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低阈值肌肉传入神经诱发人手部肌肉长潜伏期牵张反射的证据。

Evidence that low-threshold muscle afferents evoke long-latency stretch reflexes in human hand muscles.

作者信息

Noth J, Schwarz M, Podoll K, Motamedi F

机构信息

Neurological Clinic with Clinical Neurophysiology, Alfried Krupp Hospital, Federal Republic of Germany.

出版信息

J Neurophysiol. 1991 May;65(5):1089-97. doi: 10.1152/jn.1991.65.5.1089.

DOI:10.1152/jn.1991.65.5.1089
PMID:1831227
Abstract
  1. The aim of the present study was to identify the type of spinal afferents involved in the generation of the long-latency response in intrinsic human hand muscles. Position-controlled extensions were imposed on the index finger or on the wrist of healthy subjects who were exerting a steady voluntary flexion force at the relevant joint. Averaged surface electromyographic (EMG) responses of the first dorsal interosseus muscle (FDI) or of the wrist flexors were evaluated with respect to latency and size. 2. Small transient angular displacements of the index finger (1 degree, as measured at the metacarpophalangeal joint), which are supposed to excite primary rather than secondary afferents, evoked two clearly discernible EMG responses with mean latencies of 32.3 ms (M1 response) and 54.7 ms (M2 response), respectively. The size of the M2 response exceeded the size of the M1 response by 60%. In the wrist flexors, transient stretch (1 degree) gave rise to a large M1 response (latency 22.8 ms) and a small, inconstent M2 response. 3. Small-amplitude vibration of the index finger elicited EMG responses in the FDI that were qualitatively and quantitatively similar to those seen in response to small transient stretches of the index finger. This was also true for fast ramp-and-hold stretches (stretch velocity 400 degrees/s, amplitude 5 degrees), whereas slow ramp-and-hold stretches (125 degrees/s, 5 degrees) elicited predominantly M2 responses. 4. In the FDI, the mechanical threshold of the M1 and M2 response to the transient angular displacement was approximately 0.15 degrees, with a tendency for the M2 response to appear at a lower threshold.(ABSTRACT TRUNCATED AT 250 WORDS)
摘要
  1. 本研究的目的是确定参与人类手部固有肌长潜伏期反应产生的脊髓传入神经类型。对正在相关关节施加稳定自主屈肌力量的健康受试者的食指或手腕进行位置控制伸展。针对第一背侧骨间肌(FDI)或腕屈肌的平均表面肌电图(EMG)反应,评估其潜伏期和大小。2. 食指的小幅度瞬时角位移(在掌指关节处测量为1度),据推测会激发初级而非次级传入神经,分别诱发了两个清晰可辨的EMG反应,平均潜伏期分别为32.3毫秒(M1反应)和54.7毫秒(M2反应)。M2反应的大小比M1反应大60%。在腕屈肌中,瞬时伸展(1度)产生了一个大的M1反应(潜伏期22.8毫秒)和一个小的、不稳定的M2反应。3. 食指的小幅度振动在FDI中诱发的EMG反应在质量和数量上与对食指小幅度瞬时伸展的反应相似。快速斜坡-保持伸展(伸展速度400度/秒,幅度5度)也是如此,而缓慢斜坡-保持伸展(125度/秒,5度)主要诱发M2反应。4. 在FDI中,对瞬时角位移的M1和M2反应的机械阈值约为0.15度,M2反应有出现在较低阈值的趋势。(摘要截选至250字)

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