Muscle Types and Movements

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Questions and Answers

What is the typical age range for the onset of symptoms in children with Rett syndrome?

  • 2 to 6 years
  • Birth to 6 months
  • 6 to 18 months (correct)
  • 20 to 30 months

Which statement about Tourette syndrome is true?

  • It is always diagnosed before the age of six.
  • It primarily affects boys and accounts for a large percentage of cases.
  • All individuals with Tourette syndrome have coprolalia.
  • Tics generally diminish by a person's early 20s. (correct)

How common is Rett syndrome among infant girls?

  • 1 in every 5,000 to 10,000
  • 1 in every 10,000 to 23,000 (correct)
  • 1 in every 50,000
  • 1 in every 1,000

Which of the following describes the nature of tics in Tourette syndrome?

<p>They are involuntary and repetitive. (D)</p> Signup and view all the answers

Which of the following is NOT typically a symptom of Tourette syndrome?

<p>Social withdrawal (C)</p> Signup and view all the answers

What type of muscle is responsible for moving the body in response to the environment?

<p>Skeletal or Striated Muscles (C)</p> Signup and view all the answers

Which type of muscle fibers are primarily used for non-strenuous activities?

<p>Slow-twitch Fibers (D)</p> Signup and view all the answers

What happens to glucose utilization during prolonged bicycling?

<p>Low glucose activates a gene that saves glucose for the brain. (D)</p> Signup and view all the answers

Which of the following reflects a characteristic of reflexes?

<p>Reflexes are automatic responses to stimuli. (B)</p> Signup and view all the answers

What is a common reflex displayed by infants?

<p>Grasping an object placed in their hand (A)</p> Signup and view all the answers

What is the main difference between slow-twitch and fast-twitch muscle fibers?

<p>Slow-twitch fibers have less vigorous contractions. (B)</p> Signup and view all the answers

During which type of activity do muscles predominantly use anaerobic processes?

<p>Sprint running (A)</p> Signup and view all the answers

Which statement best describes the relationship between voluntary and involuntary movements?

<p>Even typically voluntary movements can have involuntary components. (B)</p> Signup and view all the answers

What is a primary characteristic of ataxia?

<p>Clumsiness and instability in voluntary movements (D)</p> Signup and view all the answers

Which part of the body is most commonly affected in focal dystonia?

<p>Neck (B)</p> Signup and view all the answers

What is a common symptom of Huntington's disease?

<p>Loss of mental abilities (C)</p> Signup and view all the answers

Which of the following disorders is characterized by involuntary muscle spasms?

<p>Dystonia (B)</p> Signup and view all the answers

Multiple System Atrophy (MSA) can cause which of the following symptoms?

<p>Significant blood pressure drops when standing (B)</p> Signup and view all the answers

What typically can trigger myoclonus in a patient?

<p>Abnormal oxygen levels in the brain (B)</p> Signup and view all the answers

In Parkinson's disease, which neurotransmitter is primarily lost due to nerve cell degeneration?

<p>Dopamine (C)</p> Signup and view all the answers

Which of the following is NOT a common symptom of Parkinson's disease?

<p>Increased appetite (C)</p> Signup and view all the answers

What age range is most commonly associated with the onset of Huntington's disease?

<p>35 to 50 years (D)</p> Signup and view all the answers

Rett syndrome primarily causes which type of disorder?

<p>Neurological disorder (D)</p> Signup and view all the answers

Which of the following is a characteristic feature of myoclonus?

<p>Intermittent muscle spasms (B)</p> Signup and view all the answers

What impact can dystonia have on an individual?

<p>It may induce uncontrollable twisting movements. (A)</p> Signup and view all the answers

How prevalent is Huntington's disease in the U.S. population?

<p>1 in every 10,000 people (D)</p> Signup and view all the answers

Which of the following disorders is characterized by jerking or uncontrolled movements?

