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00:06 although you haven't gotten your ice cream . Thank the classmates in the group

00:11 who turned that in. Yeah good guys. Um And for that you

00:17 gotten any come and get some. mean come on it's ice cream all

00:21 it's going to melt. And then be sad and we'll all be sad

00:25 we wasted ice cream. So a of guys went to a football game

00:30 be fine. Yeah. Yeah. know football is like life. You've

00:34 highs, you've got lows and then the half you come out and you

00:38 play and then you come back and quarter and you start playing again.

00:42 So that was the last game of season. So last home game we

00:46 against UConn and then against Cincinnati. we'll win out. I'm kind of

00:52 between the Cincinnati game right? I I want us to beat Cincinnati because

00:57 right? But if Cincinnati wins then have a better chance of screwing with

01:01 C. F. P. Which like my lifelong goal. I'm really

01:07 . I've never ever liked the football that we've that we've done ever

01:13 Well 1998 when my my college went . That was like the second year

01:18 the BCS. There are two other undefeated teams at the time. It

01:22 Tennessee and I think it was C. L. A. And

01:26 had all had a common opponent and all the teams to lane beat them

01:31 most and we were completely ignored and was of course it means to line

01:36 , you know? And so that's I first really got angry about the

01:39 thing and ever since then I've held personal grudge against the BCS, the

01:44 F P. O. Yeah, mean if I could, I'd hunt

01:46 people down and punch him in the , but since I can't do

01:51 what we're gonna do today is we're to talk about motor pathways and really

01:55 the gist of this lecture is is how do we send signals from our

01:59 down to our muscles? All And it's not just the muscles that

02:03 can think about controlling, but also that are under involuntary control, the

02:07 that are beyond just conscious thought. so, so when we look at

02:13 , just kind of think in terms , okay, how do I move

02:16 is really what this this lecture is about. And it's, you

02:21 sometimes when you look at this I promised I wouldn't do this,

02:23 I'm just gonna do it anyway. you look at the stuff it's kind

02:25 like, but don't do that. . Because really what it boils down

02:30 is is this right here, is there's a general pathway, All

02:35 These are all polly synaptic, there's general pathways that you can understand and

02:40 you understand the nomenclature then it just of falls into place and especially at

02:44 level, the freshman level where we have to actually track everything and identify

02:48 everything is going. Just kind of what each of these individual tracks are

02:53 and where they go. That's that's all. That's where does it start

02:56 ? Where does it go too? right. And what does it

02:59 So it's actually a lot easier than he presented. So I probably could

03:03 done to lecture in like six minutes then we can just go out and

03:05 out of here and eat our ice . But if I did that,

03:08 you'd be really mad because you paid lot of money to take this

03:11 So we don't do that. So I want to point out here

03:15 we're talking about motor pathways, what do is conscious skeletal muscle and autonomic

03:21 . Alright. So remember autonomic contraction be somatic in other words, it

03:26 be a muscle that you have conscious of. Right? So if I

03:31 your knee, right? You do the thing, you get that

03:34 reflex. That's an autonomic response. ? So that's kind of what we're

03:39 about. So posture, balanced muscle is what we're talking about turning

03:44 So the muscle tone, that's not you think about all day long,

03:49 ? It just is right, posture balance is not something you think

03:54 It just is, right? So what we're trying to get to

03:59 All right. So what do we the general path we're gonna start up

04:02 the cerebral cortex or the brain And it's going to be easy to

04:06 which ones which. All right. gonna travel down the length of the

04:10 cord and they're going to innovate a or a gland. All right.

04:14 that's the idea. All right, . Forget when you press one

04:21 it changes to that. All So all motor pathways All right.

04:27 going to get input from the basal in from the cerebellum. Remember these

04:31 the planning centers and we're going to at these planning centers and see how

04:34 make this thing really complicated looking but going to kind of take that step

04:38 and just say yeah, these other are involved, 2ndly. They're always

04:43 always always Well, there's probably some . There's always an exception but for

04:49 purposes is always to neuron chains. right. Which is kind of nice

04:54 remember what we're talking about century. said there was 123 chains up.

04:58 ? And now we're dealing with And so I have to change is

05:02 simple. We have one that's upper . That's lower. All right.

05:05 that makes it kind of easy. like all right. So I just

05:07 to know where the upper is the basically begins along in the cerebral cortex

05:12 in the brain stem and then it down into rates? Um the lower

05:18 neuron which then goes on to the . That's kind of easy. And

05:23 pathways are either going to be director . Those are the terms that they

05:27 doesn't mean that I'm going directly to or indirectly. Although it kind of

05:31 . But that's the terminology they The one is called the direct

05:34 One is called the indirect and then some sub pathways in with within.

05:39 we're gonna start with the lower motor and the lower motor neuron is going

05:44 be found in that ventral horn. ? So we're going to be uh

05:49 going to exit from the spinal We're gonna travel out the ventral we're

05:53 to move to the muscle and then going to be one of two different

05:58 of fibers. It's gonna be an motor neuron or a gamma motor

06:02 All right. Now, there's something the slide that is going to be

06:06 to read. And I want to it so that you're not horribly

06:10 Alpha. Simple. All right. you're looking at a muscle structure,

06:14 you're going to see is that the itself is actually divided into two

06:18 You have fibers that are found on outside of the structure and inside you

06:23 this kind of specialized capsule that has on the inside. We've talked about

06:29 before. We call these the extra cell muscles and then inside we have

06:33 interview cell muscles. All right. so it's a unit that looks at

06:37 degree of stretch. So the outer extra Feustel muscles are the muscles that

06:42 being used. And so when you you're stretching them or when you cause

06:46 to them, the muscles on the are moving and the muscle on the

06:50 is moving in response to the alpha the gamma. All right. ALF

06:54 the outside game on the inside. it's that inside interview cell muscle that

06:59 also have sensory fibers that are associated it. That you're looking at the

07:03 of stretch. The stretch is too . Then the muscle contracts um to

07:09 oppose that overstretching. And so, you're doing is you're you're changing the

07:15 of stretch in response to two little stretch or too much stretch. But

07:19 measuring inside in that interview cell All right. And so when you

07:24 the word motor neuron, remember that's sending a signal to cause contraction.

