Nardone A, Corrà T, Schieppati M
Fondazione Clinica del Lavoro, Centro Medico di Riabilitazione, Veruno, Italy.
Exp Brain Res. 1990;80(2):323-32. doi: 10.1007/BF00228159.
The soleus (Sol) and medial and lateral gastrocnemii (GM and GL) behave differently during various movements, but no attempt has been made to disclose any distinct activation of these muscles during perturbations of upright stance. Therefore the pattern of activation of the three triceps surae (TS) muscles and of the tibialis anterior (TA) was studied in normal subjects following rotational and linear displacements of a movable platform. The effect of "postural set" on the responses was also studied while holding onto a frame. In free-standing subjects, TS stretches (upward tilt, UT and backward translation, BT) evoked a large short latency response (SLR) in Sol; smaller SLRs were sometimes induced in GM or GL. A medium latency response (MLR) was consistently present in both or only one gastrocnemii. On the average, the amplitude and the frequency of occurrence of the responses were distributed as follows: SLR, Sol greater than GL greater than GM; MLR, GM greater than GL greater than Sol. The type of perturbation did not affect the latency of all TS muscle responses, but the duration, amplitude and frequency of MLRs were larger during BT than UT. MLRs were followed by an antagonistic reaction (AR) in the TA, larger and more frequent during UT than BT. TA stretches (downward tilt, DT and forward translation, FT) induced a TA MLR, with duration and area larger in FT than DT. ARs occurred in one or more muscles of TS, being larger and more frequent in Sol. Under the conditions of stabilized stance, SLRs were not affected, but all the MLRs and ARs were much reduced in amplitude. The analogies between TS and TA MLRs (frequency of occurrence, latency and suppression under stabilized condition) suggest a common underlying mechanism and a similar postural role. On the other hand, all the TS responses are unequally distributed in the individual muscles and in the various subjects. This recommends caution in drawing conclusions in their absence or from their susceptibility to postural set in patients, when only one muscle of TS is being recorded.
比目鱼肌(Sol)以及腓肠肌内侧头和外侧头(GM和GL)在各种运动中表现各异,但尚未有人尝试揭示在直立姿势受干扰期间这些肌肉的任何明显激活情况。因此,在可移动平台进行旋转和线性位移后,对正常受试者的三块小腿三头肌(TS)和胫骨前肌(TA)的激活模式进行了研究。同时还研究了在抓住框架时“姿势设定”对反应的影响。在自由站立的受试者中,TS拉伸(向上倾斜,UT和向后平移,BT)在比目鱼肌中诱发了较大的短潜伏期反应(SLR);有时在GM或GL中诱导出较小的SLR。在腓肠肌中始终存在中潜伏期反应(MLR),或者仅在一块腓肠肌中存在。平均而言,反应的幅度和出现频率分布如下:SLR,比目鱼肌大于GL大于GM;MLR,GM大于GL大于比目鱼肌。扰动类型不影响所有TS肌肉反应的潜伏期,但在BT期间MLR的持续时间、幅度和频率比UT期间更大。MLR之后在TA中出现拮抗反应(AR),在UT期间比BT期间更大且更频繁。TA拉伸(向下倾斜,DT和向前平移,FT)诱发了TA MLR,FT期间的持续时间和面积比DT期间更大。AR出现在TS的一块或多块肌肉中,在比目鱼肌中更大且更频繁。在稳定站立条件下,SLR不受影响,但所有MLR和AR的幅度都大大降低。TS和TA MLR之间的相似之处(出现频率、潜伏期和在稳定条件下的抑制情况)表明存在共同的潜在机制和类似的姿势作用。另一方面,所有TS反应在个体肌肉和不同受试者中分布不均。这建议在仅记录TS的一块肌肉时,在缺乏这些反应或它们易受患者姿势设定影响的情况下得出结论时要谨慎。