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人类的绊倒反应:本体感觉和预编程机制的意义。

Stumbling reactions in man: significance of proprioceptive and pre-programmed mechanisms.

作者信息

Dietz V, Quintern J, Sillem M

机构信息

Department of Clinical Neurology and Neurophysiology, University of Freiburg, F.R.G.

出版信息

J Physiol. 1987 May;386:149-63. doi: 10.1113/jphysiol.1987.sp016527.

Abstract
  1. Electromyogram (e.m.g.) responses of the leg musculature and the corresponding joint movements were studied following a perturbation of the limb during walking on a treadmill, produced by a randomly timed treadmill acceleration impulse, either predictable, or unpredictable in its amplitude and rate of acceleration. 2. The rate of rise of ipsilateral gastrocnemius e.m.g. response following a perturbation was dependent on the rate of treadmill acceleration. For a given acceleration rate the amplitude of the e.m.g. response and the timing of its peak was dependent on the amplitude of the impulse and the rate of rise of the gastrocnemius response was the same for impulses of both small and large amplitude. The onset latency was shorter (65 ms) for high accelerations and longer (85 ms) for lower ones. 3. The amplitude of the ipsilateral biceps femoris response was much smaller than the gastrocnemius response but was larger following unpredictable than predictable impulses. 4. The initial gastrocnemius response was followed by a tibialis anterior activation associated with a gastrocnemius depression and sometimes with a second, weak gastrocnemius activation. The gastrocnemius depression ended within a fixed time range relative to the onset of the response. The tibialis anterior activation was most pronounced when unpredictable impulses with high acceleration but a small amplitude were induced. 5. It is concluded that generation of the first gastrocnemius response is obviously under continuous control by muscle proprioceptive information and can be best described in terms of a stretch reflex response. It is suggested that, on the evidence of the diphasic or triphasic e.m.g. pattern, a close interaction occurs between a central programme and muscle proprioceptive input in order to generate the appropriate e.m.g. pattern. 6. On the basis of earlier work (Berger, Dietz & Quintern, 1984a) and on the present results it is suggested that the e.m.g. responses may be mediated mainly by muscle proprioceptive input from group II afferents. This input is modulated and processed by spinal interneuronal circuits, closely connected with spinal locomotor centres. The mode of processing depends on various factors, such as the predictability of the nature of the impulse.
摘要
  1. 在跑步机上行走时,通过随机定时的跑步机加速脉冲对肢体进行扰动,研究腿部肌肉组织的肌电图(e.m.g.)反应以及相应的关节运动,该脉冲在幅度和加速度上要么是可预测的,要么是不可预测的。2. 扰动后同侧腓肠肌e.m.g.反应的上升速率取决于跑步机的加速度。对于给定的加速度,e.m.g.反应的幅度及其峰值时间取决于脉冲的幅度,并且对于小幅度和大幅度脉冲,腓肠肌反应的上升速率是相同的。高加速度时起始潜伏期较短(65毫秒),低加速度时较长(85毫秒)。3. 同侧股二头肌反应的幅度比腓肠肌反应小得多,但不可预测脉冲后的反应幅度比可预测脉冲后的大。4. 最初的腓肠肌反应之后是胫前肌激活,伴有腓肠肌抑制,有时还伴有第二次微弱的腓肠肌激活。腓肠肌抑制在相对于反应起始的固定时间范围内结束。当诱发高加速度但小幅度的不可预测脉冲时,胫前肌激活最为明显。5. 得出的结论是,第一个腓肠肌反应的产生显然受到肌肉本体感受信息的持续控制,并且可以最好地用牵张反射反应来描述。有人提出,根据双相或三相e.m.g.模式的证据,中枢程序与肌肉本体感受输入之间会发生密切相互作用,以产生适当的e.m.g.模式。6. 根据早期工作(伯杰、迪茨和昆特恩,1984a)以及目前的结果,有人提出e.m.g.反应可能主要由II类传入纤维的肌肉本体感受输入介导。该输入由与脊髓运动中枢紧密相连的脊髓中间神经元回路进行调制和处理。处理方式取决于各种因素,例如脉冲性质的可预测性。

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J Neurol Neurosurg Psychiatry. 1982 Jun;45(6):513-25. doi: 10.1136/jnnp.45.6.513.
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