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在“降低”的人类运动中,组成复合 H 反射的运动单位群体的肢体间耦合从手臂到腿部的差异特征得到了明确说明。

Interlimb coupling from the arms to legs is differentially specified for populations of motor units comprising the compound H-reflex during "reduced" human locomotion.

机构信息

Rehabilitation Neuroscience Laboratory, University of Victoria, PO Box 3010, STN CSC, Victoria, BC, V8W 3P1, Canada.

出版信息

Exp Brain Res. 2011 Jan;208(2):157-68. doi: 10.1007/s00221-010-2467-0. Epub 2010 Nov 10.

Abstract

Recent experiments have identified neuromechanical interactions between the arms and legs during human locomotor movement. Previous work reported that during the rhythmic movement of all four limbs, the influence of the arms on reflex expression in the legs was superimposed on the dominant effect of the legs. This evidence was based upon studies using cutaneous and H-reflex modulation as indices of neuronal activity related to locomotion. The earlier H-reflex study was restricted to one phase of movement and to only a fixed H-reflex amplitude. Also, all four limbs were actively engaged in locomotor movement, and this led to the speculation that the effect from the arms could be underestimated by "swamping" of the conditioning during movement of the test limb. Work from the cat suggests that descending locomotor drive may be differentially specified for different motor unit populations in the hindlimb. Accordingly, details of interlimb coordination between the arms and legs in humans require further characterization and an examination of different populations of motor units as can be obtained from H-reflex recruitment curve (RC) parameters. Using modulation of H-reflex amplitudes across the entire ascending limb as neural probes for interlimb coupling, the present study evaluated the separated influences of rhythmic activity of the arms and leg on neuronal excitability of a stationary "test leg". This three-limb "reduced" locomotion approach was applied using a stepping ergometer during the performance of three rhythmic movement tasks: arms (A); contralateral leg (L); and arms and contralateral leg (AL). Data were sampled at four different phases of the stepping cycle (using the moving leg as reference): start power (SP); end power (EP); start recovery (SR); and end recovery (ER). The main result was a large and significant influence of rhythmic AL activity on RC parameters of the H-reflex at EP and SP phases. However, the parameters (and thus motor unit populations) were differentially affected at each phase and task. For instance, a significant contribution of arms movement was noticed for H (max) (largest motor units) at EP phase (P < 0.05), but no changes was observed for other parameters related to lower reflex amplitude (e.g., H-reflex evoked with an input that elicited 50% of maximum reflex response during static condition; H@50%). On the other hand, at SR phase, the parameter H@50% was significantly affected during AL compared to L. It is suggested that the remote effect from arms rhythmic activity has been differentially manifested across motor unit populations for each phase of movement. These findings provide definitive evidence for interlimb coupling between cervical and lumbar oscillators in gating the excitability of reflex pathways to a leg muscle for different populations of motorneurons within the pool. This further supports the contention of similar functional organization for locomotor networks in the human when compared to other animals. Additionally, these data provide additional confirmation of the significant role of the output of neural control for rhythmic arm movement in modulating reflex excitability of the legs that is specifically adjusted according to the phase and task.

摘要

最近的实验已经确定了人类运动过程中手臂和腿部之间的神经力学相互作用。以前的工作报道说,在四肢的有节奏运动中,手臂对腿部反射表达的影响叠加在腿部的主导效应上。这一证据是基于使用皮肤和 H 反射调制作为与运动相关的神经元活动的指标的研究。早期的 H 反射研究仅限于运动的一个阶段,并且只限于固定的 H 反射幅度。此外,四肢都积极参与运动,这导致人们猜测,由于测试肢体运动时的条件作用“淹没”,手臂的影响可能被低估。来自猫的研究表明,下行运动驱动可能针对后肢中不同的运动神经元群体进行了不同的规定。因此,需要进一步描述手臂和腿部之间的四肢协调的细节,并检查从 H 反射募集曲线 (RC) 参数中获得的不同运动神经元群体。本研究使用整个上升支的 H 反射幅度调制作为四肢耦合的神经探针,评估了手臂和腿部有节奏的活动对静止“测试腿”神经元兴奋性的单独影响。在使用踏步式测功计进行三种有节奏运动任务(手臂 A;对侧腿 L;手臂和对侧腿 AL)时,采用了三肢“简化”运动方法。数据在踏步周期的四个不同相位(以运动腿为参考)进行采样:起始功率 (SP);结束功率 (EP);起始恢复 (SR);结束恢复 (ER)。主要结果是,AL 活动的节律性对 EP 和 SP 相位 H 反射的 RC 参数有很大且显著的影响。然而,参数(因此运动神经元群体)在每个相位和任务中受到不同的影响。例如,在 EP 相位(P < 0.05),手臂运动对 H(max)(最大运动神经元)有显著贡献,但与较低反射幅度相关的其他参数没有变化(例如,在静态条件下引起最大反射反应 50%的输入诱发的 H 反射;H@50%)。另一方面,在 SR 相位,与 L 相比,AL 期间参数 H@50% 受到显著影响。这表明,来自手臂节律性活动的远程影响已在运动的每个阶段针对不同的运动神经元群体表现出不同。这些发现为颈椎和腰椎振荡器在为池中的不同运动神经元群体的腿部肌肉门控反射通路兴奋性提供了明确的证据。这进一步支持了与其他动物相比,人类运动网络具有相似的功能组织的观点。此外,这些数据进一步证实了手臂有节奏运动的神经控制输出在调节腿部反射兴奋性方面的重要作用,该作用根据相位和任务进行了专门调整。

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