<p>Myoclonus (D)</p> Signup and view all the answers

What is the primary function of the Babinski reflex in infants?

<p>Infants extend the big toe and fan the others when the foot is stroked. (A)</p> Signup and view all the answers

What effect does damage to the cerebral cortex have on infant reflexes?

<p>It releases infant reflexes from inhibition. (D)</p> Signup and view all the answers

What role do the basal ganglia primarily serve in motor control?

<p>They help in the selection and triggering of voluntary movements. (A)</p> Signup and view all the answers

Which area of the brain is primarily involved in voluntary muscle control?

<p>The motor cortex. (D)</p> Signup and view all the answers

What is the significance of the motor map in the primary motor cortex?

<p>It indicates the different parts of the body that have specific control areas. (D)</p> Signup and view all the answers

What does a ballistic movement refer to in the context of reflexes?

<p>Movements that are executed as a whole and cannot be altered. (B)</p> Signup and view all the answers

What is the role of the cerebellum in motor control?

<p>To regulate the precision and timing of complex movements. (D)</p> Signup and view all the answers

Which reflex is triggered when the cheek of an infant is touched?

<p>The rooting reflex. (A)</p> Signup and view all the answers

If a physician observes the Babinski reflex in an adult, what might they suspect?

<p>Neurological impairment. (D)</p> Signup and view all the answers

What happens when the pulmonary artery is blocked?

<p>Blood cannot exit the heart properly. (D)</p> Signup and view all the answers

How does the motor cortex receive information for executing movements?

<p>From various lobes of the brain, including sensory inputs. (D)</p> Signup and view all the answers

Why are certain parts of the body represented larger in the motor cortex?

<p>They have finer motor skills requiring more control. (C)</p> Signup and view all the answers

Which of the following might indicate impairment in the basal ganglia?

<p>Difficulty in starting planned movements. (C)</p> Signup and view all the answers

What happens to reflexes as a person ages?

<p>They fade but the connections remain intact. (A)</p> Signup and view all the answers

Flashcards

What is Rett Syndrome?

A rare genetic disorder that primarily affects girls, causing developmental delays and severe disabilities.

What is Tourette Syndrome?

A neurological disorder characterized by involuntary movements and vocalizations called tics.

What are tics?

Involuntary movements or vocalizations that often occur in Tourette Syndrome.

What is coprolalia?

The involuntary use of obscene words or phrases in Tourette Syndrome.

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What is copropraxia?

The involuntary use of obscene gestures in Tourette Syndrome.

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Infant Reflexes

An involuntary response to stimulation, often present in infants and disappearing with age. Examples include grasping, rooting, and Babinski reflexes.

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Babinski Reflex

The reflex, elicited by stroking the sole of the foot, where the big toe extends and the others fan out. Normally present in infants but typically disappears by age 2.

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Rooting Reflex

An infant's response to touch on the cheek, where they turn their head towards the stimulus and begin sucking. This helps them find the breast or bottle for feeding.

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Reflex Suppression

The process of inhibiting or suppressing a reflex, often controlled by the frontal cortex of the brain.

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Frontal Cortex

The frontal lobe of the brain, responsible for higher-level functions like planning, movement, and decision-making. It also plays a role in controlling reflexes.

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Ballistic Movement

A movement executed as a whole, without correction once started. Examples include reflexes.

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Feedback Correction

A feedback mechanism used to refine movements. It involves receiving sensory information about a movement and adjusting it accordingly.

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Motor Cortex

The area of the brain located in the rear portion of the frontal lobe, responsible for controlling voluntary movements. It is divided into Area 4 (primary motor cortex) and Area 6.

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Area 4 (Primary Motor Cortex)

The primary motor cortex, located along the central sulcus, directly responsible for sending signals to muscles.

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Area 6

A region of the motor cortex that lies anterior to Area 4, involved in planning and coordinating complex movements.

