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关节感受器调节清醒猫的短潜伏期和长潜伏期肌肉反应。

Joint receptors modulate short and long latency muscle responses in the awake cat.

作者信息

Marshall K W, Tatton W G

机构信息

Division of Orthopaedic Surgery, Toronto Western Hospital, Ont., Canada.

出版信息

Exp Brain Res. 1990;83(1):137-50. doi: 10.1007/BF00232202.

Abstract

Nerve cuff electrodes were chronically implanted around multiple peripheral nerves in adult cats, including the medial and posterior articular nerves (MAN and PAN) to the knee while EMG electrodes were implanted into seven hindlimb muscles. Randomized load perturbations producing mid-range knee flexions at varying angular velocities were subsequently applied to awake cats. Recordings were initially obtained with knee joint innervation intact and then after local anaesthetic or saline control solution was injected into the knee. Averaged neurogram and EMG responses to the imposed movements were utilized to assess the contribution of joint mechanoreceptor activity to the evoked muscle responses. Additionally, spike-triggered averaging techniques and peri-stimulus time histograms of single joint afferent units isolated from the articular nerve cuffs were utilized to characterize unitary joint receptor responses. The averaged whole nerve response to knee joint perturbations on each of the cuffed articular nerves revealed phasic increases in activity relative to constant background levels. The earliest phasic responses on the articular nerves were initiated at latencies that were too short to be voluntary, occurring in the short latency (reflex) period. Detectable joint receptors were not recruited until after the earliest excitatory responses of agonist/antagonist muscle pairs acting across the knee had occurred, presumably resulting in mechanical loading of the knee joint capsule and subsequent activation of articular mechanoreceptors. Introduction of local anaesthetic into the knee was accompanied by marked diminution in joint afferent activity. Perturbation-evoked muscle responses were characterized by increased activity above background levels in all seven muscles studied, including antagonist muscle pairs. Local anaesthetic-mediated loss of knee joint mechanoreceptor input altered the latency, amplitude and duration of EMG responses in each muscle. The effect of joint anaesthesia in the short latency period was a generalized decrease in all muscle responses relative to normal and saline controls. The loss of afferent input after joint anaesthesia was also associated with altered muscle responses during the long latency period, when both reflex and voluntary mechanisms could potentially contribute to the generation of EMG activity. Interestingly, long latency activity after joint anaesthesia was characterized by "unbalancing" in the EMG responses of some antagonist muscle pairs. This alteration of normal antagonist pair co-contraction patterns served to increase the magnitude of the imposed perturbations, rather than to bring the movements under control. Analysis of single joint afferents isolated from whole joint nerve recordings demonstrated that some joint afferent units were tonically active at quiescent, mid-range knee positions. Additionally, isolated afferents demonstrated different time courses of response to imposed perturbations.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

在成年猫的多条周围神经周围长期植入神经袖套电极,包括支配膝关节的内侧和后关节神经(MAN和PAN),同时将肌电图电极植入七条后肢肌肉中。随后对清醒的猫施加随机负载扰动,以不同的角速度产生中等幅度的膝关节屈曲。最初在膝关节神经支配完整时进行记录,然后在向膝关节注射局部麻醉剂或生理盐水对照溶液后进行记录。利用对施加运动的平均神经图和肌电图反应来评估关节机械感受器活动对诱发肌肉反应的贡献。此外,利用从关节神经袖套分离出的单个关节传入单元的触发尖峰平均技术和刺激周围时间直方图来表征单一关节感受器的反应。对每个带袖套关节神经上膝关节扰动的平均全神经反应显示,相对于恒定的背景水平,活动有阶段性增加。关节神经上最早的阶段性反应在潜伏期开始,潜伏期太短而不可能是自愿的,发生在短潜伏期(反射)期。直到跨越膝关节的主动肌/拮抗肌对的最早兴奋性反应出现后,可检测到的关节感受器才被激活,这可能导致膝关节囊的机械负荷增加,随后激活关节机械感受器。向膝关节注射局部麻醉剂后,关节传入活动明显减少。在所有研究的七条肌肉中,扰动诱发的肌肉反应的特征是活动高于背景水平,包括拮抗肌对。局部麻醉介导的膝关节机械感受器输入丧失改变了每条肌肉中肌电图反应的潜伏期、幅度和持续时间。在短潜伏期内,关节麻醉的影响是所有肌肉反应相对于正常和生理盐水对照普遍降低。关节麻醉后传入输入的丧失也与长潜伏期内的肌肉反应改变有关,此时反射和自愿机制都可能对肌电图活动的产生有贡献。有趣的是,关节麻醉后的长潜伏期活动的特征是一些拮抗肌对的肌电图反应出现“失衡”。正常拮抗肌对共同收缩模式的这种改变起到了增加施加扰动幅度的作用,而不是控制运动。对从全关节神经记录中分离出的单个关节传入神经的分析表明,一些关节传入单元在膝关节静止、中等位置时呈紧张性活动。此外,分离出的传入神经对施加扰动的反应有不同的时间进程。(摘要截断于400字)

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