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00:02 All right, good morning. Was it hard getting here this

00:07 Like, yeah, I mean, every ounce of energy I was sitting

00:10 my office at 715 and I couldn't focus. My eyes were so blurry

00:15 because like, you're not supposed to here and, you know, I

00:21 just the way the schedule works. I could, I would have canceled

00:24 too. Right. I'm like I, I'd rather sleep in.

00:28 , but today, what we're gonna is we need to finish up.

00:30 have two more lectures to go. . We're gonna talk about uh motor

00:34 and then when we come back on , after we filled ourselves turkey,

00:39 get our special fall break right before . I mean, it's the stupidest

00:43 ever, right? I mean, Thanksgiving but having a break like the

00:48 being, um, what we'll do we'll do the nervous system and u

00:54 when we go through pathways, you're see a lot of really, really

00:57 names that are very, very But they'll be, we say we

01:01 a, we have a question, is it coming from and where is

01:04 going to and it should tell us we need to know about that

01:09 And so this is what we're talking motor pathways. And the good news

01:13 that they're not particularly, they're gonna like it, but they're not um

01:19 we have is we have things that polysynaptic poly means more than one.

01:24 there's gonna be more than uh uh two neurons. Well, it's gonna

01:29 two neurons, but there's usually going be more than one synapse. And

01:32 , it's polysynaptic because we're gonna be lots of different parts of the

01:36 Now, here's the good news in class. Remember this is what we

01:39 a freshman level course or a sophomore course. And we're not going to

01:43 there and say we need you to every step of every type of movement

01:46 you're ever gonna do. We're gonna some very generic overviews of the

01:51 All right. So that's kind of way that you should be looking at

01:54 is what does this look like All right. So that's kind of

01:59 descriptive descriptions. So, generically, motor pathways are going to begin in

02:04 or two places. It's gonna start here at the cortex or it's gonna

02:07 down here in the brain stem. right. So we already know that

02:11 gonna be two types, one that's , one that's brain stem, what

02:16 gonna do regardless of where you start you're gonna travel down the spinal cord

02:20 then what you're gonna do is you're terminate, start a second neuron and

02:24 that's gonna go on to the effector . The effector organ generically is gonna

02:29 a muscle or a gland. All . Now, the whole time we're

02:32 talk about this, we're just gonna talking about muscles, right? But

02:36 doesn't mean that glands are not included these mutter pathways. So like when

02:40 salivate, you're sending a signal to salivary glands to start squirting juice.

02:45 right. So that is, it , it's actually called salivary juice.

02:49 , right. So the idea here a motor pathway is something, sending

02:53 signal to make something happen cause whatever effect is. All right.

03:00 functionally, this is what we think skeletal muscles and we rarely think about

03:05 autonomic contractions. And so we're thinking movement, but also posture and balance

03:11 muscle tone. All right. So just sitting there, your motor pathways

03:16 incredibly active, making sure that you're up, right? And your head's

03:20 flopping around and you're not sliding out your chair. All right. With

03:26 in mind, we've already talked about they originate right? To get input

03:35 different parts of the brain. We're go back to that basal nuclei.

03:39 memorize a whole bunch of things and like, I don't know why I

03:42 to memorize this stuff today is the we come back to that. All

03:45 , we're gonna be looking at the nuclei again generically and we're gonna look

03:49 a couple parts of it and seeing it plays a role in this.

03:52 the other place is the cerebellum, said the cerebellum was a structure that

03:56 created that was kind of put off the side to do special processing for

04:01 , right, to do calculations. so in order to move, we're

04:05 have to use those calculations. So cerebellum is gonna play a role.

04:09 , the good news is that not do we have two simple systems,

04:13 we have two simple neurons in our . We have easy names for

04:18 One is called the upper neuron. is called the lower neuron that makes

04:22 easy, right? So the upper is going to be the one that

04:26 either in the cortex or in the stem and travels down the spinal cord

04:30 ends up in the spinal cord. lower neuron is the one to which

04:33 synapses. So it begins in the cord and goes out to the muscle

04:37 the gland. There is not a neuron. Yay, that makes it

04:44 . All rights are direct and All right, pause time out when

04:49 hear direct. What does that mean you straight too? What is

04:55 not straight. All right. So kind of gives you a sense of

04:59 what happened here is that they discovered pathway and they said, oh,

05:04 something all we have here. It here and it goes right down to

05:08 muscles. So I'm just gonna just it away here. So the directs

05:12 the ones gonna begin in the They're like, oh this is

05:14 It goes right down to, it direct to the muscles and then they

05:19 weight, not all movement begins in cortex, it begins someplace else.

