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让德拉西克动作对人体肌梭活动的影响。

Effects of the Jendrassik manoeuvre on muscle spindle activity in man.

作者信息

Hagbarth K E, Wallin G, Burke D, Löfstedt L

出版信息

J Neurol Neurosurg Psychiatry. 1975 Dec;38(12):1143-53. doi: 10.1136/jnnp.38.12.1143.

Abstract

Twenty-eight mechanoreceptive units identified as primary or secondary spindle afferents were sampled from muscle nerve fascicles in the median, peroneal, and tibial nerves of healthy adult subjects. The responses of these units to sustained passive muscle stretch, to passive stretching movements, to tendon taps, and electrically-induced muscle twitches were studied while the subject performed repeated Jendrassik manoeuvres involving strong voluntary contractions in distant muscle groups. The manoeuvres had no effect upon the afferent spindle discharges as long as there were no EMG signs of unintentional contractions occurring in the receptor-bearing muscle and no mechanotransducer signs of unintentional positional changes altering the load on that muscle. Unintentional contractions in the receptor-bearing muscle frequently occurred during the manoeuvres, however, and then coactivation of the spindle afferents was observed. Multiunit afferent responses to Achilles tendon taps, led off from tibial nerve fascicles, were in a similar way uninfluenced by the Jendrassik manoeuvres, even when these resulted in marked reinforcement of the calf muscle tendon jerk. The results provide no evidence for fusimotor sensitization of spindles in muscles remaining relaxed during the Jendrassik manoeuvre, and reflex reinforcement occurring without concomitant signs of active tension rise in the muscles tested is presumed to depend upon altered processing of the afferent volleys within the cord.

摘要

从健康成年受试者的正中神经、腓总神经和胫神经的肌神经束中,采集了28个被鉴定为初级或次级肌梭传入纤维的机械感受器单位。在受试者进行涉及远处肌肉群强烈自主收缩的重复Jendrassik动作时,研究了这些单位对持续被动肌肉拉伸、被动伸展运动、肌腱叩击和电诱发肌肉抽搐的反应。只要在含有感受器的肌肉中没有出现无意收缩的肌电图迹象,且没有无意位置变化改变该肌肉负荷的机械换能器迹象,这些动作对肌梭传入放电就没有影响。然而,在动作过程中,含有感受器的肌肉经常会出现无意收缩,随后观察到肌梭传入纤维的共同激活。从胫神经束引出的对跟腱叩击的多单位传入反应,同样不受Jendrassik动作的影响,即使这些动作导致小腿肌腱反射明显增强。结果没有提供证据表明在Jendrassik动作期间保持放松的肌肉中的肌梭有梭内肌运动敏感性增强,并且在测试的肌肉中没有伴随主动张力升高迹象而发生的反射增强被认为取决于脊髓内传入冲动的处理改变。

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