GENERAL OVERVIEW The somatomotor system is responsible for voluntary movement of skeletal muscles of the body and is important in the control of posture. This system consists of neuronal tracts known as the descending tracts . Motor pathways are classified as either pyramidal or extra pyramidal depending on the situation of their fibers in the medulla oblongata. Pyramidal tracts (corticospinal and corticobulbar tracts ) pass through the medulla oblongata and there fibers form pyramids in the upper medulla.as the fibers run from the cerebral cortex to the spinal cord, the fibers of these two tracts give the appearance of a pyramid on the upper part of the anterior surface of the medulla oblongata hence their name. Motor pathways that do not transverse the medullary pyramids are known as extra pyramidal tracts PYRAMIDAL TRACTS
Pyramidal cells in the primary motor cortex
A major tract in primates
Mainly for fine motor control
Homunculus in primary motor cortex
CORTICOSPINAL TRACT This is a descending pathway that runs from the motor cortex and project to the periphery via the spinal cord The corticospinal tract is responsible for the voluntary movement of the limbs and postural muscles in the trunk This tract consists of two neurons the upper and lower motor neuron(UMN & LMN respectively). The upper motor neuron originates from the motor cortex to the spinal cord via the internal capsule and synapses with the lower motor neuron in the ventral horn of the spinal gray mater that innervates skeletal muscles. The corticospinal and the corticobulbar tracts originate from different parts of the cerebral cortex. And about 31% of the neurons forming these tracts originate from the primary motor cortex , 29% from the premotor cortex and supplementary motor cortex .The remaining 40% originate in the parietal lobe and primary somatosensory area in the postcentral gyrus. CORTICOSPINAL (PYAMIDAL ) TRACT Axons of all the upper motor neurons descend through the corona radiata and coalesce as they descend to form part of the internal capsule passing between the thalamus and lentiform nucleus. The fibers pass through cerebral peduncle in the midbrain and the basilar pons and form a large bundle on the ventral surface of the medulla oblongata (the pyramid). At the medulla-spinal junction, the corticospinal tract splits into two branches that innervate two sets of muscles that will perform two functions About 80% of the fibers in this tract decussate (that is cross the midline) at the medullary pyramids forming the lateral corticospinal tract and 20% fibers only decussate at spinal level forming the anterior or ventral corticospinal tracts . This means that an upper motor neuron will project to a contralateral lower motor neuron and control muscle movement on the contralateral side on the body . The lateral corticospinal tract neurons descend in the lateral white matter of the spinal cord and make monosynaptic connections to the motor neurons especially those concerned with skilled movement. Some of these corticospinal neurons terminate on spinal interneurons synapsing with motor neurons ,this pathway is cardinal for coordination of groups of muscles . The fibers of this tract innervate the proximal and distal muscles of the limbs and are therefore responsible for movement of the arms and the legs. Lesion in this tract may result in loss of distal musculature of limbs affecting fine skilled movements. . The ventral or anterior corticospinal tract fibers innervate the axial muscles of the trunk responsible for posture and balance and also some of the proximal muscles of the limb. Lesions of this tract produces axial muscle deficits that results in difficulty with balance, walking and climbing CORTICOSPINAL TRACT Origin – Sensory cortex, primary Motor Cortex, premotor & supplementary cortex (40%) (30%) (30%)
Internal Capsule
Cerebral Peduncle (midbarain)
Pons
Medullary Pyramid
Pyramidal Decussation
Lat.Cross & Vent. Uncross White matter in spinal cord
Ant. Horn of spinal cord through a interconnection
α motor neuron of opposite side
From cortex (only about 50% from primary motor cortex)
Passes through the posterior limb of the
internal capsule in somatotopic order
Passes through cerebral peduncles
Sends branches off to bulbar nuclei (both ipsi
and contra) cortico- bulbar
At pyramids 85% cross midline
50-55% end in cervical cord
cortico- 5-10% direct on motor neurons spinal CORTICOBULBAR TRACT Corticobulbar tract basically deals with neurons originating in the primary motor cortex of the frontal lobe in the precentral gyrus also known as the brodmann area and terminate in the bulbar(Archaic for medulla oblongata) This tract consists of fibers that pass from the motor cortex to the motor neurons in the trigeminal, facial and hypoglossal nuclei in the brainstem and are involved in the control of muscles of the head, face and tongue. The tracts descend through the corona radiata and traverse the genu of the internal capsule , through to the cerebral peduncle , to descend with the corticospinal tract fibers in the pons. Corticobulbar neuron may either terminate directly on the cranial nerve nuclei or on their antecedent interneurons in the brain stem. THE END
Twelve-Week Biomechanical Ankle Platform System Training On Postural Stability and Ankle Proprioception in Subjects With Unilateral Functional Ankle Instability