Term
movements that are goal directed and preplanned by the individula |
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Definition
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Term
cortical motor areas contributing to the performance of voluntary movement reside in what lobes |
|
Definition
frontal, limbic, parietal |
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Term
frontal lobe contains 3 motor areas called what |
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Definition
primary motor cortex (M1), supplementary motor cortex (M2), lateral premotor cortex |
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Term
the limbic lobe contains what 2 motor areas |
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Definition
anterior cingulate (M3), posterior cingulate (M4) |
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Term
posterior parietal cortex contains what two motor areas |
|
Definition
postcentral gyrus, posterior parietal cortex |
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Term
posterior parietal cortex contains what specific areas for voluntary movement |
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Definition
Brodman's areas 3,1,2 (postcentral gyrus), Brodmann's areas 5,7 (posterior parietal cortex) |
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Term
primary motor cortex (M1) is what Brodmann's area? |
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Definition
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Term
Primary motor cortex (m1) is located where |
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Definition
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Term
the largest component of the primary motor cortex (m1) is buried in what? |
|
Definition
anterior wall of the central sulcus |
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Term
premotor cortex applies to all of which Brodmann's area |
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Definition
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Term
premotor cortex (brodmann's area 6) occupies which 2 hemispheric surfaces? |
|
Definition
lateral and medial hemispheral surfaces |
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Term
the term pre motor cortex derives from what |
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Definition
area 6 (premotor) lies rostral to area 4 (primary motor) |
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Term
pre motor cortex: supplementary motor area is what brodmann's area |
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Definition
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Term
pre motor cortex: first premotor area to be recognized as a functional distinct area of the premotor cortex |
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Definition
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Term
pre motor cortex: supplementary motor area is located where in the brain? |
|
Definition
superior frontal gyrus on the medial surface of the hemisphere |
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Term
pre motor cortex: supplementary motor area is immediately rostral to what representation in area 4? |
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Definition
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Term
pre motor cortex: supplementary motor area represents what? |
|
Definition
complete representation of the body |
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Term
pre motor cortex: supplementary motor area contains complete representation of the body in what order? |
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Definition
face, arm, leg in a rostrocaudal sequence |
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Term
pre motor cortex: which would require greater surface electrical stimulation to elicit movement? M1 or M2 |
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Definition
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Term
quick phasic movements are elicited with the stimulation of what area? |
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Definition
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Term
pre motor cortex: supplementary motor area (m2) is associated with what types of motions |
|
Definition
tonic contractions of the postural type that often are maintained for many seconds after stimulation ceases |
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Term
pre motor cortex: movements elicited by the supplementary motor area are present on what side? |
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Definition
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Term
pre motor cortex: movements involving proximal mm are mediated by direct projections from teh supplementary motor area to where? |
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Definition
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Term
pre motor cortex: some supplementary motor area projections may make what type of connection with alpha LMNs? |
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Definition
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Term
pre motor cortex: some supplementary motor area projections make monosynaptic connections with what |
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Definition
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Term
pre motor cortex: supplementary motor area is involved in what (general) |
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Definition
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Term
pre motor cortex: supplementary motor area is involved in what specifically? |
|
Definition
internal generation of complex movement sequences |
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Term
pre motor cortex: supplementary motor area is involved in coordination of what? |
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Definition
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Term
pre motor cortex: supplementary motor area is involved in what adjustments? |
|
Definition
postural adjustments that precede voluntary movement |
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Term
