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负责人类脊髓本体感受反射的传入冲动。

The afferent volleys responsible for spinal proprioceptive reflexes in man.

作者信息

Burke D, Gandevia S C, McKeon B

出版信息

J Physiol. 1983 Jun;339:535-52. doi: 10.1113/jphysiol.1983.sp014732.

Abstract
  1. To define the neural volleys responsible for the Achilles tendon jerk and the H reflex, muscle afferent activity was recorded using micro-electrodes inserted percutaneously into appropriate fascicles of the tibial nerve in the popliteal fossa.2. The response of soleus muscle afferents to tendon percussion consisted of a dispersed volley, starting 3.5-7.0 ms after percussion, increasing to a peak over 6.5-11.0 ms, and lasting 25-30 ms, depending on the strength of percussion. Electrical stimuli to the sciatic nerve at a level adequate to evoke an H reflex but subthreshold for the M wave produced a more synchronized volley, the fastest fibres of which had conduction velocities of 62-67 m/s, and the slowest 36-45 m/s.3. The wave of acceleration produced by percussion subthreshold for the ankle jerk spread along the skin at over 150 m/s. Midway between the bellies of the gastrocnemii it consisted of a damped oscillation with four to five separate phases and maximum amplitude approximately one-twentieth of that recorded on the Achilles tendon.4. With ten primary spindle endings, tendon percussion subthreshold for the ankle jerk elicited two to five spike discharges per tap, the shortest interspike intervals being 4-7 ms. Tendon percussion elicited single discharges from two Golgi tendon organs, and altered the discharge pattern of a single secondary spindle ending. The degree of dispersion of the multi-unit muscle afferent volley can be explained by the pattern of discharge of primary spindle endings.5. Percussion on the Achilles tendon evoked crisp afferent volleys in recordings from nerve fascicles innervating flexor hallucis longus, tibialis posterior, the intrinsic muscles of the foot and the skin of the foot. Electrical stimuli delivered to the tibial nerve in the popliteal fossa at a level sufficient for the H reflex of soleus produced either a volley in muscle afferents from the intrinsic muscles of the foot or a volley in cutaneous afferents from the foot.6. For comparable stimuli in the two positions, the H reflex was inhibited but the Achilles tendon jerk enhanced when the ankle was dorsiflexed from 105 degrees to 90 degrees .7. The duration of the rise times of the excitatory post-synaptic potentials (e.p.s.p.s) produced in soleus motoneurones by electrical stimulation, and by tendon percussion subthreshold for the H reflex and the ankle jerk respectively, was estimated from post-stimulus time histograms of the discharge of voluntarily activated single motor units in soleus. The mean e.p.s.p. rise times were 1.9 ms for electrical stimulation and 6.6 ms for tendon percussion. There was evidence that the duration of the electrically evoked e.p.s.p. was curtailed by an inhibitory post-synaptic potential (i.p.s.p.) of only slightly longer latency than the e.p.s.p.8. The mechanically induced and electrically induced afferent volleys are not homogeneous volleys in group I a afferents from triceps surae. The afferent volleys differ in so many respects that it is probably invalid to compare the H reflex and tendon jerk as a measure of fusimotor activity. It is suggested that neither reflex can be considered a purely monosynaptic reflex.
摘要
  1. 为了确定引发跟腱反射和H反射的神经冲动,使用微电极经皮插入腘窝处胫神经的适当肌束来记录肌肉传入活动。

  2. 比目鱼肌传入纤维对肌腱叩击的反应包括一个离散的冲动群,在叩击后3.5 - 7.0毫秒开始,在6.5 - 11.0毫秒内增加到峰值,并持续25 - 30毫秒,这取决于叩击的强度。在足以引发H反射但低于M波阈值的水平对坐骨神经进行电刺激会产生更同步的冲动群,其中最快的纤维传导速度为62 - 67米/秒,最慢的为36 - 45米/秒。

  3. 低于踝关节反射阈值的叩击所产生的加速度波以超过150米/秒 的速度沿皮肤传播。在腓肠肌肌腹中间,它由一个有四到五个独立相位的衰减振荡组成,最大振幅约为跟腱记录值的二十分之一。

  4. 对于十个初级肌梭末梢,低于踝关节反射阈值的肌腱叩击每次轻敲会引发两到五次锋电位发放,最短的峰电位间隔为4 - 7毫秒。肌腱叩击引发了两个高尔基腱器官的单次发放,并改变了一个次级肌梭末梢的发放模式。多单位肌肉传入冲动群的离散程度可以用初级肌梭末梢的发放模式来解释。

  5. 对跟腱的叩击在支配拇长屈肌、胫骨后肌、足部固有肌和足部皮肤的神经束记录中引发清晰的传入冲动群。在腘窝处对胫神经施加足以引发比目鱼肌H反射的电刺激,会在足部固有肌的肌肉传入纤维中产生一个冲动群,或者在足部的皮肤传入纤维中产生一个冲动群。

  6. 对于在两个位置的类似刺激,当踝关节从105度背屈到90度时,H反射受到抑制而跟腱反射增强。

  7. 通过比目鱼肌中自愿激活的单个运动单位放电的刺激后时间直方图,估计了电刺激以及分别低于H反射和踝关节反射阈值的肌腱叩击在比目鱼肌运动神经元中产生的兴奋性突触后电位(e.p.s.p.s)的上升时间。电刺激的平均e.p.s.p.上升时间为1.9毫秒,肌腱叩击为6.6毫秒。有证据表明,电诱发的e.p.s.p.的持续时间被一个潜伏期仅比e.p.s.p.略长的抑制性突触后电位(i.p.s.p.)缩短。

  8. 机械诱导和电诱导的传入冲动群在来自小腿三头肌的I a类传入纤维中不是均匀的冲动群。传入冲动群在很多方面都不同,因此将H反射和肌腱反射作为衡量肌梭运动活动的指标进行比较可能是无效的。有人认为这两种反射都不能被视为纯粹的单突触反射。

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The reinforcement of tendon-reflexes.腱反射的增强。
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