Kavanagh Justin J, Feldman Matthew R, Simmonds Michael J
Griffith University
Griffith University.
J Neurophysiol. 2016 Nov;116(5):2272-2280. doi: 10.1152/jn.00367.2016. Epub 2016 Sep 7.
The aim of this study was to investigate how maximal intermittent contractions for a hand muscle influence cortical and reflex activity, as well as the ability to voluntarily activate, the homologous muscle in the opposite limb. Twelve healthy subjects (age: 24 ± 3 years, all right hand dominant) performed maximal contractions of the dominant limb first dorsal interosseous (FDI), and activity of the contralateral FDI was examined in a series of experiments. Index finger abduction force, FDI EMG, motor evoked potentials and heteronomous reflexes were obtained from the contralateral limb during brief non-fatiguing contractions. The same measures, as well as the ability to voluntarily activate the contralateral FDI, were then assessed in an extended intermittent contraction protocol that elicited fatigue. Brief contractions under non-fatigued conditions increased index finger abduction force, FDI EMG, and motor evoked potential amplitude of the contralateral limb. However, when intermittent maximal contractions were continued until fatigue, there was an inability to produce maximal force with the contralateral limb (30%) which was coupled to a decrease in the level of voluntary activation (20%). These declines were present without changes in reflex activity, and regardless of whether cortical or motor point stimulation was used to assess voluntary activation. It is concluded that performing maximal intermittent contractions with a single limb causes an inability of the CNS to maximally drive the homologous muscle of the contralateral limb. This was, in part, mediated by mechanisms that involve the motor cortex ipsilateral to the contracting limb.
本研究的目的是调查手部肌肉的最大间歇性收缩如何影响皮质和反射活动,以及对另一侧肢体同源肌肉的自主激活能力。12名健康受试者(年龄:24±3岁,均为右利手)首先对优势肢体的第一背侧骨间肌(FDI)进行最大收缩,并在一系列实验中检查对侧FDI的活动。在短暂的非疲劳收缩期间,从对侧肢体获取食指外展力、FDI肌电图、运动诱发电位和异源反射。然后,在引发疲劳的延长间歇性收缩方案中评估相同的指标,以及自主激活对侧FDI的能力。非疲劳条件下的短暂收缩增加了对侧肢体的食指外展力、FDI肌电图和运动诱发电位幅度。然而,当间歇性最大收缩持续到疲劳时,对侧肢体无法产生最大力量(约30%),这与自主激活水平的下降(约20%)相关。这些下降在反射活动无变化的情况下出现,且与使用皮质刺激还是运动点刺激来评估自主激活无关。结论是,单肢体进行最大间歇性收缩会导致中枢神经系统无法最大程度驱动对侧肢体的同源肌肉。这部分是由涉及收缩肢体同侧运动皮质的机制介导的。