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使用阈值跟踪测量比目鱼肌H反射的激活后抑制。

Postactivation depression of the soleus H reflex measured using threshold tracking.

作者信息

McNulty Penelope A, Jankelowitz Stacey K, Wiendels Tanya M, Burke David

机构信息

Institute of Clinical Neurosciences, The University of Sydney, Royal Prince Alfred Hospital, Sydney, Australia.

出版信息

J Neurophysiol. 2008 Dec;100(6):3275-84. doi: 10.1152/jn.90435.2008. Epub 2008 Oct 15.

Abstract

The interpretation of changes in the soleus H reflex is problematic in the face of reflex gain changes, a nonlinear input/output relationship for the motoneuron pool, and a nonhomogeneous response of different motoneurons to afferent inputs. By altering the stimulus intensity to maintain a constant reflex output, threshold tracking allows a relatively constant population of alpha-motoneurons to be studied. This approach was used to examine postactivation ("homosynaptic") depression of the H reflex (HD) in 23 neurologically healthy subjects. The H reflex was elicited by tibial nerve stimulation at 0.05, 0.1, 0.3, 1, and 2 Hz at rest and during voluntary plantar flexion at 2.5, 5, and 10% of maximum. A computerized threshold tracking procedure was used to set the current needed to generate a target H reflex 10% of M(max). The current needed to produce the target reflex increased with stimulus rate but not significantly beyond 1 Hz. In three subjects, the current needed to produce H reflexes of 5, 10, 15, and 20% M(max) at 0.3, 1, and 2 Hz increased with rate and with the size of the test H reflex. HD was significantly reduced during voluntary contractions. Using threshold tracking, HD was maximal at lower frequencies than previously emphasized, probably because HD is greater the larger the test H reflex. This would reinforce the greater sensitivity of small motoneurons to reflex inputs.

摘要

面对反射增益变化、运动神经元池的非线性输入/输出关系以及不同运动神经元对传入输入的非均匀反应,比目鱼肌H反射变化的解释存在问题。通过改变刺激强度以维持恒定的反射输出,阈值跟踪可以研究相对恒定的α运动神经元群体。该方法用于检查23名神经功能正常受试者的H反射(HD)的激活后(“同突触”)抑制。在休息时以及在最大收缩的2.5%、5%和10%的自主跖屈过程中,以0.05、0.1、0.3、1和2Hz的频率刺激胫神经引出H反射。使用计算机化的阈值跟踪程序来设置产生目标H反射为最大M波(M(max))10%所需的电流。产生目标反射所需的电流随刺激频率增加,但在超过1Hz时增加不显著。在三名受试者中,在频率为0.3、1和2Hz时产生5%、10%、15%和20%M(max)的H反射所需的电流随频率以及测试H反射的大小增加。在自主收缩期间,HD显著降低。使用阈值跟踪,HD在比之前强调的更低频率时最大,可能是因为测试H反射越大,HD越大。这将加强小运动神经元对反射输入的更高敏感性。

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