Sensory Conduction fast/ slow

Nerve Fiber Type Subtype Myelinated Sensory function muscle fiber The Motor Strip
Classification velocity pain
nuclear chain
Primary ● BA 4
Muscle spindle (non contractile part), annulo-spiral and bag muscle
Ia 70-120 Motor ● Precentral gyrus
ending, Extrafusal muscle fibers fiber: primary
Cortex ● Lies anterior to the central gyrus
afferent
α
● BA 6
Premotor ● Anterior to the precentral gyrus
Ib Golgi tendon organ (muscle tension) 70-120
Area ● Complex movements
● Creates a motor image → learning skills by imitation
A Yes fast pain
Supplemen
Pressure, touch, vibration receptors of the skin
β 30-70 tary Motor ● Fine motor control
Muscle spindle flower spray receptors
Area
II
nuclear chain
Intrafusal skeletal muscle fibers, contractile part of
γ 15-30 fiber: secondary
muscle spindle.
afferent
Sharp pain, cold receptors, hair receptors, visceral
δ III 5-30 Anatomic Division of Cerebellum
receptors
Crude touch and pressure, tickle, aching pain (most Flocculono ▪ Receives input for eye movement and body equilibrium
C IV No 0.6-2 slow pain
nociceptors), warm receptors dular Lobe ▪ Create smooth and coordinated movements
▪ Receives the input from spinal cord for control of muscle
Anterior
location Myelinated Sensory function tone, axial and limb movements.
Lobe
▪ Contributes to gait and posture.
▪Middle portion of vermis and most of the cerebellar
Posterior hemispheres
Meissner large hairless Yes fine/light touch, position sense, dynamic touch quick
Lobe ▪Planning and initiation of movements
▪Regulation of fine limb movements

deep skin layers,

Pacinian large yes vibration and pressure quick
ligament, joints

fingertips/superfic
Merkel large yes deep touch (braile), position sense slow
ial skin

fingertips and
Ruffini pressure and slippage of objects, joint angle change slow
joints
skin, epidermis
Free nerve ending yes and no pain and temp fast and slow
and viscera
 Extrapyramidal Pathway UMNL LMNL

Pontine Reticular Stimulates both extensors and flexors (mainly ↑ muscle Paralyzes individual ↓ muscle
Pons to ventromedial SC Paralyzes group of muscles.
Tract extensors) contraction muscles. contraction

Medullary Medullary reticular formation to SC Inhibits both extensors and flexors (mainly ↑disuse of Atrophy of denervation ↓ muscle
Atrophy of disuse (late and slight)
Reticular Tract interneurons extensors) muscle (early and severe) innervation

Hyperactive MSRs (muscle stretch

Rubrospinal Red nucleus to interneurons of lateral Stimulates flexors Hypoactive or absent
reflexes) Clonus Clasp-knife ↑muscle reflex ↓ muscle reflex
Tract SC Inhibits extensors MSRs
spasticity

Extensor toe sign (-

Tectospinal Tract Superior colliculus to cervical SC Control neck muscles Extensor toe sign (+ babinski) toes point ↑ toes point ↓
babinski)

Vestibulospinal Deiters nucleus to ipsilateral Inhibits flexors

hypertonic ↑ muscle tone Hypotonia ↓ muscle tone
Tract motoneurons and interneurons Stimulates extensors
Fasciculations and
(-) Abdominal-cremasteric reflexes
fibrillations

DEEP NUCLEI OF THE CEREBELLUM if there's lession

▪ Stance and Gait

Fastigial Nucleus ▪ Controls muscles during sitting,
standing and walking

• Abnormal alternating movements

• Action Tremors lalo na pag goal-directed
Nucleus promotes wanted oscillations and
movement
Interpositus stabilizes holds
• Truncal Titubation – slow oscillation frequency of
trunk or even at neck
Responsible for the fine motor
• Delay in initiating and terminating actions or
movement or dexterity
movements
Consists of two parts:
• Terminal and intention tremors
Dentate Nucleus 1. Dorsal (Motor) Domain – have
• Temporal incoordination movements
connections with cortical motor area,
• Abnormalities in spatial coordination of hand
regulating the motor functions.
movement
2. Ventral (Non-motor) Domain
Cerebral dysfunction