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在人体部分箭毒化和外周麻醉期间,运动指令的变化,如通过感知到的重量变化所示。

Changes in motor commands, as shown by changes in perceived heaviness, during partial curarization and peripheral anaesthesia in man.

作者信息

Gandevia S C, McCloskey D I

出版信息

J Physiol. 1977 Nov;272(3):673-89. doi: 10.1113/jphysiol.1977.sp012066.

Abstract
  1. The centrally generated ;effort' or direct voluntary command to motoneurones required to lift a weight was studied using a simple weight-matching task when the muscles lifting a reference weight were weakened. This centrally generated input to motoneurones was increased when the lifting muscles were partially paralysed with curare or decamethonium as judged by the increased perceived heaviness of a reference weight lifted by the weakened muscles.2. If subjects were asked simply to make matching isometric contractions when the lifting muscles were weakened the isometric tension produced by a weakened muscle was over-estimated.3. When subjects matched weights by flexing the distal joint of the thumb the perceived heaviness of a reference weight during a control partial curarization was compared with its perceived heaviness during a similar partial curarization when the thumb was also anaesthetized. At any level of maximal strength during curarization the perceived heaviness (which reflects the motor command to lifting motoneurones) was increased when the thumb was anaesthetized.4. This increased voluntary command to lifting motoneurones may be required because automatic reflex assistance provided by apparent servo action from the long flexor of the thumb is suppressed by anaesthesia of the thumb (Marsden, Merton & Morton, 1971, 1973, 1976a; Dyhre-Poulsen & Djørup, 1976).
摘要
  1. 当提起参照重量的肌肉被削弱时,使用简单的重量匹配任务研究了对运动神经元的中枢产生的“努力”或直接的自主指令,以提起重物。当提起肌肉用箭毒或十烃季铵部分麻痹时,根据被削弱的肌肉提起的参照重量的感知重量增加来判断,对运动神经元的这种中枢产生的输入增加。

  2. 当提起肌肉被削弱时,如果要求受试者简单地进行匹配的等长收缩,那么被削弱的肌肉产生的等长张力会被高估。

  3. 当受试者通过弯曲拇指的远端关节来匹配重量时,将拇指未麻醉时在对照性部分箭毒化期间参照重量的感知重量与其在拇指也被麻醉时类似的部分箭毒化期间的感知重量进行比较。在箭毒化期间的任何最大力量水平下,当拇指被麻醉时,感知重量(反映对提起运动神经元的运动指令)都会增加。

  4. 对提起运动神经元的这种增加的自主指令可能是必需的,因为拇指长屈肌明显的伺服作用提供的自动反射辅助会被拇指麻醉所抑制(马斯登、默顿和莫顿,1971年、1973年、1976a;迪尔 - 波尔森和乔鲁普,1976年)。

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