Nielsen Jens Bo, Sinkjaer Thomas
Department of Medical Physiology, University of Copenhagen, Denmark.
Adv Exp Med Biol. 2002;508:369-75.
Sensory activity may contribute to the control of human walking in two different ways. It may contribute to the pre-programmed drive to the motoneurones and to the reactions to unexpected external perturbations. Some recent findings in relation to these two different roles of sensory activity will be reviewed. When unloading the ankle plantarflexors in the stance phase of walking a drop in the soleus EMG activity is seen at a latency of around 60 ms. This drop is likely caused by the removal of the contribution of Gp II afferents from the ankle plantarflexors to the motoneuronal drive. When stretching plantarflexor muscles in the stance phase three reflex responses are generally observed. These responses may be caused by the spinal monosynaptic Ia reflex pathway, a spinal Gp II pathway and a transcortical reflex pathway, respectively. The reflex responses are modulated with the background EMG activity and may not be evoked in the swing phase when the plantarflexors are not active. In contrast, stretch of the ankle dorsiflexor muscles evoke relatively small responses in the swing phase when these muscles are active, but very large responses in the stance phase when the muscles are silent. Part of these responses may have a transcortical nature. These findings illustrate the complexity with which sensory input may contribute to the ongoing muscle activity during walking and may also mediate adequate responses to sudden external perturbations.
感觉活动可能通过两种不同方式对人类行走的控制产生影响。它可能对运动神经元的预编程驱动以及对意外外部扰动的反应产生影响。本文将综述近期与感觉活动这两种不同作用相关的一些研究发现。在步行站立期卸载踝跖屈肌时,比目鱼肌肌电图活动在约60毫秒的潜伏期出现下降。这种下降可能是由于去除了踝跖屈肌中Gp II传入纤维对运动神经元驱动的贡献所致。在站立期拉伸跖屈肌时,通常会观察到三种反射反应。这些反应可能分别由脊髓单突触Ia反射通路、脊髓Gp II通路和经皮质反射通路引起。反射反应会随着背景肌电图活动而调节,并且在摆动期当跖屈肌不活跃时可能不会被诱发。相比之下,在摆动期当踝背屈肌活跃时,拉伸这些肌肉会引起相对较小的反应,但在站立期当这些肌肉静止时会引起非常大的反应。这些反应的一部分可能具有经皮质的性质。这些发现说明了感觉输入在行走过程中对持续肌肉活动产生影响的复杂性,并且还可能介导对突然外部扰动的适当反应。