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人类行走过程中从踝背屈肌到腘绳肌的异源反射调制。

Modulation of heteronymous reflexes from ankle dorsiflexors to hamstring muscles during human walking.

作者信息

Marchand-Pauvert V, Nielsen J B

机构信息

Neurophysiologie Clinique, Rééducation, Hôpital Salpêtrière, 47, bd de l'Hôpital, 75651 Paris cedex 13, France.

出版信息

Exp Brain Res. 2002 Feb;142(3):402-8. doi: 10.1007/s00221-001-0942-3. Epub 2001 Dec 13.

Abstract

In 16 human subjects, stimulation of the common peroneal nerve (CPN) was applied during walking and standing. The effect of the stimulation was evaluated from the rectified and averaged biceps femoris (BF) electromyographic (EMG) activity. In the swing phase of walking, the CPN stimulation evoked a suppression in the BF EMG in 12 of the subjects. In the early stance phase, the suppression was replaced by facilitation at a similar latency in 9 of the subjects. Of the other 3 subjects, in whom a suppression was observed during swing, a decrease in the suppression was observed in the stance phase in two of them. During a voluntary co-contraction of BF and tibialis anterior while standing, a suppression similar to that observed in the swing phase was observed. The thresholds of the suppression and facilitation were identical, suggesting that afferents of similar diameter were responsible. Cutaneous stimuli, which mimicked the sensation evoked by the CPN stimulation, but without activation of muscle afferents, did not produce similar effects in the BF EMG activity. It is suggested that the observed response and reflex reversal may reflect opening of an excitatory group I pathway in the early stance phase of walking with a concomitant shut-down of heteronymous group I inhibition.

摘要

在16名人体受试者中,在行走和站立过程中对腓总神经(CPN)进行刺激。根据整流平均后的股二头肌(BF)肌电图(EMG)活动评估刺激效果。在行走的摆动期,CPN刺激在12名受试者中引起BF肌电图活动抑制。在站立初期,9名受试者在相似潜伏期时抑制被易化取代。另外3名在摆动期观察到抑制的受试者中,有两名在站立期抑制程度降低。在站立时主动共同收缩BF和胫前肌时,观察到与摆动期相似的抑制。抑制和易化的阈值相同,表明直径相似的传入神经起作用。模拟CPN刺激所诱发感觉但不激活肌肉传入神经的皮肤刺激,在BF肌电图活动中未产生类似效果。提示观察到的反应和反射逆转可能反映了在行走站立初期兴奋性I类通路的开放,同时异源性I类抑制关闭。

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