05:24 these are not direct, they are , right? So the ones that

05:29 basically begin in the brain stem are indirect pathways. So that makes it

05:33 of simple. All right. we're gonna walk through them so that

05:37 understand them. All right. with regard to the lower motor

05:42 it was no, that was just pathways. All right, this is

05:46 seem much more confusing because as I this, I realized my language sucks

05:50 I wrote this down in the So I'm gonna try to walk through

05:54 . All right. So the cell is gonna be localized to the ventral

06:00 . All right. Why the ventral ? Well, because that's where we're

06:07 . Um It can also be found some cranial nuclei and that's when we're

06:11 be dealing with stuff in the head neck region. So for example,

06:14 glands, right, we're gonna leave spinal cord. This isn't new via

06:21 ventral root. So here you can I'm over in the ventral horn

06:24 I come and off. I go my skeletal muscle. Now,

06:29 always, always no other ex uh are no circumstances where this is not

06:34 . This is like the one place you could say here's an always lower

06:39 neurons are always excitatory. So if excite an lower motor neuron, I

06:44 a contraction. If I stop sending signal, it relaxes. All

06:50 So lower motor neurons are always they are never inhibitory. All

06:56 So if I'm trying to inhibit muscle , what would I be doing is

07:00 would be blocking excitatory neurons, So I'd be upstream of that,

07:06 . So the upper neurons can be or excitatory, but the lowers are

07:12 excitatory. Now, this is where gets kind of funky. So here

07:17 are, we're looking at a All right. And what we have

07:21 is we have two different types of neurons that are part of this lo

07:26 motor neuron. You can either be alpha or a gamma. All

07:31 These are both mo uh motor neurons send excitatory signals to cause a muscle

07:37 contract. All right. But the that a muscle works is you have

07:42 fibers that are responsible for the majority the contraction. And then you have

07:48 group of muscles that play a role detecting the degree of stretch in that

07:56 . All right. So the muscles the outside, the things that play

08:00 role in contraction are what we refer as the extrafusal muscle fibers. Then

08:07 the packed inside those extrafusal is kind this connective tissue structure where you have

08:12 intrafusal muscle fibers. So, extrafusal the outside, intrafusal, on the

08:18 , the inside part is wrapped in tissue. The alphas go to the

08:24 , the gammas go to the intrafusal together they will cause that whole unit

08:29 contract together. All right. Now intrafusal muscle fibers? Well, they

08:37 a group of muscles that act like this is where my English is

08:41 right? So I have a a here and it's like the question

08:45 what is this, this statement down ? So it's not the gammas that

08:49 as appropriate receptors. It's the skeletal . So this group of muscles serves

08:55 a proprioceptor for that muscle group. right. So how do you know

09:02 high to raise your hand? When someone waves, well, you

09:06 a contraction that your brain is sending to the extrafusal fibers and the

09:12 But the intrafusal fibers are the ones are being measured to look at the

09:16 of stretch. If the degree of is too much or too little,

09:19 make corrections. All right. So can see here there are sensory fibers

09:26 in with those intrafusal fibers So we're the degree of stretch of this whole

09:33 based on the amount of stretch going inside there. Does that make

09:40 Ok. If it doesn't make we're gonna come back to this like

09:44 very end of the lecture. All . But I want you to understand

09:47 the lower motor neurons are the ones are directly innervating and they are both

09:52 alphas and these gammas and they're working to make sure the muscles are,

09:57 contracting to the degree of contraction that want it to contract. All

10:04 so far, are you with Ok. Now your body, this

10:08 not new. This is something we've about multiple times. Your body demonstrates

10:14 organization to it. And so your cord is going to represent that

10:20 So this is what we refer to somatotopic. Um And so here is

10:25 example of your body. You can here is my head and I had

10:28 down my arm. And so if were to look in the gray matter

10:33 that ventral horn, I would find muscles that are being innervated are coming

10:38 lower motor neurons from the medial side the gray matter. And as I

10:42 laterally, I'm further and further Now, this is something that you

10:47 already familiar with. If you're driving the highway and lanes are emerging

10:51 you're being pushed further and further and to the left. Right.

10:56 The lanes are coming and as lanes , you're now moving further and further

11:01 the right without even having to change . Right. It's just, if

11:04 have three lane highway, it turns a four lane highway, I get

11:07 over a lane. Right. And kind of what's going on here is

11:11 the wires, your nerve fibers are coming in and they're pushing things over

11:17 over and over. And that's what somatotopic is. And so when we

11:22 at the spinal cord, generally we look at the brain, that

11:27 is going to be conserved. And part of the reason why your brain

11:30 where information is coming from because it that information. We've talked about motor

11:38 . I'm just throwing this in here that if you don't remember what a

11:40 unit is, you don't have to look it up in unit two.

11:44 right. So I'm just gonna That's like, all right, when

11:48 get to the upper motor units, again, don't be freaked out by

11:51 picture. I'm not making you memorize organization here. What we're talking about

11:56 we're looking at a special group of that are processing that information they're located

12:02 in layer five. And again, not gonna ask you which layer are

12:05 located in? Because it's not that . But I want you to just

12:09 demonstrate because we mentioned this before. that, hey, the cortex has

12:12 six layers and processing is done in six layers. And it's here that

12:17 cells are originating in the primary motor . And what they're gonna do is

12:22 going to Decca at some point before get down to the lower motor

12:27 And so what that means is is the right side of your brain is

12:31 affect the left side of your body the left side of brain affects the

12:33 side of your body where it decussate upon what type of fibers we're looking

12:38 . All right. So most of , when we're dealing with the direct

12:41 , it's gonna be primarily up in brain stem. So you're gonna see

12:45 crossing in the medulla where the pyramids located, but we're gonna see some

12:49 don't do that. They wait until get down to the very bottom.

12:53 you're in the spinal cord and that's they cross over. All right.