07:30 right. So lower motor neurons are always always, always no exceptions to

07:37 rules excitatory. So, that means you're contracting a muscle you have to

07:43 a signal to it if you want stop contracting a muscle, you stop

07:48 the signal to it. All The alphas are the ones on the

07:52 , the gammas are innovating on the . And what they're doing is that

07:57 . So, this is where the part. It says innovating interventional skeletal

08:01 which serve as appropriate receptors. So is the is the problem. It's

08:05 bad proposition that I used right? I'm not an english major,

08:11 So the witch is applying here to muscle fiber. Alright. The skeletal

08:16 fiber service appropriate receptor, not the motor neuron. Okay, the motor

08:23 sin signals. So it's not acting a receiving is not acting as a

08:29 . The muscle fiber is acting as sensory. All right. And so

08:33 the muscle fibers that detect the degree stretching the muscle. I had to

08:38 that because when I read it this , like, oh good.

08:41 I was just screwed it all up everybody. Okay, so lower motor

08:47 innovate muscles and cause them to contract excite them, cause them to

08:54 Okay, so they begin in the cord in the ventral horn and that's

09:00 they travel. All right now we've about this, but I'm going to

09:08 going to reiterate a couple points that already learned just so that they stick

09:12 . First off the organization of the matter. Alright, so down here

09:18 the ventral horn, in the lateral are going to be exhibiting some a

09:24 and remember what summon utopia. Is basically demonstrates the proximity or the location

09:30 where a neuron enters into the gray . So, if this is trying

09:36 show look for medial collateral, you basically say, okay, immediately by

09:42 the neurons are higher up than what's here laterally, which would be lowered

09:48 more distal to the body. All . And so again, it's not

09:52 this strange. Just jam in these and hopefully they'll they'll eventually end up

09:58 they need to go. There's a degree of organization to all this

10:01 which is really, really beneficial because means that we can learn what that

10:06 is so that we can then learn the fibers are coming in. Going

10:10 the second thing is that every motor in the body is going to be

10:16 of this organization. And what is motor unit? Well, remember,

10:19 that alpha motor neuron and all the that that alpha motor neuron innovates.

10:24 , again, this is just a of us really understanding when we talked

10:28 back then about muscle fibers, What they do? All right. They

10:34 part of a muscle fiber goes in innovates a whole bunch of different

10:37 And then those fibers contract in response a single signal coming down. All

10:42 . And so again, not that picture is going to demonstrate this in

10:46 way, shape or form, that never clustered. So it's like they're

10:49 spread around the muscles so that you disperse the force so the muscles can

10:54 evenly. Now with that in mind that the lower motor neuron is one

11:02 innovates then we got to get down that lower one. This is where

11:06 upper motor neuron is. And for of you who are late there's ice

11:09 . So, if you want to down and get some you can that

11:11 me. I'm not gonna take any for this awesome classmates. All

11:17 Yeah. So anyway, So what the motor neuron basically it's going to

11:22 the cell body is gonna be located the cerebral cortex. This is a

11:26 picture. Not for you to but just to demonstrate. We talked

11:29 this said, look cortex, organizer six layers And I said previously that

11:33 layers have different sizes depending on where located. And this is just kind

11:37 showing you that. And so here we're looking at is we're going to

11:41 in layer five. And these are sells. I'm not going to ask

11:43 remember Betz cells? I've never called about selling my life. But these

11:47 the pyramidal cells that are in the cortex and the motor cortex that basically

11:53 a role as the upper motor All right. And you can

11:58 you know here in the primary motor that's a really thick area. So

12:02 doing a lot of processing in that region. All right. Now,

12:06 they're going to do is the motor for the most part are gonna deck

12:11 state at some point when they're going to that lower motor neuron. Most

12:17 them deca state. All right. you can think I'm starting on one

12:21 and then at some point I have cross over so I can do the

12:24 side of the body. All They're gonna directly synapse with the lower

12:29 neuron or on some sort of interneuron gonna synapse directly. You're like wait

12:34 second. That sounds like three motor chain. There are some exceptions to

12:38 rules. All right. So primarily the lower motor, so it's upper

12:42 lower and then in some very small there might be an interneuron in there

12:47 well. All right. Now, what we said with the lower the

12:51 is always always always always under no . Is there any thing? They're

12:57 excitatory? Okay. Now this might help you understand the interneuron part.

13:05 uppers can be excitatory or inhibitory. right. So if a lower motor

13:12 is always excited tori and always causes . I can have an upper come

13:17 and basically prevent a lower from becoming . All right. So think about

13:24 muscles, right, antagonistic muscles or muscles that oppose one another. If

13:28 causing one to contract what I want have the other one. Do

13:34 All right. So what I can is I can send an excitatory signal

13:40 to the one that causes the But I can send an inhibitory signal

13:45 the one that would oppose it. I'm causing relaxation and preventing it from

13:51 . So that's why you get that excitation and inhibition at the same

13:59 All right. So where in the cortex do we regulate? Where do

14:07 upper neurons come from? Well, first is the primary motor cortex.

14:11 called M1. This is where we the conscious control of voluntary movement.

14:16 want to move my hand so I'm moving my well, I should do

14:20 this way. That's moving my It's doing something like that,

14:23 All right. And so here you see here, is that some of

14:26 typical organization, Right? That's that it doesn't exactly match the body,

14:31 you can see there's organization for the in the trunk or the trunk and

14:36 axis. And then when you get to the face and head, it's

14:40 of swapped all around and kind of . All right. So what we're

14:44 is that there are specific areas that responsible for controlling specific muscles. Um

14:49 there is a certain degree of plasticity . So, for example, if

14:53 were to lose your limb um then going to be, you know,

14:57 areas are going to shrink down as areas compensate and start learning how to

15:04 around that limb. And so you're to see areas kind of shrink and

15:07 depending upon need is the idea in of plasticity. They're going to make

15:13 . Yeah. Okay. Just in of the motor cortex. The primary

15:19 cortex is here in the pre central . Alright, so just in front

15:24 that, the yellow area is called pre motor cortex. So it sits

15:28 front of it. Right. And this is where you're going to have

15:32 some other types of pure middle cells do play a role in regulating.