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Basal Ganglia

A set of neural structures located deep within the cerebrum, involved in selecting and triggering voluntary movements. It receives input from the cortex and sends information back via the thalamus.

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Caudate Nucleus

One of the structures within the basal ganglia, involved in planning and coordinating movements.

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Cerebellum

Part of the cerebellum responsible for regulating the sequence, duration, and timing of movement segments.

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Parkinson's Disease

A condition characterized by tremors, slowness of movement, and difficulty in initiating movements due to damage to the basal ganglia.

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Smooth Muscles

Muscles that control movement within the body, like digestion.

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Skeletal Muscles

Muscles that control movement of the body in relation to the environment.

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Cardiac Muscles

Muscles with properties of both smooth and skeletal muscles, found in the heart.

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Slow-Twitch Fibers

Muscle fibers that use oxygen for energy, causing slower contraction but no fatigue. Useful for endurance activities.

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Fast-Twitch Fibers

Muscle fibers that use glucose without oxygen, causing fast contraction but rapid fatigue. Useful for short bursts of energy.

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Reflexes

Automatic responses to stimuli. They are consistent and not influenced by learning.

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Stretch Reflex

Involuntary muscle contractions caused by stretching.

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Voluntary Movement

The ability to control movements consciously.

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Dystonia

A neurological disorder characterized by involuntary muscle spasms, often resulting in twisting movements, abnormal postures, and repetitive motions.

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Ataxia

A degenerative disorder affecting the brain, brainstem, or spinal cord, causing clumsiness, lack of coordination, and unsteady gait.

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Huntington's Disease

A rare genetic disease causing progressive nerve damage, affecting movement, cognitive ability, and mental health.

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Multiple System Atrophy (MSA)

A progressive neurodegenerative disorder affecting movement, blood pressure, and other bodily functions. It includes various symptoms like stiffness, balance issues, and low blood pressure.

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Myoclonus

Involuntary muscle twitching or spasms, classified into different types depending on the location and cause.

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Rett Syndrome

A rare genetic disorder primarily affecting girls, causing developmental delays, muscle weakness, autistic-like behavior, and breathing problems.

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Subcortical Myoclonus

A type of myoclonus that affects many muscle groups and is often caused by low oxygen levels in the brain or metabolic issues.

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Cortical Myoclonus

A type of myoclonus originating from the sensorimotor cortex of the brain, causing jerky movements with regular rhythm.

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Spinal Myoclonus

A type of myoclonus caused by a lesion in the spinal cord, often resulting in longer and more variable jerking movements.

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Hemifacial Spasm

A type of myoclonus affecting the facial nerve, causing spasms of the face.

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Spasmodic Torticollis

A specific type of focal dystonia that affects the neck, causing involuntary head turning and tilting.

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Blepharospasm

A specific type of focal dystonia affecting the eyelids, causing involuntary blinking and spasms.

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Meige Syndrome

A specific type of focal dystonia affecting the lower face, causing involuntary movements and spasms of the jaw, lips, and tongue.

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Writer's Cramp

A specific type of focal dystonia affecting the hand, causing involuntary spasms and difficulty with writing.

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General Dystonia

A type of dystonia affecting the entire body, causing involuntary movements and spasms throughout.

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Study Notes

Muscle Types and Movements

  • Animal movement relies on muscle contractions.
  • Vertebrate muscles are categorized into three types:
    • Smooth muscles: Control digestive system and internal organs.
    • Skeletal (striated) muscles: Control body movement relative to environment.
    • Cardiac muscles: Intermediate properties between smooth and skeletal muscles.

Fast and Slow Muscle Fibers

  • Human muscles have a mix of fast-twitch and slow-twitch fibers.
  • Fast-twitch fibers contract quickly and fatigue rapidly, using anaerobic (no oxygen) processes initially, then needing oxygen for recovery.
  • Slow-twitch fibers contract less vigorously and don't fatigue easily, using aerobic (oxygen-dependent) processes.

