Bhattacharyya Kalyan B
Department of Neurology, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India.
Ann Indian Acad Neurol. 2017 Jan-Mar;20(1):1-4. doi: 10.4103/0972-2327.199906.
The stretch reflex or myotatic reflex refers to the contraction of a muscle in response to its passive stretching by increasing its contractility as long as the stretch is within physiological limits. For ages, it was thought that the stretch reflex was of short latency and it was synonymous with the tendon reflex, subserving the same spinal reflex arc. However, disparities in the status of the two reflexes in certain clinical situations led Marsden and his collaborators to carry out a series of experiments that helped to establish that the two reflexes had different pathways. That the two reflexes are dissociated has been proved by the fact that the stretch reflex and the tendon reflex, elicited by stimulation of the same muscle, have different latencies, that of the stretch reflex being considerably longer. They hypothesized that the stretch reflex had a transcortical course before it reached the spinal motor neurons for final firing. Additionally, the phenomenon of stimulus-sensitive cortical myoclonus lent further evidence to the presence of the transcortical loop where the EEG correlate preceded the EMG discharge. This concept has been worked out by later neurologists in great detail, and the general consensus is that indeed, the stretch reflex is endowed with a conspicuous transcortical component.
牵张反射或肌伸张反射是指肌肉在其被动拉伸时作出的收缩反应,只要拉伸在生理限度内,肌肉收缩能力就会增强。长期以来,人们认为牵张反射潜伏期短,与腱反射同义,遵循相同的脊髓反射弧。然而,在某些临床情况下这两种反射状态的差异促使马斯登及其合作者开展了一系列实验,这些实验有助于确定这两种反射具有不同的通路。刺激同一块肌肉引发的牵张反射和腱反射具有不同的潜伏期,牵张反射的潜伏期要长得多,这一事实证明了这两种反射是分离的。他们推测,牵张反射在到达脊髓运动神经元进行最终放电之前有一个经皮质的过程。此外,刺激敏感性皮质肌阵挛现象进一步证明了经皮质环路的存在,其中脑电图相关性先于肌电图放电。后来的神经学家对这一概念进行了详细阐述,普遍的共识是,牵张反射确实具有明显的经皮质成分。