15:37 typically what it does is it's going work with the primary motor cortex to

15:43 movement. All right. So what doing is we're initiating the impulses um

15:48 then six sending signals up to the motor cortex. The idea is I'm

15:52 to initiate what we think we want do and tell the motor cortex what

15:56 do? Motor memory. You guys motor memory. Yeah, you

16:01 I mean the easy one since I'm at a bunch of people with laptops

16:04 if you close your eyes, put fingers on the two keys that had

16:07 little bumps on there. You can without looking, couldn't you?

16:11 No old people like me can't. . I'm a hunting pecker. You

16:17 , I cannot pick fast. You ? All right. That doesn't work

16:24 you. What's another motor running where guys have riding a bike? What

16:27 have instruments? Right? Playing Yeah, I have a dance shuffling

16:35 . Okay, good. I like one. That's a new one no

16:38 ever offered. Yeah, taking a of cards and shuffling it. How

16:41 over here? What do you guys some other memory? Yeah.

16:48 yeah, you can't whistle. I actually uh for those of you just

16:53 that. I mean, what did just play? Yeah, super Mario

17:01 . Mhm. Uh Those those those evil evil video games, I just

17:06 here. No, I didn't. . No, I mean, so

17:09 mean, whenever I hear that, can I can I could literally play

17:12 first level of super Mario brothers without . Yeah, the the I

17:22 I played so many times. I even have to look at it.

17:25 just muscle memory, Right? And are games that we all play like

17:31 , right? You know, there's , basketball, soccer, right,

17:38 , dancing, diving, as we , musical instruments. These are muscle

17:42 all right. The other thing that , it controls muscle movement in terms

17:47 context I have here. The way the high five. I put my

17:50 up, that's a wave that's also five. So my brain knows what

17:57 do in context because of what the motor cortex tells us we're going to

18:02 . This is the situation where you to do this, right? As

18:06 to doing this, That makes All right. Also it plays a

18:12 in movements to visual and auditory All right, now, again this

18:17 not reflexive, right? But this the idea of like when I see

18:21 . This is what I'm supposed to , Right? So that's the idea

18:26 their response to visual or something. right. I'm not going to call

18:30 guys out. But have you ever uh like a drill team?

18:35 I mean, whether it be the team in high school, you

18:38 you know, doing that or maybe just a military drill team,

18:42 Just watch them. I mean, incredible what they do there. It's

18:46 all sound cues. They know when supposed to do whatever they're supposed to

18:50 and they practice practice practice. So they have to do is hear the

18:54 and they know where they need to . Right? All right, now

19:00 it's not just sending signals to the motor cortex. It can send signals

19:04 the spinal cord to initiate activity, it does talk to the pre motor

19:11 are sorry, the primary motor Alright, Association cortex is remember are

19:16 for taking information processing and sending it so that we can understand it.

19:21 right. So here there's two different cortex is that becomes more important.

19:27 prefrontal cortex uh places place an important on both the pre motor and the

19:33 cortex and what it does is it ensures that the muscle movement behavior that

19:38 doing is appropriate for whatever it is you're doing right now? I

19:42 we can we can have fun with . But I mean, the idea

19:44 I'm not going to raise my hand I'm trying to move my foot,

19:48 ? I want to walk. I raise my hand up. I move

19:50 foot forward. It would be an of that. All right. And

19:54 we're talking about the posterior parietal association well. Where's all the motor stuff

19:58 guys remember? Where's motor primarily all motor things that we do? Frontal

20:03 . All right. So over we have the visual cortex. Over

20:07 we have the sensory cortex. what we're really dealing with when we're

20:11 with the posterior parietal is basically understanding what's touching us and other sensory

20:19 visual and then coordinate movement with Like, have you ever touched something

20:24 kind of withdrew your hands? that's gross. Yeah. All

20:27 The idea is like, I'm touching cookie and then I don't want to

20:31 the cookie things anymore. All That would be an example. All

20:37 . This is a very complicated Don't get freaked out about it.

20:40 right. Because previously I didn't have picture. So, I just now

20:44 a picture. Right. And what I want to show you here

20:46 All right. We said in the we have the motor cortex or the

20:49 motor cortex, promoter cortex. We the association areas. What's going

20:53 The brain stem from motor neurons start either the cortex of the brain

20:57 Where are they starting? Well, starting to see the little green little

21:00 right here. These are the vestibular found in the brain stem. All

21:06 . And so it's a really good . Except that it's a really complex

21:10 complicated picture without a strong background and get lost in it. All

21:15 And so, I'm just trying to out here here. We are in

21:17 brain stem as opposed to way up in the motor cortex. And actually

21:22 is showing you hear somatosensory. it's basically saying, look how the

21:25 comes up. Right? So, we're doing is just focusing down here

21:28 the vestibular nuclei and this is basically group of nuclear. They are going

21:33 form the vestibular nerve um uh, where that information for the upper motor

21:41 in the brain. So we're gonna all right now. Also, the

21:44 formation is the other area. And we're talking about here is we're talking

21:49 the formation of the indirect tracks. the direct tracks are cortical the indirect

21:55 . Our vestibular. All right this little picture again, going back

22:03 jelly beans that you're seeing here. pulled them out and that's what that

22:06 is down there is trying to shoot here's the jelly beans. All

22:09 Again, picture is not so I just wanted to be able to

22:13 them to you. All right. we are going to start in the

22:18 stem or we're going to start in cerebral cortex for the upper neurons.

22:23 how do we influence them? there are different parts of the brain

22:28 are influencing both the cortex and the stem. All right. So,

22:36 we're looking at here is first off the basil new clay. And what

22:40 do is they look and monitor the nuclear. Remember all these different

22:44 They monitor the intensity of movement initiated the motor cortex. All right.

