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尺神经支配的手部肌肉对桡侧腕伸肌运动神经元池的易化:一项采用肌电图平均技术的研究。

Facilitation from hand muscles innervated by the ulnar nerve to the extensor carpi radialis motoneurone pool in humans: a study with an electromyogram-averaging technique.

机构信息

Department of Physical Therapy, Yamagata Prefectural University of Health Sciences, Yamagata, Japan.

出版信息

J Clin Neurophysiol. 2012 Oct;29(5):472-6. doi: 10.1097/WNP.0b013e31826bdd48.

Abstract

Effects of low-threshold afferents of hand muscles innervated by the ulnar nerve on an excitability of the extensor carpi radialis (ECR) motoneurone pool in humans were examined using an electromyogram-averaging (EMG-A) technique. Changes of EMG-A of ECR exhibiting 10% of the maximum contraction by electrical stimulation to the ulnar nerve at the wrist (ES-UN) and mechanical stimulation to the hypothenar muscles (MS-HTM) and first dorsal interosseus (MS-FDI) were evaluated in eight normal human subjects. The ES-UN with the intensity immediately below the motor threshold and MS-HTM and -FDI with the intensity below the threshold of the tendon(T)-reflex were delivered. Early and significant peaks in EMG-A were produced by ES-UN, MS-HTM, and MS-FDI in eight of eight subjects. The mean amplitudes of the peaks by ES-UN, MS-HTM, and MS-FDI were, respectively, 121.9%, 139.3%, and 149.9% of the control EMG (100%). The difference between latencies of the peaks by ES-UN and MS-HTM, and ES-UN and MS-FDI was almost equivalent to that of the Hoffmann(H)- and T-reflexes of HTM and FDI, respectively. The peaks by ES-UN, MS-HTM, and MS-FDI diminished with tonic vibration stimulation (TVS) to HTM and FDI, respectively. These findings suggest that group Ia afferents of the hand muscles facilitate the ECR motoneurone pool.

摘要

采用肌电图平均(EMG-A)技术研究了尺神经支配手部肌肉的低阈值传入对人类伸腕肌运动神经元池兴奋性的影响。在 8 名正常受试者中,评估了通过腕部尺神经电刺激(ES-UN)和通过小鱼际肌(MS-HTM)和第一背间骨(MS-FDI)机械刺激引起的最大收缩 10%的 ECR 的 EMG-A 变化。ES-UN 的强度低于运动阈值,MS-HTM 和 -FDI 的强度低于腱(T)反射的阈值。ES-UN、MS-HTM 和 MS-FDI 在 8 个受试者中均产生了早期且显著的 EMG-A 峰。ES-UN、MS-HTM 和 MS-FDI 的峰平均幅度分别为对照 EMG(100%)的 121.9%、139.3%和 149.9%。ES-UN 和 MS-HTM 以及 ES-UN 和 MS-FDI 之间的峰潜伏期差异几乎相当于 HTM 和 FDI 的 Hoffmann(H)反射和 T 反射的潜伏期差异。ES-UN、MS-HTM 和 MS-FDI 的峰随着对 HTM 和 FDI 的紧张性振动刺激(TVS)而减弱。这些发现表明手部肌肉的 Ia 传入纤维可促进伸腕肌运动神经元池。

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