pre motor cortex: supplementary motor area may also be involved in the generation and control of what? |
|
Definition
visually guided simple reaching movements |
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Term
pre motor cortex: a patient with lesions of the supplementary motor area may have difficulty with what (general) |
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Definition
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Term
pre motor cortex: a patient with a lesion of the supplementary motor area would have difficulty with this specific action |
|
Definition
making a fist with one hand and SIMULTANEOUSLY turning their other hand palm up |
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Term
pre motor cortex: a patient with a lesion of the supplementary motor area would rather perform actions how? |
|
Definition
same movement with both hands or execute the movements sequentially |
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Term
lateral premotor cortex is what brodmann's area? |
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Definition
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Term
the lateral pre motor cortex is divided into what 2 areas? |
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Definition
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Term
lateral pre-motor cortex: area 6a alpha occupies most of what section of the brain |
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Definition
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Term
electrical stimulation of the lateral premotor cortex 6a alpha results in movements similar to those from area 4 (M1) but requires what? |
|
Definition
higher current intensities for lateral pre motor cortex |
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Term
movements of the lateral pre-frontal cortex 6a alpha are mediated by what |
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Definition
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Term
movements of the lateral premotor cortex 6a alpha are mediated by corticospinal fibers originating from what |
|
Definition
pyramidal cells of area 6a alpha |
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Term
lateral premotor cortex 6a beta is located where on the brain |
|
Definition
caudal part of teh superior frontal gyrus |
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Term
lateral premotor cortex 6a beta is immediately rostral to what |
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Definition
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Term
electrical stimulation of lateral premotor cortex area 6a beta evokes what types of movements? |
|
Definition
general movement patterns: rotation of the eyes, head, and trunk to opposite side |
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|
Term
what type of synergistic patterns may be elicited by the lateral pre-motor cortex 6a beta area |
|
Definition
flexion or extension of teh contralatereal limbs |
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Term
lateral pre-motor cortex: functions (2) |
|
Definition
initial phases of orienting the body and arm towards a desired target, controlling the proximal movements that project the arm to the target (reaching) |
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Term
lateral pre-motor cortex: controlling the proximal movements that project that arms to the target (reaching) would be consistent with what? |
|
Definition
corticospinal projections from parts of the lateral premotor cortex terminate primarily on the LMN's innervating proximal limb muscles |
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Term
cingulate motor areas are part of what lobe |
|
Definition
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|
Term
cingulate motor areas, M____, M____ |
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Definition
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|
Term
where is the cingulate motor area located on the brain? |
|
Definition
base and inferior bank of the cingulate sulcus of each hemisphere |
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Term
the cingulate motor area is divided into what 2 areas? |
|
Definition
rostral cingulate motor area (CMAr, M3) and caudal cingulate motor area (CMAc, M4) |
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|
Term
rostral cingulate motor area is located in what brodmann's area |
|
Definition
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|
Term
caudal cingulate motor area is located in what brodmann's area |
|
Definition
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|
Term
M3 rostral cingulate motor area, contains what somatotopic representations |
|
Definition
face, arm, and leg in rostral to caudal topography |
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Term
caudal cingulate motor area (M4) contains what somatotopic representation? |
|
Definition
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|
Term
each cingulate motor area is reciprocally connected to what? |
|
Definition
primary (m1) and supplementary (m2) motor cortices |
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|
Term
posterior parietal cortex comprises what brodmann's areas? |
|
Definition
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|
Term
posterior parietal cortex occupies what part of the brain |
|
Definition
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|
Term
posterior parietal cortex is involved in what? |
|
Definition
regulating movement, in particular the extremities |
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|
Term
posterior parietal cortex is involved in what general movements? |
|
Definition
goal-directed movements (reaching for and grasping an object) |
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|
Term
Posterior parietal cortex: 1st requirement prior to goal oriented movement |
|
Definition
spatial relationships between person and object |
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|
Term
posteiror parietal cortex: 2nd requirement prior to goal oriented movement |
|
Definition
orientation of the body to the object |
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|
