Riso R R, Mosallaie F K, Jensen W, Sinkjaer T
Center for Sensory-Motor Interaction, Aalborg University, Denmark.
IEEE Trans Rehabil Eng. 2000 Jun;8(2):244-58. doi: 10.1109/86.847826.
Activity from muscle afferents regarding ankle kinesthesia was recorded using cuff electrodes in a rabbit preparation in which tactile input from the foot was eliminated. The purpose was to determine if such activity can provide information useful in controlling functional electrical stimulation (FES) systems that restore mobility in spinal injured man. The rabbit's ankle was passively flexed and extended while the activity of the tibial and peroneal nerves was recorded. Responses to trapezoidal stimulus profiles were investigated for excursions from 10 degrees to 60 degrees using velocities from 5 degrees/s to 30 degrees/s and different initial ankle positions. The recorded signals mainly reflect activity from primary and secondary muscle afferents. Dorsiflexion stretched the ankle extensors and produced velocity dependent activity in the tibial nerve, and this diminished to a tonic level during the stimulus plateau. The peroneal nerve was silent during dorsiflexion, but was activated by stretch of the peroneal muscles during ankle extension. The responses of the two nerves behaved in a reciprocal manner, but exhibited considerable hysteresis, since motion that relaxed the stretch to the driving muscle produced an immediate cessation of the prior stretch induced activity. A noted difference between the tibial and peroneal nerve responses is that the range of joint position change that activated the flexor afferents was greater then for the extensor afferents. Ankle rotation at higher velocities increased the dynamic stretch evoked responses during the stimulus ramp but showed no effect on the tonic activity during the stimulus plateau. Prestretching the muscles by altering the initial position increased the response to the ramp movement, however, for the peroneal nerve, when the prestretch brought the flexor muscles near to their maximal lengths, the response to additional stretch provided by the ramp movement was diminished. The results indicate that the whole nerve recorded muscle afferent activity may be useful for control of FES assisted standing, because it can indicate the direction of rotation of the passively moved ankle joint, along with coarse information regarding the rate of movement and static joint position.
在一个消除了足部触觉输入的兔实验准备中,使用袖带电极记录了与踝关节动觉相关的肌肉传入神经活动。目的是确定这种活动是否能提供有助于控制功能性电刺激(FES)系统的信息,该系统可恢复脊髓损伤患者的活动能力。在记录胫神经和腓神经活动时,被动地屈伸兔的踝关节。使用5度/秒至30度/秒的速度以及不同的初始踝关节位置,研究了从10度到60度偏移的梯形刺激曲线的反应。记录的信号主要反映初级和次级肌肉传入神经的活动。背屈拉伸了踝关节伸肌,并在胫神经中产生了速度依赖性活动,在刺激平台期这种活动减弱为紧张性水平。在背屈期间腓神经无活动,但在踝关节伸展时腓骨肌的拉伸会激活腓神经。两条神经的反应呈相反方式,但表现出相当大的滞后现象,因为放松驱动肌肉拉伸的运动会使先前拉伸诱导的活动立即停止。胫神经和腓神经反应的一个显著差异是,激活屈肌传入神经的关节位置变化范围大于伸肌传入神经。较高速度的踝关节旋转增加了刺激斜坡期间动态拉伸诱发的反应,但对刺激平台期的紧张性活动没有影响。通过改变初始位置对肌肉进行预拉伸增加了对斜坡运动 的反应,然而,对于腓神经,当预拉伸使屈肌接近其最大长度时,斜坡运动提供的额外拉伸的反应会减弱。结果表明,记录的全神经肌肉传入神经活动可能有助于控制FES辅助站立,因为它可以指示被动移动的踝关节的旋转方向,以及有关运动速率和静态关节位置的粗略信息。