The motor area is itself aroused to action by nerve currents entering it through axons coming from other parts of the cortex; and it is by way of the motor area that any other part of the cortex produces bodily movement. There are a few exceptions, as, for example, the movements of the eyes are produced generally by the "visual area" acting directly on the lower motor centers for the eye in the brain stem; but, in the main, any motor effect of brain action is exerted through the motor area. The motor area, as already mentioned, acts on the lower motor centers in the cord and brain stem, and these in turn on the muscles; but we must look into this matter a little more closely. A lower motor center is a group of motor and central neurones, lying anywhere in the cord or brain stem, and capable of directly arousing a certain coördinated muscular movement. One such unit gives flexion of the leg, another gives extension of the leg, a third gives the rapid alternation of flexion and extension that we see in the scratching movement of the dog. Such a motor center can be aroused to activity by a sensory stimulus, and the resulting movement is then called a reflex. The lower center can be aroused in quite another way, and that is by nerve currents coming from the brain, by way of the motor area and the pyramidal tract. Thus flexion of the leg can occur voluntarily as well as reflexly. The same {54} muscles, and the same motor neurones, do the job in either case. In the reflex, the lower center is aroused by a sensory nerve, and in the voluntary movement by the pyramidal tract. The story is told of a stranger who was once dangling his legs over the edge of the station platform at a small backwoods town, when a native called out to him "Hist!" (hoist), pointing to the ground under the stranger's feet. He "histed" obediently, which is to say that he voluntarily threw into play the spinal center for leg flexion; and then, looking down, saw a rattler coiled just beneath where his feet had been hanging. Now even if he had spied the rattler first, the resulting flexion, though impulsive and involuntary, would still have been aroused by way of the motor area and the pyramidal tract, since the movement would have been a response to _knowledge_ of what that object was and signified, and knowledge means action by the cerebral cortex, which we have seen to affect movement through the medium of the motor area. But if the snake had made the first move, the same leg movement on the man's part, made now in response to the painful sensory stimulus, would have been the flexion reflex. Facilitation and Inhibition