12:58 , there are interneurons in here. said this is polysynaptic. All

13:03 And when we say polysynaptic, that more than one synapse. But if

13:06 have two chain or two neurons in chain, you only have one

13:09 right? So why is it Well, because there are other interneurons

13:16 . All right. So whenever we a contraction in an extensor, we're

13:20 to cause relaxation and a flexor, flip those around flexor extensor. All

13:26 . So that happens because there are synapses there. We are trying to

13:31 a simple model. So we understand to lower muscle, right? But

13:37 sort of movement is gonna be lots lots of neurons involved. It's a

13:41 complex process. And as I upper neurons can be excitatory or

13:50 So the lower motor neuron coming here going to excite and so the upper

13:56 neuron going to that lower motor neuron going to be excitatory. But I'm

13:59 send also an inhibitory signal here to that extensor from contracting or really the

14:08 on this side from contract. I the extensor to contract. All

14:12 So there's a certain degree of antagonism on at the level of the upper

14:18 neuron. Do you remember this The weird one, the mo the

14:25 motor homunculus. All right. And , I'm just throwing this up here

14:30 I want to remind you that this the origin of these upper motor

14:36 All right. So the signal to you wiggle your tongue originates here.

14:41 mean, the signal to tell that to to contract originates there down.

14:50 you think about wiggling your tongue, your thinking about wiggling your tongue originate

14:55 ? Where do you think it originates here? Right? Frontal lobe,

15:03 ? This is where all the thinking the planning takes place. So you

15:06 already see that this is not the where the thought of it begins.

15:12 where the signal to make the muscle begins. All right. So that

15:17 we're gonna have to send information to primary motor cortex to make it do

15:22 job. Ok. Put another way in your car, you want your

15:28 to go. How do you make car go press the gas? But

15:32 you ever opened up the front hood the car? Is there more to

15:36 car than just a gas pedal and gas tank? Oh, yes,

15:40 goodness. Yes. Right. There many, many other things that affect

15:45 go. Right. And that's kind what we're referring to here is that

15:50 understand how the information makes or how signal gets down to the muscle.

15:55 we're kind of looking at the stuff makes this happen. All right.

16:01 , we've already talked about all this . All right. So we have

16:03 map it, it exhibits of plasticity we have very specific areas due to

16:09 and this path, I mean, don't even talk about some of these

16:12 , but so here's your motor And what we're gonna be looking at

16:16 is we're looking at this thing called premotor cortex. You can see there's

16:20 supplementary motor cortex, there's association we have other areas that are involved

16:25 I'm just trying to keep this as as possible. All right. So

16:30 does this do? All right. has some upper motor neurons,

16:35 So it can't actually send signals, generally speaking, what it's doing is

16:39 working in association with the primary motor to get moving happen. All

16:46 Again, organization, soma atypic meaning going to follow the same sort of

16:53 . So what it's gonna do is going to initiate the signal first that

16:59 tells the primary motor primary motor cortex to do. All right, it

17:05 responsible for storing your motor memory. , motor memory is kind of a

17:11 term. All right. So for , if you were to dribble a

17:16 , right? That is not motor . All right. That is a

17:20 action that's actually stored in the All right, motor memory would be

17:25 like, oh what am I supposed do here? Like the example I

17:30 up here is like, what's a five versus a wave? Right?

17:36 mean, they both require the same lifting up your hands and then doing

17:41 with a wave. What do I with a high five? What do

17:44 do? Right. So it's knowing to do in context. That's the

17:50 memory, right? Walking and tap are very similar things, but they

17:57 not so similar that you would confuse for the other, right? That's

18:02 idea here. All right. The thing that it does, it plays

18:06 role in sorts of movements that are to visual or sound cues. Now

18:11 , this is not reflexive sound or movement. All right, that's going

18:16 be at the level of the vestibular or the level of the brain

18:20 But the idea would be, um example, um you know, I

18:25 , I'm not saying like turning your but you know, some sort of

18:28 cue you see uh a football come . That's the, the, the

18:33 is to protect myself, but you yourself to do what catch the

18:38 right? So that would be the cue. I'm watching, I'm

18:42 I'm grabbing the football. That would the idea here. All right.

18:47 they can send directly, but generally , it's motor cortex. So the

18:51 that you think of the premotor cortex it is talking to the motor cortex

18:56 the primary motor cortex. Notice I one, the we're not talking about

19:03 supplementary motor area. We're just, moving on to really, this is

19:08 day to do that kind of makes want to go to their office and

19:20 banging on stuff while they do it you do know it's windy, they're

19:27 gonna blow right back. At least getting paid. All right. So

19:35 areas, remember with association areas, take information and we put things together

19:39 make actions happen. All right. the uh the association areas we're interested

19:46 are the prefrontal association and the posterior . All right. So, with

19:51 prefrontal, what we're gonna do is going to talk to that premotor and

19:55 primary motor cortex and this is making that you understand what you're supposed to

20:01 doing. This is basically the thinking . All right. Oh, I

20:05 the ball coming to me. What I supposed to do? I'm supposed

20:10 , you know, catch the ball move to the ball or whatever it

20:14 . That is the idea of what frontal lobe is responsible for and what

20:18 association area is here. All the posterior parietal. Now, on

20:23 other hand, is taking information from somatosensory cortex and it is making sure

20:28 you're doing the precise muscle movements. other words, you are uh refining

20:35 in response to uh the sense of or even with regard to vision,

20:42 know. So remember we talked about occipital lobe being primarily vision, but

20:46 occipital information moves or that vision information upward. And so you're coordinating things

20:53 , right? So this information is taking input and then sending it

21:00 to help refine how your movement is gonna happen. So, associations are

21:06 are important for that reason. So down, all right, this is

21:14 the brain stem plays a role in information. There's two different areas of

21:20 for us. All right. The is the vestibular nuclei uh in this

21:25 , it's not a great picture. you can't orient yourself. So here

21:28 can see cerebellum, this is brainstem down the green jelly beans here represent

