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Somatic Visceral
General
General Special Special
(OTONOM)
SOMATO MOTORIC
SYSTEM
Anggraeni Janar Wulan
Somatomotor
System
Direct Indirect
Pyramidal Extrapiramidal
system system
Corticospinal Corticobulbar
Anterior Lateral
SOMATOMOTORIC SYSTEM
PYRAMIDAL SYST. EXTRAPYRAMIDAL SYST.
SKELETAL MUSCLES
* e.g.,
extensors,
COORDINATED MOVEMENT
flexors
(* LMN: Motoric neuron which axon directly innervate the effector/skeletal muscle)
COMPONENTS OF THE MOTOR SYSTEM:
PYRAMIDAL & EXTRAPYRAMIDAL
BG Extrapyr. syst.
THAL.
Ext. BG Basal ganglia
Cere- amyg.,
bell. HPT
BRAIN STEM
SPINAL CORD
SOMATOMOT. CORTEX: UMN
Corticobulbar tract
CST
BULBUS
LMN
Skeletal
Muscle MOTOR
LCS HOMUNCULUS
UMN
ACS
LMN
Skeletal Muscle
Skeletal Muscle
ANT. HORN
MIDLINE
UPPER MOTONEURON (UMN) &
LOWER MOTONEURON (LMN)
Reticulospinal Vestibulospinal
tract tract
SPINAL CORD
LMN LOWER MOTONEURON (LMN)
THE LOCATION OF ITS CELL BODY
1. BRAIN STEM
MOTORIC NUCLEI OF CERTAIN CRANIAL NERVES
(N III, N IV, N V, N VI, N VII, N IX, N X, N XII)
N III
N IV EXTRAOCULAR MUSCLES
N VI
NV
N VII BRANCHIOGENIC MUSCLES *
N IX VISCERAL ARCH I, II and III
NX
(* BRANCHIOGENIC MUSCLES:
- Facial/mimic muscles - Sternocleidomastoid
- Platysma - Laryngeal muscles
- Trapezius - Pharyngeal muscles)
2. ANTERIOR HORN OF THE SPINAL CORD
Alpha MN
Gamma MN
Somatomotoric cortex/area
Primary (Motor stript): 4
Secundary/premotoric: 6,8
Supplement:
MOTOR UNIT
Corticobulbar Tract
• The corticobulbar tract consists of fibers derived
from the primary motor cortex (Brodmannn area
4), the premotor cortex (6 and 8) and the
somesthetic cortex (area 3,1,2).
• The tract descends through the genu of the
internal capsule and few fibers in the posterior
limb of the internal capsule and passes from the
cortex down to midbrain.
• Consisting of fibers of upper motor neurons,
accompanies the corticospinal tract and lower
motor neurons.
• Axons of UMNs descend from the cortex into the
brain stem, where some decussate and others
do not. They provide input into lower motor
neurons in the nuclei of crania; nerves III, IV, V,
VI,VII, IX, X, XI and XII, which control voluntary
movement of the eyes, tongue,neck, facial
expression and speech.
CHARACTERISTICS
OF CORTICOBULBAR TRACT
NEUROMUSCULAR
JUNCTION (NMJ)/
MOTOR-END PLATE (MEP):
The junctin of a motor unit
and muscle fibers
In humans:
A single motor unit
causes the contraction
of 6-30 fibers (small MU:
in some eye muscles) to
over 1,000 fibers (large
MU: in powerful leg
muscles)
PARALYSIS / PLEGIA PYRAMIDAL TRACT LESION
A CORTICOSPINAL TRACT
PYRAMIDAL DECUSSATION
C
LATERAL
CORTICOSPINAL TRACT
B D
SUPERIOR EXTREMITY
INFERIOR EXTREMITY
LESION:
A LEFT HEMIPLEGIA
LEFT SUPERIOR EXTREMITY
(HEMIPLEGIA SINISTRA) / CONTRALATERAL
B RIGHT HEMIPLEGIA / IPSILATERAL LEFT INFERIOR EXTREMITY
C LEFT INFERIOR EXTREMITY PARALYSIS
D RIGHT SUPERIOR EXTREMITY TETRAPLEGIA
RIGHT SUPERIOR EXTREMITY PARALYSIS RIGHT INFERIOR EXTREMITY
(HEMIPLEGIA CRUCIATA)
AUTONOMIC NERVE SYSTEM
Cholinergic n Adrenergik neuron