运动学习中肌肉放松期间运动皮层兴奋性的改变。

Modification of motor cortex excitability during muscle relaxation in motor learning.

作者信息

Sugawara Kenichi, Tanabe Shigeo, Suzuki Tomotaka, Saitoh Kei, Higashi Toshio

机构信息

Division of Physical Therapy, Faculty of Health and Social Work, Kanagawa University of Human Services, 1-10-1 Heisei-cho, Yokosuka, Kanagawa, Japan.

Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, Japan.

出版信息

Behav Brain Res. 2016 Jan 1;296:78-84. doi: 10.1016/j.bbr.2015.09.001. Epub 2015 Sep 2.

Abstract

We postulated that gradual muscle relaxation during motor learning would dynamically change activity in the primary motor cortex (M1) and modify short-interval intracortical inhibition (SICI). Thus, we compared changes in M1 excitability both pre and post motor learning during gradual muscle relaxation. Thirteen healthy participants were asked to gradually relax their muscles from an isometric right wrist extension (30% maximum voluntary contraction; MVC) using a tracking task for motor learning. Single or paired transcranial magnetic stimulation (TMS) was applied at either 20% or 80% of the downward force output during muscle release from 30% MVC, and we compared the effects of motor learning immediately after the 1st and 10th blocks. Motor-evoked potentials (MEPs) from the extensor and flexor carpi radialis (ECR and FCR) were then measured and compared to evaluate their relationship before and after motor learning. In both muscles and each downward force output, motor cortex excitability during muscle relaxation was significantly increased following motor learning. In the ECR, the SICI in the 10th block was significantly increased during the 80% waveform decline compared to the SICI in the 1st block. In the FCR, the SICI also exhibited a greater inhibitory effect when muscle relaxation was terminated following motor learning. During motor training, acquisition of the ability to control muscle relaxation increased the SICI in both the ECR and FCR during motor termination. This finding aids in our understanding of the cortical mechanisms that underlie muscle relaxation during motor learning.

摘要

我们推测,在运动学习过程中逐渐放松肌肉会动态改变初级运动皮层(M1)的活动,并改变短间隔皮质内抑制(SICI)。因此,我们比较了在逐渐放松肌肉过程中运动学习前后M1兴奋性的变化。13名健康参与者被要求使用运动学习的跟踪任务,从右侧等长腕伸展(最大自主收缩的30%;MVC)开始逐渐放松肌肉。在从30%MVC开始肌肉放松过程中,当下放力输出达到20%或80%时,施加单次或配对经颅磁刺激(TMS),我们比较了第1个和第10个训练块后立即进行运动学习的效果。然后测量并比较桡侧腕伸肌和桡侧腕屈肌(ECR和FCR)的运动诱发电位(MEP),以评估运动学习前后它们之间的关系。在两块肌肉以及每个下放力输出水平下,运动学习后肌肉放松过程中的运动皮层兴奋性均显著增加。在ECR中,与第1个训练块相比,在第10个训练块中80%波形下降期间SICI显著增加。在FCR中,运动学习后肌肉放松结束时,SICI也表现出更大的抑制作用。在运动训练期间,获得控制肌肉放松的能力会在运动结束时增加ECR和FCR中的SICI。这一发现有助于我们理解运动学习过程中肌肉放松背后的皮质机制。

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