Department of Exercise and Sport Science, University of Copenhagen, Blegdamsvej 3, DK-2200 Copenhagen, Denmark.
J Physiol. 2010 Mar 15;588(Pt 6):967-79. doi: 10.1113/jphysiol.2009.185520. Epub 2010 Feb 1.
When we walk, our arm muscles show rhythmic activity suggesting that the central nervous system contributes to the swing of the arms. The purpose of the present study was to investigate whether corticospinal drive plays a role in the control of arm muscle activity during human walking. Motor evoked potentials (MEPs) elicited in the posterior deltoid muscle (PD) by transcranial magnetic stimulation (TMS) were modulated during the gait cycle in parallel with changes in the background EMG activity. There was no significant difference in the size of the MEPs at a comparable level of background EMG during walking and during static PD contraction. Short latency intracortical inhibition (SICI; 2 ms interval) studied by paired-pulse TMS was diminished during bursts of PD EMG activity. This could not be explained only by changes in background EMG activity and/or control MEP size, since SICI showed no correlation to the level of background EMG activity during static PD contraction. Finally, TMS at intensity below the threshold for activation of corticospinal tract fibres elicited a suppression of the PD EMG activity during walking. Since TMS at this intensity is likely to only activate intracortical inhibitory interneurones, the suppression is in all likelihood caused by removal of a corticospinal contribution to the ongoing EMG activity. The data thus suggest that the motor cortex makes an active contribution, through the corticospinal tract, to the ongoing EMG activity in arm muscles during walking.
当我们行走时,手臂肌肉会呈现出有节奏的活动,这表明中枢神经系统对手臂的摆动有贡献。本研究的目的是探讨皮质脊髓驱动在人类行走过程中对手臂肌肉活动的控制中是否发挥作用。经颅磁刺激(TMS)诱发的后三角肌(PD)运动诱发电位(MEPs)在步态周期中与背景 EMG 活动的变化平行调节。在行走和 PD 静态收缩时,背景 EMG 活动相同水平下的 MEPs 大小没有显著差异。通过成对脉冲 TMS 研究的短潜伏期皮质内抑制(SICI;2 毫秒间隔)在 PD EMG 活动爆发期间减弱。这不能仅通过背景 EMG 活动和/或对照 MEP 大小的变化来解释,因为 SICI 与 PD 静态收缩时的背景 EMG 活动水平无关。最后,TMS 在低于激活皮质脊髓束纤维的强度下,在行走时会抑制 PD 的 EMG 活动。由于在此强度下的 TMS 可能仅激活皮质内抑制中间神经元,因此抑制很可能是由于对正在进行的 EMG 活动的皮质脊髓贡献的消除所致。因此,数据表明运动皮层通过皮质脊髓束对行走过程中手臂肌肉的持续 EMG 活动做出积极贡献。