21:35 vestibular nuclei. So the information is in and coming back to the

21:39 You can see that right information does down to the vestibular nuclei. Also

21:44 reticular formation, which is just this area uh through the middle of the

21:50 stem and remember what is the reticular for alertness? The idea of keeping

21:56 body awake, sending signals all over brain and vestibular. When you hear

22:00 , what should you think about Ok. So vestibular, remember we

22:07 learned about the inner ear, the apparatus. That's where all the equilibrium

22:14 is located. All right. So gonna come back to the vestibular

22:20 but information is going up and coming through those areas to help us kind

22:25 know our position in space, the nuclei we've talked about and we named

22:31 the a couple of these structures. again, we're not gonna go through

22:35 say, please identify which one does want. What I'm trying to do

22:38 I'm trying to paint a broader picture . All right. So what it

22:43 in a very generic sense is it antagonistic or unnecessary movement? All

22:48 And we've talked a little bit about . We did this previously and we

22:52 , hey, you know, when move, there is unnecessary movement that

22:56 blocked. So I don't actually visually what's going on. So for

23:01 if I go and grab a uh cup, I got one right

23:05 Thank you. You know, you see it happening, but my hand

23:10 overshoot and undershoot. So when I into it, I'm moving like so

23:14 because I'm doing it before the actual takes place, it smooths it out

23:18 so I can go and grab something straightforward. But in Parkinson's which affects

23:23 basal nuclei, you don't see that , you see the tremor because that

23:28 antagonistic movement does not get blocked. again, this is a review

23:36 So if you get lost, you to flip back and ask these questions

23:39 these structures are. So we're going be looking at the globus claus.

23:44 it's this region in here for the part. But other ones are going

23:47 be uh taking uh uh playing a as well. All right. So

23:52 , I'm not going to walk through . They're just there for you.

23:56 is the fun map. All Again, this is not a memorization

24:00 . This is a, let's try understand it map. First of two

24:11 , Gaba and glutamate closely related to other. Gaba is the inhibitor glutamate

24:17 the excitatory neurotransmitter. So Gaba is as a brake glutamate is acting as

24:24 gas pedal. So what you can is that the thalamus plays an important

24:30 in activating or exciting the motor That's what the green arrow represents.

24:36 I'm adding gas to make the motor work so that I can get a

24:40 contraction. The problem is, is thalamus is a little bit over

24:46 In other words, what it does when it sends signals, it just

24:49 all the signals right. So this where you get that antagonistic move,

24:53 hand is going this way. no, no. Go that

24:54 go this way, go that go this way, go that

24:56 And it's sending information too quickly in motor cortex. It's just sending the

25:00 and that's why you get this really . So what we need to do

25:03 we need to inhibit how often the sends the information. All right.

25:09 so this is the role of the nuclei, which is what all the

25:14 here represents. So you can see our little cartoon, right? We

25:18 this portion, the globus polatis, internal globus potus plays a role in

25:24 the thalamus acting as a break. right. So if I push on

25:28 break, that's going to inhibit the , ignore the colors of these two

25:33 , right? So if I inhibit thalamus, then it is no longer

25:37 the motor cortex and the motor cortex no longer sending a signal. Does

25:41 make sense? So I'm blocking All right. If I take away

25:48 blocking of ex citation. What do get? I have a negative and

25:53 positive if I take away the what do I get the positive?

25:56 get excitation? All right. So I'm doing is I'm regulating the

26:03 Ok. Now, when I regulate regulator, I can regulate in one

26:06 two ways I can positively regulate or regulate. All right. So I

26:11 inhibit or I can excite if I the negative regulator, what I'm doing

26:17 I'm pressing on the brake, So here I'm just trying to show

26:22 here if I stimulate the internal globus , what does that do? That

26:27 the release of the inhibitory neurotransmitter which the thalamus. If I block the

26:34 , I don't excite the motor Do you see how I'm doing this

26:37 ? Each step is doing so, let's do the opposite. If I

26:42 inhibiting the internal Globus palas, I'm longer inhibiting the thalamus. Does that

26:49 sense? Right. Two negatives make positive? Right. So if I

26:55 the inhibitor, I'm allowing the thalamus stimulate the motor cortex, which causes

27:00 muscle contraction. So do you see we're doing here is we're, we

27:05 have a system that is just gonna constantly on. And so what we're

27:09 is we're turning it on and on and off, on and

27:11 on and off, on and depending upon specific needs, right?

27:15 what's going on here. All So the internal, internal globs Palat

27:20 inhibit this activity. And so I directly uh uh interfere or directly activate

27:31 system. That's what they say. speaking, the basal nuclei acting on

27:35 own internal parts can either excite it inhibit it. And so if I

27:40 it, that means I block, means this stuff gets blocked or I

27:44 block this, which doesn't block which now allows this to go

27:49 That makes sense. Yeah, I that blank look. Yeah, you're

27:57 . Yeah, up there. OK. I mean, you woke

28:01 early today just to be here. could be driving home and eating turkey

28:06 . Well, really Thursday. But , sir, we're gonna get to

28:12 in a sec. All right. gonna be the indirect pathway. All

28:18 . Now, this is not the and the indirect pathway of the motor

28:22 . This is how do we influence basal nuclei directly or indirectly. So

28:29 this is saying is internally, the nuclei can act directly on the internal

28:34 palais and tell it what to All right. So that's like me

28:42 you what to do directly, If I were to do it

28:47 I could tell you to tell her tell her to tell her to tell

28:51 what to do. You're still getting message, but it's indirect,

28:58 So the direct pathway is acting on internal Globus Pettus to tell the thalamus

29:06 tell the cortex what to do. I can do this both excitatory or

29:12 way in the, in indirect What I'm gonna do is I'm going

29:17 take something like the th uh subthalamic . So this is not in the

29:22 , it's just sitting below and I activate this system. All right.

