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The motor systemThe motor system
OutlineOutline• MusclesMuscles• ReflexesReflexes• Brain motor systemBrain motor system• Disorders of movementDisorders of movement
Types of MusclesTypes of Muscles
Smooth muscleSmooth muscle• Digestive tractDigestive tract• ArteriesArteries• Reproductive systemReproductive system• Controlled by autonomic nervous Controlled by autonomic nervous
systemsystem Striated muscle: Two typesStriated muscle: Two types
• Cardiac muscleCardiac muscle• Skeletal muscleSkeletal muscle
ReflexesReflexes
Monosynaptic reflexesMonosynaptic reflexes• Involves only one synapse (two neurons)Involves only one synapse (two neurons)
Polysynaptic reflexesPolysynaptic reflexes• Involve more than one synapseInvolve more than one synapse
Monosynaptic reflexesMonosynaptic reflexes
Sensory neuron Sensory neuron from muscle to from muscle to spinal cordspinal cord
Motor neuron Motor neuron from spinal from spinal cord to musclecord to muscle
Polysynaptic reflexesPolysynaptic reflexes
Reciprocal Reciprocal inhibitioninhibition• When one When one
muscle is muscle is voluntarily voluntarily contracted, contracted, the other is the other is automaticalautomatically inhibitedly inhibited
Polysynaptic reflexesPolysynaptic reflexes
Flexion reflexFlexion reflex• Jerking hand away Jerking hand away
from hot surfacefrom hot surface• Pain receptors Pain receptors
transmit info to transmit info to interneurons in interneurons in spinal cordspinal cord
• Interneurons excite Interneurons excite the muscles and the muscles and inhibit the reciprocal inhibit the reciprocal musclesmuscles
• Leads to the actionLeads to the action
Reflexes change….Reflexes change….
Born withBorn with• RootingRooting• SteppingStepping• BabinskiBabinski• GraspingGrasping
All are gone by 1 year of ageAll are gone by 1 year of age• Never actually gone, but rather inhibitedNever actually gone, but rather inhibited
Pathway to the BrainPathway to the Brain
Two routesTwo routes• Lateral Lateral
pathwaypathway Voluntary Voluntary
movementsmovements
• Ventromedial Ventromedial pathwaypathway
Automatic Automatic processesprocesses
Lateral pathwayLateral pathway
Information comes from the motor Information comes from the motor cortex or the red nucleus to the cortex or the red nucleus to the spinal cordspinal cord
Contralateral organizationContralateral organization
Ventromedial pathwayVentromedial pathway
Posture Posture Coordinating head and trunk Coordinating head and trunk
movements with eye movementsmovements with eye movements Respiration, coughing, sneezingRespiration, coughing, sneezing
CerebellumCerebellum Does not appear to initiate movementsDoes not appear to initiate movements Plays a role in coordinating movementsPlays a role in coordinating movements
• Contracts and relaxes the muscles at the Contracts and relaxes the muscles at the right times to produce a sequence of right times to produce a sequence of movementsmovements
Receives information from motor Receives information from motor cortex via the ponscortex via the pons
Sends excitatory information back to Sends excitatory information back to motor cortex via the thalamusmotor cortex via the thalamus
Basal GangliaBasal Ganglia
Collection of cell bodiesCollection of cell bodies• Caudate nucleusCaudate nucleus• PutamenPutamen• Globus pallidusGlobus pallidus
Like the cerebellum, Like the cerebellum, receives information receives information from the motor cortex from the motor cortex and sends it back to and sends it back to the motor cortex via the motor cortex via the thalamusthe thalamus• The information is The information is
inhibitory thoughinhibitory though
The Basal GangliaThe Basal Ganglia
Damage can lead to Parkinson’s Damage can lead to Parkinson’s DiseaseDisease
TheoryTheory• Less dopaminergic activity in Basal Less dopaminergic activity in Basal
GangliaGanglia• Less inhibition of thalamusLess inhibition of thalamus• Overstimulation of thalamusOverstimulation of thalamus• Less activity in frontal lobeLess activity in frontal lobe
Symptoms of Parkinson’s Symptoms of Parkinson’s DiseaseDisease
Difficulty movingDifficulty moving Tremor in resting body partsTremor in resting body parts Frozen facial expressionsFrozen facial expressions Stooped postureStooped posture Loss of balance, frequent fallsLoss of balance, frequent falls Autonomic disturbancesAutonomic disturbances Premature deathPremature death
Causes of Parkinson’s DiseaseCauses of Parkinson’s Disease
Degeneration of substantia nigra Degeneration of substantia nigra (midbrain)(midbrain)
Less dopaminergic activity in basal Less dopaminergic activity in basal gangliaganglia
Genetics in early-onset casesGenetics in early-onset cases Correlates with exposure to toxins:Correlates with exposure to toxins:
• Synthetic heroinSynthetic heroin• Agricultural chemicalsAgricultural chemicals• SolventsSolvents
Treatments of Parkinson’s DiseaseTreatments of Parkinson’s Disease
L-DOPAL-DOPA• Precursor to DopaminePrecursor to Dopamine• Leads to an increase in the amount of Leads to an increase in the amount of