Term
posterior parietal cortex: 3rd requirement prior to goal oriented movement |
|
Definition
physical properities of the object |
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Term
brodmann's areas 5 and 7 (posterior parietal cortex) receive what information? |
|
Definition
somatosensory (tactile and proprioceptive) and visual information |
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|
Term
important distinctions about areas 5 and 7 in regards to recieving somatosensory and visual information |
|
Definition
some sub-areas process primarily one type or the other, others integrate both types of information |
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|
Term
posterior parietal cortex contains representaitons of what structures? |
|
Definition
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|
Term
Sub areas of the posterior parietal cortex send information out to where? |
|
Definition
each of the different frontal and limbic lobe motor areas (m1, M2, lateral premotor CMA) |
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|
Term
input from teh posterior parietal cortex to the frontal and limbic lobes form what circuit? |
|
Definition
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|
Term
how does information from the primary somatosensory cortex reach the primary motor cortex (areas 3,1,2) |
|
Definition
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|
Term
neurons of M1 have this type of receptive field |
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Definition
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|
Term
M1 recieves projectiosn from these 3 areas |
|
Definition
premotor cortices, cingulate motor area, area 5 of the posterior parietal cortex |
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|
Term
M1 recieves projectiosn from these 3 areas |
|
Definition
premotor cortices, cingulate motor area, area 5 of the posterior parietal cortex |
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|
Term
each of the premotor cortices, recieves it predominant input from subregions of what areas? |
|
Definition
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|
Term
area 46 of the prefrontal cortex aka |
|
Definition
dorsolateral prefrontal cortex |
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|
Term
the dorsolateral prefrontal cortex is connected how to the premotor cortex, cingulate motor area, and supplementary motor area |
|
Definition
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|
Term
the dorsolateral prefrontal cortex is reciprocally connected to what areas |
|
Definition
pre motor cortex, supplementary motor area, cingulate motor area |
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|
Term
the dorsolateral prefrontal cortex is involved in what? (3) |
|
Definition
involved in short term memory for action-related sensory information, preparatory motor set, inhibition of motor responses to distracting stimuli |
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|
Term
M1 and the premotor cortices are reciprocally connected to what (2) |
|
Definition
cerebellum, basal ganglia |
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|
Term
projections between M1, premotor cortices, cerebellum and ganglia form what type of circuits? |
|
Definition
cortical-subcortical circuits |
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|
Term
what are the 2 cortical-subcortical cirucits formed by the M1, premotor cortex, cerebellum, and basal ganglia? |
|
Definition
cortico-basal ganglia-thalamo cortical circuit, cortico-cerebello-thalamo-cortical circuit |
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|
Term
the cortical-subcortical loops synapse in different portions of what |
|
Definition
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|
Term
the internal segment of the globus pallidus synapses in what part of the ventrolateral nucleus |
|
Definition
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|
Term
the internal segment of the globus pallidus synapses in the oral part of what nucleus |
|
Definition
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|
Term
the internal segment of the globus pallidus synapses in the oral part of the ventrolateral nucleus that, in turn, projects to what |
|
Definition
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|
Term
output from the cerebellum synaposes in two areas of what? |
|
Definition
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|
Term
output from the cerebellum synapses in two areas of the thalamus one of which projects to where? |
|
Definition
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|
Term
output from the cerebellum synapses in two areas of the thalamus one of which projects to the premotor cortex, and the other to where? |
|
Definition
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|
Term
the cortico-subcortical loops are differentially deployed depneding on what firstly? |
|
Definition
upon the type of voluntary movement being executed |
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|
Term
the cortico-subcortical loops are differentially deployed depneding on what secondly? |
|
Definition
the extent to which the motor skill has been learned |
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|
Term
To understand purposeful movement we first consider the role of what? |
|
Definition
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|
Term
purposeful movement does not occur in isolation from what |
|
Definition
the sensory perceptual experience of the environment |
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|
Term
purposeful movement occurs with movement and sensory perceptual experience working in concert as movement evolves |
|
Definition
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|
Term
|
Definition
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|
Term
haptic sensing by object manipulation depends on what firstly? |
|
Definition
integration of different modalities of sensory signals |
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|
Term
haptic sensing by object manipulation depends on what secondly? |
|
Definition
