Iglesias Caroline, Nielsen Jens Bo, Marchand-Pauvert Véronique
U731 INSERM, Hôpital Pitié-Salpêtrière, 47, bd de l'Hôpital, F-75013 Paris cedex 13, France.
Eur J Neurosci. 2008 Oct;28(7):1351-61. doi: 10.1111/j.1460-9568.2008.06414.x.
It is crucial for human walking that muscles acting at different joints are optimally coordinated in relation to each other. This is ensured by interaction between spinal neuronal networks, sensory feedback and supraspinal control. Here we investigated the cortical control of spinal excitation from ankle dorsiflexor afferents to quadriceps motoneurones mediated by propriospinal-like interneurones. During walking and tonic contraction of ankle dorsiflexors and knee extensors while standing [at matched electromyography (EMG) levels], the effect of common peroneal nerve (CPN) stimulation on quadriceps motoneurones was tested by assessing averaged and rectified EMG activity, H-reflexes [evoked by femoral nerve (FN) stimulation] and motor evoked potentials (MEPs) produced by transcranial magnetic stimulation (TMS). The biphasic EMG facilitation (CPQ-reflex) produced by isolated CPN stimulation was enhanced during walking, and when CPN stimulation was combined with FN or TMS, the resulting H-reflexes and MEPs were inhibited. The CPQ-reflex was also depressed when CPN stimulation was combined with subthreshold TMS. The peripheral (in CPN and FN) and corticospinal volleys may activate inhibitory non-reciprocal group I interneurones, masking spinal excitations to quadriceps motoneurones mediated by propriospinal-like interneurones. It is proposed that the enhanced CPQ-reflex produced by isolated CPN stimulation during walking cannot be fully explained by an increase in corticospinal and peripheral inputs, but is more likely caused by central facilitation of the propriospinal-like interneurones from other sources. The corticospinal control of non-reciprocal group I interneurones may be of importance for reducing reflex activity between ankle dorsiflexors and quadriceps during walking when not functionally relevant.
对于人类行走而言,作用于不同关节的肌肉相互之间实现最佳协调至关重要。这通过脊髓神经元网络、感觉反馈和脊髓上控制之间的相互作用得以确保。在此,我们研究了由类脊髓 propriospinal 中间神经元介导的从踝背屈肌传入神经到股四头肌运动神经元的脊髓兴奋的皮质控制。在行走以及站立时踝背屈肌和膝伸肌的强直收缩过程中(肌电图(EMG)水平匹配),通过评估平均整流后的 EMG 活动、H 反射(由股神经(FN)刺激诱发)以及经颅磁刺激(TMS)产生的运动诱发电位(MEP),测试了腓总神经(CPN)刺激对股四头肌运动神经元的影响。孤立的 CPN 刺激所产生的双相 EMG 易化(CPQ 反射)在行走过程中增强,并且当 CPN 刺激与 FN 或 TMS 联合时,所产生的 H 反射和 MEP 受到抑制。当 CPN 刺激与阈下 TMS 联合时,CPQ 反射也受到抑制。外周(CPN 和 FN 中)和皮质脊髓冲动可能激活抑制性非交互性 I 类中间神经元,掩盖了由类脊髓 propriospinal 中间神经元介导的对股四头肌运动神经元的脊髓兴奋。有人提出,行走过程中孤立的 CPN 刺激所产生的增强的 CPQ 反射不能完全由皮质脊髓和外周输入的增加来解释,而更可能是由来自其他来源的类脊髓 propriospinal 中间神经元的中枢易化所导致。皮质脊髓对非交互性 I 类中间神经元的控制对于在行走过程中当功能不相关时减少踝背屈肌和股四头肌之间的反射活动可能具有重要意义。