Goodin D S, Aminoff M J, Shih P Y
Department of Neurology, University of California, San Francisco 94143.
Brain. 1990 Aug;113 ( Pt 4):1075-91. doi: 10.1093/brain/113.4.1075.
Ballistic wrist extensor movements were interrupted by a sudden perturbing force in two conditions, and subjects were asked either to compensate for ('oppose') the perturbation or to cease the extensor movement ('let-go') when the interruption occurred. In the first condition, the interruption occurred unexpectedly in some of the trials, whereas in the second it occurred on every trial. Responses were recorded from the flexor and extensor carpi radialis muscles, and from the scalp and cervical spine. Unexpected perturbing forces were associated with an early extensor EMG response (M1) and longer latency EMG responses in both flexor and extensor muscles. When the interruptions occurred in every trial, both the late EMG activity and the cerebral responses were markedly attenuated. The relation between expectation of perturbation and the occurrence or size of the late EMG activity indicates that this response is under supraspinal control. The potentials recorded over the cervical spine and scalp were, like the late EMG activity, influenced by the expectancy of interruption. These potentials persisted even when the potentials related to the mechanically elicited SEP were removed by subtraction of responses to anticipated interruptions from those to unanticipated interruptions. The earliest of these potentials preceded the late EMG activity by 30-50 ms. They were present when the late responses were present, absent when the late responses were absent, and became progressively smaller when the late responses became smaller, suggesting a tight coupling between these events and the late EMG events. These results indicate that cerebral activity, unrelated merely to mechanical stimulation, consistently precedes the late EMG activity, and thereby directly suggests that the long-latency response has a cerebral (possible cortical) pathway.
在两种情况下,弹道式腕伸肌运动被突然的干扰力打断,要求受试者在干扰发生时要么补偿(“对抗”)干扰,要么停止伸肌运动(“放开”)。在第一种情况下,干扰在一些试验中意外发生,而在第二种情况下,每次试验都会发生。记录了桡侧腕屈肌和伸肌、头皮和颈椎的反应。意外的干扰力与早期伸肌肌电图反应(M1)以及屈肌和伸肌中潜伏期更长的肌电图反应相关。当每次试验都出现干扰时,晚期肌电图活动和大脑反应均明显减弱。干扰预期与晚期肌电图活动的发生或大小之间的关系表明,这种反应受脊髓上控制。在颈椎和头皮上记录的电位,与晚期肌电图活动一样,受干扰预期的影响。即使通过从未预期干扰的反应中减去预期干扰的反应来消除与机械诱发的体感诱发电位相关的电位,这些电位仍然存在。这些电位中最早的比晚期肌电图活动提前30 - 50毫秒出现。晚期反应出现时它们也出现,晚期反应消失时它们也消失,并且随着晚期反应变小而逐渐变小,这表明这些事件与晚期肌电图事件之间存在紧密耦合。这些结果表明,并非仅仅与机械刺激相关的大脑活动始终先于晚期肌电图活动,从而直接表明长潜伏期反应具有大脑(可能是皮层)通路。