Iglesias Caroline, Marchand-Pauvert Véronique, Lourenco George, Burke David, Pierrot-Deseilligny Emmanuel
INSERM, U731, Paris, F-75013 France.
J Physiol. 2007 Aug 1;582(Pt 3):1361-79. doi: 10.1113/jphysiol.2007.133199. Epub 2007 May 17.
This study addresses whether there is excitation from human hand muscles to flexor carpi radialis (FCR) motoneurones mediated through propriospinal circuits and, if so, whether it is used in specific motor tasks. Electrical stimuli to the ulnar nerve at wrist level produced an excitation in FCR motoneurones with characteristics typical of a propriospinally mediated effect: low threshold (0.6 x motor threshold (MT)), a group I effect that was not reproduced by purely cutaneous stimuli, long central delay (4.1 +/- 0.4 ms in single units), suppression when the stimulus intensity was increased, and facilitation of the corticospinal excitation at the premotoneuronal level. Ulnar-induced propriospinally mediated excitation was compared during selective voluntary contractions of the FCR and, at equivalent level of FCR EMG, during tasks in which the FCR was activated automatically in postural contractions rather than voluntarily (grip, pinching and pointing). The excitation was significantly greater during grip (and pinching) than during voluntary FCR contractions and pointing, whether measured in single motor units or tonic EMG activity, or whether the response to motor cortex stimulation was assessed as the compound motor-evoked potential or the corticospinal peak in single units. The discrepancy between the tasks appeared with ulnar intensities above 0.8 x MT and was then present across a wide range of stimulus intensities. This suggests a reduction in the corticospinal control of 'feedback inhibitory interneurones' mediating peripheral inhibition to propriospinal neurones during grip and pinching. The resulting more effective background excitation of propriospinal neurones by the peripheral input from hand muscles could contribute to stabilizing the wrist during grip.
本研究探讨是否存在通过脊髓 propriospinal 回路介导的从人手部肌肉到桡侧腕屈肌(FCR)运动神经元的兴奋,如果存在,那么它是否用于特定的运动任务。在腕部水平对尺神经进行电刺激,可在 FCR 运动神经元中产生兴奋,其具有典型的脊髓 propriospinal 介导效应的特征:低阈值(0.6×运动阈值(MT)),一种纯皮肤刺激无法重现的 I 组效应,长中枢延迟(单个单位中为 4.1±0.4 毫秒),刺激强度增加时抑制,以及在运动神经元前水平对皮质脊髓兴奋的易化。在 FCR 的选择性自主收缩期间,以及在 FCR 肌电图(EMG)处于等效水平时,在姿势收缩中 FCR 自动激活而非自主激活的任务(抓握、捏和指)期间,比较了尺神经诱导的脊髓 propriospinal 介导的兴奋。无论是在单个运动单位还是在紧张性 EMG 活动中测量,或者无论是将对运动皮层刺激的反应评估为复合运动诱发电位还是单个单位中的皮质脊髓峰值,抓握(和捏)期间的兴奋都明显大于 FCR 自主收缩和指期间的兴奋。任务之间的差异在尺神经强度高于 0.8×MT 时出现,然后在广泛的刺激强度范围内都存在。这表明在抓握和捏期间,介导对脊髓 propriospinal 神经元外周抑制的“反馈抑制性中间神经元”的皮质脊髓控制有所减少。手部肌肉的外周输入对脊髓 propriospinal 神经元产生的更有效的背景兴奋可能有助于在抓握期间稳定手腕。