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振动悖论的机制:肌腱振动对人体单块比目鱼肌运动单位的兴奋和抑制作用。

Mechanism of the vibration paradox: excitatory and inhibitory effects of tendon vibration on single soleus muscle motor units in man.

作者信息

Desmedt J E, Godaux E

出版信息

J Physiol. 1978 Dec;285:197-207. doi: 10.1113/jphysiol.1978.sp012567.

Abstract
  1. The parameters of presynaptic inhibition of the Ia spindle afferents from soleus muscle by vibration have been investigated. The inhibitory effects increase with the amplitude of vibration, but decrease when the vibration frequency is increased.2. The monosynaptic reflex threshold of twenty-one single soleus motor units activated in the H (Hoffmann) reflex by a single electrical stimulus to the posterior tibial nerve was estimated quantitatively and expressed in relation to the size of the simultaneously recorded H reflex.3. A parametric study of the effects of various Achilles tendon vibrations on the reflex threshold of the single soleus motor units indicated that their order of derecruitment is concordant with their rank order for activation in the phasic reflexes of the soleus. The last recruited motoneurones are the most susceptible to being silenced by steady vibration.4. Muscle vibration progressively recruits single motor units according to the motoneurone size principle through polysynaptic proprioceptive pathways. However the presynaptic inhibition of Ia spindle afferents simultaneously induced by the vibration works in reverse on the same rank order of motoneurones of the soleus spinal pool, thereby limiting the polysynaptic recruitment of units in the tonic vibration reflex while depressing the autogenic phasic proprioceptive reflexes. These mechanisms elucidate the so-called vibration paradox and extend the size principle of Henneman to presynaptic inhibitory effects.
摘要
  1. 研究了振动对比目鱼肌Ia梭内传入纤维突触前抑制的参数。抑制作用随振动幅度增加而增强,但随振动频率增加而减弱。

  2. 通过对胫后神经进行单次电刺激,在H(霍夫曼)反射中激活21个单根比目鱼肌运动单位,定量估计其单突触反射阈值,并与同时记录的H反射大小相关联进行表示。

  3. 对各种跟腱振动对单根比目鱼肌运动单位反射阈值影响的参数研究表明,它们的失募集顺序与其在比目鱼肌相位反射中的激活等级顺序一致。最后募集的运动神经元最容易被持续振动抑制。

  4. 肌肉振动通过多突触本体感受通路根据运动神经元大小原则逐步募集单个运动单位。然而,振动同时诱导的Ia梭内传入纤维突触前抑制作用于比目鱼肌脊髓池相同等级顺序的运动神经元,方向相反,从而在抑制自生相位本体感受反射的同时,限制了紧张性振动反射中运动单位的多突触募集。这些机制解释了所谓的振动悖论,并将亨内曼的大小原则扩展到突触前抑制作用。

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Normal variability of tonic vibration reflexes in man.人类紧张性振动反射的正常变异性。
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