dopaminergic activity throughout the bodydopaminergic activity throughout the body• Benefit: increases in dopamine levels in the Benefit: increases in dopamine levels in the
basal ganglia lead to a decrease in the PD basal ganglia lead to a decrease in the PD symptomssymptoms
• Cost: BAD side effectsCost: BAD side effects Increases in dopamine levels throughout the body Increases in dopamine levels throughout the body
lead to issues with the liver and other organslead to issues with the liver and other organs ONLY treats the symptoms, not the causeONLY treats the symptoms, not the cause
Motor cortexMotor cortex
Primary motor cortexPrimary motor cortex Supplementary motor area (SMA)Supplementary motor area (SMA) Premotor areaPremotor area
SMA SMA
Involved in the Involved in the planning of planning of controlled controlled movementsmovements
Receives Receives information from information from the visual pathway the visual pathway and send info to and send info to primary motor primary motor cortex and the cortex and the brainstembrainstem
Premotor areasPremotor areas
Involved in the Involved in the sensory guidance sensory guidance of movementsof movements
Orienting the body Orienting the body correctly to pick up correctly to pick up a glassa glass
The fine The fine coordination coordination needed comes from needed comes from the cerebellumthe cerebellum
FeedbackFeedback
Motor systems are highly intertwined Motor systems are highly intertwined with feedback from the visual systemwith feedback from the visual system
Gives the ability to change a Gives the ability to change a movement throughout the movement throughout the movementmovement
Disorders of the motor systemDisorders of the motor system
ToxinsToxins Myasthenia gravisMyasthenia gravis Muscular dystrophyMuscular dystrophy PolioPolio Lou Gehrig’s diseaseLou Gehrig’s disease Huntington’s DiseaseHuntington’s Disease Parkinson’s DiseaseParkinson’s Disease
ToxinsToxins Cholinergic agonists Cholinergic agonists
(e.g. black widow spider (e.g. black widow spider toxin) overstimulate the toxin) overstimulate the neuromuscular junction, neuromuscular junction, producing convulsions producing convulsions followed by paralysis.followed by paralysis.
Cholinergic antagonists Cholinergic antagonists paralyze muscles:paralyze muscles:• CurareCurare• Botulinum toxinBotulinum toxin• Cobra venomCobra venom
Myasthenia gravisMyasthenia gravis Autoimmune disorderAutoimmune disorder Results in the breakdown of Results in the breakdown of
acetylcholine (ACh) receptors on the acetylcholine (ACh) receptors on the muscle fibermuscle fiber
Symptoms include extreme weakness, Symptoms include extreme weakness, fatigue, droopy eyelids, slurred speech, fatigue, droopy eyelids, slurred speech, difficulty swallowing and breathingdifficulty swallowing and breathing
Treatments include medications that Treatments include medications that suppress the immune system or inhibit suppress the immune system or inhibit acetylcholinesterase (AChE)acetylcholinesterase (AChE)
Muscular dystrophyMuscular dystrophy
Heritable conditions Heritable conditions involving the muscle involving the muscle protein dystrophin.protein dystrophin.
Premature muscle Premature muscle growth is followed growth is followed by degeneration.by degeneration.
Gene therapy may Gene therapy may provide effective provide effective treatments soon.treatments soon.
PolioPolio
The polio virus The polio virus destroys alpha destroys alpha motor neurons.motor neurons.
Without neural Without neural input, muscles input, muscles degenerate.degenerate.
Vaccination may Vaccination may eradicate polio eradicate polio world-wide in the world-wide in the next few years.next few years.
Lou Gehrig’s DiseaseLou Gehrig’s Disease
aka Amyotrophic Lateral Sclerosis aka Amyotrophic Lateral Sclerosis Motor neurons in the spinal cord and Motor neurons in the spinal cord and
brainstem degenerate.brainstem degenerate. 5-10% of cases are due to genetic defects5-10% of cases are due to genetic defects
• The rest are sporadic: no known causeThe rest are sporadic: no known cause Correlated environmental factors include Correlated environmental factors include
vigorous activity and viruses.vigorous activity and viruses. Treatments for symptoms are being Treatments for symptoms are being
developeddeveloped
Huntington’s DiseaseHuntington’s Disease
A genetically A genetically programmed programmed degeneration of degeneration of neuronsneurons
Produces Produces involuntary, jerky involuntary, jerky movements, movements, depression, depression, hallucination and hallucination and delusions.delusions.
Huntington’s DiseaseHuntington’s Disease
Heritable conditionHeritable condition• Parents with HD pass it on 50% of the Parents with HD pass it on 50% of the
timetime Antibiotics and fetal tissue Antibiotics and fetal tissue
transplants and maintaining activity transplants and maintaining activity may provide treatment in the future.may provide treatment in the future.