Chapter 10 Vander’s Human Physiology The Mechanisms of Body Function Tenth Edition by Widmaier • Raff • Strang © The McGraw-Hill Companies, Inc. Figures and tables from the book, with additional comments by: John J. Lepri, Ph. D., The University of North Carolina at Greensboro Figure 10-1 Motor commands from the brain have been modified by a variety of excitatory and inhibitory control systems, including essential feedback from sensory afferent neurons, along with vision and balance cues (not shown). Planned Voluntary Movement Association Cortex *Voluntary movements, learned skills Motor Cortex Loss of voluntary movement & spastic paralysis (stroke) Parkinson’s disease/dystonia Basal Ganglia Proprioception Reticulospinal Cerebellum Vestibulospinal lateralmedial medullarypontine Flexors Extensors Extensors Spinal Reflexes Skin, Muscle, Joint *Automatic movements, postural adjustments Ataxia Nystagmus Force # action potentials/motor unit, and # motor units active Stretch Motor = motor neurone + its muscle Unit Pain fibres *Rapid, Large, fast, fatigable/ protecti Small, slow, fatigue-resistant ve reflexes Movement Flaccid paralysis Neuropathies ICBruce2002 Figure 10-2 Side and cross-sectional views of some of the neural components regulating motor commands. Altered processing abilities in these components can cause motor problems such as Parkinsonism. Figure 10-3 Examples of the categories of information and their underlying neuronal substrates modifying the production of motor commands from the brain. One motor unit consists of a single motor neurone and the muscle fibres it innervates. Precisely controlled muscles, like the extraocular muscles, have low “Innervation ratios” (number of muscle fibres per motor neurone). Less precisely controlled muscles, like the postural muscles of the back, have high innervation ratios. Each motor unit is controlled by descending pathways from the brainstem & motor cortex. More action potentials in one motor unit produce more force (frequency code). Precise control of force, as in suturing a wound. More motor units active at the same time produce more force (population code). Gross control of force, as in carrying a suitcase. Diseases of the motor unit (such as motor neurone disease, myasthenia gravis, or the muscular dystrophies), produce muscle weakness. Figure 10-4 Acting on local reflex circuits and by relaying impulses to the brain, muscle spindles and Golgi tendon organs provide information about muscle position and stretch in order to finely regulate the speed and intensity of muscle contraction. Regardless of the reason for a change in length, the stretched spindle in scenario (a) generates a burst of action potentials as the muscle is lengthened; in scenario (b), the shortened spindle produces fewer action potentials from the spindle. 13-19: (a) Activation of alpha motor neurons shortens the extrafusal muscle fibers; if the muscle spindle becomes slack, it no longer signals muscle length. (b) Activation of gamma motor neurons contracts the poles of the spindle, keeping its sensitivity. Figure 10-6 Tapping the patellar tendon lengthens the stretch receptor in the associated extensor muscle in the thigh; responses include: compensatory contraction in that muscle (A and C), relaxation in the opposing flexor (B), and sensory afferent delivery to the brain. Note: NMJ = neuromuscular junction Activation of Golgi tendon organs. 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. 13-21: Muscle proprioceptors: (a) Spindles are parallel to the extrafusal fibers, GTOs are in series. (b) GTOs sense increased tension on the muscle. Figure 10-8 Contraction of the extensor muscle on 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), and excitation in the opposing flexor’s motor neurons (B). Note: NMJ = neuromuscular junction 13-22: Reverse myotatic reflex. The neural components of the pain-withdrawal reflex in this example proceed as follows: 1 Pain sensory afferents detect pain in foot and send action potentials via dorsal horn of spinal cord. 2 Interneurons in the cord activate flexor muscles on the “pained” side of the body and extensor muscles on the opposite side of the body. 3 Muscles move body away from painful stimulus. Figure 10-9 Planned Voluntary Movement Association Cortex *Voluntary movements, learned skills Motor Cortex Loss of voluntary movement & spastic paralysis (stroke) Parkinson’s disease/dystonia Basal Ganglia Proprioception Cerebellum *Automatic movements, postural adjustments Reticulospinal Vestibulospinal medullary pontine lateral medial Flexors Ataxia Nystagmus Extensors Extensors Spinal Reflexes Stretch Pain Force # action potentials/motor unit, and # motor units active Motor Unit = motor neurone + its muscle fibres Large, fast, fatigable/ Small, slow, fatigue-resistant Skin, Muscle, Joint Movement *Rapid, protective reflexes Flaccid paralysis Neuropathies ICBruce2002 Figure 10-13 Motor activity must be informed about the body’s center of gravity in order to make adjustments in the level of stimulation to muscles whose contraction prevents unstable conditions (falling). Extensive neural networks between the major “motor areas” of the cerebral cortex permit fine control of movement, utilizing sensory and intentional signals to activate the appropriate motor neurons at an appropriate level of stimulation. Figure 10-10 Efferent motor commands from the cerebral cortex are contralateral or “crossed,” meaning that the left cortex controls the muscles on the right side of the body (and vice versa), whereas the brainstem influences ipsilateral (same side) motor activity. Figure 10-12 Somatotopic Map The location and relative size of the cartoon bodyshapes represent the location and relative number of motor-related neurons in the cerebral cortex. Planned Voluntary Movement Association Cortex *Voluntary movements, learned skills Motor Cortex Loss of voluntary movement & spastic paralysis (stroke) Parkinson’s disease/dystonia Basal Ganglia Proprioception Cerebellum *Automatic movements, postural adjustments Reticulospinal Vestibulospinal medullary pontine lateral medial Flexors Ataxia Nystagmus Extensors Extensors Spinal Reflexes Stretch Pain Force # action potentials/motor unit, and # motor units active Motor Unit = motor neurone + its muscle fibres Large, fast, fatigable/ Small, slow, fatigue-resistant Skin, Muscle, Joint Movement *Rapid, protective reflexes Flaccid paralysis Neuropathies ICBruce2002 THE VERY END