requires the integration of sensory information with the motor commands that themselves are responsible for for the temporal modulation of the sensory signals |
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|
Term
sensory modalities of haptic sensing |
|
Definition
cutaneous and proprioceptive |
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|
Term
most important cutaneous information of haptic sensing is derived from what surfaces of the finger tips? |
|
Definition
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|
Term
most important cutaneous information is derived from activation of what? |
|
Definition
both slowly and rapidly adapting mechanoreceptors |
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|
Term
the most important proprioceptive information of haptic sensing is derived from what? |
|
Definition
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|
Term
integration of cutaneous and proprioceptive information from the hand to identify an object |
|
Definition
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|
Term
what functions to store the information in working memory? |
|
Definition
dorsolateral prefrontal cortex |
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|
Term
the dorsolateral prefrontal cortex is reciprocally connected to what? (2) |
|
Definition
premotor areas of the frontal lobe and posterior parietal cortex |
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|
Term
movements of an individual finger are controlled by neurons in the hand area of the primary cortex via what projection? |
|
Definition
direct corticomotoneuronal projection |
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|
Term
motor information processed in the motor cortex eventually reaches skeletal muscle to produce movement, travelling in what tract? |
|
Definition
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|
Term
Corticospinal tract origin |
|
Definition
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|
Term
corticospinal tract: step 1 of 6 |
|
Definition
posterior limb of internal capsule |
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|
Term
corticospinal tract: step 2 of 6 |
|
Definition
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|
Term
corticospinal tract: step 3 of 6 |
|
Definition
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|
Term
corticospinal tract: step 4 of 6 |
|
Definition
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|
Term
corticospinal tract: step 5 of 6, ipsilateral |
|
Definition
anterior corticospinal tract |
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|
Term
corticospinal tract: step 5 of 6, contralateral |
|
Definition
lateral corticospinal tract |
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|
Term
information from the lateral corticospinal tract continues through what? |
|
Definition
ipsilateral upper motor neurons |
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|
Term
after passing information through the upper motor neurons, the lateral corticospinal tract continues information through what |
|
Definition
ipsilateral motor neurons to skeletal muscle |
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|
Term
information from teh anterior corticospinal tract continues through what |
|
Definition
ipsilateral upper motor neurons |
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|
Term
information from teh anterior corticospinal tract after passing through the ipsilateral upper motor neurons continues through what |
|
Definition
contralateral lower motor neurons and skeletal muscle |
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|
Term
which corticospinal tract is capable of bypassing both upper and lower motor neurons and synapsing on distal skeletal musculature? |
|
Definition
lateral corticospinal tract |
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|
Term
corticospinal tracts: controls the precision and speed of highly skilled movements especially those of the distal parts of the limbs |
|
Definition
lateral corticospinal tracts |
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|
Term
why does the lateral corticospinal tract control the precision and speed of highly skilled movements especially those of the distal part of the limbs? |
|
Definition
lateral CST fibers possessing few collateral branches, allowing for discrete control of single distal muscles |
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|
Term
which corticospinal tract has more collateral axons |
|
Definition
anterior corticospinal tract |
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|
Term
anterior corticospinal tract axons terminate on motor neurons that innervate which muscles? |
|
Definition
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|
Term
lower (alpha) motor neurons are located in the spinal cord are located in which lamina |
|
Definition
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|
Term
some lateral corticospinal tract fibers synapse directly on lower motor neurons in which lamina? |
|
Definition
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|
Term
lamina IX are arranged into what columns? |
|
Definition
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|
Term
lamina IX medial column supplies what |
|
Definition
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|
Term
which lamina IX column stays uniform in size as it extends through the length of the spinal cord |
|
Definition
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|
Term
lamina IX lateral column supplies what muscles |
|
Definition
all muscles except paravertebral |
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|
Term
the lamina IX lateral column is smaller in which regions? |
|
Definition
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|
Term
why is the lamina IX lateral column smaller in thoracic regions |
|
Definition
supplies only the intercostal and abdominal mm |
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|
Term
the lamina IX lateral column is extremely large in what regions |
|
Definition
cervical and lumbosacral regions |
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|
Term
why is the lamina IX lateral column larger in the cervical and lumbosacral regions |
