebellar circuit could cause: ► a rapid turn-on agonist muscle contraction at the beginning of a movement, and ► a precisely timed turn-off of the same agonist contraction after a given time period. ► HOW ? 1) Signals from the cerebral cortex →brain stem and cord pathways → directly to the agonist muscle to begin the initial contraction. 2) At the same time, parallel signals are sent by way of the pontile mossy fibers into the cerebellum. One branch of each mossy fiber goes directly to deep cerebellar nuclei; This instantly sends an excitatory signal back into the cerebral corticospinal motor system (by way of return signals through the thalamus or brainstem) to support the muscle contraction signal that had already been begun by the cerebral cortex. ► As a consequence: The turn-on signal, after a few msec,becomes even more powerful than it was at the start because it becomes the sum of both the cortical and the cerebellar signals. Thus,cerebellum provides secondary extra supportive signal 3) The second branch of each mossy fibers → eventually deep →deep nuclear cells’ inhibition ► Parallel fibers are ● slow-conducting ● weak signals ► But once the PC is excited→ strong inhibitory signal to the same deep nuclear cell that had originally turned on the movement → turns off the movement after a short time The Purkinje Cells “Learn” to Correct Motor Errors ● Degree of control by the cerebellum(on/off) ● Timing of contractions Progressive adaptation of sensitivity levels of cerebellar circuits during the training process. Mechanism –role of climbing fibers: 1) A new movement for the first time→ FB signals from the muscle and joint proprioceptors → climbing fibers send “error” signals to the cerebellum to cause further change 2) The climbing fiber signals alter long-term sensitivity of the PC 3) Over a period of time this change makes the timing and other aspects of cerebellar control of movements approach perfection. 4) When this has been achieved, the climbing fibers no longer need to send “error” signals to the cerebellum to cause further change 2) Mechanism for antagonist muscle: Role of: ► The reciprocal agonist/antagonist circuits present throughout the spinal cord ► Several other types of inhibitory cells besides PC in the cerebellum. 3 functional divisions work in association with other parts of brain for motor control 1) Vestibulocerebellum Flocculonodular lobe adjacent vermis Lateral zone 3) Cerebrocerebellum Lateral zones Intermediate zone Vermis 2) Spinocerebellum Most of Vermis adjacent intermediate zone on both sides Flocculonodular lobe 1) Vestibulocerebellum Is most primitive ► Connections Afferents: from vestibular nuclei and vestibular apparatus Efferents: projects to the vestibular nucleus → vestibulospinal tract and medial longitudinal fasciculus → motor neurons of anterior horn ► Functions: ▪ Involved in eye movements ▪ Maintains balance (especially during rapid changes in body positions) ► ▪ During control of equilibrium information from both the body periphery and the vestibular apparatus tell the brain how rapidly and in which directions the body parts are moving. ▪ Vestibulocerebellum calculates in advance where the different parts will be during the next few msec. ▪ As a result provides anticipatory correction of postural motor signals necessary for maintaining equilibrium even during extremely rapid motion, including rapidly changing directions of motion. ► Damage: ▪ Equilibrium is far more disturbed during performance of rapid motions than during stasis, especially so when these movements involve changes in direction of movement ▪ Problems with eye movements during head rotations ▪ Problems with limbs and body structures during standing or walking ▪ problems maintaining balance ▪ Patients separate legs but they move their legs irregularly and often fall ▪ Can move arms and legs accurately 2) Spinocerebellum ► Connnections and Functions: Afferents receives 2 types of information when a movement is performed: (1) Information from the cerebral motor cortex and from the midbrain red nucleus→ telling the cerebellum the intended sequential plan of movement for the next few fractions of a second (2) FB information from the peripheral parts of the body (especially distal proprio ceptors of the limbs) telling cerebellum what actual movements result ► Efferents: The intermediate zone of the cerebellum compares the intended movements with the actual movements→ interposed nucleus send corrective output signals : → back to the cerebral motor cortex through relay nuclei in the thalamus → to lower portion of the red nucleus that gives rise to the