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Motor System ,[object Object],[object Object],[object Object]
 
 
 
 
Motor homunculus First discovered by Penfield
Brodmann areas
Motor cortex ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Motor cortical areas ,[object Object],[object Object],[object Object],[object Object],[object Object]
primary motor cortex ,[object Object],[object Object],[object Object],[object Object]
Course of the corticospinal tract ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medulla motor cortex internal capsule Upper motor neuron Lower motor neuron anterior horn cell
Functional role of primary and secondary motor areas ,[object Object],[object Object],[object Object],[object Object],[object Object],SMA PMC MI CST Motor units
Motor system ,[object Object],[object Object],[object Object]
Lower motor neuron ,[object Object],[object Object],[object Object],alpha motor neuron gamma motor neuron
alpha motor neuron gamma motor neuron corticospinal tract Arrangement at the  anterior horn cell
alpha motor neuron ,[object Object],[object Object],[object Object],[object Object],[object Object]
motor unit ,[object Object],[object Object],[object Object],[object Object],[object Object]
motor unit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upper motor neuron ,[object Object],[object Object],[object Object]
Extrapyramidal tracts ,[object Object],[object Object],[object Object],[object Object]
Extrapyramidal tracts ,[object Object],[object Object],[object Object],[object Object],[object Object]
reticulospinal tract ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
midbrain pons medulla spinal cord reticulospinal tract
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
vestibular nuclei & tracts ,[object Object],[object Object],[object Object],[object Object]
midbrain pons medulla spinal cord vestibulospinal tract mainly extensors
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
red nucleus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
midbrain pons medulla spinal cord rubrospinal tract mainly flexors
tectospinal tract ,[object Object],[object Object],[object Object],[object Object]
midbrain pons medulla spinal cord tectospinal tract cervical segments
inferior olivary nucleus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renshaw cells ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upper motor neuron Lower motor neuron extrapyramidal tracts pyramidal tracts alpha motor neurone gamma motor neurone
Clinical Importance of the motor system examination  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Basis of tests ,[object Object],[object Object],[object Object],[object Object]
Muscle tone  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Corticospinal tract Extrapyramidal tracts Alpha motor neuron Gamma motor neuron ,[object Object],[object Object],Muscle spindle
Clinical situations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Main abnormalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Lower motor neuron lesion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upper motor neuron lesion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
tendon jerks (reflexes) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Babinski sign ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
positive Babinski sign
Site of lesions Cortex Internal capsule Brain stem Spinal cord Anterior horn cell Motor nerve Neuromuscular junction Muscle
Site of lesions monoplegia only 1 limb is affected either UL or LL, lower motor neuron lesion hemiplegia on half of the body including UL and LL lesion in the Internal capsule paraplegia both lower limbs thoracic cord lesion quadriplegia (tetraplegia) all 4  limbs are affected cervical cord or brain stem lesion

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Motor system2 pathways

  • 1.
  • 2.  
  • 3.  
  • 4.  
  • 5.  
  • 6. Motor homunculus First discovered by Penfield
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Medulla motor cortex internal capsule Upper motor neuron Lower motor neuron anterior horn cell
  • 13.
  • 14.
  • 15.
  • 16. alpha motor neuron gamma motor neuron corticospinal tract Arrangement at the anterior horn cell
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. midbrain pons medulla spinal cord reticulospinal tract
  • 25.
  • 26.
  • 27. midbrain pons medulla spinal cord vestibulospinal tract mainly extensors
  • 28.
  • 29.
  • 30. midbrain pons medulla spinal cord rubrospinal tract mainly flexors
  • 31.
  • 32. midbrain pons medulla spinal cord tectospinal tract cervical segments
  • 33.
  • 34.
  • 35. Upper motor neuron Lower motor neuron extrapyramidal tracts pyramidal tracts alpha motor neurone gamma motor neurone
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 48. Site of lesions Cortex Internal capsule Brain stem Spinal cord Anterior horn cell Motor nerve Neuromuscular junction Muscle
  • 49. Site of lesions monoplegia only 1 limb is affected either UL or LL, lower motor neuron lesion hemiplegia on half of the body including UL and LL lesion in the Internal capsule paraplegia both lower limbs thoracic cord lesion quadriplegia (tetraplegia) all 4 limbs are affected cervical cord or brain stem lesion