|
Definition
supplies mm of the upper and lower extremities |
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|
Term
in the cervical and lumbosacral regions the lateral subdivisoin of the lateral column of lamina IX supplies which mm |
|
Definition
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|
Term
in the cervical and lumbosacral regions the medial subdivisoin of the lateral column of lamina IX supplies which mm |
|
Definition
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|
Term
corticobulbar tract origin |
|
Definition
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|
Term
corticobulbar tract: step 1 of 3 |
|
Definition
genu of the internal capsule |
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|
Term
corticobulbar tract: step 2 of 3 |
|
Definition
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|
Term
corticobulbar tract: step 3 of 3, cranial |
|
Definition
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|
Term
corticobulbar tract: step 3 of 3, brain |
|
Definition
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|
Term
the corticobulbar tract continues to cranial nerve nuclei which innervate what? |
|
Definition
bilateral innervation to cranial nerve nuclei |
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|
Term
the corticobulbar tract continues to cranial nerve nuclei which have bilateral innervation to cranial nerve nuclei, except to what? |
|
Definition
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|
Term
which tract mediates postural adjustments |
|
Definition
lateral vestibulospinal tract |
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|
Term
fibers of the lateral vestibulospinal tract descend how |
|
Definition
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|
Term
fibers of the lateral vestibulospinal tract descending ipsilaterally producing characteristic black dots on what nuclei? |
|
Definition
inferior vestibular nucleus |
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|
Term
fibers of the lateral vestibulospinal tract pass through the inferior vestibular nucleus before entering what? |
|
Definition
anterior part of the lateral funiculus of the spinal cord |
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|
Term
the lateral vestibulospinal tract facilitates what? |
|
Definition
motor neurons that innervate extensor muscles |
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|
Term
the medial vestibulospinal tract fibers descends how |
|
Definition
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|
Term
the fibers of the medial vestibulospinal tract form what |
|
Definition
spinal extenion of the medial longitudinal fasciculus |
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|
Term
fibers of the medial vestibulospinal tract descend only to where? |
|
Definition
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|
Term
medial vestibulospinal tract functions to influence what? |
|
Definition
axial muscles in the neck |
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|
Term
|
Definition
pontine (medial), medullary (lateral) |
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|
Term
cell bodies of the pontine (medial) reticulospinal tract are located where? |
|
Definition
medial pontine reticular formation |
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|
Term
fibers from the pontine (medial) reticulospinal tracts descend how |
|
Definition
|
|
Term
pontine (medial) reticulospinal tract function |
|
Definition
excitatory to lower motor neurons that innervate proximal extremity extensor muscles |
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|
Term
medullary (lateral) reticulospinal tract cell bodies are located where |
|
Definition
medial 2/3 of the medullary reticular formation |
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|
Term
fibers from the medullary (lateral) reticulospinal tract descend how |
|
Definition
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|
Term
medullary (lateral) reticulospinal tract descends to where |
|
Definition
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|
Term
medullary (lateral) reticulospinal tract function |
|
Definition
conveys autonomic nervous system information from higher levels |
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|
Term
cell bodies of the rubrospinal tract are located where |
|
Definition
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|
Term
what happens to axons as soon as they leave the red nucleus |
|
Definition
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|
Term
as soon as axons leave the red nucleus they cross where |
|
Definition
ventral tegmental decussation |
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|
Term
what happens when axons leaving they red nucleus cross the ventral tegmental decussation |
|
Definition
they form the rubrospinal tract |
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|
Term
rubrospinal tract serves to facilitate whta |
|
Definition
lower motor neurons that innervate flexor muscles, especially those associated with gripping |
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|
Term
cortical areas responsible for extraocular eye muscle activity project to where |
|
Definition
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|
Term
the fibers from cortical areas to the midbrain tectum are concerned with what movements? |
|
Definition
turning movements of the head and eyes |
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|
Term
the fibers from cortical areas to the midbrain tectum are concerned with what type of movements? |
|
Definition
greater influence on reflexive rather than voluntary eye movements |
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|
Term
many corticotectal fibers project to what 3 areas? |
|
Definition
superior colliculus, interstitial nucleus of cajal, nucelus of darkschewitsch |
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|
Term
tectospinal fibers from the interstitial nucleus of cajal and nucleus of darkschewitsch project to what CN? |
|
Definition
oculomotor, trochlear, abducens |
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|
Term
