Sugawara Kenichi, Tanabe Shigeo, Higashi Toshio, Suzuki Tomotaka, Tsurumi Takamasa, Kasai Tatsuya
Division of Physical Therapy, School of Rehabilitation, Faculty of Health and Social Services, Kanagawa University of Human Services, Kanagawa, Japan.
Neuroreport. 2012 Aug 1;23(11):663-7. doi: 10.1097/WNR.0b013e3283556522.
We investigated the functional changes in short intracortical inhibitory (SICI) circuits to determine whether surround inhibition is altered during a simple finger movement training. Using an electromyographic (EMG) feedback system linked to a computer monitor, participants practiced sustained index finger abduction by 40% maximum voluntary contraction of the first dorsal interosseous (FDI) while decreasing overflow EMG activity of the abductor digiti minimi (ADM) to less than 5% maximum voluntary contraction. Single transcranial magnetic stimuli (TMS) and paired-pulse TMS were applied to the left primary motor cortex to elicit motor-evoked potentials (MEPs) in the right FDI and ADM before/after training. In addition to recording MEPs from both muscles during voluntary FDI contraction, MEPs were recorded during motor imagery. MEPs from the FDI were not altered by training, indicating no functional changes in SICI circuits associated with the FDI field. In contrast, SICI circuits associated with ADM were significantly strengthened by training, as indicated by reduced baseline EMG activity during both actual FDI contraction and motor imagery and by reduced MEPs in response to post-training TMS. We propose that SICI circuits show functional plasticity during motor training and that surround circuit inhibition of nontarget muscle groups increases in proportion to the acquisition of motor skills.
我们研究了短皮质内抑制(SICI)回路的功能变化,以确定在简单的手指运动训练过程中周围抑制是否发生改变。使用与计算机显示器相连的肌电图(EMG)反馈系统,参与者练习将食指持续外展至第一背侧骨间肌(FDI)最大自主收缩的40%,同时将小指展肌(ADM)的溢出EMG活动降低至最大自主收缩的5%以下。在训练前后,将单脉冲经颅磁刺激(TMS)和配对脉冲TMS应用于左侧初级运动皮层,以诱发右侧FDI和ADM中的运动诱发电位(MEP)。除了在自主FDI收缩期间记录两块肌肉的MEP外,还在运动想象期间记录MEP。FDI的MEP不受训练影响,表明与FDI区域相关的SICI回路没有功能变化。相比之下,与ADM相关的SICI回路在训练后显著增强,这表现为在实际FDI收缩和运动想象期间基线EMG活动降低,以及训练后TMS诱发的MEP降低。我们提出,SICI回路在运动训练期间表现出功能可塑性,并且非目标肌肉群的周围回路抑制与运动技能的获得成比例增加。