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肌内针刺样电刺激抑制对侧手指伸肌的牵张反射。

Intramuscular acupuncture-like electrical stimulation inhibits stretch reflexes in contralateral finger extensor muscles.

作者信息

Milne R J, Dawson N J, Butler M J, Lippold O C

出版信息

Exp Neurol. 1985 Oct;90(1):96-107. doi: 10.1016/0014-4886(85)90043-3.

DOI:10.1016/0014-4886(85)90043-3
PMID:4043305
Abstract

Electro-acupuncture is one of many physical measures used to relieve musculoskeletal pain and to improve the associated restricted range of motion. Experiments were designed to determine whether or not acupuncture-like stimulation inhibits stretch reflexes in an arm extensor muscle in human volunteers. Surface electromyographic recordings were made on the right extensor digitorum communis muscle and averaging techniques were used to study the reflex responses to brief deflection of the finger with a solenoid-driven probe. The ratio M1:M2 of two components of the reflex was reduced during continuous acupuncture-like stimulation of the contralateral first dorsal interosseus and extensor digitorum communis muscles near their motor points (acupuncture points LI 4 and LI 11). Concomitant changes in skin temperature were observed on the forehead and in the arm in which acupuncture-like stimulation was used. In control experiments, when the acupuncture needles were inserted subcutaneously and stimulated with the same current parameters at distinctly uncomfortable intensities, no change in the reflexes occurred. These findings show that acupuncture-like stimulation exerts physiologic effects on the central nervous system, mediated presumably by muscle afferent fibers. The effects may be relevant to relief of muscle spasm and musculoskeletal pain, and restoration of mobility.

摘要

电针是用于缓解肌肉骨骼疼痛和改善相关活动范围受限的多种物理措施之一。实验旨在确定类似针刺的刺激是否会抑制人类志愿者手臂伸肌的牵张反射。在右侧指总伸肌上进行表面肌电图记录,并使用平均技术研究用螺线管驱动的探头对手指进行短暂偏转时的反射反应。在对侧第一背侧骨间肌和指总伸肌靠近其运动点(穴位LI 4和LI 11)进行连续类似针刺刺激时,反射的两个成分的M1:M2比值降低。在前额和使用类似针刺刺激的手臂上观察到皮肤温度的伴随变化。在对照实验中,当将针灸针皮下插入并用相同电流参数以明显不舒服强度刺激时,反射没有变化。这些发现表明,类似针刺的刺激对中枢神经系统产生生理效应,推测是由肌肉传入纤维介导的。这些效应可能与缓解肌肉痉挛和肌肉骨骼疼痛以及恢复活动能力有关。

相似文献

1
Intramuscular acupuncture-like electrical stimulation inhibits stretch reflexes in contralateral finger extensor muscles.肌内针刺样电刺激抑制对侧手指伸肌的牵张反射。
Exp Neurol. 1985 Oct;90(1):96-107. doi: 10.1016/0014-4886(85)90043-3.
2
Contralateral intramuscular acupuncture-like electrical stimulation differentially changes the short-latency responses to muscle stretch.对侧肌内针刺样电刺激可不同程度地改变对肌肉牵张的短潜伏期反应。
Exp Neurol. 1987 Oct;98(1):41-53. doi: 10.1016/0014-4886(87)90070-7.
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Long-latency spinal reflexes in humans.人类的长潜伏期脊髓反射
J Neurophysiol. 1985 Jun;53(6):1604-18. doi: 10.1152/jn.1985.53.6.1604.
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H-reflex and F-wave potentials in leg and arm muscles.腿部和手臂肌肉中的H反射和F波电位。
Electromyogr Clin Neurophysiol. 1995 Dec;35(8):471-8.
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Short and long latency reflexes in human muscles following electrical and mechanical stimulation.电刺激和机械刺激后人体肌肉的短潜伏期和长潜伏期反射
Acta Physiol Scand Suppl. 1986;557:1-32.
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Thixotropic behaviour of human finger flexor muscles with accompanying changes in spindle and reflex responses to stretch.人类手指屈肌的触变性行为以及肌梭和对拉伸的反射反应的伴随变化。
J Physiol. 1985 Nov;368:323-42. doi: 10.1113/jphysiol.1985.sp015860.
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Silent period in upper limb muscles after noxious cutaneous stimulation in man.人类上肢肌肉在有害皮肤刺激后的静息期。
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Evidence that low-threshold muscle afferents evoke long-latency stretch reflexes in human hand muscles.低阈值肌肉传入神经诱发人手部肌肉长潜伏期牵张反射的证据。
J Neurophysiol. 1991 May;65(5):1089-97. doi: 10.1152/jn.1991.65.5.1089.
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Inhibitory effect of needle penetration on vibration-induced finger flexion reflex in humans.针刺对人体振动诱发手指屈肌反射的抑制作用。
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Hand muscle reflexes following air puff stimulation.气流刺激后的手部肌肉反射。
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引用本文的文献

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Modern acupuncture-like stimulation methods: a literature review.现代类针刺刺激方法:文献综述
Integr Med Res. 2015 Dec;4(4):195-219. doi: 10.1016/j.imr.2015.09.005. Epub 2015 Oct 3.
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Effects of traditional "Juci" (contralateral acupuncture) on orofacial nociceptive behavior in the rat.传统“巨刺”(对侧针刺)对大鼠口腔面部伤害性感受行为的影响。
J Anesth. 2007;21(1):31-6. doi: 10.1007/s00540-006-0443-4. Epub 2007 Jan 30.
3
Research on traditional Chinese acupuncture--science or myth: a review.中医针灸研究——科学还是神话:一篇综述
J R Soc Med. 1988 Oct;81(10):588-90. doi: 10.1177/014107688808101013.