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从人第一背侧骨间肌记录的皮肌反射的成熟过程。

Maturation of the cutaneomuscular reflex recorded from the first dorsal interosseous muscle in man.

作者信息

Evans A L, Harrison L M, Stephens J A

机构信息

Department of Physiology, University College and Middlesex School of Medicine, London.

出版信息

J Physiol. 1990 Sep;428:425-40. doi: 10.1113/jphysiol.1990.sp018220.

Abstract
  1. Cutaneous reflexes have been recorded from the first dorsal interosseous muscle following electrical stimulation of the digital nerves of the index finger in man. Recordings have been obtained from 127 children, aged from 3 to 18 years while each performed an isometric abduction of the index finger and whole hand grips. 2. In the adult, reflexes recorded while subjects performed an isometric abduction of the index finger consisted of three readily identifiable components within the first 100 ms. These were an initial short spinal latency increase in EMG (E1), followed by a decrease (I1), followed by a prominent longer-latency increase (E2) which was normally larger in size than the shorter-latency increase. 3. The configuration of the reflex changed during development. When recorded during an abduction, the E1 component was present in all children and showed a small but progressive reduction in size with age. With increasing age, both the I1 and E2 components were present in an increasing proportion of children and increased in size until the adult configuration was reached at 14-15 years. 4. Comparison of reflexes recorded during sustained whole hand grips with reflexes recorded during an isometric index finger abduction revealed differences in all three components. When recorded during those grips used in the present study the E1 component was generally significantly larger while the I1 component was generally significantly smaller than when recorded during index finger abduction. At all ages the E2 component was significantly smaller when recorded during a grip. 5. The configuration of the reflex during an isometric index finger abduction was compared with the ability of the child to perform rapid finger movements. Those children who had no E2 component tended not to perform well in the tests of rapid finger movement. However, there was no simple relationship between the size of the E2 component and ability to produce rapid finger movements.
摘要
  1. 在对人类示指的指神经进行电刺激后,已从第一背侧骨间肌记录到皮肤反射。对127名年龄在3至18岁的儿童进行了记录,记录时每个儿童进行示指等长外展和全手握力动作。2. 在成年人中,当受试者进行示指等长外展时记录到的反射,在最初100毫秒内由三个易于识别的成分组成。这些成分包括肌电图(EMG)中最初的短脊髓潜伏期增加(E1),随后是减少(I1),接着是显著的长潜伏期增加(E2),其大小通常比短潜伏期增加更大。3. 反射的形态在发育过程中发生变化。在进行外展时记录时,E1成分在所有儿童中都存在,并且随着年龄增长其大小呈小幅但逐渐减小的趋势。随着年龄的增加,I1和E2成分在越来越多的儿童中出现,并且大小增加,直到14 - 15岁达到成人形态。4. 将持续全手握力时记录的反射与示指等长外展时记录的反射进行比较,发现所有三个成分都存在差异。在本研究中使用的握力动作记录时,E1成分通常显著更大,而I1成分通常比示指外展记录时显著更小。在所有年龄段,握力时记录的E2成分都显著更小。5. 将示指等长外展时反射的形态与儿童进行快速手指运动的能力进行比较。那些没有E2成分的儿童在快速手指运动测试中往往表现不佳。然而,E2成分的大小与产生快速手指运动的能力之间没有简单的关系。

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