Hwang I S, Tsai I Y
Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
Electromyogr Clin Neurophysiol. 2002 Dec;42(8):507-12.
Inter-trial variation in soleus H reflex amplitude for different effort modes, elicited at different test-stimulus intensities, was studied in fifteen healthy subjects. Regardless of test-stimulus intensity, weak isometric plantarflexion and dorsiflexion at 20% of maximum voluntary contraction caused significant potentiation and depression of the H reflex amplitude. In addition, both facilitation and inhibition of the soleus H reflex was associated with considerable inter-trial variability of the H reflex amplitude that varied proportionally with test-stimulus intensity. As inter-variability of the H reflex was independent of that of M response, the results indicate that: 1) supra-spinal input influences loop-gain fluctuations of the monosynaptic-reflex arc; and 2) smaller test stimuli may be more efficacious for exploration of motoneuronal excitability because of reduction in variability in H reflex amplitude.
在15名健康受试者中,研究了在不同测试刺激强度下,不同用力模式引发的比目鱼肌H反射幅度的试验间变化。无论测试刺激强度如何,最大自主收缩20%时的弱等长跖屈和背屈都会导致H反射幅度显著增强和抑制。此外,比目鱼肌H反射的易化和抑制均与H反射幅度的显著试验间变异性相关,且该变异性与测试刺激强度成比例变化。由于H反射的变异性与M反应的变异性无关,结果表明:1)脊髓上输入影响单突触反射弧的环路增益波动;2)较小的测试刺激可能因H反射幅度变异性降低而更有效地用于探索运动神经元兴奋性。