12.1 Brain and spinal cord of movement control
Hierarchy of control levels in central motor system¶
- The highest level: areas of neocortex and basal ganglia of the forebrain
- The middle level: represented by the motor cortex and cerebellum
- The lowest levels: represented by the brain stem and spinal cord

Movement controlled by brain and spinal cord¶
- Key components for arm movement
- the joints
- skeletal muscles
- nerves
- Each muscle fiber is innervated by a single motor axon
- organised by neuromuscular junction
- Each motor neuron may synapse with multiple muscle fibers
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Two types of neurons in motor control
- Lower motor neurons
- the motor neurons whose cell bodies are located in the ==anterior horn of the spinal cord or brainstem cranial nerve nuclei==, and whose axons project to make connections with muscles at the neuromuscular junctions
- Upper motor neurons
- controlled by motor region of the cerebral cortex or in the brainstem and carry motor information down to the lower motor neurons
- Lower motor neurons
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Motor unit and motor pool
- Alpha motor neurons
- Directly trigger the generation of force by muscles
- One alpha motor neurons + all the muscle fibers --> motor unit, elementary component of motor control
- ==Motor neuron pool==: The collection of alpha motor neurons that innervates a single muscle
- Gamma motor neurons
- Intrafusal muscle fibers (梭内肌纤维)
- The tension in intrafusal can control the sensitivity of muscle spindles
- independently targeted by descending pathways, thereby regulating muscle spindle sensitivity
- Alpha-Gamma coactivation during voluntary movements
- To ensure that the muscle spindles remain taut and can accurately detect changes in muscle length
- Alpha motor neurons
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Spindle can detect the changes in muscle length, which is a part of somatic sensory system and proprioception (how our body is positioned and moving in space)
Myotatic reflex (Stretch reflex)¶
- the stretch reflex is a monosynaptic reflex
- regulates muscle length, through neuronal stimulation at the muscle spindle
- the knee-jerk reflex
- tap the tendon beneath the kneecap --> stretches the quadriceps muscle of your thigh --> contracts and causes the leg to extend
Flexor and extensors¶
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Flexor muscles:
- Decrease the angle between bones at a joint
- Biceps brachii(肱二头肌): Flexes the elbow

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Extensor muscles:
- increase the angle between bones at a joint (straightening the elbow or knee)
- Open arm --> flexors relax and extensors contract
- Close arm --> extensors relax and flexors contract
Reciprocal inhibition¶
- When you move a joint, two groups of muscles work together: agonists (the prime movers) and antagonists (the opposing muscles). For smooth movement, when one contracts, the other must relax.
- Inhibitory interneurons would prevent the contraction of antagonist muscle (flexor)
Withdrawal reflex (flexor reflex) and crossed-extensor reflex¶
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The withdrawal reflex (flexor reflex) is your body's immediate response to pain:
- 类似于条件反射
- Step on tack --> pain fibers send signal to spinal cord
- --> interneurons branch to different spinal cord segments
- --> motor fibers in several segments are activaated
- --> lift foot off to tack
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The crossed-extensor reflex works alongside the withdrawal reflex to maintain balance
- While one limb withdraws from pain, the opposite limb must support your body weight
- The same apin signal would triggers withdrawal crosses to the opposite side of spinal cord
- This prevents you from falling when you suddenly lift one foot
Brian mechanisms in controlling motor programs¶
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¶
- These tracts are organized in two major functional systems:
1. Pyramidal System (Corticospinal tracts)
- Direct pathways from cortex to spinal motor neurons
- Responsible for voluntary, skilled movements
- Phylogenetically newer system
- Damage results in specific motor deficits
2. Extrapyramidal System (Rubrospinal and Tectospinal tracts, among others)
- Indirect pathways involving subcortical nuclei
- Controls posture, muscle tone, and automatic movements
- Phylogenetically older system
- Provides background support for pyramidal system