22:50 , the idea here is that every that you do should be perfectly timed

22:54 the right amount of of tension, ? To produce whatever action that you

23:00 . Right. When you lift up like this, you don't want to

23:02 the same amount of force that you to lift up the table,

23:06 That's the idea. And so the of the basil nuclear is to make

23:10 that that's happening All right. That applying the right amount of tension to

23:14 whatever the job is that you're trying accomplish. All right. So,

23:18 they do is they inhibit antagonistic or movement. You guys heard about Parkinson's

23:24 ? Yes. All right. Did talk about it last time we talked

23:26 the brain stem. Yeah. So that movement If I'm trying to create

23:30 smooth movement and I've got muscles that being told to control over contract in

23:36 time, it makes corrections. so it's like, oh no,

23:40 you're shooting too far to the you're producing too much power. So

23:44 doing that. And so there's this to ensure that that doesn't happen.

23:48 is why you make a smooth All right now, the brain of

23:52 basal nuclei and do not actually deal with the motor pathways. They're just

23:58 information up to the cortex. So the processing is taking place at the

24:03 of cortex before the signal is actually . Does that make sense? So

24:09 like making the checks before you actually the action. All right. And

24:14 lots of structures we learn them I'm not gonna ask you to memorize

24:19 all. Again, I'm just trying point out again, just as a

24:22 that there is a lot of different . They have lots of different roles

24:27 with regard to regulating motor activity. right now, how they work is

24:37 this through these basic mechanisms. All first off, here's your motor

24:41 it's producing the muscle contractions. So arrows mean, I'm stimulating through glutamate

24:49 is inhibition so that when you see red line with a little at the

24:52 that is telling you that I'm blocking preventing it from happening. So with

24:58 regard of the motor cortex it's the that produces the muscle contraction. Motor

25:03 is stimulated by the thalamus and the is always sitting out a positive signal

25:08 contract contract, contract. The motor is okay, contraction, contract

25:13 And it's sending that signal down to contraction. Obviously our body is not

25:17 complete state of contraction all the is it? So that means that

25:21 is regulating the thalamus and this is the basil nuclei come in. All

25:26 . So we have the internal globus and what it does is it usually

25:31 that inhibitory neurotransmitter gaba to block the of the thalamus. So we now

25:37 is we have an excitatory neuron that's stimulated by an excitatory neuron that's being

25:43 . That makes sense. So I do is remove the block and then

25:47 allows the signal to move forward. kind of makes sense. So everything

25:52 like not that I've ever done but it's like pressing the gas and

25:57 it going and then pressing the brake not letting the car move and then

26:01 the brake and then applying the brake and over again. All right.

26:07 the idea. Now in the direct . What we're gonna do is we're

26:13 to release gaba onto the internal globus . All right. Here we get

26:18 . All right. So you can here that would be through the basil

26:20 collect. So what I'm doing is inhibiting the inhibitor right. Two wrongs

26:27 make it right. But to nose a Yes, something like that.

26:31 right. So, if you inhibit inhibitor then the inhibitors no longer

26:36 So now you have excitation good. is where it gets, you

26:40 like, okay, just whatever. ? But what we're doing is we're

26:44 the antagonistic ideas. Right? if you block the globus pilatus.

26:50 ? So basically, if you block then you're blocking this. All

26:55 And so that allows for this to forward. Now, the other thing

27:01 can do here is the indirect right? You can see I'm blocking

27:03 blocking and then I'm turning on. , if I uh somehow basically blocking

27:10 , I'm not activating this. But I activate this, in other

27:14 I stop that signal, then I activate through the sub thalamic nuclei just

27:18 an example. All right. So idea here is if I stimulate this

27:23 either indirectly or directly then what that , it releases the inhibitory neurotransmitter that

27:28 the thalamus. If I block the , the thalamus can't stimulate the motor

27:33 . Which means I don't get a contraction. So it's a complicated

27:38 isn't it? It's basically saying I'm to have all these different controls.

27:43 turning things on, sometimes turning things and then ultimately what I'm turning on

27:48 off is going to affect the thalamus the thalamus plays a role in exciting

27:55 motor cortex. So if I block thalamus, I can excite the motor

28:01 . If I um did I say right? If I block the thalamus

28:06 I am blocking the uh make sure I'm blocking the thalamus and I'm blocking

28:12 pathway. If I stimulate this, I if I block this then I'm

28:19 excitation to occur. All right. so really what the basil nuclear is

28:25 here because I can go down this trail over and over again and get

28:28 more confused for all of us. idea here is I'm regulating through the

28:33 nuclear, whether or not the thalamus doing its job. That's really what

28:38 ultimately trying to say here. All . So, it's a mechanism of

28:42 . So other information is being You can go back and look all

28:46 , what am I doing? I'm with the thalamus is adjustment of muscle

28:51 , Right? So, I can through any of these other systems to

28:57 whether or not this is going on it's all being done at the level

29:00 the basil nuclear. So, what something like nucleus do? It stimulates

29:07 to cause that to go alright, this To block that block that this

29:13 happen. Other areas that do For example, the substantia nigra

29:17 Good old substantial nigra that's found the stem its job is really dope them

29:21 what it does, it activates the pathway and it inhibits the indirect

29:28 Okay, so it's just showing you regulating this process. So maybe what

29:34 should do in learning this is If the thalamus is excitatory and the

29:40 global politicizes inhibitory, I just got figure out what happens if I turn

29:45 one on or turn it off. I turn off this then I can't

29:51 . But if I turn this on I do block. That's the easiest

29:55 to say it. The other part regulating movement is the cerebellum.

30:08 I'm going to pause here for a . What's that? Mhm. Makes

30:18 positive for a second. All Do you remember when we first started

30:22 about movement a long time ago, said with regard to the nervous system

30:27 general, we like to do like throw things into boxes, right?

30:30 we said, okay, if you at this area, this is what

30:32 area does look at, that. is what this area does. And

30:35 we're going through and throwing things in boxes, we kept throwing things into

30:38 movement box. It's just like throwing into the into everybody's box.

