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从足底足部肌肉到人类腿部和大腿运动神经元的Ⅱ类兴奋。

Group II excitations from plantar foot muscles to human leg and thigh motoneurones.

作者信息

Marque P, Nicolas G, Simonetta-Moreau M, Pierrot-Deseilligny E, Marchand-Pauvert V

机构信息

INSERM U455, Pavillon Riser, CHR Purpan, Toulouse, France.

出版信息

Exp Brain Res. 2005 Mar;161(4):486-501. doi: 10.1007/s00221-004-2096-6. Epub 2004 Nov 5.

Abstract

Projections of group II afferents from intrinsic foot muscles to lower limb motoneurones were investigated in humans after electrical stimuli were applied to the tibial nerve (TN) at ankle level, using modulation of the quadriceps H reflex, on-going EMG of the quadriceps and peroneus brevis, and PSTHs of single quadriceps, biceps, semitendinosus, tibialis anterior, and peroneus brevis motor units. TN stimulation evoked late and high-threshold excitation in all leg and thigh muscles investigated. The mean latency of the late excitation was 13.5+/-0.4 ms longer than that of the heteronymous monosynaptic Ia excitation, and the more caudal the motor nucleus the longer the central delay of the late effect, suggesting mediation through interneurones located rostral to motoneurones. The electrical threshold and conduction velocity of the largest diameter fibres evoking the late excitation were estimated to be approximately 2 and 0.67 times, respectively, those of the fastest Ia afferents, i.e. consistent with a mediation by group II afferents. Stimulation of the skin areas innervated by TN did not evoke late excitations. Further support for mediation through group II afferents was provided by the findings that: 1. the latency of the TN-induced late and high-threshold excitation in Per brev units was more delayed by cooling the nerve than that of the excitation evoked by group I afferents, and 2. tizanidine intake (known to depress selectively transmission of group II effects) suppressed the TN-induced late and high-threshold excitation whereas the group I facilitation was not modified.

摘要

在人类受试者中,通过在踝关节水平对胫神经(TN)施加电刺激,并利用股四头肌H反射的调制、股四头肌和腓骨短肌的肌电图以及单根股四头肌、二头肌、半腱肌、胫前肌和腓骨短肌运动单位的刺激后时间直方图,研究了来自足部固有肌的II类传入纤维向下肢运动神经元的投射。TN刺激在所有被研究的腿部和大腿肌肉中诱发了晚期和高阈值兴奋。晚期兴奋的平均潜伏期比异源单突触Ia兴奋的潜伏期长13.5±0.4毫秒,运动核越靠尾端,晚期效应的中枢延迟越长,提示通过位于运动神经元头端的中间神经元介导。诱发晚期兴奋的最大直径纤维的电阈值和传导速度估计分别约为最快Ia传入纤维的2倍和0.67倍,即与II类传入纤维介导一致。刺激TN支配的皮肤区域未诱发晚期兴奋。以下发现进一步支持了通过II类传入纤维介导:1. 冷却神经时,TN诱发的腓骨短肌运动单位晚期和高阈值兴奋的潜伏期比I类传入纤维诱发的兴奋潜伏期延迟更多;2. 服用替扎尼定(已知可选择性抑制II类效应的传递)可抑制TN诱发的晚期和高阈值兴奋,而I类易化作用未受影响。

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