Flament D, Hore J
J Neurophysiol. 1986 Jun;55(6):1221-33. doi: 10.1152/jn.1986.55.6.1221.
The objective of these experiments was to determine whether dysmetric elbow flexions, which occurred during cerebellar dysfunction, had the same kinematic and electromyographic characteristics as movements of the same amplitude and velocity performed under normal conditions. Reversible cerebellar lesions were produced by cooling through two probes implanted on either side of the dentate nucleus in five Cebus albifrons monkeys. Normal, fast, and accurate elbow flexions had single-peaked velocities and a bi- or triphasic EMG pattern in agonist and antagonist muscles. During cerebellar dysfunction movements became ataxic. Ataxic movements were classified into two categories: those with oscillations (tremor) during the movement and those without oscillations. A terminal tremor occurred after both types of movements. Oscillations during movements were more likely to occur when a constant force loaded the antagonist. Addition of mass to the handle attenuated or abolished the oscillations. Movements with oscillations reached the target with increased variability of end position, whereas movements without oscillations were often hypermetric. The movement parameters and EMG patterns associated with flexions without oscillations during the movement were studied in detail. A characteristic of these movements was that the acceleration and deceleration phases were asymmetric. Compared with control movements of the same peak velocity, they had smaller magnitudes of acceleration and larger magnitudes of deceleration. The large deceleration was abnormal because it initiated the terminal tremor. The disorder in acceleration was associated with agonist EMG activity that was less abrupt in onset, smaller in magnitude, and more prolonged in duration. The disorder in deceleration was associated with delayed onset of phasic antagonist EMG activity. The results show that hypermetric arm movements without oscillations have different properties than those of normal movements of similar velocity and amplitude. Thus it is unlikely that dysmetria results from inappropriate selection or triggering of an otherwise normal motor program. We conclude that normal function of the cerebellum is necessary for the generation of agonist and antagonist muscle activity that is both of the appropriate magnitude and timing to control the dynamic phase of arm movements.
这些实验的目的是确定小脑功能障碍时出现的肘部运动失调性屈曲,是否具有与在正常条件下进行的相同幅度和速度运动相同的运动学和肌电图特征。通过冷却植入五只白额卷尾猴齿状核两侧的两根探针,造成可逆性小脑损伤。正常、快速且准确的肘部屈曲在速度上呈单峰,在主动肌和拮抗肌中肌电图模式为双相或三相。在小脑功能障碍期间,运动变得共济失调。共济失调运动分为两类:运动期间有振荡(震颤)的和无振荡的。这两种类型的运动之后都会出现终末震颤。当拮抗肌承受恒定负荷时,运动期间更有可能出现振荡。在手柄上增加重量会减弱或消除振荡。有振荡的运动到达目标时,最终位置的变异性增加,而无振荡的运动往往幅度过大。详细研究了运动期间无振荡的屈曲相关的运动参数和肌电图模式。这些运动的一个特点是加速和减速阶段不对称。与相同峰值速度的对照运动相比,它们的加速度幅度较小,减速度幅度较大。大的减速度是异常的,因为它引发了终末震颤。加速紊乱与主动肌肌电图活动有关,其起始不那么突然,幅度较小,持续时间更长。减速紊乱与相位性拮抗肌肌电图活动的延迟起始有关。结果表明,无振荡的幅度过大的手臂运动具有与类似速度和幅度的正常运动不同的特性。因此,运动失调不太可能是由于对原本正常的运动程序进行了不适当的选择或触发所致。我们得出结论,小脑的正常功能对于产生主动肌和拮抗肌的肌肉活动是必要的,这种活动在幅度和时间上都合适,以控制手臂运动的动态阶段。