Voluntary and Involuntary Movements

  • Reflexes are automatic responses to stimuli, insensitive to reinforcement, punishment, or motivation.
  • Examples include the stretch reflex and pupil constriction.
  • Most behaviors involve a mix of voluntary, involuntary, reflexive, and non-reflexive components.
  • It's difficult to simultaneously make opposing voluntary movements on the same side of the body.

Infant Reflexes

  • Infants possess reflexes not typically present in adults, such as:
    • Grasp reflex
    • Babinski reflex
    • Rooting reflex
  • These reflexes fade with age, but the connection persists and is suppressed by brain signals (especially the frontal cortex).
  • If the cerebral cortex is damaged, infant reflexes may reappear. This is a simple test for brain damage (though not definitive).
  • Infant reflexes may temporarily return with alcohol, carbon dioxide or other chemical effects decreasing activity in the cerebral cortex.

Ballistic vs. Feedback Movements

  • Ballistic movements (like reflexes) happen as a whole and cannot be altered once initiated.
  • Most behaviors involve feedback correction.

The Motor Cortex

  • Voluntary movements are controlled by the brain, primarily the motor cortex.

  • Located in the frontal lobe, just in front of the central sulcus.

  • Divided into:

    • Area 4 (primary motor cortex) - Thin band along the sulcus.
    • Area 6 - Wider area in front of Area 4, with sub-areas.
  • The motor cortex receives input from various brain regions to execute goal-directed movements:

    • Parietal lobe (body position)
    • Frontal lobe (goals & strategy)
    • Temporal lobe (memory)
  • Brain stimulation experiments (Hitzig & Fritsch, 1870) mapped different body parts to specific cortical areas by stimulating and damaging corresponding regions.

  • Parts of the body requiring precise movements occupy larger areas in the motor map than others.

Basal Ganglia

  • Basal ganglia (deep brain structures) include the caudate nucleus, putamen, and globus pallidus.
  • These structures receive input from multiple cortical areas, process the information, and relay it back to the motor cortex via the thalamus.
  • Function in selecting and triggering coordinated voluntary movements, evidenced by Parkinson's disease hindering these functions.

Cerebellum

  • Involved in fine coordination of movements, acting like an internal "clock" regulating the sequence and duration of movements.
  • Receives input concerning the intended movement from sensory & motor cortexes.
  • Sends output about required direction, force, and duration back to the motor cortex, operating along with the basal ganglia.

Movement Disorders

  • Ataxia: Degenerative disorder affecting brain, brainstem, or spinal cord, leading to clumsiness, incoordination, and frequent falls.
  • Dystonia: Neurological disorder characterized by involuntary muscle spasms, typically stemming from dysfunctional basal ganglia. Can affect various body parts.
  • Huntington’s Disease: Progressive, degenerative, fatal disease of nerve cells in the brain, onset usually between 35 and 50, with symptoms including uncontrollable movements and mental decline. Hereditary with a 50% chance for offspring with affected parent.
  • Multiple System Atrophy (MSA): Progressive neurodegenerative disease affecting multiple systems (movement, blood pressure, etc.). Symptoms vary.
  • Myoclonus: Twitching or spasming of muscles. Different types (cortical, subcortical, spinal, peripheral); various causes including diseases.
  • Parkinson’s Disease: Progressive disorder caused by degeneration of dopamine-producing cells in the substantia nigra; characterized by tremors, rigidity, slowed movements, postural issues, balance problems.
  • Rett Syndrome: Progressive neurological disorder with symptoms including reduced muscle tone, autistic-like behaviors, repetitive hand movements, irregular breathing, developmental delays, and seizures; most often affects girls.
  • Tourette Syndrome: Hereditary neurological disorder with involuntary movements and vocalizations (tics), often starting between ages 6 and 15; verbal tics may include socially unacceptable words. Tics frequently disappear in early 20's.

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