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What is UMN and LMN?

Published in Neuroanatomy 3 mins read

Upper Motor Neurons (UMN) and Lower Motor Neurons (LMN) are crucial components of the motor pathways responsible for voluntary movement in the human nervous system. They represent distinct parts of the chain that ultimately leads to muscle contraction.

Here's a breakdown of each:

Upper Motor Neurons (UMN)

  • Definition: Upper motor neurons originate in the cerebral cortex (primarily the motor cortex) or brainstem and project to the spinal cord or brainstem. They do not directly innervate muscles.
  • Function: UMNs control movement indirectly by influencing LMN activity. They transmit signals that either initiate or inhibit movement by synapsing with lower motor neurons. They are involved in planning, initiating, and modulating voluntary movements, and also play a role in postural control.
  • Location: UMN cell bodies reside in the cerebral cortex (e.g., motor cortex, premotor cortex) and brainstem. Their axons travel through the internal capsule, brainstem, and then down the spinal cord in tracts such as the corticospinal and corticobulbar tracts.
  • Damage/Lesions: Damage to UMNs leads to a characteristic set of symptoms known as upper motor neuron syndrome. This can include:
    • Spasticity: Increased muscle tone.
    • Hyperreflexia: Exaggerated reflexes.
    • Clonus: Rhythmic, involuntary muscle contractions.
    • Babinski sign: An abnormal reflex where stroking the sole of the foot causes the big toe to extend upwards and the other toes to fan out.
    • Weakness: Can range from mild weakness to paralysis, but typically affects groups of muscles rather than individual muscles.

Lower Motor Neurons (LMN)

  • Definition: Lower motor neurons are the final common pathway for motor commands. They directly innervate skeletal muscles.
  • Function: LMNs receive input from UMNs and directly stimulate muscles to contract. They are the only neurons that can directly trigger muscle movement.
  • Location: LMN cell bodies are located in the ventral horn of the spinal cord (for motor neurons innervating the limbs and trunk) and in the brainstem motor nuclei (for motor neurons innervating the head and neck). Their axons exit the spinal cord via ventral roots and travel in peripheral nerves to reach their target muscles.
  • Damage/Lesions: Damage to LMNs leads to lower motor neuron syndrome, characterized by:
    • Weakness or paralysis: Typically affecting individual muscles or small groups of muscles.
    • Hypotonia: Decreased muscle tone.
    • Hyporeflexia or areflexia: Diminished or absent reflexes.
    • Fasciculations: Involuntary muscle twitching.
    • Muscle atrophy: Loss of muscle mass.

UMN vs. LMN: A Table Summarizing the Differences

Feature Upper Motor Neuron (UMN) Lower Motor Neuron (LMN)
Origin Cerebral cortex or brainstem Ventral horn of spinal cord or brainstem motor nuclei
Target Lower Motor Neuron Skeletal muscle
Function Indirectly controls movement; influences LMN activity Directly stimulates muscle contraction
Effect of Lesion Spasticity, hyperreflexia, clonus, Babinski sign, weakness Weakness/paralysis, hypotonia, hyporeflexia/areflexia, fasciculations, atrophy

In essence, UMNs act as the "commanders," issuing orders from the brain, while LMNs are the "soldiers" that carry out those orders by directly activating muscles. Damage to either type of neuron results in distinct clinical syndromes.

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