Supplementary motor area of the brain.
In your daily life, you perform endless
actions automatically, without thinking about how you perform them and which
brain structures are involved. The supplementary motor area is responsible for
many of these actions.
The motor cortex is a neocortical area
responsible for controlling each of our movements. It is located in the frontal
lobe and consists of the primary motor cortex, the premotor cortex and the
supplementary motor area.
In this article, we will focus on the latter
area. We will review its components, its functions and the changes it may
suffer as a result of damage or other types of impact.
Supplementary motor area
The supplementary motor area occupies the
posterior third of the superior frontal gyrus and coordinates postural
movements. Its nerve cells are interconnected with the spinal cord.
Consequently, it plays an important role in the direct control of mobility. In
fact, its activity is not only relevant for initiating actions, but also for preparing
and monitoring them.
Electrical stimulation of this area can
produce elevations of the opposite arm, deviations of the head and eyes, and
bilateral synergistic contractions of the muscles of the trunk and legs. Most
of these movements are described as tonic contractions of the postural type.
The supplementary motor area consists of the
pre-supplementary motor area and is related to the supplementary eye field.
Together, the three make up the supplementary motor complex (Nachev, Kennard
& Husain, 2008). The anatomical and neurophysiological characteristics of
each are completely different.
Compared to the primary motor areas, the
supplementary motor complex exhibits greater sensitivity to tasks where the
action has a broader scope and is not specified by the immediate external
environment. The influence of the whole can interfere with the execution and
omission of actions.
Moving the eyes, turning the head slightly,
raising the arms and many other actions are connected to this area.
Functions
Simple movements are mediated by activation
of the primary motor area and sensory cortex. The supplementary motor area is
involved with them in the preparation, initiation and monitoring of complex
movements.
Through the study of blood circulation, it
has been observed that blood flow increases in the primary motor area and
extends to the supplementary area during the execution of complex movements.
But when the same sequence is performed only mentally, it increases blood flow
only in the supplementary motor area.
The supplementary motor area (SMA) occupies
the posterior one third of the superior frontal gyrus and is responsible for
planning of complex movements of contralateral extremities but ipsilateral
planning to a small effect.
What
are the supplementary motor areas?
Supplementary
motor area - Wikipedia
The supplementary motor area (SMA) is a part
of the motor cortex of primates that contributes to the control of movement. It
is located on the midline surface of the hemisphere just in front of (anterior
to) the primary motor cortex leg representation.
Which
lobe of the brain contains the supplementary motor area?
the
frontal lobe
The motor cortex comprises three different
areas of the frontal lobe, immediately anterior to the central sulcus. These
areas are the primary motor cortex (Brodmann's area 4), the premotor cortex,
and the supplementary motor area (Figure.
Vad händer när det kompletterande
motoriska området skadas?
Pre-SMA har förbindelser
med prefrontal cortex, insula, superior frontal gyrus (SFG), caudate nucleus,
putamen och thalamus. Skador på SMA resulterar i transienta
talinitieringssvårigheter och minskad talutgång (mutism.
Research conducted with functional magnetic
resonance (FMR) and with positron emission tomography (PET) discovered
significant participation of the supplementary motor area in the control and
initiation of movement and the sequences of tasks.
The researchers also specified that this area
is not just an exclusive area for movement, but a mixed sensorimotor part. But
its primary purpose is motor function. This area also intervenes in:
Bimanual coordination.
Reception of sensory stimuli.
Retrieval and repetition of learned tasks.
Motor learning of movement sequences.
It acts as a link between the limbic system
and the motor apparatus.
When this area is damaged, it is likely that
certain movements that involve high speeds will be permanently affected.
Disorders
This condition is a consequence of surgery or
injury to this area. Immediately afterwards it manifests as contralateral
hemiplegia.
Those suffering from disturbances in the
supplementary motor area show a severe reduction in contralateral spontaneous
motor activity. They also experience facial paralysis and impaired spontaneous
speech. In addition, involuntary movement of the extremities is common. In
addition, the syndrome may be accompanied by hemiataxia, hemiapraxia,
hemineglect, hyperreflexia and hypertonicity.
Broca's area responsible for motor speech?
Broca's area, located in the left hemisphere, is associated with speech production and articulation. Our ability to articulate ideas, as well as use words accurately in spoken and written language, has been attributed to this crucial area.
Movement recovery is usually complete about
eleven days after surgery. But fine motor skills may not recover until about
two to six weeks later. In addition, complex tasks that require special skills,
as well as movements performed at high speeds, can be permanently affected. The
following long-term consequences may occur:
Changes of fine movements with the hands.
Affections in the alternating fine movements
of both hands. This is especially the case for complex tasks that require quick
execution or great skill.
The onset of language disorders has also been
detected in cases of damage to this area. It can mean:
Echolalia
Paraphasias
Hypofluent language
Telegraphic language
In summary, the supplementary motor area is
an important cortical area for planning, initiating and monitoring movements.
Although its functions are not clearly defined and multiple roles are
considered, this area is central to the continuity of complex actions and to
the coordination of manual movements
Sincerely, Samuel
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