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通过短潜伏期和长潜伏期传入抑制测试颅肌的感觉运动整合。

Sensorimotor integration in cranial muscles tested by short- and long-latency afferent inhibition.

机构信息

Department of Biomedical Sciences, University of Sassari, Viale San Pietro 43/b, 07100 Sassari, Italy.

Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, UK.

出版信息

Clin Neurophysiol. 2024 Jan;157:15-24. doi: 10.1016/j.clinph.2023.10.017. Epub 2023 Nov 15.

DOI:10.1016/j.clinph.2023.10.017
PMID:38016262
Abstract

OBJECTIVE

To compressively investigate sensorimotor integration in the cranial-cervical muscles in healthy adults.

METHODS

Short- (SAI) and long-latency afferent (LAI) inhibition were probed in the anterior digastric (AD), the depressor anguli oris (DAO) and upper trapezius (UT) muscles. A transcranial magnetic stimulation pulse over primary motor cortex was preceded by peripheral stimulation delivered to the trigeminal, facial and accessory nerves using interstimulus intervals of 15-25 ms and 100-200 ms for SAI and LAI respectively.

RESULTS

In the AD, both SAI and LAI were detected following trigeminal nerve stimulation, but not following facial nerve stimulation. In the DAO, SAI was observed only following trigeminal nerve stimulation, while LAI depended only on facial nerve stimulation, only at an intensity suprathreshold for the compound motor action potential (cMAP). In the UT we could only detect LAI following accessory nerve stimulation at an intensity suprathreshold for a cMAP.

CONCLUSIONS

The results suggest that integration of sensory inputs with motor output is profoundly influenced by the type of sensory afferent involved and by the functional role played by the target muscle.

SIGNIFICANCE

Data indicate the importance of taking into account the sensory receptors involved as well as the function of the target muscle when studying sensorimotor integration, both in physiological and neurological conditions.

摘要

目的

综合研究健康成年人颅颈肌肉的感觉运动整合。

方法

在前庭肌(AD)、口角降肌(DAO)和上斜方肌(UT)中探测短潜伏期传入(SAI)和长潜伏期传入(LAI)抑制。用 15-25ms 和 100-200ms 的刺激间隔,在初级运动皮层上施加经颅磁刺激脉冲,分别用于 SAI 和 LAI。

结果

在 AD 中,三叉神经刺激后可检测到 SAI 和 LAI,但面神经刺激后不能检测到。在 DAO 中,仅在三叉神经刺激后观察到 SAI,而 LAI 仅依赖于面神经刺激,仅在复合运动动作电位(cMAP)的阈上强度。在 UT 中,仅在外周神经刺激强度超过 cMAP 的阈上强度时,才能检测到 LAI。

结论

结果表明,感觉传入与运动输出的整合受到涉及的感觉传入类型和目标肌肉功能角色的深刻影响。

意义

数据表明,在研究感觉运动整合时,无论是在生理还是神经条件下,都需要考虑涉及的感觉受体以及目标肌肉的功能。

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