rubrospinal tract. The rubrospinal tract in turn joins the corticospinal tract in innervating those anterior horn motor neurons, that control the distal parts of the limbs, particularly the hands and fingers. Result is smooth, coordinate movements of the distal limbs for performing acute purposeful patterned movements MOTOR CORTEX RED NUCLEUS SPINOCEREBELLAR TRACT 2 important functions of cerebellum 1) Prevent Overshoot of Movements and to “Damp” Movements. ► Almost all movements of the body are “pendular.” For e.g…(Because of momentum,all pendular movements have a tendency to overshoot) ► An intact cerebellum (subconscious) stop the movement precisely at the intended point, thereby preventing the overshoot --basic characteristic of a damping system. When cerebellum has been destroyed: ► Overshooting → conscious centers of the cerebrum attempts to bring the arm to its intended position ► By virtue of its momentum arm overshoots once more in the opposite direction → again appropriate corrective signals instituted ► Arm oscillates back and forth past its intended point for several cycles before it finally fixes on its mark~ action tremor, or intention tremor. 2) Cerebellar Control of Ballistic Movements: ► Most rapid movements of the body that it is not possible to receive FB information before the movements are over ► Entire movement is preplanned and set into motion to go a specific distance and then to stop. ► E.g typing movements of fingers saccadic movements of the eyes ► Removal of the cerebellum: (1) slow to develop and lack the extra onset surge (2) the force developed is weak (3) slow to turn off movement → overshooting The automatism of ballistic movementsis lost 3) Cerebrocerebellum ► Communicates with the premotor area and primary and association somatosensory areas. ► Concerned with 2 other aspects of motor control: (1) the “planning” of sequential movements (2) the “timing” of the sequential movements. (1) “Planning” of sequential movements: what will be happening during the next sequential movement a fraction of a second /seconds later “Plan” begins in the cerebral cortex→ transmitted to the lateral zones ► Between cerebellum and cerebral cortex, appropriate motor signals provide transition from one sequence of movements to the next. ► Smooth progression from one movement to the next in orderly succession. ► (2) “Timing” of the sequential movements: appropriate timing for each succeeding movement Absence → loss of subconscious ability 1) Of predicting ahead of time how far the different parts of the body will move in a given time 2) To determine when the next sequential movement needs to begin. RESULT → failure of smooth progression of movements 3) “Timing” of events other than movements of the body ~Extramotor Predictive Function: ► Cerebellar participation is required for the rates of progression of both auditory and visual phenomena ► Effects of removal in monkeys: Occasionally charges the wall of a corridor and literally bashes its brains because it is unable to predict when it will reach the wall. Damage: ► ► Disrupts motor planning and prolongs reaction times Have to plan out every movement before doing it Function Overview Maintenance of Equilibrium Coordination of half-automatic movement of walking and posture maintenace Adjustment of Muscle Tone Motor Learning – Motor Skills Cognitive Function ~ Most of our motor actions occur as a consequence of thoughts generated in the mind, using both sensory input to the brain plus information already stored in memory Balance Motor Skill Pablo Casals Clinical Abnormalities To cause serious and continuing dysfunction of the cerebellum, the cerebellar lesion usually must involve one or more of the deep cerebellar nuclei 1) Dysmetria: ► ataxia (uncoordinated movements) ► Past pointing 2) Failure of Progression: ► Dysdiadochokinesia “loses” perception of the body parts during rapid motor movements ► Dysarthria jumbled vocalization, with some syllables loud, some weak, some held for long intervals, some held for short intervals 3) Intention Tremor: especially on approaching the intended mark, first over shooting it and then vibrating back and forth several times before settling on the mark ► Cerebellar Nystagmus off-center type of fixation → rapid, tremulous movements of the eyes rather than steady fixation ► 4) Hypotonia: of the peripheral body musculature on the side of the cerebellar lesion Posture Gait – Ataxia Tremor a d b c Cerebellar Ataxia Ataxic gait and position: Left cerebellar tumor a. Sways to the right in standing position b. Steady on the right leg c. Unsteady on the left leg d. ataxic gait