0910 - gerak (08) dr zainuri_motorneuron

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    SOMATOMOTOR

    SYSTEM

    Zainuri Sabta N

    Dep. Anatomi FK UII

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    Sel pada

    jaringan

    saraf

    Neuron

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    Organization of the

    Nervous System

    2 big initial divisions:

    1. Central Nervous System

    The brain + the spinal cord

    The center of integration and

    control

    2. Peripheral Nervous System

    The nervous system outside ofthe brain and spinal cord

    Consists of:

    31 Spinal nerves

    Carry info to and from thespinal cord

    12 Cranial nerves

    Carry info to and from thebrain

    Cerebrum

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    Peripheral nervous

    system

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    Dorsal column

    Lateral

    column

    Ventral column

    & White Matter

    GRAY

    MATTER

    (substantia

    grisea)

    WHITE MATTER

    (substantia alba)

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    Wheres the

    insula?

    Whats this

    called?Whats the name of this

    region

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    Cerebral Cortex

    3 types of functional areas:1. Motor Control voluntary

    motor functions

    2. Sensory Allow for conscious

    recognition of stimuli3. Association Integration

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    Cortical Motor Areas

    Primary motor cortex

    Brocas Area

    Premotor cortex

    Frontal Eye

    Field

    1. Primary Motor

    Cortex

    2. Premotor Cortex3. Brocas Area

    4. Frontal Eye Field

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    Sistem Motoris

    1. Located in the precentral gyrus of each cerebral hemisphere.

    2. Contains large neurons (pyramidal cells) which project to SC

    neurons which eventually synapse on skeletal muscles

    Allowing for voluntary motor control.

    These pathways are known as the corticospinal tracts or

    pyramidal tracts.

    Substantia

    grisea

    Substantia

    alba

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    Primary (Somatic)

    Motor Cortex

    Somatotopy

    The entire body is representedspatially in the primary motorcortex, i.e., in one region we haveneurons controlling handmovements and in another regionleg movements, etc.

    Neurons controlling movement ofdifferent body regions do not

    intermingle. What does it mean to say that

    motor innervation iscontralateral?

    Lets look at the motor

    homunculus.

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    Somatotopik

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    Motor Cortex

    Functions and properties of premotor cortex, motor cortex, and supplementary motorarea

    The premotor cortex codes object position with respect to arm, independent of

    fixation point and hand configuration

    Primary motor cortex is sensitive to forces needed to perform a reaching movement

    Like the somatosensory cortex, the motor cortex has a somatotopic map

    The motor map can change after amputation, a result of loss of strength of

    inhibitory interneurons connecting two areas in the motor cortex

    Following amputation, the size of the motor region bordering amputated region

    enlarges; phantom limb pain may be a result of size imbalance between the two

    hemispheres

    Following a lesion of a motor region, forced use of damaged region (constrained

    motion rehabilitation) helps restore some motor function

    Some primary motor cortex neurons respond to direction of muscle forces, thus

    primary motor cortex is responsible for determining required muscle activity to

    generate desired movement

    Supplementary motor area (SMA) is responsible for memory-guided movements

    whereas premotor cortex is responsible for visually-guided movements

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    CORTICOSPINAL TRACT Origin at premotor cortex, motor cortex (M1),

    somatosensory cortex (S1) Axons run through pyramids (medulla) and 90%

    cross in lower medulla to form lateral

    corticospinal tract and 10% remain ipsolateral

    mostly going to ventral corticospinal tract

    Split-brain patients (surgical separation of corpus

    callosum)

    Distribution of CST fibers provides good control of

    contralateral arm/hand, but poor control of

    ipsolateral and little control of ipso. Hand

    Language center is on left hemisphere, can only

    vocally identify items perceived by right side of

    body (thus left arm is an alien arm)

    Conduction speed in CST increases early in life

    due to myelination but remains relatively

    constant afterwards despite growth/lengthening

    of pathway

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    Attachment of skeletal muscle

    Tendons

    aponeuroses

    fascia

    origin insertion

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    Penampang

    otot

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    Innervation of Skeletal Muscle

    Terdiri dari satu atu lebih nervus

    Satuan persarafan otot mengandung:

    1. -motor axon (mensarafi otot extrafusal)

    2. -motor axon (mensarafi otot intrafusal)