30:45 you can see it's kind of Movement is one that's regulated. And

30:49 this is just kind of showing you like, yeah, there's a lot

30:53 stuff going on. The next slide really going to demonstrate this all

30:58 The cerebellum, remember? Is that that kind of sits off to the

31:03 that basically does the processing compare intent action. This is what I'm intending

31:09 do is my body doing what I it to do. It's not

31:12 calculate in real time. Send the up to the cortex to make

31:18 All right. So, that's really the role of the cerebellum is.

31:22 right now. Again, structurally, do we have? All right.

31:25 sending information the motor cortex. We're information appropriate receptors. Sitting information.

31:30 vestibular organs. That's basically things that balance and the brain stem.

31:35 So, what we're doing is we parking G fibers per Kinji fibers are

31:39 These are we have mossy fibers. fibers are sending information up. All

31:44 . So, these are taking the to the cerebellum so that you can

31:48 information. Information is processed in the in the fiber. Send information down

31:53 the deep nuclei so that your cerebellum figure out what the plan is.

31:58 right. And then from there, when it's sent back onto the various

32:02 of the brain. And so we the vestibular nuclear, the pons and

32:05 , which we're gonna talk about. nucleus of the midbrain which we're going

32:08 talk about in the motor cortex which already talked about. So, the

32:12 cortex remember plays a role in conscious . Vestibular nuclei play a role in

32:19 movement. Alright, maintaining your All right. Have you all noticed

32:25 your faces haven't hit the desk? mean some of your falling asleep?

32:28 understand but for the most for the of this class you guys have been

32:33 up right? Alright. That skeletal that's doing that job. All

32:38 And your body is saying I'm in upright position and this is a position

32:42 need to be in. Oh I'm a little tired so I'm gonna put

32:44 elbow out and I'm going to hold up in this position. Right?

32:50 the vestibular nuclear is making sure that don't topple off your hand or fall

32:55 on your face. You don't have think about. It must set

32:59 must set up. Must sit There we go. So this is

33:09 fun picture. Not anything you've got memorize. It's just a fun picture

33:14 show what's going on. Where does the information come from? All

33:18 So here's your motor cortex, temporal . What's big, what's being done

33:21 the temporal lobe? Simple question. language audition. Sound Okay,

33:32 Um out here at the occipital vision. Over here in the parietal

33:38 , touching right vision, some hearing stuff like that where we have the

33:43 cortex. So basically information is being in all these different areas. And

33:48 is that information being sent up to motor cortex. So you can see

33:52 , I'm processing information. Sound, , touch all at the same

33:57 All these things are being done what's done in the supplementary motor areas which

34:01 the pre motor cortex and the frontal . I'm processing what my plan

34:07 Right? And so all this stuff basically going through and process being processed

34:13 the motor cortex and that information is sent down so that you can go

34:18 vs High five. All right. all uncoordinated. Right. Everyone here

34:24 uncoordinated. Have ever done the high where you completely missed the high five

34:28 you ran up to and did the with right? And then it's like

34:34 you kind of Yeah, that's that's correction part, right? But that's

34:40 idea is like, oh, I see where you are. I

34:42 that you're coming towards me. I'm to slap that hand and you

34:46 all that information being processed. All . And then what about the other

34:51 ? We'll remember the cerebellum, receiving from the position of the body,

34:56 information of the thalamus information is being by the basil ganglia. You can

35:00 here everything is going up and back and back and around and being processed

35:04 reprocessed through the thalamus, the basal or the basal ganglia and the cerebellum

35:09 ensure that the intention matches the action in real time. And then that

35:17 sent up to the motor cortex which that information down and you're still with

35:24 ? All right. That's because we haven't practiced enough. So, motor

35:32 or brainstem we're going to look at motor cortex, folks. Let's look

35:35 the direct pathway. Alright, so are called the pyramidal tracts. You'll

35:40 that word. So when you think pathway, think pyramidal tracts, they're

35:44 to be in the primary motor cortex where we're gonna start and we're gonna

35:48 either to the brain stem of the cord. So there's two tracks,

35:53 spinal cortical bulwark. And you all a sudden you can look at the

35:56 and go, oh, so I'm in the cortex, I'm going down

36:01 the spinal cord. I'm starting in cortex. I'm going down to the

36:05 stem now. Why why would I in those two things? Divide your

36:10 into what are the two parts of body? Yeah. Left.

36:17 That's one way you can divide it my body versus my head?

36:25 We mentioned all those cranial nerves. do they originate from brain stem?

36:32 . So, if I want to , is that a conscious movement?

36:37 right. If I nod my right, that's a conscious movement.

36:43 . If I want a way that's different type, that's my lower

36:46 Right. My upper body is dealing the cranial nerves. My lower body

36:50 dealing with the spinal nerves. So have a cortical spinal tract, which

36:55 everything from your neck downward. And we have the cortical billboard, which

36:59 basically your neck upward. That's not terrible, is it? All

37:05 Just has weird names attached to Why don't they just call it the

37:08 tracking the body track? Because they're smart people. They like to use

37:15 terms to make things complicated. So look at the cortical spinal track.

37:20 right. And again, the jelly , you see a picture like

37:23 What they're doing is they're trying to space and so they're putting everything on

37:28 same page. Right? So you'll the jelly beans like this and you

37:32 , oh no, we're just focusing here on these two things. So

37:36 look and see. We're looking here the big purple jelly bean. And

37:39 looking down here at the little tiny . What color? What's the

37:46 Okay. We're going to turquoise. right. And we're looking at the

37:50 one. Okay, notice, remember said we have a mere image.

37:55 you can just divide the spinal cord half. So you can just look

37:58 one half if you want to. right. So really we're ignoring all

38:02 other things that are down here for now. So this is the direct

38:06 . These two things. The lateral spinal tract in the ventral cortical spinal

38:10 . Sometimes referred to as the anterior spinal track. All right. So

38:16 we have, All right. where we originating primary motor cortex projecting

38:20 to the spinal cord? That's where name comes from. All right.

