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人类下颌反射。

Human jaw reflexes.

作者信息

Lund J P, Lamarre Y, Lavigne G, Duquet G

出版信息

Adv Neurol. 1983;39:739-55.

PMID:6660120
Abstract

Although the jaw reflexes are analogous in many ways to the corresponding limb reflexes, important differences do exist. The myotatic reflex appears to contribute more stiffness to the jaw-closing muscles than to limb muscles. The jaw tends to swing up and down during locomotion, and, to maintain a stable position in relationship to the skull, it is necessary that the muscles be made stiff by tonic contraction and/or through a powerful servoreflex. The short conduction pathway and rapid contraction of jaw muscles allow reflex effects to act with little phase lag and to provide efficient compensation. If limb muscle reflexes were equally powerful, their effects could be of more nuisance than help in overcoming expected loads because they occur so late. Perhaps the lack of Renshaw cell inhibition of trigeminal MNs and the potentiation of the jaw jerk reflex by chin vibration are features designed to maintain the strength of the myotatic reflex during locomotion. The jaw-opening reflex (including exteroceptive suppression of jaw-closer muscle activity) is bilaterally symmetrical rather than bilaterally reciprocal, as are the analogous spinal flexor withdrawal reflexes. Bilateral braking is necessary to stop closure, because the mandible crosses the midline, whereas withdrawal of a limb often needs to be compensated for by extension of the other to maintain balance. It has recently been shown in animals that limb and jaw reflex responses are highly context dependent: the size and direction of limb reflexes depend on the phase of locomotion (Forssberg et al., 1977), and the gain of the jaw-opening reflex is increased during the closing phase of mastication (Lund et al., 1981).

摘要

尽管下颌反射在许多方面与相应的肢体反射相似,但确实存在重要差异。肌伸张反射似乎使闭口肌比肢体肌肉更具僵硬性。在运动过程中,下颌往往会上下摆动,为了相对于颅骨保持稳定的位置,有必要通过紧张性收缩和/或强大的伺服反射使肌肉变得僵硬。下颌肌肉的短传导通路和快速收缩使得反射效应几乎没有相位滞后地起作用,并提供有效的补偿。如果肢体肌肉反射同样强大,那么它们的作用在克服预期负荷时可能弊大于利,因为它们出现得太晚了。也许三叉运动神经元缺乏闰绍细胞抑制以及颏部振动增强下颌反射是为了在运动过程中维持肌伸张反射的强度而设计的特征。下颌开反射(包括对闭口肌活动的外感受性抑制)是双侧对称的,而不像类似的脊髓屈肌退缩反射那样是双侧交互的。双侧制动对于停止闭口是必要的,因为下颌会越过中线,而肢体的退缩往往需要另一侧肢体伸展来补偿以维持平衡。最近在动物实验中发现,肢体和下颌反射反应高度依赖于情境:肢体反射的大小和方向取决于运动阶段(Forssberg等人,1977年),并且在咀嚼的闭口阶段下颌开反射的增益会增加(Lund等人,1981年)。

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