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躯干肌肉快速手臂运动准备中的皮质脊髓兴奋性的调制。

Modulation of Corticospinal Excitability of Trunk Muscles in Preparation of Rapid Arm Movement.

机构信息

Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, Canada; NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury & Health, School of Health & Rehabilitation Sciences, The University of Queensland, Australia.

Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, Canada.

出版信息

Neuroscience. 2018 Jan 15;369:231-241. doi: 10.1016/j.neuroscience.2017.11.024. Epub 2017 Nov 22.

Abstract

Many studies have described the dynamic modulation of corticospinal excitability of the prime movers during motor preparation. However although anticipatory postural adjustments (APA) are an inherent part of most voluntary movements, investigation of trunk muscle corticospinal excitability during motor preparation has been neglected in the literature. In the present study, the corticospinal excitability of the superficial multifidus (sMF) and rectus abdominis (RA) muscle has been assessed during the preparation of rapid arm flexions and extensions in fifteen participants. A Warning signal informed participants to prepare to move prior to a Go signal. Transcranial magnetic stimulation was applied during baseline and at 6 time intervals before (Delay period) or after (Motor execution period) the Go signal. Results revealed a significant inhibition of the amplitude of sMF motor-evoked potentials in both flexion and extension movements within the Delay period compared to baseline, while no significant modulation was observed for RA. During the Motor Execution period for arm extension, sMF displayed even more inhibition, along with a large and significant facilitation of RA. During the Motor execution period for arm flexion, sMF presented a trend toward larger motor-evoked potential amplitude compared to Delay period. These results suggest the existence of two concurrent mechanisms underlying motor preparation for APA: (i) before the Go signal, a nonspecific inhibitory mechanism for sMF, likely to preclude motor program release; (ii) after the Go signal, a task-specific modulation of corticospinal excitability consistent with the EMG pattern during the early phase of movement.

摘要

许多研究都描述了运动准备过程中运动原动肌皮质脊髓兴奋性的动态调制。然而,尽管姿势预位调整(APA)是大多数随意运动的固有组成部分,但文献中对运动准备过程中躯干肌肉皮质脊髓兴奋性的研究却被忽视了。在本研究中,我们评估了 15 名参与者在准备快速手臂屈伸运动时,浅层多裂肌(sMF)和腹直肌(RA)的皮质脊髓兴奋性。警示信号告知参与者在 Go 信号之前准备移动。在 Go 信号之前(延迟期)或之后(运动执行期)的 6 个时间间隔内,应用经颅磁刺激。结果显示,与基线相比,在延迟期内,无论是屈肌还是伸肌运动,sMF 运动诱发电位的振幅都明显受到抑制,而 RA 则没有明显的调制。在手臂伸展的运动执行期,sMF 显示出更大的抑制作用,同时 RA 也出现了显著的易化作用。在手臂弯曲的运动执行期,与延迟期相比,sMF 呈现出更大的运动诱发电位振幅趋势。这些结果表明,APA 的运动准备存在两种并发机制:(i)在 Go 信号之前,sMF 存在一种非特异性的抑制机制,可能会阻止运动程序的释放;(ii)在 Go 信号之后,皮质脊髓兴奋性出现与运动早期阶段 EMG 模式一致的任务特异性调制。

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