38:23 going to pass through the brain We have to Because that's just in

38:27 way. But we're not stopping in brain stem. We're just going to

38:30 on going down and we're going to the pyramids of the medulla. All

38:35 . So, when we look at pyramids, right, This is these

38:39 as they're traveling down. So, , there's gonna be devastation. All

38:43 . So, where do they Well, it depends on which track

38:46 looking at If you're in the lateral spinal track, the big purple jelly

38:51 over here on the side. You're to cross over in the medulla.

38:55 right. Where are we located? , this is referred to as the

39:00 funicula. So, that's where we're . All right. And where what

39:04 we doing? What are we? are we responsible for the appendix killer

39:09 muscles? All right. Your arms your legs. Okay, So all

39:15 fibers that go our response for the and legs are gonna travel down through

39:19 lateral cortical spinal tract. Okay. not too terrible. All right.

39:24 , here's that. So, now just contrasted ventral, right, down

39:27 . That jelly bean deck state in spinal cord. So, they cross

39:32 a little bit later. All Where they're located down here in the

39:36 of ridiculous. Remember that's the ventral . And their job is to innovate

39:40 axial skeleton. Is that your body your trunk? Okay? Not too

39:47 right now. Just to kind of you something here that kind of help

39:51 stand out, remember this. What do you think requires more neural

39:56 moving your body or moving your arms your legs. Arms and legs.

40:02 , now, granted this is a drawn by someone who has no biological

40:07 . You know, he's copying from some other text but look at the

40:12 of these two tracks. Big that would be the arms and the

40:19 . Itsy bitsy turquoise, that would your trunk. Okay, So real

40:27 kind of compare and contrast for All right. And that's really kind

40:31 what you do when you look at things is just do the compare contrast

40:34 say, okay, what's this one ? What does that one do?

40:36 right now again, you're not going have to track it down the spinal

40:40 . That's not going to be the thing here when you taken your anatomy

40:44 or when you get on the nursing or into whatever professional thing, depending

40:48 where you're going to go. Sometimes gonna get real down and dirty with

40:52 neuro anatomy. All right. But good news is that if you understand

40:55 you're going and where you're coming it kind of easy to figure

40:59 right because when it says it's gonna found in the lateral funicula sit means

41:03 literally gonna always be there and it's going to travel the same path.

41:08 it's just basically okay, once I where it is, I'm just going

41:11 say this area right here is where going to be. All right,

41:14 we don't need to do that today the test on next thursday?

41:20 that's right. Next thursday is a . Should warn you about that.

41:24 the test next thursday? And then done with the class? All

41:32 I mean yeah. Mhm. Except Burek also. Mhm. But you

41:38 come in here and have a party 8:30 AM, no one's going to

41:41 here. All right. So, let's deal with the cortical bulb er

41:48 . All right. Now, they're for the skeletal muscles associated with chewing

41:53 expression, tongue movement and swallowing. hmm. What does that sound

41:57 Head? Alright, there we Alright, so again, there's going

42:00 be the direct pyramidal pyramidal tracts. going to originate in the pyramidal cells

42:05 motor cortex and project to the brain where that's where they're going to come

42:10 the cranial nerves. All right. , again, if you wouldn't look

42:15 the organization of the motor cortex, going to be that region of the

42:19 that your face in your mouth and throat. All right. So basically

42:23 the jaws, The face bearings. ton. All right. Now we

42:29 to this as the indirect pathway or extra pyramidal tracts. Those are the

42:35 terms that they use. All So, um wait, I'm

42:39 That's a critical Bulba track. That's I was trying to get that said

42:42 the face. We're in the next now. I'm sorry. Now we're

42:45 deal with the indirect pathway. Again, notice we're going back down

42:49 the spinal cord. All right. , what we're doing is we're originating

42:52 the brain stem over here. We're in the cortex. We're just going

42:56 the brain stem and then innovating the and the head. All right.

42:59 why we don't spend a lot of . They're four tracks. So,

43:02 we're back down here to the extra als. All right. So,

43:06 have the rubio spinal, ridiculous spinal spinal. Or the vestibular spinal.

43:10 are the names that we're going to here instead of olives. It's gonna

43:13 Aspinall. Okay, now again, naming things for where they originate and

43:21 we're going to tell you where they're to go. All right.

43:26 we're gonna start with the stimulus All right. The stimulus deals with

43:33 nuclei. That's why you showed me horrible picture with the green jelly

43:38 Yes. All right. Because that's they originate. They originate in the

43:43 nuclear. There's two tracks that are a spinal tracts. One that is

43:49 one that is medial. Okay. job control balance and posture. Sit

43:56 straight, stand up straight. All . How do you hold yourself as

44:00 move? All right. So the motor neurons in the lateral vestibular track

44:05 going to be in the lateral vestibular . What they're going to do is

44:09 going to get input from the sensory of the inner ear and the

44:14 What is my position of my head space? All right. And then

44:18 going to protect down via the ventral Nicholas. So they're going to be

44:23 here on the ventral side. And they're doing is they're going to stay

44:28 literal. What does its lateral means gave you a hint they stay.

44:34 collateral stay on the same side. don't cross. Right? Contra lateral

44:42 the opposite side. Right? It's same sides. All right. So

44:48 gonna project down the same side. . Good news. The artist got

44:51 one correct. Alright. And then they're gonna do is we're gonna go

44:54 synapse in the ventral horn and send information down to the right muscles to

44:59 them to contract or or if you're contracting, relaxing them. All

45:05 So that's the lateral medial medial vestibular . So that's pretty straightforward. All

45:13 . What they're gonna do again? ear and cerebellum and what they're doing

45:17 they're controlling the neck muscles. All . So this keeps your head still

45:24 you walk like a pigeon? no one does that when you walk

45:32 head stay still. Right. That's this is doing. The media vestibular

45:38 is ensuring your head still still stay during movement. All right, ridiculous

45:49 track. What do you think particular with something? We've learned? Particular

45:56 . C. All right. really? There's two of them.

46:00 a media in the lateral or sometimes to in this. It will make

46:03 easier for you. The Ponti nor medullary, ridiculous. Final track.

