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人体比目鱼肌的短潜伏期交叉抑制反应。

Short-latency crossed inhibitory responses in the human soleus muscle.

机构信息

Centre for Sensory-Motor Interaction, Department of Health Science and Technology, The University of Aalborg, Aalborg, Denmark.

出版信息

J Neurophysiol. 2009 Dec;102(6):3596-605. doi: 10.1152/jn.00667.2009. Epub 2009 Oct 7.

Abstract

Even though interlimb coordination is critical in bipedal locomotion, the role of muscle afferent mediated feedback is unknown. The aim of this study was to establish if ipsilateral muscle generated afferent feedback can influence contralateral muscle activation patterns in the human lower limb and to elucidate the mechanisms involved. The effect of ipsilateral tibial nerve stimulation on contralateral soleus (cSOL) responses were quantified. Three interventions were investigated, 1) electrical stimulation applied to the tibial nerve at stimulation intensities from 0 to 100% of maximal M-wave (M-max) with the cSOL contracted from 5 to 15% of maximal voluntary contraction (MVC) and 15 to 30% MVC, 2) ispsilateral tibial nerve stimulation at 75% M-max prior to, during, and following the application of ischemia to the ipsilateral thigh. 3) Electrical stimulation applied to the ipsilateral sural (SuN) and medial plantar nerves at stimulation intensities from 1 to 3 times perceptual threshold. A short-latency depression in the cSOL electromyogram (EMG; onset: 37-41 ms) was observed following ipsilateral tibial nerve stimulation. The magnitude of this depression increased (P = 0.0005 and P = 0.000001) with increasing stimulus intensities. Ischemia delayed the time of the minimum of the cSOL depression (P = 0.04). SuN and medial plantar nerve stimulation evoked a longer latency depression [average; 91.2 ms (SuN); 142 ms (medial plantar nerve)] and therefore do not contribute to the response. This is the first study to demonstrate a short-latency depression in the cSOL following ipsilateral tibial nerve stimulation. Due to its short latency, the response is spinally mediated. The involvement of crossed spinal interneurons receiving input from low-threshold muscle afferents is discussed.

摘要

尽管四肢间协调在双足运动中至关重要,但肌肉传入介导的反馈作用尚不清楚。本研究旨在确定同侧肌肉产生的传入反馈是否会影响人类下肢对侧肌肉的激活模式,并阐明涉及的机制。量化了对侧胫骨神经刺激对同侧比目鱼肌(cSOL)反应的影响。研究了三种干预措施:1)在 cSOL 从最大随意收缩(MVC)的 5%到 15%和 15%到 30%收缩时,将胫骨神经刺激强度从 0 到 100%最大 M 波(M-max)应用于同侧胫骨神经;2)在对侧大腿应用缺血之前、期间和之后,在 75% M-max 时对同侧胫骨神经进行刺激;3)将同侧腓肠神经和内侧足底神经刺激强度从 1 到 3 倍感知阈值应用于同侧腓肠神经和内侧足底神经。同侧胫骨神经刺激后,cSOL 肌电图(EMG)出现短潜伏期抑制(潜伏期:37-41ms)。随着刺激强度的增加,这种抑制的幅度增加(P=0.0005 和 P=0.000001)。缺血延迟了 cSOL 抑制的最小值时间(P=0.04)。腓肠神经和内侧足底神经刺激引起更长潜伏期的抑制[平均值;腓肠神经 91.2ms(腓肠神经);内侧足底神经 142ms],因此不会对反应产生贡献。这是首次证明同侧胫骨神经刺激后 cSOL 出现短潜伏期抑制的研究。由于潜伏期短,该反应是脊髓介导的。讨论了接受低阈值肌肉传入纤维输入的交叉脊髓中间神经元的参与。

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