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[振动对人体静态及诱发踏步过程中脊髓α运动神经元兴奋性的影响]

[The influence of vibration on spinal alpha-motoneurons excitability in static conditions and during evoked stepping in human].

作者信息

Solopova I A, Selionov V A

出版信息

Fiziol Cheloveka. 2012 Mar-Apr;38(2):57-65.

PMID:22679797
Abstract

In healthy human the excitability of spinal alpha-motoneurons under application of vibrostimulation (20-60 Hz) to different leg muscles was investigated both in stationary condition and during stepping movements caused by vibration in the condition of suspended leg. In 15 subjects the amplitude of H-reflex were compared under vibration of rectus femoris (RF) and biceps femoris (BF) muscles of left leg as well during vibration of rectus femoris of contralateral, motionless leg in three spatial positions: upright, supine and on right side of body with suspended left leg. In dynamic conditions the amount of H-reflex was compared during evoked and voluntary stepping at 8 intervals of step cycle. In all body positions the vibration of each ipsilateral leg muscles caused significant suppression of H-reflex, this suppression was more prominent in the air-stepping conditions. The vibration of contralateral leg RF muscle had a weak influence on the amplitude of H-reflex. In 7 subjects the muscle vibration of ipsilateral and contralateral legs generated stepping movements. During evoked "air-stepping" H-reflex had different amplitudes in different phases of step cycle. At the same time the differences between responses under voluntary and non-voluntary stepping were revealed only in stance phase. Thus, different degree of H-reflex suppression by vibration under different body position in space depends on, it seems to be, from summary afferent inflows to spinal cord interneurons, which participate in regulation of posture and locomotion. Seemingly, the increasing of spinal cord neurons excitability occurs under involuntary air-stepping in swing phase, which is necessary for activation of locomotor automatism under unloading leg conditions.

摘要

在健康人体中,研究了在静止状态以及在悬腿状态下由振动引起的踏步运动过程中,对不同腿部肌肉施加振动刺激(20 - 60赫兹)时脊髓α运动神经元的兴奋性。在15名受试者中,比较了左腿股直肌(RF)和股二头肌(BF)振动时以及对侧静止腿的股直肌在三种空间位置(直立、仰卧和身体右侧悬左腿)振动时H反射的幅度。在动态条件下,在步周期的8个时间间隔内比较诱发踏步和自主踏步时H反射的量。在所有身体位置,每条同侧腿部肌肉的振动都会导致H反射的显著抑制,这种抑制在空踏条件下更为明显。对侧腿部RF肌肉的振动对H反射幅度的影响较弱。在7名受试者中,同侧和对侧腿部的肌肉振动产生了踏步运动。在诱发的“空踏”过程中,H反射在步周期的不同阶段具有不同的幅度。同时,仅在站立阶段发现了自主踏步和非自主踏步反应之间的差异。因此,在空间中不同身体位置下振动对H反射的不同程度抑制似乎取决于脊髓中间神经元的总传入输入,这些中间神经元参与姿势和运动的调节。似乎在摆动阶段非自主空踏时脊髓神经元兴奋性增加,这对于在腿部卸载条件下激活运动自动机制是必要的。

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