46:08 right. Where do you think the manjula spinal track starts in the

46:13 Where is the major? Everyone? a doula. See this just all

46:17 a sudden. It's like, oh , they really do name the things

46:20 what they do. Alright, so where they originate now, what they're

46:24 here is axial approximate muscle movement associated posture, local motion and reflexive muscle

46:33 . So, it's not just Now, remember, the particular formation

46:36 alertness. All right. So, now dealing with what am I doing

46:40 regard to movement and reflexive movement. right. So, with regard to

46:45 ponte in one we're going to project the medial ventral funicula. So,

46:50 that means is is we're sitting here the medial side of the ventral uh

46:58 . All right, ventral, But were immediately located again synapses and

47:03 hore primarily dealing with extensive your So excitation of the X tensors.

47:10 right here with the lateral articular spinal . That's going to be in the

47:15 . It's going to be in the funicular. So the artist here screwed

47:20 one up. He did draw it . It should be out over

47:23 Not down through the middle. Should right there. How do we know

47:28 it is right there. See that jelly bean. All right. What

47:38 we doing here? We're inhibiting the . Okay. Remember, So uppers

47:44 be an excitatory or inhibitory? All . That's ridiculous. Spinal rubio,

47:54 . You're the weird one. Anything name with rubio, actually,

47:57 it's just not obvious. All Remember the good old red nucleus.

48:03 that one big structure. Big old . That Phillip read the word rude

48:10 , is a prefix that means So that's where it comes from.

48:14 right. So they originate the red . Their job is to innovate muscles

48:19 with flexion. So ridiculous. Final extension reflection. Here's the contrast.

48:27 there. All right, a So here it is red. And

48:33 we're gonna do is we're going to deca state to the other side over

48:37 . I'm sorry. I should have out. Um I'm going the wrong

48:44 . They're just just do whatever you like computer the stimulant. Right.

48:51 , notice here, we're not We're staying on the same side.

48:54 this is it's a lateral. All . Here, we're crossing. That's

49:01 . Yeah, we're staying on the side. It's it's collateral. All

49:13 here, contra lateral cross over All right. And what we're going

49:19 do is from the red nucleus. going to travel down, we're going

49:23 stay in the lateral funicula. This over here on the side and then

49:28 going to innovate on the contra lateral . That makes sense. All

49:35 So what are we doing? flexing muscles. Last one, Detective

49:47 detect. Um Remember it's going to up here in the superior curricula asses

49:51 we're really going to be locating or going to be turning our head or

49:55 our head in response to visual It's like, oh look there goes

50:00 bird. All right, that would visual stimulus. So, superior

50:05 getting input from the optic nerves were to cross over. Right. Some

50:11 them aren't going to but what most them do. We're gonna cross over

50:15 then we're gonna move down the anterior Ulis. Alright, and where's the

50:21 ? It's going to be down there ? Our artists a terrible job and

50:26 going to project and be um going to the upper horns. Are the

50:32 , the ventral horns of the upper cord again. Head, neck.

50:39 , so if you look at these things and get lost. Start with

50:45 jelly beans. Okay, I'm down in the ventral or I'm over here

50:49 the lateral and that's really as simple you need to do what am I

50:54 ? What am I innovating? Well on where starting where I'm going.

50:58 right. So we was final detective here, take toe moving the head

51:07 neck. Alright, notice it's just upper part of the neck,

51:15 All right now we're going to just of wrap things up here. This

51:21 gonna be the last bit of And then when we come back after

51:24 Turkey day and the consumption of much And the extra don't forget to set

51:30 scales back 15 lbs. Uh Yeah. And this is why we

51:39 bigger when we get back, all dealing is with the autonomic nervous system

51:45 then we're done. And so this our last little bit here. First

51:49 in your brain you have central pattern . Central pattern generators are responsible for

51:53 rhythm, rhythm movements that your body the easy you want to think about

51:57 walking. But we also chewing is rhythmic movement, breathing is arrhythmic

52:01 So anything that has kind of a to it that's really repetitive. And

52:05 this is kind of a combination of and voluntary movement. Alright. And

52:10 we talked about the different types of um uh clusters in the neural pathways

52:17 And so remember we we mentioned this what the CPG is. Um And

52:23 these are gonna be inside the brain and also in the higher cortex.

52:26 basically there's a pacemaker properties to them basically you can see what we're doing

52:31 we're going to cause extensive hers to and we're gonna repress flexors and then

52:39 is going to activate and we're going repress them. So that's why we

52:42 this this pattern that's basically going back forth. It's easier to see with

52:48 cat. But you do it as right? When you walk that's what

52:52 doing is you're doing a repetitive pattern actually when you move your arms you

52:58 it's going to work in opposite. ? So it's a pattern that your

53:01 is excellent. So these are CPG that are responsible for doing that.

53:10 pretty sure we may not have talked these before. Did we talk about

53:14 stretch reflexes before the golgi And the the a stretch reflex? No.

53:22 . So I did reserve it for and that's good. All right.

53:26 these are types of muscle responses and want you to think for a moment

53:32 um well we're gonna start with the reflex and I'm going to try to

53:36 you a situation where you can kind see how it works. Okay.

53:42 not just talking across your legs and your knee. That's fun. But

53:45 not gonna be an easy way to it. All right. So this

53:48 a mono synaptic reflex. All And what we're doing here. And

53:51 mentioned this when we're talking about the of the interview cell fibers. Is

53:55 what we're doing is whenever we have sort of movement, we're trying to

53:58 the muscle with a specific degree of . Right? And so what your

54:04 is looking for is to is to that. And so it needs to

54:09 the stretch um as your as as happening and then adjusting in response to

54:17 . All right. So, I you to picture for a moment um

54:22 a book out in front of I'm not talking little tiny book.

54:25 talking like a good old £12 biology . Right? And let's say you're

54:30 it out like this. All And if I come along and take

54:34 biology text book and put it on . Just kind of lay it

54:37 What's going to happen to your It's gonna go down. But if

54:41 have a gun to your head and don't move your head, your

54:43 you're gonna want to keep those hands , Right? But there is a

54:47 response because right now your muscles are a particular degree of stretch in response

54:53 the weight that's on it. And you're doing is you're getting this instantaneous

54:57 increase in weight that your body hasn't experienced. So if you're going to

55:00 this natural, Oh, I don't enough tension. But I'm gonna bring

55:04 create enough tension to hold the books . That kind of makes sense.

