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对侧肌内针刺样电刺激可不同程度地改变对肌肉牵张的短潜伏期反应。

Contralateral intramuscular acupuncture-like electrical stimulation differentially changes the short-latency responses to muscle stretch.

作者信息

Dawson N J, Lippold O C, Milne R J

机构信息

Department of Physiology, School of Medicine, University of Auckland, New Zealand.

出版信息

Exp Neurol. 1987 Oct;98(1):41-53. doi: 10.1016/0014-4886(87)90070-7.

Abstract

Measurements were made from the human first dorsal interosseous and extensor digitorum communis muscles of the surface electromyographic activity reflexly produced by brief stretch of the muscle. For the first dorsal interosseous muscle, reflex EMG activity was also produced by electrical stimulation of the ulnar nerve at the wrist. The procedures were carried out before, during, and after 25 min of nonspecific, low-frequency electrical stimulation to the contralateral arm delivered through intramuscular electrodes. Control stimulation was delivered subcutaneously. The EMG recorded during a maintained contraction was rectified, filtered, and averaged. Two reflex components (M1 and M2) of the EMG response to muscle stretch or ulnar nerve stimulation were investigated. During nonspecific intramuscular stimulation to the contralateral arm, M1 responses of the extensor digitorum communis were depressed, initially by 37%. The effect began to fade during stimulation but extended beyond it. Reflex responses were elicited alternately by brief stretch of the first dorsal interosseus muscle and by electrical stimulation of the ulnar nerve in the same experiment. Nonspecific intramuscular stimulation to the contralateral arm depressed the M1 response to stretch, but had no effect on the M1 response to electrical stimulation. It is concluded that nonspecific intramuscular electrical stimulation reduces the amplitude of the M1 component of the response to brief stretch of contralateral muscle, either through depression of fusimotor activity or inhibition of oligosynaptic pathways that contribute to the early reflex response.

摘要

对因肌肉短暂拉伸而反射产生的表面肌电活动,在人类第一背侧骨间肌和指总伸肌上进行了测量。对于第一背侧骨间肌,腕部尺神经的电刺激也能产生反射性肌电活动。在通过肌内电极对侧手臂进行25分钟的非特异性低频电刺激之前、期间和之后进行了这些操作。对照刺激通过皮下进行。在持续收缩期间记录的肌电进行整流、滤波和平均。研究了肌电对肌肉拉伸或尺神经刺激反应的两个反射成分(M1和M2)。在对侧手臂进行非特异性肌内刺激期间,指总伸肌的M1反应被抑制,最初抑制了37%。这种效应在刺激期间开始减弱,但在刺激结束后仍持续存在。在同一实验中,通过第一背侧骨间肌的短暂拉伸和尺神经的电刺激交替引发反射反应。对侧手臂的非特异性肌内刺激抑制了对拉伸的M1反应,但对电刺激的M1反应没有影响。得出的结论是,非特异性肌内电刺激通过降低融合运动活动或抑制有助于早期反射反应的寡突触通路,降低了对侧肌肉短暂拉伸反应中M1成分的幅度。

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