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拇指麻醉对人体重量感知、肌肉活动及牵张反射的影响。

Effect of thumb anaesthesia on weight perception, muscle activity and the stretch reflex in man.

作者信息

Marsden C D, Rothwell J C, Traub M M

出版信息

J Physiol. 1979 Sep;294:303-15. doi: 10.1113/jphysiol.1979.sp012931.

Abstract
  1. We have confirmed the results of Gandevia & McCloskey (1977) on the effect of thumb anaesthesia on perception of weights lifted by the thumb. Weights lifted by flexion feel heavier and weights lifted by extension feel lighter. 2. The change in size of the long-latency stretch reflex in flexor pollicis longus or extensor pollicis longus after thumb anaesthesia cannot explain the effect on weight perception by removal or augmentation of the background servo assistance to muscular contraction. 3. During smooth thumb flexion, thumb anaesthesia increases e.m.g. activity in flexor pollicis longus and extensor pollicis longus for any given opposing torque. 4. During smooth thumb extension the opposite occurs: e.m.g. activity in both extensor and flexor pollicis longus decreases. 5. Clamping the thumb at the proximal phalanx to limit movement solely to the interphalangeal joint reduces or abolishes the effect of anaesthesia on both weight perception and e.m.g. activity during both flexion or extension tasks. 6. Gandevia & McCloskey's findings on the distorting effects of thumb anaesthesia on weight perception cannot be used to support the hypothesis of an efferent monitoring system of the sense of effort. Our results emphasize the close functional relationship between cutaneous and joint afferent information and motor control.
摘要
  1. 我们证实了甘德维亚和麦克洛斯基(1977年)关于拇指麻醉对拇指举起重量感知影响的研究结果。屈曲时举起的重量感觉更重,伸展时举起的重量感觉更轻。2. 拇指麻醉后拇长屈肌或拇长伸肌中长潜伏期牵张反射大小的变化,无法解释通过去除或增强肌肉收缩的背景伺服辅助对重量感知的影响。3. 在拇指平稳屈曲过程中,对于任何给定的对抗扭矩,拇指麻醉会增加拇长屈肌和拇长伸肌的肌电图活动。4. 在拇指平稳伸展过程中,情况相反:拇长伸肌和拇长屈肌的肌电图活动均降低。5. 将拇指固定在近端指骨处以将运动仅限制在指间关节,会减少或消除麻醉对屈曲或伸展任务期间重量感知和肌电图活动的影响。6. 甘德维亚和麦克洛斯基关于拇指麻醉对重量感知的扭曲作用的研究结果,不能用于支持努力感的传出监测系统假说。我们的结果强调了皮肤和关节传入信息与运动控制之间密切的功能关系。

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