29:26 this is acting externally to that. how do I regulate that?

29:31 I can have structures that regulate which that would be indirect. All

29:35 what else do I have up I had another structure I was looking

29:39 earlier. No, I guess I thought I did, I thought

29:45 saw something earlier. Maybe it's over . Oh yeah, here it

29:49 You know, I had a slide said this. So this is just

29:51 example. Remember, do you remember the substantia nigra is located?

29:57 but you remember what it is? the black substance, right? It's

30:01 a region in the brain stem. right. And its job is

30:05 it kind of acts as a a system to release all sorts of

30:09 to excite and to inhibit all sorts systems in the brain. So the

30:14 Nigra, for example, can activate direct pathway. So it sends a

30:19 to the basal nuclei which then goes here directly there or what it could

30:23 is it could be someplace out here activates this, which or which inhibits

30:29 , which inhibits or which activates so and so forth. So, the

30:32 here is I can go through and this basal nuclei in different ways.

30:41 not just the basal nuclei acting on motor cortex to tell you how to

30:51 . I'm gonna jump forward a couple here just for a second. We're

30:54 come back. Please do not memorize slide. This is just a visualization

31:01 show you all the different parts of brain that are involved in movement.

31:05 this isn't the complete thing. It's trying to show you. Remember if

31:09 is where um movement is being signaled your muscles. Look at all the

31:15 things that are involved. Occipital lobe through the association cortex. A on

31:20 primary frontal lobe is acting on mo cortex. We have the supplementary motor

31:25 . We have the premotor cortex, have the basal nuclei and everything is

31:31 information to all sorts of different places they're talking to each other and motor

31:36 becomes incredibly. So, do you you have to know the pathway?

31:45 do you think? Good answer. . But did you know that the

31:50 cortex is affected by the basal nuclei a direct and an indirect fashion?

31:56 . Can we say that maybe we to know some other structures involved is

32:00 thalamus involved in motor movement? What about the cere or the

32:06 Yeah. Right. Remember what are trying to do with the cerebellum?

32:10 cerebellum plays an important role to make that you're doing the right sorts of

32:15 . Like, oh, I wanna a ball. Hey, uh,

32:19 , how do I catch a Well, you need to contract

32:22 ABC D and inhibit muscles. Ef G. Ok, that's what we're

32:28 do. Oh, wait, the has changed position since I last calculated

32:32 that is. What am I supposed do? Cerebellum? Oh,

32:35 now stop doing, start doing a bit. OK. The balls moved

32:41 in the last mill since I What do I do? And that's

32:45 the cerebellum is doing. It's constantly and recalculating the kind of movements you

32:50 to be making and it's sending that up, which is what it's

32:53 it's acting and sending it through the and the thalamus is exciting the motor

32:58 and this is what you need to the motor cortex because information is constantly

33:06 . All right, I'd like to this to writing a program, you

33:11 , a computer program, but most you guys probably don't know how to

33:14 that. I don't know how to it. So I'm not gonna pretend

33:18 I know, but I've seen and . All right. Now I've looked

33:23 a computer and there's a lot of I don't know what they do and

33:25 afraid I'm gonna break everything. Now there again, the cerebellum has

33:30 organization to it. Um We have types of cells. Uh for

33:35 pini cells, these are the ones actually send information down deep. So

33:39 processing can take place within the cerebellar . Remember nuclei is where the cell

33:45 is located. And then we have fibers and here moss fibers is how

33:48 receiving information into the cerebellum so that can then send it onward. All

33:53 . So it's getting information from all of the body. All right,

33:59 get information from my muscles, What are you doing? Where are

34:03 located? I need to make calculations on what I know about you.

34:08 Spinal cord, send me information, , send me information, cerebrum,

34:14 me information. So we're processing all stuff and then what they're gonna do

34:18 they're gonna send information in different So it's gonna send it to the

34:21 nuclei. What was vestibular nuclei responsible equilibrium imbalance? We're gonna send a

34:27 nucleus. If you don't remember we're gonna get to that in just

34:29 second. All right. And we're gonna send information up to the

34:33 cortex. So the re bellum is . So structures involved so far in

34:39 include the cerebrum. We have the motor cortex, we have the premotor

34:45 , we have the association areas. have some other stuff that we haven't

34:49 . The thalamus plays a role the nuclei play a role. The brainstem

34:56 a role. The cerebellum plays a . Oh my goodness, movement is

35:03 . OK? But what we're interested is not so much. How are

35:08 working together? Just that movement involves different things? All right, so

35:14 you guys with me. OK. you can stare at this for a

35:20 . So let's get down to What are the direct and the indirect

35:24 ? This is nomenclature time. This anatomy. The direct pathways are sometimes

35:33 to as the pyramidal tracts because they originated the pyramidal cells and then they're

35:37 go down to the brain stem or the spinal cord. Now without knowing

35:41 else, why would I just want stop here in the brain stem?

35:49 , from two neurons. So why I stop here? Is there any

35:55 of movement that I would be doing this level? I don't know.

