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Dr. Matt and Dr. Mike's Medical Podcast

Medical Minutes | How does dopamine affect movement?

Dr. Matt and Dr. Mike's Medical Podcast

Dr. Mike Todorovic

Physiology, Physiotherapy, Health & Fitness, University, Science, Nursing, Education, Health, Anatomy, Medicine

4.8675 Ratings

🗓️ 25 November 2025

⏱️ 3 minutes

🧾️ Download transcript

Summary

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Transcript

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0:00.0

We hear a lot about the role of dopamine in mood and behaviour and that's true.

0:04.0

It does play an important role there, but we don't often hear about the role of dopamine in movement.

0:09.0

So, if you need to consciously move or consciously tell a muscle to contract, the motor cortex of your brain needs to ask a deeper area of your brain for permission. This area is called

0:22.4

the basal nuclei. Used to be called the basal ganglia. Now when it asks for permission to move,

0:28.4

the basal nuclei has two responses. It has actually two pathways. One pathway, which is called the

0:35.0

direct pathway, says yes, you can move. But the other pathway called the direct pathway, says, yes, you can move.

0:38.3

But the other pathway called the indirect pathway says, no, you cannot.

0:42.9

Now, this is strange.

0:44.2

You're asking to move a particular muscle, and you're asking for permission, and the basal nuclei

0:48.8

has two simultaneous pathways that says, yes, you can, no, you can't.

0:53.5

That doesn't help us. So we need a way

0:56.2

to figure out how we can move. And this is where dopamine comes into place. So there are dopamine

1:00.9

producing neurons called dopaminergic neurons. They project to this basal nuclei and flood that

1:06.4

area with dopamine when you want to move. What dopamine does is it goes to the direct pathway

1:12.1

and stimulates it, amplifies it, allows the direct pathway to work. So remember the direct

1:19.2

pathway was yes you can move, dopamine facilitates that and says yes you can move. Dopamine

1:24.2

also goes to the indirect pathway which says no no you can't, and inhibits it.

1:28.3

So all you have going at the moment is that direct pathway saying, yeah, you can move.

1:33.3

So the role of dopamine in movement is that allows you to initiate movement, but also by inhibiting or favoring the direct pathway as opposed to the indirect, you don't have

1:44.9

this stop-start, stop-start signal.

1:46.6

So it smooths movement out.

1:49.7

Now think about people with Parkinson's disease.

...

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