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腓肠神经电刺激后肱二头肌的肢体间反射(ILR)习惯化

Habituation of the Interlimb Reflex (ILR) Over the Biceps Brachii Muscle After Electrical Stimuli Over the Sural Nerve.

作者信息

Alaid Ssuhir, Emmer Alexander, Kornhuber Malte Erich

机构信息

Department of Neurology, Martin Luther University of Halle-Wittenberg, Halle (Saale), Germany.

出版信息

Front Neurosci. 2019 Oct 23;13:1130. doi: 10.3389/fnins.2019.01130. eCollection 2019.

Abstract

Up to now relatively little is known about interlimb reflexes (ILR). Especially it is not well known whether ILR may habituate or not to subsequent stimuli. The main aim of the present investigation was to explore the short term habituation behavior of ILR. The electromyogram was recorded over the tonically active biceps brachii (BB) muscle in 11 healthy subjects contralateral and ipsilateral to supramaximum electrical stimuli (9-12 mA) that were delivered at 1.0 and 0.4 Hz over the left sural nerve. In addition, a selective averaging method was used to investigate the influence of preceding stimuli on the ILR. Thus, 30 blocks of 3 subsequent stimuli were used. All 1st ILR of each block were averaged together. Averages were also obtained for 2nd and 3rd ILR. While ILR amplitudes gained significantly both ipsilateral and contralateral to the stimulus ( < 0.05) after train stimuli as compared with single stimuli, ILR amplitudes showed a significant decrease at 1.0 Hz versus 0.4 Hz stimuli. ILR amplitudes decreased significantly after the 2nd and 3rd stimulus relative to the 1st ( < 0.05). ILR can be recorded bilaterally remote from the stimulus site. Furthermore, ILR show clear short term habituation behavior.

摘要

到目前为止,人们对肢体间反射(ILR)的了解相对较少。尤其是,ILR是否会对后续刺激产生习惯化尚不清楚。本研究的主要目的是探讨ILR的短期习惯化行为。在11名健康受试者中,对左侧腓肠神经施加阈上电刺激(9 - 12 mA),频率分别为1.0 Hz和0.4 Hz,记录对侧和同侧持续活动的肱二头肌(BB)的肌电图。此外,采用选择性平均法研究先前刺激对ILR的影响。因此,使用了30组,每组包含3个连续刺激。将每组的所有第一个ILR进行平均。对第二个和第三个ILR也进行了平均。与单个刺激相比,在串刺激后,刺激同侧和对侧的ILR幅度均显著增加(<0.05),但在1.0 Hz刺激与0.4 Hz刺激相比时,ILR幅度显著降低。相对于第一个刺激,第二个和第三个刺激后ILR幅度显著降低(<0.05)。ILR可在远离刺激部位的双侧记录。此外,ILR表现出明显的短期习惯化行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ad0/6819426/e1d4b794cf6a/fnins-13-01130-g001.jpg

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