36:15 , you got it. See if rest of you get it. Facial

36:26 . Are those skeletal muscles? Do want to sit him down and then

36:30 back up again? No. So stopping here so we can control

36:39 Anyone here able to move your wiggle ears. I can't do

36:46 I know there are people here that . So just looking around.

36:49 no one's no one's gonna, that's a special skill. That's something you

36:53 on your resume can wiggle ears. . OK. All right. We

36:59 down to the spinal cord because we're dealing with the rest of the

37:02 We have two tracks, corticospinal. do you think that one's going to

37:10 and then cortical bulbar? All Now, I told you we have

37:13 different things. Brain stem or So, what do you think bulb

37:17 projecting to brain stem? Yeah, that simple. All right. It's

37:22 bulbar regions of the brain is I don't know why they call it

37:25 . All right. So we're gonna first at the cortical spinal tract.

37:30 when you look at this, you all these jelly beans and it gets

37:32 , really scary. But the only beans we're interested in are the jelly

37:36 that are listed underneath the pyramidal Oops, sorry, let's do this

37:42 . It's these two right there. is called the lateral one is called

37:46 ventral cortical spinal tract. So it tells you where it's located. The

37:53 giant pink jelly bean is the latter . The little tiny green jelly bean

37:57 the ventral one. It's located in lateral funiculus if you're lateral or you're

38:02 the ventral funiculus, if you're So, so far nomenclature is pretty

38:08 . All right. Now, here's thing. These are the ones that

38:11 responsible for your movement, your skeletal . All right. So corticospinal is

38:19 really, really straightforward. Now, we're gonna do is we're gonna go

38:23 the motor cortex and we are going Decca State. So this is where

38:29 starting and we're coming here and we're Decca State and then we're going to

38:32 down like, so, and then gonna come in and exit out.

38:36 right. So that would be the when you're dealing with the uh the

38:45 VRS. What you're gonna do is gonna come down, I'm just gonna

38:49 one that we're pointing to. So gonna originate up here in the uh

38:53 cells of the cortex. You're gonna down and then what you do is

38:58 decussate in the spinal cord. So in the lateral, I'm Decca in

39:04 medulla in the ventral, I'm Decca in the spinal cord itself. And

39:09 that's when you'd come out like, that makes sense. OK. So

39:14 they cross is different, what am dealing with lateral deals with appendicular skeletal

39:20 ? Where's your appendicular skeletal muscles? and legs? Great. And then

39:26 axial skeletal muscles are ventral. So pretty straightforward, just compare

39:40 Here's that cortical bulder. All So again, upper motor, we're

39:46 be in the motor homunculus. So gonna be premotor cortex. We're coming

39:50 through, we're going through and exiting via the cranial nerves, jaw,

39:57 , pharynx, tongue, all So facial muscles, swallowing, wiggling

40:07 time, that sort of thing. there's what it's responsible for. So

40:12 are all direct. So it should pretty straightforward, so far. So

40:18 . All right, me, so . So good. That leads us

40:27 the indirect pathways also called the extra . They originate in the brain

40:33 So we already mentioned that. All . And they're going down to the

40:36 cord and they have these four different . So these are the jelly beans

40:40 here. 1234. OK. They names. All right. The names

40:46 gonna tell us exactly where they originate the brain stem and where they

40:52 All right. So we're just going look at the first one. Where

40:54 you think the vestibular spinal tract originates nuclei? Now it's gonna be brain

41:00 , but it is right. So gonna be from the vestibular nuclei.

41:04 right. What about the reticulospinal Anything have reticular reticular reticular formation?

41:14 . All right. Rubber is gonna a little bit more difficult because you

41:17 to do a little translation here. how about tectospinal? Is there a

41:21 ? Remember that? Sound like tch ? So it begins in the

41:28 So way back when I said, gotta remember I learn these structures because

41:32 gonna come back to them here. are. All right. That was

41:35 only reason I wanted you to learn so that you wouldn't be going

41:38 I don't know what these things All right. They're named for where

41:41 begin in the spinal cord or in the brain stem. All

41:44 So what do they do? with regard to the vestibular spinal

41:49 there is a lateral one and a one. All right. So

41:53 where are we beginning? Well, generically, what do they do?

41:56 play a role in balance and All right. So it tells you

42:00 the name, but they're beginning in vestibular nuclei. All right, what

42:05 gonna do is they're gonna take that from the inner ear and the cerebellum

42:09 they're gonna go down and play a in innervating your postural skeletal muscles.

42:15 right. Now, again, this just about sitting upright, it's maintaining

42:21 posture, depend upon activity and what trying to accomplish. Right?

42:27 if you feel yourself tipping over, acting in a way where you don't

42:32 to think about, oh, I'm over. I'm going to bring myself

42:34 up. They're naturally moving your body the position that your brain wants it

42:40 be in. Ok. So it's automatic response. It's a subconscious

42:46 but it requires skeletal muscle to do . All right. I mean,

42:53 now, can you feel yourself how sitting in the chair now?

