Upper Motor Neuron (UMN) and Lower Motor Neuron (LMN)

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Upper Motor Neuron (UMN) and Lower Motor Neuron (LMN) UMN Nerve tracts that originate or end in the same cortex à But once they come to the point of becoming emerging nerves they no longer are nerve tracts, nut now NERVES Interface with nuclei Spinal Nerves go to the Spinal Cord Cranial Nerves go to the Brain Steam Damage to the UMN Results in a contralateral damage: (Both Sides, before Crossover) LMN AKA the final common pathway This pathway innervates the organs The nerves make contact with muscles that move or feel sensation Cranial and Spinal Nerves Controls volitional and Sensory Motor Activity à Ex: Speaking and Walking Damage in LMN results in ipsilateral damage: (Same side, after cross over)

Transcript of Upper Motor Neuron (UMN) and Lower Motor Neuron (LMN)

Page 1: Upper Motor Neuron (UMN) and Lower Motor Neuron (LMN)

Upper Motor Neuron (UMN) and Lower Motor Neuron (LMN)

UMN

♦ NervetractsthatoriginateorendinthesamecortexàButoncetheycometothepointofbecomingemergingnervestheynolongerarenervetracts,nutnowNERVES

♦ Interfacewithnuclei♦ SpinalNervesgototheSpinalCord♦ CranialNervesgototheBrainSteam♦ DamagetotheUMNResultsinacontralateraldamage:(BothSides,beforeCrossover)

LMN

♦ AKAthefinalcommonpathway♦ Thispathwayinnervatestheorgans♦ Thenervesmakecontactwithmusclesthatmoveorfeelsensation♦ CranialandSpinalNerves♦ ControlsvolitionalandSensoryMotorActivity

àEx:SpeakingandWalking♦ DamageinLMNresultsinipsilateraldamage:(Sameside,aftercrossover)

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Let’s talk about the…. Spinal Nerves: 31 pairs

Theyinnervatebothsidesofourbodies

Theyarebothmotorandsensory♦ Partofmotortractoriginatingfromprimarymotorcortex♦ Corticalspinalakaspinalnerveswithinthepyramidaltract♦ Partofthesensorytractoriginatesfromtheprimarysensory

cortex

♦ Controls:àVoluntaryMovementsofmusclesinthebody

ex:walking,lifting,sittingàSensoryResponsestoexternalstimuli ex:touch,temp,pain,proprioception

♦ ApartoftheperipheralSomato-SensoryNervousSystem♦ Thesenervesarisefromthespinalcordinpairs

♦ Innervatemusclesonthesamesidethattheyarisefrom Therearethreedifferenttractsusingthespinalnerves:

1. PosteriorColumnTract2. SpinothalamicTract(ThalamustoSpinalCord)3. SpinocerebellarTract(InvolvestheCerebellum)

SpinalNervesaredivided

8Cervical-beginsfromtheneck

12Thoracic–fromthenecktoupperchest5Lumber–hipregion

5Sacral–tailboneregion1Coccygeal–tailboneregion

Spinal Nerves support in speech/language/hearing àHaveasmallcontributiontohelpingusbreath!

à This is a source of power!

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http://www.pacemakerplus.com/diaphragmatic-pacing-phrenic-nerve-pacing-twitching-after-a-pacemakericd-implant/

Phrenic Nerve – Innervates the diaphragm

Cranial Nerves

https://en.wikipedia.org/wiki/Cranial_nerves

**NotallCranialNervesarerelatedtoSpeech!**

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CranialNervesRelatedtoSpeech:V.TrigeminalNerve(Mixed,MotorandSensory)VII.FacialNerve(Mixed)VIII.AuditoryNerve(Sensory)IX.GlossopharyngealNerve(Mixed)X.VagusNerve(Mixed)XI.AccessoryNerve(Motor)XII.Hypoglossal(Motor)Let’sbrieflygooverallthenervesbutweshallgoindepthinthe

SpeechrelatednervesonlyV,VII,VIII,IX,X,XI,andXIIarespeechrelated.

http://courseimage.com/popular

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12 Cranial Nerves:

♦ Theyarepartofthecorticonuclear/corticobulbartractwithinthepyramidaltract

♦ Receivesimputefromcortexandextrapyramidalpathways♦ CranialNerveswithBilateralUMNinnervation

àTheseInclude:V,VII(upperface),IX,X,XI♦ CranialNerveswithPrimaryContralateralUMNinnervation

àTheseinclude:VI,(lowerface),XII

Let’s talk about the Cranial Nerves Involved in

speech a little more!

http://kingessays.org/

Trigeminal (V): Motor & Sensory Function:Chewingandhelpswitharticulation

o FacialMusclesinvolved1. Masseter(HelpsChew)2. Temporalis(ForeHead)3. LateralandMedialPterigiods4. TensorTypana5. TensorVeliPalatini6. Mylohyliod7. Partsofdigastricmuscle

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o Has3SensoryBranches1.Ophthalmic:Forehead,Eyes,Nose2.Maxillary:CheekArea,UpperLip,Palate,UpperTeeth,Gums3.Mandibular:Jaw(MandibleandMaxilla)

**If people have symptoms such as not being able to move there jaw

well and there ear is numb, this nerve might be damaged!**

Have you ever had a brain freeze? That’s because of this nerve!

Facial (VII): Sensory and Motor Function:movementoftheEyesandTongue

o àTaste(2/3anteriortongue)àEx:SweetorSaltyàHasalottodowithmusclesofthehearingpathwayàCansensemusclesvibratingsuchaseardrumàCancausestapediusmuscletocontract

http://erquiznpics.blogspot.com/2011/02/case-3.html

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The picture above shows what could occur when there is damage in the facial nerve

Vestiblarcochlear/Auditory (VIII): Sensory Function:Hearing Glossopharyngeal (IX): Motor & Sensory Function:Salivation,Gagreflex,tastes(1/3)ofthetongueVagus (X): Sensory and Motor Function:Digestion,VocalFoldsforpitch,swallowing,andhelpsuskeepfoodawayfromourtrachea!

o **VagusNerveiswrappedaroundtheheart** àifthisnerveis“accidently”cutduringsurgerythenthe patientwillbenonverbal/vocal

http://www.canstockphoto.com/vector-clipart/couple-sad.html

Spinal Accessory (XI): Motor Function:neckandshouldermovementàEffectiveinPostureàTurningtheheadàRespiration Hypoglossal (XII): Motor

o Function:Innervationoftongue

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