Barker D, Scott J J, Stacey M J
Exp Neurol. 1986 Oct;94(1):184-202. doi: 10.1016/0014-4886(86)90282-7.
After nerve injury muscles remain denervated until axons return to begin reinnervation and recovery. The delay between injury and recovery in human limb nerves averages 13 weeks after crush, and 16 weeks after transection and suture. In order to assess the effects of such long denervation periods on the recovery of cat muscle receptors, we crushed the common peroneal nerve and denervated peroneus brevis for 10 to 134 days; 39 days were allowed for reinnervation in each experiment. After 50 days denervation, the mean number of terminal bands in the regenerated spindle primary endings was 10.3 compared with a normal mean of 29.0. After 134 days, the mean was 0.6 and spindles were severely atrophied. Despite this most spindle afferent fibers continued to respond normally to ramp-and-hold stretch, abnormal responses being recognized as those that failed to maintain firing during the held phase of the ramp. After 50 days, 21% of spindle afferent fibers responded abnormally and about this proportion did so after all the longer denervation periods. Maximum afferent firing rates were all significantly lower than normal, and many afferent fibers fatigued more rapidly. Tendon organs were atrophied after 113 and 134 days and received fewer terminals, but their afferents fired apparently normally during muscle twitch. These results imply that the consequences of long-term denervation on human muscle spindles would be unlikely to affect the overall pattern of response to stretch of any Ia or II afferent fibers reinnervating them, though the quality of their response might be impaired.
神经损伤后,肌肉会一直处于失神经支配状态,直到轴突返回并开始重新支配和恢复。人类肢体神经损伤与恢复之间的延迟在挤压伤后平均为13周,在横断伤和缝合后平均为16周。为了评估如此长时间的失神经支配期对猫肌肉感受器恢复的影响,我们挤压了腓总神经,使短腓骨肌失神经支配10至134天;每个实验中给予39天的时间进行重新支配。失神经支配50天后,再生梭形初级终末的终末带平均数量为10.3,而正常平均值为29.0。134天后,平均值为0.6,梭形肌严重萎缩。尽管如此,大多数梭形传入纤维对斜坡-保持拉伸仍继续正常反应,异常反应被识别为在斜坡的保持阶段未能维持放电的反应。50天后,21%的梭形传入纤维反应异常,在所有更长时间的失神经支配期后,该比例大致相同。最大传入放电率均显著低于正常水平,许多传入纤维疲劳更快。腱器官在113天和134天后萎缩,接受的终末较少,但它们的传入纤维在肌肉抽搐期间显然正常放电。这些结果表明,长期失神经支配对人类肌肉梭形肌的影响不太可能影响任何重新支配它们的Ia或II类传入纤维对拉伸的总体反应模式,尽管它们的反应质量可能会受损。