42:57 You kind of relaxed in the chair I told you to sit up,

43:02 ? Some of you will do it ? Because you've been trained by a

43:06 or an evil teacher who made you that, right? OK. Medial

43:14 going to be dealing with controlling the muscles so that your head sits still

43:20 that when you move and you're sitting , your head is not just flopping

43:26 . All right, it just holds head in upright position based upon

43:29 So when you're moving around, notice you don't walk like a pigeon,

43:33 seen how pigeons walk, right? don't walk like that, do

43:38 Right? And the reason is because hold your head up and your head

43:42 basically your brain is saying this is my vision is supposed to be

43:46 Oh OK. And I'm keeping my in the right position. You're not

43:49 around. All right. So that be balance and posture, Vullo spinal

43:56 . So the lower one uh lateral the b uh more or less

44:01 This is more or less head, head and it kind of matches

44:06 So at that, we discussed, right, reticular spinal tract. So

44:12 is a reticular formation. So this gonna play a role again in

44:17 but primarily locomotion and reflexive movement. right. Um In terms of what

44:23 want you to know here is that are primarily muscles of that are extensors

44:31 you're innervating here. All right. we have the medial, one lateral

44:36 they originate in different areas. One poke, one is medullary, but

44:40 just referred to them as medial and now. And so what we're dealing

44:45 is this is a, um, for the most part. So let's

44:50 put that excitatory and then the lateral mostly inhibitory and I have it there

44:57 I can just success. So, Tori Tori there, I'll spell it

45:01 . Uh, handwriting is awful. be a little bit cleaner.

45:19 So aols ponds laterals, medulla, , inhibitory reflect the best move.

45:26 , if I am dealing with should I still with flex ex,

45:30 , deal with flexors as well? do you think? Yeah. And

45:34 that's what the rubrospinal tract is. , they originate in the red

45:42 Rub means red or ruddy. So referring to that region. All

45:50 So here we're dealing with flexion. again, red nucleus, we're going

45:55 Decca immediately and then go on down then down to the ventral and then

46:00 to those flexor muscles. OK. the last one tectospinal tract,

46:12 we went through this stuff quick Now, you're all regretting getting up

46:18 early. Me too. All So with regard to the tech

46:24 it's going to be in the that's where it originates. So here

46:29 see tectum and what we're gonna do we are uh gonna be primarily dealing

46:36 moving heads in response to visual All right. So visual stimuli would

46:43 I see something and so I'm going move my head as I follow

46:47 Just think tennis court, right? ever go to a tennis match.

46:55 . Follow the ball. I had friend who was a pro at uh

47:05 Oaks. He always let me go the clay court games. Got me

47:09 all the time. Tennis is much fun to play than to watch.

47:14 , anyway, so that's primarily what doing is, is moving your head

47:18 regarding the visual stimuli. All Um The last little bit here

47:24 is I think just some stuff I to wrap up. We have things

47:28 cpgscpgs are central pattern generators. A pattern generator is that thing which is

47:35 to combine both uh reflexive activity as as somatic activity. And so when

47:41 walk, for example, that would creating a reflexive pattern, but it

47:47 actually some voluntary motor movement, So it takes initiation, but once

47:53 begin the process, it happens, ? It's just a repeated action.

47:58 is another example. Um Have you once you start chewing? Do I

48:01 gum? Yeah. Yeah, that's this is in high school, you

48:05 chew all the gum you want you can come with a big old

48:07 of gum, right? But the is like once you start chewing,

48:11 like, hm hm hm hm I just keep chewing. That's why

48:15 gum is so awesome. All you're basically mashing something based on the

48:19 in your mouth, but you'll just that process going because the gum kind

48:24 serves as like a, an oral and it's basically AC PG that's,

48:29 causing that reflexive response. Breathing is reflexive response as well. Basically,

48:35 you're gonna do is breathe in and you, you create that pattern of

48:40 action and then exhale and then you repeat it over and over again.

48:45 don't have to sit there and it's an automatic response but it is

48:49 muscle blinking, right? Is a reflect is, is a automatic

48:56 It's AC PG as well. All . So really what this is

49:00 I don't know if I even show the picture, but basically, it's

49:03 cyclical pattern and it's basically a timing . And so what you'd have is

49:07 have a network of say uh innovation the sensors and flex. And so

49:12 you're doing is you're exciting one and the other and then once uh the

49:18 gets strong enough, it actually flips around so that you could keep moving

49:22 the two points. And so here have a picture of a cat.

49:26 you ever watch a cat walk, always struts. Right. Exactly.

49:30 And so what you can see here you watch, you'd see,

49:33 I'm basically flipping the response between the and flexors over and over and over

49:40 and you do the same thing, . That's what walking is. All

49:45 . So where do these cpgs It's primarily in the brain stem and

49:49 also there's some in the higher cortex now we're gonna get back to that

49:56 thing. I haven't talked about the tendon reflex or the muscle spindle

50:02 Have I? Cause I used to it in unit two or unit

50:08 But I wanna make sure I haven't about it before. Right? I

50:11 back and looked at my notes. didn't see it in there. I

50:13 to actually te teach it twice. right. So what we're gonna do

50:17 we're going to deal with this stretch and what is called the Golgi tin

50:21 reflex? All right. So here are, we're looking at that motor

50:26 , right? You see the two neurons going down, there's the alpha

50:29 the gammas, there's your extrafusal. can see where the connective tissue

50:33 You can see the intrafusal on the . What we're doing is we are

50:37 the inter fusil fiber. And what asking is, is, are we

50:41 the muscle in the right place? . Now, what I used to

50:45 um in here is I would bring my big £12 book cause I have

50:50 big old £12 book and I'd have come up here and stand and I'd

50:53 them hold it out here like right. And I'd say imagine holding

50:57 £12 book. Usually I'd find the guy in the class cause the,

51:01 the f fun ones to tease. . So, imagine holding that £12

51:04 . Would your arm get tired holding out? You know. Right.

