Spinal Cord Gross Anatomy
Descending Spinal Cord Tracts
(Descending) Spinal Motor Pathways
Spinal Reflexes
Clinical Correlates
100

How many interconnecting neurons form descending tracts? What are their names?

-2

-1st-order neurons (upper motor neurons)

-2nd-order neurons (lower motor neurons)

100

How many major functional groups are the descending spinal cord tracts divided into?

2; pyramidal and extrapyramidal tracts

100

Type of pathway that originates in the motor cortex and controls voluntary movement.

Pyramidal (direct) pathways 

100

What is the primary function of the spinal cord?

To perform spinal reflexes

100

Which respiratory structure is innervated by spinal nerves C3-C5?

The diaphragm

200

Alpha motor neurons regulate _____ movements, while gamma motor neurons regulate _____ movements. (voluntary/reflexive)

voluntary, reflexive

200

What is the correct hierarchy of motor activity, from lowest to highest? (cerebellum, motor cortex, basal ganglia, spinal cord, premotor cortex)

Spinal cord, cerebellum, basal ganglia, motor cortex, premotor cortex

200

What type of skills do our pyramidal pathways regulate?

Fine, skilled actions (speech, writing, pincer grasp, etc.)

200

What is the correct pathway order of the reflex arc?

sensory input-->interneuron-->motor output; usually ipsilateral in the pathway

200

A lesion above the C4 nerve will result in:

Complete paralysis of the respirators

300

Stretch receptors found inside the skeletal muscles, sensitive to changes in muscle length.

Muscle spindles

300

Fx: sends a command down the spinal cord

1st-order neurons (UMN)

300

Which tract controls precise, skilled, voluntary movements, especially of the distal limbs and fingers?

Corticospinal tract

300

What is an example of a monosynaptic (one synapse) reflex?

The knee-jerk reflex; tendon tapping

300

Which syndrome presents with a loss of muscle power, reduced reflexes, muscular atrophy, and muscle flaccidity?

A LMN syndrome

400

The ventral horn of the spinal cord regulates _____ information, while the dorsal horn regulates _____ information. (sensory/motor)

motor, sensory

400

Travels from the spinal cord to the skelatal muscles to innervate; carries commands to the muscles.

2nd-order neurons (LMN)

400

Examples of this type of pathway include the rubrospinal tract, vestibulospinal tract, and the reticulospinal tract.

Extrapyramidal (indirect) pathways

400

What type of reflex is the withdrawal/ flexor reflex?

Polysynaptic (multiple synapses)

400

Bilateral loss of sensorimotor functions below the lesion site; functions above the lesion will be spared.

A complete spinal section

500

The posterior bundle of nerve fibers that carries sensory input into the spinal cord; all incoming afferent signals must enter through here.

Dorsal root

500

Originates in the brainstem; responsible for the involuntary, automatic control of muscle tone, balance, posture, and modulation of motor plans.

Extrapyramidal tracts

500

What is the difference in functioning between the lateral and anterior corticospinal tracts?

-Lateral corticospinal tract: distal limb control (fine, skilled movement)

-Anterior corticospinal tract: axial and trunk control (posture, balance)

500

Protective reflex; involves ipsilateral limb withdrawal, contralateral limb extension, and fibers that cross to contralateral interneurons

Crossed extensor reflex (e.g., your body engaging contralateral muscles to make sure you don't fall over)

500

Ipsilateral loss of movement and discriminative touch, and a contralateral loss of pain and temperature (spinothalamic pathways).

A spinal hemisection