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1989年詹姆斯·A.F. 史蒂文森纪念讲座。膝跳反射:仍是一个谜?

The 1989 James A. F. Stevenson memorial lecture. The knee jerk: still an enigma?

作者信息

Matthews P B

机构信息

University Laboratory of Physiology, Oxford University, U.K.

出版信息

Can J Physiol Pharmacol. 1990 Mar;68(3):347-54. doi: 10.1139/y90-048.

DOI:10.1139/y90-048
PMID:2182186
Abstract

This is a wide-ranging review of muscle proprioceptors, intended primarily for the nonspecialist. It emphasizes how much more they are concerned with, than just the production of the knee jerk; it concentrates on principle rather than documenting detail and cites selectively. The main topics covered are the effect of deafferentation, position sense, the proprioceptors themselves, the control of the muscle spindle by the CNS, and spinal and long-latency "stretch" reflexes. The emphasis is on human work. The knee jerk itself is seen as a "physiological artefact," resulting from a mode of stimulation that does not occur in life, with the normal function of its underlying circuitry still under debate.

摘要

这是一篇对肌肉本体感受器的广泛综述,主要面向非专业人士。它强调了这些感受器所涉及的内容远不止膝跳反射的产生;它专注于原理而非记录细节,并进行了有选择性的引用。涵盖的主要主题包括去传入作用的影响、位置觉、本体感受器本身、中枢神经系统对肌梭的控制,以及脊髓和长潜伏期“牵张”反射。重点是关于人类的研究。膝跳反射本身被视为一种“生理假象”,是由一种在生活中不会出现的刺激模式导致的,其潜在神经回路的正常功能仍存在争议。

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