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向不同种类人类上肢运动神经元的脊髓固有样兴奋模式。

Pattern of propriospinal-like excitation to different species of human upper limb motoneurones.

作者信息

Gracies J M, Meunier S, Pierrot-Deseilligny E, Simonetta M

机构信息

Département de Rééducation, Hôpital de la Salpêtrière, Paris, France.

出版信息

J Physiol. 1991 Mar;434:151-67. doi: 10.1113/jphysiol.1991.sp018463.

Abstract
  1. The pattern of distribution of non-monosynaptic (propriospinal-like) excitation to various motor nuclei (deltoid, extensors and flexors of the elbow, the wrist and the fingers) was investigated. 2. Changes in the firing probability of individual voluntarily activated motor units were studied following conditioning stimuli. Conditioning volleys were evoked by weak electrical stimuli applied to various mixed nerves (circumflex, musculocutaneous, median, radial, ulnar) and to the skin. 3. In all investigated nuclei stimulation of the 'homonymous' nerve evoked a peak of increased firing probability with a latency which was 2-7 ms longer than the monosynaptic Ia latency. The average central delay of the late excitation, measured from monosynaptic latency, seems to depend only on the segmental level of the motor nucleus: the more caudal the nucleus the longer the latency. This strongly suggest a transmission through neurones located above the cervical enlargement, as are C3--C4 propriospinal neurones in the cat. 4. Both group I muscle and cutaneous afferents were shown to contribute to propriospinal-like excitation. It is argued that a spatial facilitation of the effects evoked by these two inputs might explain why the threshold of late excitation is always below that of the monosynaptic Ia excitation in motoneurones. 5. The pattern of distribution of propriospinal-like excitation was diffuse: stimulation of each mixed nerve was able to evoke excitation in all investigated motor nuclei. Similarly, stimulation of a given skin field could produce excitation of biceps and wrist flexor and extensor units. 6. Each motor nucleus therefore receives excitation from a multimodal and wide range peripheral input. However, it is argued that what appears as a diffuse pattern might simply reflect connections which are not used in each movement but appropriately selected by higher centres.
摘要
  1. 研究了非单突触(类脊髓固有束)兴奋向不同运动核(三角肌、肘部伸肌和屈肌、腕部和手指的肌肉)的分布模式。2. 在施加条件刺激后,研究了单个自主激活运动单位放电概率的变化。条件性冲动由施加于不同混合神经(旋肱后神经、肌皮神经、正中神经、桡神经、尺神经)和皮肤的弱电刺激诱发。3. 在所有研究的核中,刺激“同名”神经会诱发放电概率增加的峰值,其潜伏期比单突触Ia潜伏期长2 - 7毫秒。从单突触潜伏期测量的晚期兴奋的平均中枢延迟似乎仅取决于运动核的节段水平:核越靠尾端,潜伏期越长。这强烈表明是通过位于颈膨大上方的神经元进行传递的,就像猫的C3 - C4脊髓固有束神经元一样。4. 已表明I类肌肉和皮肤传入纤维都对类脊髓固有束兴奋有贡献。有人认为,这两种输入所诱发效应的空间易化作用可能解释了为什么运动神经元中晚期兴奋的阈值总是低于单突触Ia兴奋的阈值。5. 类脊髓固有束兴奋的分布模式是弥散的:刺激每条混合神经都能在所有研究的运动核中诱发兴奋。同样,刺激给定的皮肤区域可使肱二头肌以及腕部屈肌和伸肌运动单位产生兴奋。6. 因此,每个运动核都从多模式和广泛的外周输入接收兴奋。然而,有人认为,看似弥散的模式可能仅仅反映了在每次运动中未被使用但由高级中枢适当选择的连接。

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