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胫骨前肌和比目鱼肌的皮质脊髓兴奋性在被动踝关节运动时不同。

Corticospinal excitability of tibialis anterior and soleus differs during passive ankle movement.

机构信息

Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, England, NE1 8ST, UK.

Univ Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, 42023, Saint-Étienne, France.

出版信息

Exp Brain Res. 2019 Sep;237(9):2239-2254. doi: 10.1007/s00221-019-05590-3. Epub 2019 Jun 26.

Abstract

The purpose of this study was to assess corticospinal excitability of soleus (SOL) and tibialis anterior (TA) at a segmental level during passive ankle movement. Four experimental components were performed to assess the effects of passive ankle movement and muscle length on corticospinal excitability (MEP/M) at different muscle lengths, subcortical excitability at the level of lumbar spinal segments (LEP/M), intracortical inhibition (SICI) and facilitation (ICF), and H-reflex in SOL and TA. In addition, the degree of fascicle length changes between SOL and TA was assessed in a subpopulation during passive ankle movement. Fascicles shortened and lengthened with joint movement during passive shortening and lengthening of SOL and TA to a similar degree (p < 0.001). Resting motor threshold was greater in SOL compared to TA (p ≤ 0.014). MEP/M was facilitated in TA during passive shortening relative to the static position (p ≤ 0.023) and passive lengthening (p ≤ 0.001), but remained similar during passive ankle movement in SOL (p ≥ 0.497), regardless of muscle length at the point of stimulus (p = 0.922). LEP/M (SOL: p = 0.075, TA: p = 0.071), SICI (SOL: p = 0.427, TA: p = 0.540), and ICF (SOL: p = 0.177, TA: p = 0.777) remained similar during passive ankle movement. H-reflex was not different across conditions in TA (p = 0.258), but was reduced during passive lengthening compared to shortening in SOL (p = 0.048). These results suggest a differential modulation of corticospinal excitability between plantar and dorsiflexors during passive movement. The corticospinal behaviour observed might be mediated by an increase in corticospinal drive as a result of reduced afferent input during muscle shortening and appears to be flexor-biased.

摘要

这项研究的目的是评估在被动踝关节运动期间,节段水平上的比目鱼肌(SOL)和胫骨前肌(TA)的皮质脊髓兴奋性。进行了四个实验部分,以评估被动踝关节运动和肌肉长度对不同肌肉长度下皮质脊髓兴奋性(MEP/M)、腰椎脊髓节段水平的皮质下兴奋性(LEP/M)、抑制(SICI)和易化(ICF)的影响,以及 SOL 和 TA 中的 H 反射。此外,在亚人群中评估了被动踝关节运动期间 SOL 和 TA 之间的肌束长度变化程度。在被动缩短和拉长 SOL 和 TA 期间,肌束随关节运动而缩短和拉长,程度相似(p<0.001)。与 TA 相比,SOL 的静息运动阈值更大(p≤0.014)。与静态位置(p≤0.023)和被动伸长(p≤0.001)相比,在被动缩短期间,TA 中的 MEP/M 易化,但在 SOL 中,无论刺激点的肌肉长度如何,在被动踝关节运动期间,MEP/M 保持相似(p≥0.497)(p=0.922)。LEP/M(SOL:p=0.075,TA:p=0.071)、SICI(SOL:p=0.427,TA:p=0.540)和 ICF(SOL:p=0.177,TA:p=0.777)在被动踝关节运动期间保持相似。在 TA 中,H 反射在所有条件下均无差异(p=0.258),但在 SOL 中,与缩短相比,在被动拉长期间 H 反射降低(p=0.048)。这些结果表明,在被动运动期间,跖屈肌和背屈肌之间的皮质脊髓兴奋性存在差异调节。观察到的皮质脊髓行为可能是由于肌肉缩短时传入输入减少导致皮质脊髓驱动增加而介导的,并且似乎偏向于屈肌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c066/6675771/8c6b80daaa72/221_2019_5590_Fig1_HTML.jpg

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