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詹德腊西克动作可促进比目鱼肌H反射,而比目鱼肌运动神经元池平均膜电位无变化。

Jendrassik maneuver facilitates soleus H-reflex without change in average soleus motoneuron pool membrane potential.

作者信息

Dowman R, Wolpaw J R

机构信息

Wadsworth Center for Laboratories and Research, New York State Department of Health, Albany 12201.

出版信息

Exp Neurol. 1988 Aug;101(2):288-302. doi: 10.1016/0014-4886(88)90012-x.

Abstract

Facilitation of spinal reflex amplitude by remote muscle contraction, otherwise known as the Jendrassik maneuver (JM), was first shown over 100 years ago, yet the mechanism by which this facilitation operates remains undetermined. Earlier work has eliminated participation of the muscle spindle in JM-induced spinal reflex facilitation, leaving changes in postsynaptic (e.g., change in average soleus motoneuron membrane potential) and presynaptic (e.g., inhibition of presynaptic inhibition) mechanisms as viable candidates. We recorded background EMG in the soleus muscle during JM-induced soleus H-reflex facilitation in humans. The JM in this experiment consisted of wrist muscle contraction. Soleus background EMG was maintained by the subject at either a zero level (e.g., relaxed) or a specified moderate level prior to and during the JM. The JM increased H-reflex amplitude by comparable amounts in both situations, but had no effect on soleus background EMG. Given the well-known relationship between the average motoneuron pool membrane potential and background EMG, we conclude that JM facilitation of the soleus H-reflex is not caused by an increase in background excitatory input to the soleus motoneuron pool. Remaining candidates for mediation of JM induced H-reflex facilitation include change in stimulus-evoked afferent input at some point proximal to the muscle spindle, such as reduction in presynaptic inhibition, or a change in motoneuron input resistance.

摘要

远程肌肉收缩对脊髓反射幅度的促进作用,即众所周知的Jendrassik动作(JM),早在100多年前就已被发现,但其促进作用的机制仍未确定。早期的研究排除了肌梭在JM诱导的脊髓反射促进中的参与,使得突触后机制(如比目鱼肌运动神经元平均膜电位的变化)和突触前机制(如突触前抑制的抑制)成为可能的候选机制。我们在人类进行JM诱导的比目鱼肌H反射促进过程中记录了比目鱼肌的背景肌电图。本实验中的JM包括腕部肌肉收缩。在JM之前和期间,受试者将比目鱼肌背景肌电图维持在零水平(如放松状态)或特定的中等水平。在两种情况下,JM均使H反射幅度增加了相当的量,但对比目鱼肌背景肌电图没有影响。鉴于运动神经元池平均膜电位与背景肌电图之间的已知关系,我们得出结论,JM对比目鱼肌H反射的促进作用不是由对比目鱼肌运动神经元池的背景兴奋性输入增加引起的。介导JM诱导的H反射促进作用的其余候选机制包括在肌梭近端的某个点上刺激诱发的传入输入的变化,如突触前抑制的降低,或运动神经元输入电阻的变化。

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