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与人类肌腱反射相比,刺激胫后神经诱发的比目鱼肌反射(作者译)

[Soleus muscle reflexes evoked by stimulation of the posterior tibial nerve compared to tendon reflexes in man (author's transl)].

作者信息

Martinelli P, De Pasqua V, Delwaide P J

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1979 Jan-Mar;9(1):76-81. doi: 10.1016/s0370-4475(79)80058-1.

Abstract

The characteristics of the reflex response evoked in the soleus muscle after stimulation of the posterior tibial nerve at the ankle were contrasted with the achilleus tendon reflex in 14 healthy volunteers and in a group of selected neurological patients. The following features were examined: conditions of stimulation including stimulation frequency; appearance of reflex activity in muscles other than soleus, effect of the vibratory stimulation, interactions with voluntary contraction. Moreover, a reflex response is described in the soleus following stimulation of the sural nerve. The results have shown a marked jitter in latencies of the responses, a pattern of coactivation of antagonistic muscles, a clear increase of amplitude under vibration or voluntary contraction, normal responses both in spasticity and in S1 radiculopathy with achilleus areflexia. All these data differ from those observed with the tendon jerk of the same amplitude and differentiate the two responses. It is concluded that the reflex evoked by stimulation of the tibial nerve at the ankle is a polysynaptic response of cutaneous origin.

摘要

在14名健康志愿者和一组选定的神经疾病患者中,对比了刺激踝关节处胫后神经后比目鱼肌诱发的反射反应特征与跟腱反射。检查了以下特征:刺激条件,包括刺激频率;比目鱼肌以外肌肉的反射活动表现、振动刺激的效果、与随意收缩的相互作用。此外,还描述了刺激腓肠神经后比目鱼肌的反射反应。结果显示,反应潜伏期存在明显抖动,拮抗肌有共同激活模式,在振动或随意收缩下振幅明显增加,在痉挛和跟腱反射消失的S1神经根病中反应正常。所有这些数据与相同振幅的腱反射所观察到的数据不同,区分了这两种反应。得出的结论是,刺激踝关节处胫神经诱发的反射是一种皮肤起源的多突触反应。

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