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肋间肌-肌皮神经移位术后肱二头肌运动单位活动分析

Analysis of activity of motor units in the biceps brachii muscle after intercostal-musculocutaneous nerve transfer.

作者信息

Sakuta Naoki, Sasaki Sei-Ichi, Ochiai Naoyuki

机构信息

Department of Orthopaedic Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Ibaraki 305-8577, Japan.

出版信息

Neurosci Res. 2005 Apr;51(4):359-69. doi: 10.1016/j.neures.2004.12.011.

Abstract

We examined respiratory activity of motor units (MUs) in the internal intercostal nerves (IICNs)-transferred biceps brachii muscle (IC-biceps) in cats. MUs of IC-biceps showed respiratory discharges in inspiratory and expiratory phases, and these were enhanced by CO2 inhalation. Narrowing the airway also enhanced inspiratory and expiratory MUs activity. A mechanical load to the thorax immediately enhanced inspiratory MUs activity and weakened expiratory MUs activity. We analyzed the cross-correlation of MUs activity in interchondral muscle and IC-biceps to characterize the respiratory spinal descending inputs to motoneurons. We confirmed the short-term synchronization from interchondral muscles indicating divergence of a single respiratory presynaptic axon to thoracic motoneurons, but could not find synchronization from IC-biceps. The motor axonal conduction velocity (axonal CV) of IC-biceps MUs was lower than that of interchondral muscles. There was no correlation between the respiratory recruitment order of IC-biceps MUs and their axonal CV. These results indicate that IC-biceps shows the respiratory activities and afferent inputs from intercostal muscle spindles in the neighboring segments remain influential on activity of IC-biceps. In addition, the short-term synchronization from IC-biceps could not be found, suggesting that the intercostal nerve transfer alters the respiratory spinal descending inputs to thoracic motoneurons.

摘要

我们研究了猫体内肋间神经(IICNs)移位后的肱二头肌(IC-肱二头肌)中运动单位(MUs)的呼吸活动。IC-肱二头肌的运动单位在吸气和呼气阶段均表现出呼吸放电,并且吸入二氧化碳会增强这些放电。气道变窄也会增强吸气和呼气运动单位的活动。对胸部施加机械负荷会立即增强吸气运动单位的活动并减弱呼气运动单位的活动。我们分析了软骨间肌和IC-肱二头肌中运动单位活动的互相关性,以表征呼吸脊髓下行输入到运动神经元的情况。我们证实了来自软骨间肌的短期同步性,这表明单个呼吸突触前轴突向胸段运动神经元发散,但未发现来自IC-肱二头肌的同步性。IC-肱二头肌运动单位的运动轴突传导速度(轴突CV)低于软骨间肌。IC-肱二头肌运动单位的呼吸募集顺序与其轴突CV之间没有相关性。这些结果表明,IC-肱二头肌表现出呼吸活动,并且相邻节段肋间肌梭的传入输入对IC-肱二头肌的活动仍有影响。此外,未发现来自IC-肱二头肌的短期同步性,这表明肋间神经移位改变了呼吸脊髓下行输入到胸段运动神经元的情况。

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