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人类中从指浅屈肌到桡侧腕伸肌的易化作用。

Facilitation from flexor digitorum superficialis to extensor carpi radialis in humans.

作者信息

Nito Mitsuhiro, Hashizume Wataru, Miyasaka Takuji, Suzuki Katsuhiko, Sato Toshiaki, Fujii Hiromi, Shindo Masaomi, Naito Akira

机构信息

Department of Anatomy and Structural Science, Yamagata University School of Medicine, 2-2-2, Iida-nishi, Yamagata, 990-9585, Japan.

Department of Judo Therapy, Teikyo University Faculty of Medical Technology, Utsunomiya, Japan.

出版信息

Exp Brain Res. 2016 Aug;234(8):2235-44. doi: 10.1007/s00221-016-4629-1. Epub 2016 Mar 24.

Abstract

Effects of low-threshold afferents from the flexor digitorum superficialis (FDS) to the extensor carpi radialis (ECR) motoneurons were examined using a post-stimulus time-histogram (PSTH) and electromyogram-averaging (EMG-A) methods in eight healthy human subjects. In the PSTH study in five of the eight subjects, electrical conditioning stimuli (ES) to the median nerve branch innervating FDS with the intensity below the motor threshold induced excitatory effects (facilitation) in 39 out of 92 ECR motor units. In 11 ECR motor units, the central synaptic delay of the facilitation was -0.1 ± 0.3 ms longer than that of the homonymous facilitation of ECR. Mechanical conditioning stimuli (MS) to FDS with the intensity below the threshold of the tendon(T)-wave-induced facilitation in 51 out of 51 ECR motor units. With the EMG-A method, early and significant peaks were produced by ES and MS in all the eight subjects. The difference between latencies of the peaks by ES and MS was almost equivalent to that of the Hoffmann- and T-waves of FDS by ES and MS. The peak was diminished by tonic vibration stimuli to FDS. These findings suggest that a facilitation from FDS to ECR exists in humans and group Ia afferents mediate the facilitation through a monosynaptic path.

摘要

在八名健康人体受试者中,采用刺激后时间直方图(PSTH)和肌电图平均(EMG-A)方法,研究了来自指浅屈肌(FDS)的低阈值传入神经对桡侧腕伸肌(ECR)运动神经元的影响。在八名受试者中的五名进行的PSTH研究中,对支配FDS的正中神经分支施加强度低于运动阈值的电刺激(ES),在92个ECR运动单位中的39个中诱发了兴奋效应(易化)。在11个ECR运动单位中,易化的中枢突触延迟比ECR的同名易化长-0.1±0.3毫秒。对FDS施加强度低于肌腱(T)波诱发易化阈值的机械刺激(MS),在51个ECR运动单位中的51个中诱发了易化。采用EMG-A方法时,在所有八名受试者中,ES和MS均产生了早期且明显的峰值。ES和MS诱发的峰值潜伏期差异几乎等同于ES和MS诱发的FDS的霍夫曼波和T波的潜伏期差异。对FDS进行强直振动刺激可使峰值减小。这些发现表明,在人体中存在从FDS到ECR的易化,并且Ia类传入神经通过单突触路径介导这种易化。

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