Direct and indirect pathways for corticospinal control of upper limb motoneurons in the primate.

In the macaque monkey and in humans, the monosynaptic cortico-motoneuronal system is well developed. It allows the cortical motor areas to make an important direct contribution to the pattern of muscle activity during upper limb movements. There is, in addition, good anatomical evidence for descending corticospinal inputs being able to influence the premotoneuronal networks of the cervical spinal cord, and especially those operating at the segmental level of upper limb motoneurons. While oligosynaptic inhibition has been easy to demonstrate in the macaque, and may be a very important component of descending corticospinal control, it has proved much more difficult to detect signs of oligosynaptic excitation. In contrast, in the squirrel monkey, in which the cortico-motoneuronal system is far less developed, oligosynaptic excitation is prominent. There are important changes in the interplay between direct and indirect pathways in different primates, which may provide important clues on the nature of the corticospinal control of upper limb function.