Ni Y Q, Teng G X
Laboratory of Neurophysiology, China Medical University, Shemyang.
Sheng Li Xue Bao. 1991 Aug;43(4):322-9.
Transcutaneous electrical stimulation of the central nervous system was used to measure CMCT between the human cerebral cortex and spinal cord. 64 normal volunteers (46 healthy adult males and 18 females, age of 20-67 years, body height of 156-185 cm) were recruited as experimental subjects. Action potentials of muscles were recorded from upper limb (Thenar) and lower limb (Muscle tibialis anterior) following cortical and spinal stimulation. The cortical and spinal latent periods (Lcor., Lsp.) were measured and CMCT was obtained by subtracting Lsp. from Lcor. for each muscle. The CMCT between the cerebral cortex and the first thoracic (Th1) cord was 6.69 +/- 1.48 ms, while that between the cerebral cortex and the first lumber (L1) cord was 12.90 +/- 1.59 ms. Statistical analysis indicated that CMCT was not related to sex, age, body height and left or right side of the body as well. The motor conduction velocity in spinal cord (MCVsp) between Th1 and L1, [distance (Th1 to L1)/CMCT (Muscle tibialis anterior)-CMCT (Thenar)] was found to be 71.34 +/- 10.89 m/s, which corresponds to the conduction velocity of the large fibers in the pyramidal tract. The results of the present study are valuable in diagnosis and prognosis of motor system diseases in CNS.
经皮中枢神经系统电刺激被用于测量人类大脑皮层与脊髓之间的中枢运动传导时间(CMCT)。招募了64名正常志愿者(46名健康成年男性和18名女性,年龄20 - 67岁,身高156 - 185厘米)作为实验对象。在皮层和脊髓刺激后,记录上肢(拇短展肌)和下肢(胫骨前肌)肌肉的动作电位。测量皮层和脊髓潜伏期(Lcor.,Lsp.),并通过从每个肌肉的Lcor.中减去Lsp.来获得CMCT。大脑皮层与第一胸椎(Th1)脊髓之间的CMCT为6.69±1.48毫秒,而大脑皮层与第一腰椎(L1)脊髓之间的CMCT为12.90±1.59毫秒。统计分析表明,CMCT也与性别、年龄、身高以及身体的左右侧无关。发现Th1和L1之间脊髓的运动传导速度(MCVsp),[距离(Th1到L1)/CMCT(胫骨前肌) - CMCT(拇短展肌)]为71.34±10.89米/秒,这与锥体束中大纤维的传导速度相对应。本研究结果对中枢神经系统运动系统疾病的诊断和预后具有重要价值。