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人体踝关节的反射反应:肌腱顺应性的重要性。

Reflex responses at the human ankle: the importance of tendon compliance.

作者信息

Rack P M, Ross H F, Thilmann A F, Walters D K

出版信息

J Physiol. 1983 Nov;344:503-24. doi: 10.1113/jphysiol.1983.sp014954.

Abstract

Subjects with active stretch reflexes responded to an imposed sinusoidal movement of the ankle joint with a reflex force whose amplitude and timing varied widely with changes in the frequency of movement. At some frequency between 6 and 8 Hz, the reflex force tended to offset the non-reflex component of resistance, and thus to reduce the total resistance to movement. At this frequency the reflex response was particularly vigorous, with a deep modulation of electromyogram (e.m.g.) activity and a displacement of the joint stiffness vectors far from their high frequency values. The total resistance to movement might then be small, or it might be zero, or the reflex might actually assist the movement. As the frequency of movement was decreased through this critical range, the timing of the reflex response to movement changed rapidly with an abrupt advancement of the triceps surae e.m.g. signal, and a wide separation of the joint stiffness vectors as they passed close to the origin. This result was attributed to a changing distribution of the movement between the muscle fibres and an elastic Achilles tendon. It was assumed that at most frequencies the muscle fibres resisted extension, so that a major part of the imposed movement went into stretching the tendon; when, however, at 6-8 Hz, the reflex response was so timed as to reduce or abolish the resistance of the muscle fibres, more of the movement would take place in them. The muscle spindles would 'see' this larger movement of the muscle fibres, and generate correspondingly more reflex activity. A simplified model of the muscle-tendon combination behaves in a way that supports this view, and the available information about the human Achilles tendon indicates that it is sufficiently compliant for such an explanation. Therefore, movements imposed on the ankle joint would not necessarily be 'seen' by the muscle spindles, since they would be modified by transmission through a compliant tendon. By assuming a value for the tendon stiffness, it was possible to calculate the course of movements that actually occurred in the muscle fibres and spindles. Records of these spindle movements indicated how some non-linearities might arise.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

具有活跃牵张反射的受试者,其踝关节在受到正弦运动作用时会产生反射力,该反射力的幅度和时间会随着运动频率的变化而大幅改变。在6至8赫兹之间的某个频率下,反射力倾向于抵消阻力的非反射成分,从而降低对运动的总阻力。在此频率下,反射反应尤为强烈,肌电图(e.m.g.)活动会有深度调制,关节刚度向量会偏离其高频值。此时对运动的总阻力可能很小,也可能为零,或者反射实际上可能有助于运动。当运动频率通过这个临界范围降低时,对运动的反射反应时间会迅速变化,比目鱼肌e.m.g.信号会突然提前,关节刚度向量在接近原点时会大幅分开。这一结果归因于肌肉纤维和弹性跟腱之间运动分布的变化。据推测,在大多数频率下肌肉纤维会抵抗伸展,因此施加的运动大部分用于拉伸肌腱;然而,当在6至8赫兹时,反射反应的时间安排使得肌肉纤维的阻力降低或消除,更多的运动会在肌肉纤维中发生。肌梭会“感知”到肌肉纤维的这种更大运动,并产生相应更多的反射活动。肌肉 - 肌腱组合的简化模型的行为方式支持了这一观点,并且关于人类跟腱的现有信息表明它具有足够的顺应性来进行这样的解释。因此,施加在踝关节上的运动不一定会被肌梭“感知”到,因为它们会通过顺应性肌腱的传递而被改变。通过假设肌腱刚度的值,可以计算出肌肉纤维和肌梭中实际发生的运动过程。这些肌梭运动的记录表明了一些非线性是如何产生的。(摘要截断于400字)

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