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电刺激和机械刺激后人体肌肉的短潜伏期和长潜伏期反射

Short and long latency reflexes in human muscles following electrical and mechanical stimulation.

作者信息

Tarkka I M

出版信息

Acta Physiol Scand Suppl. 1986;557:1-32.

PMID:3469889
Abstract

Electromyographic (EMG) recordings were made during slight voluntary contraction or during rest in various human muscles following electrical and mechanical stimulation. The electrical stimuli used in most of these experiments were square wave pulses with the duration of 100 microseconds given at a frequency of 3 Hz on cutaneous and mixed nerves. The mechanical stimuli were constant stretches of the muscle induced by taps of the electromechanical reflex hammer. The aims of the series of studies were to investigate the characteristic features of electrically and mechanically elicited muscular responses, the correspondence between electrically and mechanically elicited responses, the short latency response following muscle afferent stimulation and the modifications of the electrically elicited responses. The electrical stimulation during slight voluntary activity caused short and long latency excitatory phases in averaged and rectified EMG with the onset latencies much shorter than the voluntary reaction time. The responses were considered reflexive. The most constant short and long latency reflexes following electrical stimulation were found in the first dorsal interosseus muscle in the hand and in the extensor digitorum brevis in the foot. The mean onset latency for the short latency reflex was 30.9 +/- 1.7 ms (SD) and for the long latency reflex 50.9 +/- 2.8 ms in the hand muscle. In the foot muscle the mean short latency reflex latency was 54.9 +/- 4.1 ms and the long latency reflex latency was 80.5 +/- 5.5 ms. The onset latencies of the short and long latency reflexes during slight voluntary activity following stretching and following cutaneous nerve stimulation corresponded in the first dorsal interosseus muscle. It was concluded that they are generated at least partly via mutual pathways. The stretches given to the triceps brachii muscle during various head positions, different elbow angles and during the Jendrassik maneuver revealed short latency reflex facititations. The lesser degree of the facilitation was caused by the tonic neck reflex and the Jendrassik maneuver caused the greater degree of the facilitation. The short latency reflex following muscle afferent stimulation (the H-reflex) was elicited in the flexor carpi radialis muscle with a mean latency of 15.4 +/- 0.5 ms. The amplitude of the 50% H-reflex was modified by contracting or by stretching of the muscle. Voluntary contraction increased the 50% H-reflex amplitude about 30% and the passive stretching decreased it to about 80% of the control value. The patients with different central nervous system disorders showed abnormal electrically elicited short and long latency reflexes. The s

摘要

在轻微自主收缩期间或休息时,对人体不同肌肉进行电刺激和机械刺激后记录肌电图(EMG)。这些实验中大多数使用的电刺激是持续时间为100微秒的方波脉冲,以3赫兹的频率施加于皮神经和混合神经。机械刺激是通过机电反射锤轻敲引起的肌肉持续拉伸。这一系列研究的目的是调查电刺激和机械刺激引起的肌肉反应的特征、电刺激和机械刺激引起的反应之间的对应关系、肌肉传入刺激后的短潜伏期反应以及电刺激引起的反应的改变。轻微自主活动期间的电刺激在平均和整流后的肌电图中引起了短潜伏期和长潜伏期的兴奋期,其起始潜伏期比自主反应时间短得多。这些反应被认为是反射性的。电刺激后最恒定的短潜伏期和长潜伏期反射见于手部的第一背侧骨间肌和足部的趾短伸肌。手部肌肉中短潜伏期反射的平均起始潜伏期为30.9±1.7毫秒(标准差),长潜伏期反射为50.9±2.8毫秒。在足部肌肉中,短潜伏期反射的平均潜伏期为54.9±4.1毫秒,长潜伏期反射的潜伏期为80.5±5.5毫秒。在第一背侧骨间肌中,拉伸和皮神经刺激后轻微自主活动期间短潜伏期和长潜伏期反射的起始潜伏期相对应。得出的结论是,它们至少部分是通过共同途径产生的。在不同头部位置、不同肘关节角度以及进行Jendrassik动作期间,对肱三头肌施加拉伸,显示出短潜伏期反射易化。较弱程度的易化是由紧张性颈反射引起的,而Jendrassik动作引起较强程度的易化。在桡侧腕屈肌中引出肌肉传入刺激后的短潜伏期反射(H反射),平均潜伏期为15.4±0.5毫秒。50% H反射的幅度会因肌肉收缩或拉伸而改变。自主收缩使50% H反射幅度增加约30%,被动拉伸使其降至对照值的约80%。患有不同中枢神经系统疾病的患者表现出异常的电刺激引起的短潜伏期和长潜伏期反射。

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