51:07 so your arm would begin slipping, . But what if I told you

51:11 you're holding that book out that I kill you. If you drop that

51:14 or lower your arm right? you have an incentive to keep it

51:18 there. Right. And so you imagine a gun to your head,

51:22 to hold the book out. All . Now, how do I know

51:25 my arm, if my arm is the right place? Well, it's

51:29 the response of this stretch reflex. right. So when I move my

51:33 out, I am contracting the muscles a specific uh degree of tension.

51:39 I, and that tension is there make sure that the arm is in

51:42 right position, right? But as get tired, the amount of tension

51:47 I'm going to produce is gonna right? Would you agree with

51:51 And so how do I know that tension has changed? Well, if

51:54 extrafusal muscle fibers are primarily responsible for the tension, even though the intrafusal

52:01 involved, it's the intrafusal muscles that innervated and they're detecting the degree of

52:08 in that. Ok. So both them are stretching and contracting to create

52:14 degree of tension, but I'm only inside the intrafusal. All right.

52:18 that's what this is trying to show is that innervation? Now, if

52:23 flip the slide over here. All . So if I detect by those

52:30 , that afer neuron that there is in the amount of stretch. In

52:35 words, that book is getting too for me and my arm begins to

52:40 . I'm gonna feel or I'm gonna that intrafusal fiber stretching more than it

52:47 that where I set it. And signal is then going to travel up

52:53 that spinal nerve through the dorsal horn then it's going to terminate on to

52:59 alpha fibers. And it's gonna hey, you're being overstretched, you

53:06 to produce more tension. You see we're doing here. So as my

53:11 begins to fall, I detect it the intrafusal fibers and IC cause a

53:17 . That's a reflex in the This is your stretch reflex.

53:23 you can see this, right? again, if I had you hold

53:26 book out here, that's not a thing, right? If I say

53:30 , I'm not gonna put a gun your head this time and I give

53:32 a book and I put that book top and you're like, OK,

53:35 not a problem. But I take book right? And make sure your

53:38 books out and put another book on . What's gonna happen to your

53:42 It's gonna go down and then what you do? You bring it right

53:45 up, right. So that is reflex that you're seeing in action and

53:49 can keep stacking books, stacking stacking books, and each time you

53:52 another book you'd see the kind of it dip down and then I'd bring

53:56 right back up again. That would the stretch reflex. All right.

54:00 , what it's doing is it's ensuring my muscles are being positioned as I

54:05 planned. So the reflex is taking at the level of the spinal

54:09 but the plan of contraction is taking where a pot right cortex. The

54:20 type of reflex that deals with movement the Golgi tendon reflex. We talked

54:26 muscles, muscles have at their We have tendons. OK. Now

54:34 , imagine here I am holding these and I started stacking those books on

54:38 , stacking the books on top. I'm gonna get to a point where

54:41 book or the books weigh more than can hold, right. And so

54:47 when a muscle contracts, what is doing? It's pulling on that

54:51 And so it causes the tendon to first a little bit to give and

54:55 it pulls on the bone, And so if I keep pulling and

55:00 on that tendon, and I keep more and more tension on that

55:05 right? And there there's greater weight the bone. So the bone is

55:08 the other way and the muscle is this way what's happening in that

55:13 It's stretching more and more and there's be a point where I put too

55:16 tension on what's gonna happen. It's tear or rip. Right. Is

55:21 ever happened to anybody here? you, you, you have

55:26 Yeah, it's a lot of isn't it? Yeah. High school

55:30 weights thought I was so cool right in the pack. Yeah, it

55:36 so much fun. All right. protects against that. So what it

55:43 is it's measuring the degree of stretch the tendon. All right. And

55:49 , notice it's not telling the you know, the muscle to contract

55:55 . It's just saying, ok, building up, I'm building up tension

55:57 when the tension becomes too high, says I need to protect the

56:03 And so it sends an inhibitory signal that muscle and says, stop

56:09 So here I am holding my keep stacking the books, stacking the

56:12 , the weight gets too much. do I do? The muscle

56:16 I drop the books. I protect muscle. Ok. So it's an

56:24 reflex to ensure that the muscle gets doesn't get harmed. All right.

56:33 , not too bad. We're done . This is uh the motor

56:37 So just to, before we go out of here you go and get

56:41 coffee for the morning, I want kind of give you the big overview

56:44 what we looked at so far, in this unit, we've looked at

56:48 coming in that sensory information, So that's how we, we looked

56:53 the sensory pathways, we looked at special senses. And then now we're

56:58 at that information as it comes that's what the motor pathways are.

57:02 it's really easy to remember those two just sent versus motor. OK.

57:07 last thing we're gonna do when we back after Thanksgiving, we remember we

57:10 a lecture on Tuesday again. because this is just how the schedule

57:16 . And then we have a Our last test. Nothing else on

57:21 Thursday. Ok. So I want to go home. I want you

57:26 enjoy your Thanksgiving. All right. , that's your job. That's,

57:32 don't expect you to study. I even the homework for, for today

57:36 close until Sunday, right? So the idea is you can get it

57:41 tomorrow if you want to, but have until Sunday to get it

57:45 But when we come back, it's class. Last exam we're done.

57:53 ? And we're gonna talk about the nervous system. I've been talking about

57:56 or mentioning it over and over and again all semester. Finally get into

58:00 . Have a great day and a Thanksgiving. Eat lots of turkey for

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