55:08 , this is the stretch reflex. basically measuring how much stretches in that

55:15 . And when the stretch becomes too . It basically says, oh,

55:17 , no, no, too much . Let's contract more so that we

55:21 bring the right amount of tension in to put the mussels exactly where we

55:25 them. And that's what we're describing . All right. So, the

55:29 is being regulated or monitored by this called the muscle spindle. All

55:34 And this is where that extra fuselage intra Feustel comes in. So,

55:38 can see here here's electron micrografx. , this isn't just some guy

55:41 well, I think this is what's . They've actually got in and look

55:44 these things and you can see it's it's a structure within the entire

55:48 So it's not the muscle itself. these things inside there's portions within the

55:54 monitoring and looking at the degree of through this little tiny thing called the

56:00 spindle. All right. So, you look at the muscle spindle,

56:03 have the extra fuel cell muscle fiber . You have the interviews all muscle

56:08 , you have alpha neurons that are extra fuel cell. So, they're

56:11 ones that are playing a role in sending signals to cause contraction. And

56:16 , on the inside you have the motor neurons that are sending signals to

56:20 contraction of that interview cell fibers and wrapped around it. You also have

56:25 uh sensory neurons that are sitting there the amount of contraction that's taking place

56:31 the amount of stretch that's taking Interview silly. All right. And

56:35 it's going to do is if you that interview cell muscle fiber, you're

56:39 to detect it. So you're going cause the whole thing to contract.

56:43 right. So, that's what you're is internally to it. All

56:46 Now, the interview cell, they're in connective tissues. So they're kind

56:50 separated out. And you're doing this that you can you can innovate just

56:55 . All right. So, when muscle spindle this structure is stretched,

57:01 sensory neurons in there are going to that stretch of that interview cell fiber

57:06 sends a signal outward. Right? then causes contraction of the alphas as

57:12 as the gammas which we're not really about. All right. So,

57:16 , when I put the weight on , I'm stretching the muscle more than

57:20 was I detected internally at the interview , which is going to send a

57:26 right back to the spinal cord which going to stimulate the alphas to cause

57:30 to bring the arm back into the amount of stretch. Uh huh.

57:35 the stretch reflex. All right there's also a reciprocal inhibition going on

57:44 well. But we just kind of that. Alright. So they are

57:47 sending a signal to the other muscle as one is stretching the other one

57:51 going to be contract or relaxing. what you're doing is you have to

57:56 those two signals simultaneously. The second of reflex, It's a motor reflex

58:07 to do with the Golgi tendon Now, this is going to be

58:11 in the tendon of the larger All right. So remember, at

58:14 end of each muscle you have this and so there's gold uh tendon structure

58:19 measuring the degree of stretch inside that . So, again, I'm going

58:23 paint the picture. We have you the books right? And I put

58:28 put the £12 buck. We put £12 book and we keep stacking £12

58:32 . Alright, Again, gun to head. You know, you got

58:35 hold those books up and eventually what's to happen is is, you

58:39 you're strong enough but you're going to muscle is contracting more and more and

58:44 . I remember when the muscle what is it? Pulling on,

58:48 on the tendon which is pulling on bone. And so each time the

58:51 contracts it stretches the tendon a little more creates greater tension in that and

58:57 causes stretch on the bone or pull the bone and what you're monitoring here

59:02 the stress on the tendon. If put too much stress on attendant,

59:06 gonna eventually terror, right? And what you're doing is you're protecting the

59:11 . So what the Golgi tendon is to do is it's looking at the

59:15 of stretch here so that if you , it's going to protect the muscle

59:20 the tenant and say no, you do that and you're going to inhibit

59:24 alpha neurons and prevent them from So, think about when you are

59:28 too much. What do you tend do? Your muscles basically relax and

59:33 drop whatever it is that you're Okay, That's the idea here.

59:38 again, I use the example of gun in your head because when things

59:41 too heavy for me, I'm just , I'm not gonna let them

59:44 right? That's normal. But you think about think about like if you're

59:47 your buddy move for the 47,000 times all done this. Remember you made

59:52 vow, I will never ever ever anyone ever move again. And you

59:56 that phone call, you're like, it. And you go and help

59:59 and you're lifting up that box and all that china, right? And

60:03 like, it's too much and you're like, so what do you

60:05 You come out, right? And you put it down, it's

60:09 right? Because your muscles basically given , there's something done. All

60:14 So what the Golgi tendon is doing it's protecting that muscle. So it

60:17 tear And it doesn't tear that tendon the bone. All right.

60:21 when the muscles contracting the tendon is , your detecting the degree of stretch

60:27 in the Golgi tin or in the itself that sends information up to the

60:31 cord, spinal cord says all not a problem. But when the

60:35 in here gets too great, what going to do is it's going to

60:39 or interfere with the contraction here. , it's an inhibitory effect. Too

60:46 stretch of the tendon. Danger, . Stop the signal muscle relaxes.

60:53 right. Now again, there is activity there as well. There's ice

61:02 up here for those who haven't had . All right. So, we

61:07 one more lecture that's next Tuesday. , thursday, right. We have

61:14 exam, booze. All right. , thursday we eat as much food

61:21 we possibly can as humanly possible. know? It doesn't have to be

61:26 . It could be tofurkey. Mm . You know, or ham.

61:31 your for truth toe for ducky. my goodness, That would be

61:36 Would that be tofu duck and Or would be tofu duck and tofu

61:42 , totally. I mean, I what you're ducking. Mhm. And

61:49 , yeah. So you just do and then stuff it with like a

61:55 stuffing. That's one. And yeah. And then wrap it on

62:04 . Yeah, yep. And thank all for showing up on a Tuesday

62:11 no one wanted to show up I didn't even want to be

62:14 You're welcome, you,

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