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伤害性退缩反射的功能组织。I. 大鼠后肢肌肉的激活

Functional organization of the nociceptive withdrawal reflexes. I. Activation of hindlimb muscles in the rat.

作者信息

Schouenborg J, Kalliomäki J

机构信息

University of Lund, Institute of Physiology and Biophysics, Sweden.

出版信息

Exp Brain Res. 1990;83(1):67-78. doi: 10.1007/BF00232194.

Abstract
  1. The organization of the nociceptive hindlimb withdrawal reflexes was investigated in 93 halothane/nitrous oxide anesthetized rats. Electromyographical techniques were used to record reflex activity in single motor units. 2. Most of the hindlimb muscles were activated by noxious mechanical stimulation of the skin of the ipsilateral hindlimb. These were the plantar flexors of the digits, the pronators of the paw, the dorsiflexors and the plantar flexors of the ankle, the flexors of the knee, the flexors of the hip and the adductors. By grading the stimulus intensity it was shown that all these muscles received input from cutaneous nociceptors. 3. Noxious stimulation of the skin failed to activate the obturator, knee extensors and m. tibialis posterior and, in most rats tested, m. semimembranosus and m. adductor magnus. The plantar flexors of the ankle, while exhibiting a clear nocireceptive field in all rats tested, had a high threshold and responded much more weakly than the dorsiflexors of the ankle. Thus, responses in muscles which oppose gravity in the standing position were either very weak or absent. 4. The present study shows that each of the activated hindlimb muscles has a highly organized nocireceptive field on the skin, which is related to the withdrawal movement caused by the muscle itself. Each of the muscles normally causes the withdrawal of its receptive field when the foot is on the ground. The skin area most effectively withdrawn, in this situation, corresponds to the most sensitive area of the nocireceptive field. However, with the exception of the plantar flexors of the digits and/or the ankle, each of the hindlimb muscles also withdraws the major parts of their receptive fields when the foot is off the ground. The locations of the nocireceptive fields were independent of the position of the hindlimb. These characteristics of the nociceptive withdrawal reflexes are the basis for their "local sign" (Sherrington 1906). 5. The threshold and the time course of reflex activation were different in different muscles. However, muscles with a similar action; the plantar flexors of the digits, the pronators of the paw, the dorsiflexors of the digits, the flexors of the knee and the adductors, respectively, had similar thresholds and time courses. Furthermore, the threshold and latency of activation of each muscle increased towards the border of its nocireceptive field, reflecting a decreasing sensitivity. These findings explain the progressive recruitment of muscles during increasing strength of noxious stimulation, termed "irradiation" (Sherrington 1906).(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 在93只接受氟烷/氧化亚氮麻醉的大鼠中,对伤害性后肢退缩反射的组织情况进行了研究。采用肌电图技术记录单个运动单位的反射活动。2. 大多数后肢肌肉可通过对同侧后肢皮肤进行有害机械刺激而被激活。这些肌肉包括趾跖屈肌、爪旋前肌、踝关节背屈肌和跖屈肌、膝关节屈肌、髋关节屈肌和内收肌。通过对刺激强度进行分级显示,所有这些肌肉均接受来自皮肤伤害感受器的输入。3. 对皮肤的有害刺激未能激活闭孔肌、膝关节伸肌和胫后肌,并且在大多数受试大鼠中,也未能激活半膜肌和大收肌。踝关节跖屈肌在所有受试大鼠中虽表现出明确的伤害感受野,但阈值较高,且反应比踝关节背屈肌弱得多。因此,在站立位时对抗重力的肌肉反应要么非常微弱,要么没有反应。4. 本研究表明,每块被激活的后肢肌肉在皮肤上都有高度组织化的伤害感受野,这与该肌肉自身引起的退缩运动相关。当足部着地时,每块肌肉通常会引起其感受野的退缩。在这种情况下,最有效地被退缩的皮肤区域对应于伤害感受野中最敏感的区域。然而,除了趾和/或踝关节的跖屈肌外,当足部离地时,每块后肢肌肉也会退缩其大部分感受野。伤害感受野的位置与后肢的位置无关。伤害性退缩反射的这些特征是其“局部体征”(谢灵顿,1906年)的基础。5. 不同肌肉的反射激活阈值和时间进程各不相同。然而,具有相似作用的肌肉,即分别为趾跖屈肌、爪旋前肌、趾背屈肌、膝关节屈肌和内收肌,具有相似的阈值和时间进程。此外,每块肌肉激活的阈值和潜伏期向其伤害感受野的边界方向增加,这反映出敏感性降低。这些发现解释了在有害刺激强度增加期间肌肉的渐进性募集,即所谓的“扩散”(谢灵顿,1906年)。(摘要截选至400字)

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