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[人足底内侧肌群的神经支配(电生理研究)]

[Innervation of the medial group of plantar muscles in man (electrophysiologic study)].

作者信息

Starobinets M Kh, volkova L D

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(11):1655-61.

PMID:1015093
Abstract

The central response of the medical group of muscles in the foot sole, as a reaction to a stimulation of the tibial nerve has an antidrome character in normals over 20-22 years of age. However, in children and adolescents, as well as in disturbance of the supra-segmental control in this sort of response is a prevalent reflectory (monosynaptical) component. A similar trait was found in patients with discogenic radiculitis in an isolated lesion of the L5 radicle. And on the contrary, a pathology of the S1 radicle not only did not change the antidrome character of the response, but prevented the dominance of the reflectory component in cases of an accompanying lesion of the descending spinal conductors or L5 radical. The conclusion is made that the innervation of the protuberant muscles of the 1 finger in the human foot is accomplished by the L-motoneurons of the anterior horns of the S1 segment.

摘要

足底肌群的中枢反应,作为对胫神经刺激的一种反应,在20至22岁以上的正常人中具有逆行特征。然而,在儿童和青少年中,以及在这种反应的节段上控制受到干扰时,普遍存在反射性(单突触)成分。在L5神经根孤立性病变的椎间盘源性神经根炎患者中也发现了类似特征。相反,S1神经根的病变不仅没有改变反应的逆行特征,而且在伴有下行脊髓传导束或L5神经根病变的情况下,阻止了反射性成分的主导地位。得出的结论是,人足部第一趾突出肌肉的神经支配是由S1节段前角的L运动神经元完成的。

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