tectospinal fibers decussate where |
|
Definition
dorsal tegmental decussation |
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|
Term
tectospinal tract fibers descend how |
|
Definition
contralateral to their cell bodies of origin near the medial longitudinal fasciculus |
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|
Term
tectospinal tract only descends to which spinal levels |
|
Definition
rostral thoracic spinal levels |
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|
Term
why does the tectospinal tract only descend to rostral thoracic spinal levels |
|
Definition
because it influences motor neurons innervating neck muscles |
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|
Term
lesions of primary cortex affect what side |
|
Definition
|
|
Term
lesions of the primary cortex intially present how (5) |
|
Definition
weakness/paresis/hypotonia, reduced postural reactions, hyporeflexia |
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|
Term
lesions of the primary motor cortex present how later |
|
Definition
spasticity or hypertonia develop along with hypereflexia |
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|
Term
which movements usually show the greatest recovery with lesions of the primary motor cortex |
|
Definition
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|
Term
which movements usually remain weak and show lesser recovery with lesions of the primary motor cortex |
|
Definition
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|
Term
lesions of the supplementary motor cortex affect what side |
|
Definition
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|
Term
5 symptoms of lesions of the supplementary motor cortex |
|
Definition
severe controlateral akinesia, mutism, loss of facial expression, difficulty with tasks requiring cooperative movements of both hands, trouble performing self-initiated tasks |
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|
Term
|
Definition
poverty of or absence of movement |
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|
Term
|
Definition
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|
Term
a patient with a lesion of the supplementary motor cortex will not be able to use a hammer when placed in their hand, and will need what to get started? |
|
Definition
sensory cue of the hammer in hand is not enough, a visual, auditory, or tactile cue is needed to get started |
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|
Term
lesions of the premotor cortex include what 6 symptoms |
|
Definition
apraxia, slow/clumsy movements, proximal joint weakness, loss of proximal joint coordination, inability to learn and produce complex or sequential motor tasks, possible disruption of rhythmic movements |
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|
Term
loss of ability to carry out purposeful movements in the absecne of paralysis or sensory loss |
|
Definition
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|
Term
a patient with a premotor cortex lesion would have difficulty with which task: riding a bike, tying their shoe? |
|
Definition
riding a bike (rhythmic action) |
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|
Term
a patient with a premotor cortex lesion would not have difficulty with which task: riding a bike, tying their shoe? |
|
Definition
tying their shoe, requires DISTAL not proximal coordination |
|
|
Term
difference with premotor cortex lesions and supplementary motor area lesions |
|
Definition
Premotor lesion patients can perform self initiated tasks, but have difficulty with sensory triggered tasks |
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|
Term
premotor cortex lesion vs supplementary motor area lesions: hammer example |
|
Definition
premotor cortex lesion could use the hammer unprompted, but would have difficuluty learning to use the hammer in response to a sensory cue |
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|
Term
upper motor neuron lesions refer to lesions anywhere in the CNS that affect which pathwyas? |
|
Definition
descending pathways controlling activity of lower motor neurons |
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|
Term
characteristics of upper motor neuron lesions (4) |
|
Definition
hypertonia, increased DTRs, spastic paralysis, babinski sign |
|
|
Term
increased/spastic muscle tone |
|
Definition
|
|
Term
characteristics of lower motor neuron lesions |
|
Definition
hypotonia, decreased or absent DTRs, flaccid paralysis, progressive muscle atrophy of the muscles innervated by the lower motor neuron |
|
|
Term
decreased/abscent muscle tone |
|
Definition
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|
Term
overall funciton of the corticoreticulospinal pathway is |
|
Definition
strongly inhibit interneurons involved in stretch reflexes |
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|
Term
inhibitory cortical influences on the reticular formation supresses stretch reflexes by decreasing the usual facilitatory "tone" in what tracts |
|
Definition
|
|
Term
bilateral lesion of descending cortical tracts that occurs below the red nucleus |
|
Definition
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|
Term
decerebrate rigidity results in what posturing |
|
Definition
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|
Term
in decerebrate rigidity loss of inhibitory cortical input to the reticular formation "releases" the reticulospinal and vestibulospinal tracts resulting in facilitation of what |
|
Definition
extensors and axial muscles |
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|
Term
lesiosn large enough to cause decerebrate rigidity also produce what |
|
Definition
|
|
Term
bilateral lesion of descending cortical tracts that occurs above the red nucleus |
|
Definition
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|
Term
decorticate rigidty is characterized by what? |
|
Definition
high flexor tone in upper limbs, high extensor tone in the lower limbs |
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|
Term
decorticate rigidity is different from decerebrate rigidity in that what influences are also exaggerated in decorticate rigidity |
|
Definition
|
|