Advani A, Ashby P
Playfair Neuroscience Unit, University of Toronto, Toronto Western Hospital, Ont., Canada.
Can J Physiol Pharmacol. 1990 Sep;68(9):1231-5. doi: 10.1139/y90-185.
Electrical or magnetic stimulation of the human motor cortex causes a strong, short latency facilitation of tibialis anterior (TA) motoneurons but only weak, longer latency changes in the excitability of soleus (SOL) motoneurons. The facilitation of TA motoneurons has been attributed to the monosynaptic action of the "fast" corticospinal pathway. The present study further investigates the cortical control of soleus motoneurons in man. In tests of reaction time to auditory stimuli, normal subjects took significantly longer to activate soleus motoneurons than tibialis anterior motoneurons. Thus we could not demonstrate the existence of a "fast" pathway from the brain to SOL motoneurons that, for some reason, is not activated by magnetic stimulation. The hypothesis that the cortex might control soleus motoneurons indirectly by modulation of the Ia input from muscle spindles was tested. Magnetic stimulation of the cortex was used to condition the facilitation of soleus motoneurons resulting from the stimulation of group I fibres in the tibial nerve. There were no consistent changes in Ia facilitation. We conclude (i) that there is no evidence so far that SOL motoneurons are excited by a direct pathway from the cortex (similar to that projecting to TA motoneurons) and (ii) that the observed changes in firing probability of soleus motoneurons produced by magnetic stimulation over the motor cortex do not result from modulation of presynaptic inhibition of Ia afferents.
对人类运动皮层进行电刺激或磁刺激,会使胫前肌(TA)运动神经元产生强烈、潜伏期短的易化作用,但对比目鱼肌(SOL)运动神经元兴奋性的影响则较弱且潜伏期更长。TA运动神经元的易化作用归因于“快速”皮质脊髓通路的单突触作用。本研究进一步探究了人类中比目鱼肌运动神经元的皮质控制机制。在对听觉刺激的反应时间测试中,正常受试者激活比目鱼肌运动神经元的时间显著长于激活胫前肌运动神经元的时间。因此,我们无法证明从大脑到比目鱼肌运动神经元存在一条“快速”通路,而这条通路出于某种原因未被磁刺激激活。我们对皮质可能通过调节来自肌梭的Ia传入纤维间接控制比目鱼肌运动神经元这一假说进行了测试。使用皮质磁刺激来调节由胫神经中I类纤维刺激所引起的比目鱼肌运动神经元的易化作用。Ia易化作用没有出现一致的变化。我们得出以下结论:(i)目前尚无证据表明比目鱼肌运动神经元受到来自皮质的直接通路(类似于投射到TA运动神经元的通路)的兴奋作用;(ii)在运动皮层上进行磁刺激时,所观察到的比目鱼肌运动神经元放电概率的变化并非由Ia传入纤维的突触前抑制调节所致。