Neuromuscular control of motion

Jennifer Kong and Valerie Swanston

In our previous chapters, we explored several components of the neuromuscular system including the brain, brainstem, spinal cord, peripheral nerves, neuromuscular junction, and muscle. In this chapter we will build on this knowledge by discussing the pathophysiology of different diseases that involve the neuromuscular system. There are a huge number of diseases that can impact the neuromuscular system. In the following sections, we have chosen to highlight six different diseases that act on different components of the neuromuscular system. It’s important to understand that neuromuscular disorders can result from deficits anywhere along the pathway from the cerebral cortex to the skeletal muscle.

a green line denotes the motor message leaving along the upper motor neuron (i.e. the CNS from primary motor cortex through the spinal cord) to the lower motor neuron (peripheral nervous system). Red text denotes the five exemplars of pathologies: TBI & ischemic stroke for Brain, Multiple sclerosis for brain spinal cord, myasthenia gravis for neuromuscular junction, diabetic neuropathy for peripheral nerves, and muscular dystrophy for muscle
Figure 12.49 A summary of the neuromuscular system. The diseases that we covered in this chapter are indicated in red, along with their principal site of action along the pathway of neuromuscular transmission. Used and adapted under creative commons license, original author Rcchang16 (File:UMN vs LMN.png – Wikimedia Commons).

 

 

As we go through these diseases, think back to our previous chapters where we learned about the normal physiology and anatomy of each component. It’s important to understand what happens in normal conditions so we can begin to learn about the consequences to the body during disease or injury. You may feel overwhelmed while reading this chapter- the neuromuscular system is complex! Make sure you review our previous chapters when you need to refresh your knowledge of these challenging topics.

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Pathology Copyright © 2022 by Jennifer Kong and Valerie Swanston is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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