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人类踝关节屈肌与伸肌之间的交互性Ia抑制。

Reciprocal Ia inhibition between ankle flexors and extensors in man.

作者信息

Crone C, Hultborn H, Jespersen B, Nielsen J

机构信息

Department of Neurophysiology, Panum Institute, University of Copenhagen, Denmark.

出版信息

J Physiol. 1987 Aug;389:163-85. doi: 10.1113/jphysiol.1987.sp016652.

Abstract
  1. Reciprocal inhibition between antagonist muscle groups at the ankle has been investigated in sixty healthy subjects. Hoffmann reflexes (H reflexes) in the soleus and tibialis anterior muscles were used to assess changes in reciprocal inhibition evoked by electrical stimulation of antagonist muscle nerves. 2. Inhibition of the soleus H reflex was evoked by a single conditioning stimulus to the common peroneal nerve, and inhibition of the tibialis anterior H reflex was elicited by one conditioning stimulus to the posterior tibial nerve. Symmetrical central connections between the antagonist flexors and extensors were assumed and under this assumption the central delay for the inhibition, in addition to the delay for monosynaptic Ia excitation, was calculated to be about 1 ms. The inhibition was evoked by weak stimuli to the nerves from antagonist muscle groups; the threshold for the inhibition was around 0.6 X threshold for a direct motor response (M-threshold). Furthermore, tendon taps to the Achilles tendon facilitated the soleus H reflex and inhibited the tibialis anterior reflex at short latencies. The short central delay, the low electrical threshold and the.actions of Achilles tendon taps strongly suggest that the early reciprocal inhibition is homologous to the disynaptic Ia inhibition previously studied in animal experiments. 3. With the test soleus H reflex kept at 15-25% of the maximum directly evoked motor response (M-response) and the strength of the conditioning peroneal nerve stimulation kept at 1.0 X M-threshold, the inhibition from the peroneal nerve ranged between 0 and 40% (mean, 14.9%) at rest. 4. Changes in the amount of reciprocal inhibition from the peroneal nerve were studied both during tonic and dynamic dorsi- and plantarflexion. During tonic dorsiflexion there was no significant change of inhibition as compared to rest, while inhibition decreased during tonic plantarflexion. However, during ramp-and-hold dorsiflexion there was a transient increase in reciprocal inhibition of the soleus H reflex. This increase in inhibition from the peroneal nerve could be seen 50 ms prior to the onset of contraction. The increase in inhibition before and at the very beginning of the contraction cannot be due to sensory feed-back during contraction, but must depend on a supraspinal control of the spinal cord. 5. At conditioning-test intervals of 4-6 ms, the inhibition of the soleus H reflex from the peroneal nerve was considerably larger during tonic dorsiflexion than at rest. Thus, tonic dorsiflexion revealed an inhibition with long latency from the peroneal nerve, which was not seen at rest.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 已在60名健康受试者中研究了踝关节处拮抗肌群之间的交互抑制。比目鱼肌和胫骨前肌的霍夫曼反射(H反射)被用于评估拮抗肌神经电刺激诱发的交互抑制变化。2. 对腓总神经进行单次条件刺激可诱发比目鱼肌H反射的抑制,对胫后神经进行一次条件刺激可诱发胫骨前肌H反射的抑制。假设拮抗屈肌和伸肌之间存在对称的中枢连接,在此假设下,除单突触Ia兴奋延迟外,抑制的中枢延迟计算约为1毫秒。对拮抗肌群神经的弱刺激可诱发抑制;抑制阈值约为直接运动反应(M阈值)的0.6倍。此外,轻敲跟腱在短潜伏期时促进比目鱼肌H反射并抑制胫骨前肌反射。短中枢延迟、低电阈值以及跟腱轻敲的作用强烈表明,早期交互抑制与先前在动物实验中研究的双突触Ia抑制相似。3. 当测试的比目鱼肌H反射保持在最大直接诱发运动反应(M反应)的15 - 25%,且腓总神经条件刺激强度保持在1.0倍M阈值时,静息时来自腓总神经的抑制范围在0至40%之间(平均为14.9%)。4. 在强直性和动态背屈及跖屈过程中研究了来自腓总神经的交互抑制量的变化。与静息相比,强直性背屈时抑制无显著变化,而强直性跖屈时抑制减少。然而,在斜坡-保持背屈过程中,比目鱼肌H反射的交互抑制有短暂增加。这种来自腓总神经的抑制增加可在收缩开始前50毫秒观察到。收缩前及刚开始时抑制的增加并非由于收缩期间的感觉反馈,而必定依赖于脊髓的脊髓上控制。5. 在4 - 6毫秒的条件刺激-测试间隔下,强直性背屈时来自腓总神经对比目鱼肌H反射的抑制比静息时显著更大。因此,强直性背屈显示出来自腓总神经的长潜伏期抑制,静息时未观察到这种情况。(摘要截断于400字)

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