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下行及各种外周输入汇聚于人类共同的脊髓 propriospinal 样神经元。

Convergence of descending and various peripheral inputs onto common propriospinal-like neurones in man.

作者信息

Burke D, Gracies J M, Mazevet D, Meunier S, Pierrot-Deseilligny E

机构信息

Département de Rééducation, Hôpital de la Salpêtrière, Paris, France.

出版信息

J Physiol. 1992 Apr;449:655-71. doi: 10.1113/jphysiol.1992.sp019107.

Abstract
  1. The patterns of excitation and convergence by peripheral afferents on propriospinal-like neurones projecting to forearm flexor carpi radialis (FCR) motoneurones in human subjects were determined at rest and during various voluntary contractions, using H reflex testing. 2. At rest, the FCR H reflex could be facilitated by mixed nerve (ulnar, musculocutaneous) and cutaneous (afferents from both sides of the hand) inputs. The characteristics of this facilitation (low threshold, long central latency, short duration) were compatible with those of the propriospinal-like system. Quantitatively this facilitation was rare and weak. 3. Voluntary contraction increased the extent of the propriospinal-like facilitation of the FCR H reflex. It is shown in the companion paper (Burke, Gracies, Meunier & Pierrot-Deseilligny, 1992) that this increase results not from a decrease in presynaptic inhibition of afferents to propriospinal-like neurones, but from increased excitation of these neurones. It is argued that at the onset of contraction this excitation is purely descending in origin, whereas the contraction-induced afferent discharge is probably the major factor during weak tonic contraction. 4. The distribution of the increased facilitation of the FCR H reflex depended on the muscles involved in the contraction: ulnar nerve-evoked facilitation was increased much more at the onset of voluntary wrist flexion than voluntary elbow flexion, and vice versa for the musculo-cutaneous-induced facilitation. This finding is consistent with the view that there are subsets of propriospinal-like neurones, specialized with regard to afferent input, and indicates that descending excitation is directed preferentially to the subset of neurones which receives excitatory feedback from the contracting muscle. 5. To investigate the convergence of different afferent inputs onto common neurones the spatial facilitation technique was used. When present the convergence had a threshold and time course compatible with those of the propriospinal-like system. Convergence was found between the different mixed nerves and between ulnar and superficial radial nerves. 6. The wide convergence found between different inputs onto common neurones and the finding that, during contraction of a given muscle, descending excitation reaches subsets of neurones projecting to motor nuclei of muscles operating at other joints suggest that the propriospinal-like system would be operative during complex multi-joint movements.
摘要
  1. 采用H反射测试法,确定了人体受试者在静息状态及各种自主收缩过程中,外周传入神经对投射至前臂桡侧腕屈肌(FCR)运动神经元的脊髓 propriospinal 样神经元的兴奋和汇聚模式。2. 在静息状态下,混合神经(尺神经、肌皮神经)和皮肤(双手两侧的传入神经)输入可促进FCR H反射。这种促进作用的特征(低阈值、长中枢潜伏期、短持续时间)与脊髓 propriospinal 样系统的特征相符。从数量上看,这种促进作用很少见且较弱。3. 自主收缩增加了FCR H反射的脊髓 propriospinal 样促进作用的程度。在配套论文(Burke、Gracies、Meunier和Pierrot - Deseilligny,1992年)中表明,这种增加并非源于对脊髓 propriospinal 样神经元传入神经的突触前抑制的降低,而是源于这些神经元兴奋的增加。有人认为,在收缩开始时,这种兴奋纯粹起源于下行,而收缩诱导的传入放电可能是弱张力收缩期间的主要因素。4. FCR H反射促进作用增加的分布取决于收缩中涉及的肌肉:在自主腕部屈曲开始时,尺神经诱发的促进作用增加幅度远大于自主肘部屈曲,而肌皮神经诱发的促进作用则相反。这一发现与存在专门针对传入输入的脊髓 propriospinal 样神经元亚群的观点一致,并表明下行兴奋优先指向从收缩肌肉接收兴奋性反馈的神经元亚群。5. 为了研究不同传入输入在共同神经元上的汇聚情况,采用了空间促进技术。当存在汇聚时,其阈值和时间进程与脊髓 propriospinal 样系统的相符。在不同的混合神经之间以及尺神经和桡浅神经之间发现了汇聚。6. 在共同神经元上不同输入之间发现的广泛汇聚,以及在给定肌肉收缩期间下行兴奋到达投射至其他关节运动核的神经元亚群这一发现,表明脊髓 propriospinal 样系统在复杂的多关节运动中起作用。

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