    3. autonomic efferents

    4. 2A aferen dari muscle spindle

    5. 2B aferen dari organ tendon Golgi

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    Motor Units

    - A functional unit formed by a motoneuron and all

    the muscle fibers that it innervates

    - Accounts for simultaneous contraction of a

    number of fibers within a muscle

    - Size: small in muscles for precision tasks

    large in postural muscles

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    Gradation of muscle contraction

    Strategy:

    - Increase the impulse frequency of motoneuron

    - Increase the number of motor unit recruited

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    Motor unit

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    Neuromuscular

    junction

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    PROPRIOCEPTIVE SENSATIONS

    (PROPRIOCEPTION)

    An awareness of the activities of muscles,tendons, and joints and of equilibrium is

    provided by the proprioceptive, or kinesthetic

    sense

    (It informs us of: - the degree to which the muscles arecontracted

    -the amount of tension created in the tendons

    -the change of position of a joint

    -the orientation of the head relative to the ground and in

    response to movements (equilibrium)

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    1. Enables us to recognize thelocation and rate of movement of

    one body part in relation to others

    2. Allows us to estimate weight anddetermine the muscular work

    necessary to perform a task

    3. We can judge the position andmovements of our eyes when we

    walk, type or dress in the dark

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    PROPRIOCEPTORS

    Proprioceptors: receptors located in skeletal muscles, tendons in and

    around synovial joints, and in the ear

    1. Muscle spindles*: delicate proprioceptive receptors interspersed

    among skeletal muscle fibers and oriented parallel to the fibers.

    * consist of 3 10 specialized muscle fibers: intrafusal fibers

    (partially enclosed in a connective tissue capsule that is filled with

    lymph)

    (in the central region of of each intrafusal fiber (represents the

    sensory receptor area for a spindle: central receptors): few or no

    actin and myosin contractile proteins (a) nuclear bag fibers, (b)

    nuclear chain fibers)

    The spindles are surrounded by skeletal muscle fibers of the musclecalled extrafusal fibers

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    The central receptor area (cannot contract lacks of

    myofilaments) contains two types of nerve fibers: (a)

    Type Iafiber, innervates the exact center of theintrafusal fibers.

    The branches of type Ia fiber: primary (anulospiral)

    endings wrap around the center of the intrafusal fibers

    (when the central part of the spindle is stretched

    the primary endings are stimulated and send

    impulses to the spinal cord)

    (b) Type II fibers(their branches: secondary (flowerspray) endings which are also stimulated when the

    central part of the spindle is stretched impulses to the

    spinal cord

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    The ends of the intrafusal fibers contain actin and myosin

    myofilaments (contractile portions of the fibers)

    (The ends of the fibers contract stimulated by gamma efferentneurons small motor neurons located in the anterior grayhorn of

    the spinal cord)

    EXTRAFUSAL FIBERS:

    -Innervated by large motor neurons: alpha efferent neurons

    (located in the anterior gray horn of the spinal cord, near gamma

    efferent neurons)

    THE MUSCLE SPINDLES:

    - Stimulated in response to both sudden and maintained stretch onthe central areas of the intrafusal fibers

    - monitor changes in the length of muscle contraction

    PROPRIOCEPTORS

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    PROPRIOCEPTORS

    Flower spray

    (1)

    (2)

    (3)

    (4) Articular capsule

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    b. Golgi tendon organ

    a. Muscle spindle

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    1. THE MUSCLE SPINDLES:

    -Are stimulated in response to both sudden and maintained

    stretch on the central areas of the intrafusal fibers

    - Monitor changes in the length of a skeletal muscle by

    responding to the rate and degree of change in length This

    info. is relayed to the CNS: to assist in the coordination and

    efficiency of muscle contraction

    2. TENDON ORGANS (Golgi tendon organs)

    -Proprioceptive receptors found at the junction of a tendon with

    a muscle

    -Help protect tendons and their associate muscles from

    damage resulting from exessive tension

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    Muscle Spindle Reflex

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    Golgi Tendon Reflex

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    Reflex Arcs

    A reflex is a rapid,predictable motor responseto a stimulus. Unlearnedand involuntary.

    Example?

    Components of a reflex arc:

    Receptorsite of stimulus

    Sensory neurontransmitsafferent info to CNS

    Integration center1 ormore interneurons

    Motor neurontransmitsefferent signals to effector

    Effector muscle or gland