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猫小腿三头肌肌肉中重新支配的运动单位的恢复时间进程和恢复程度。

Time course and extent of recovery in reinnervated motor units of cat triceps surae muscles.

作者信息

Gordon T, Stein R B

出版信息

J Physiol. 1982 Feb;323:307-23. doi: 10.1113/jphysiol.1982.sp014074.

Abstract
  1. Nerve and muscle properties were studied in single motor units of triceps surae muscles in the cat using chronic recording techniques and intramuscular microstimulation. Recordings were made before and at intervals up to 18 months after a nerve was sectioned and sutured either to its distal stump (nerve-nerve suture) or to a muscle directly (nerve-muscle suture). Thus, each nerve and muscle served as its own control for recovery after reinnervation.2. Following a delay all muscles recovered their preoperative tension after nerve-nerve suture with a single exponential having a time constant of 1-2 months. Only half the muscles recovered their preoperative tensions after nerve-muscle sutures. Muscles which did not recover fully also had a slower time course of recovery.3. The estimated number of motor units did not increase significantly later than 2 months after nerve section and suture. Further recovery of muscle tension is due to increased unit tension, rather than increasing numbers of reinnervated motor units. Unit tension recovered completely in all muscles, but did not become enlarged, even when muscles apparently remained partially denervated.4. The latency of compound nerve potentials often recovered completely, although the amplitude of the potential remained depressed. Single motor axonal potentials recovered to control levels after reinnervation of muscle with a time constant similar to that for the recovery of motor unit tension. Therefore, two distinct populations of motor axons contribute to the compound potential: reinnervating axons whose size recovers fully, and disconnected axons which remain atrophic. Incomplete recovery of the compound potential amplitude mainly results from a failure of all axons to remake peripheral connexions.5. Thus, formation of functional nerve-muscle connexions completely reverses the effects of axotomy on nerve and muscle. Reinnervated motor units recovered their preoperative size, whether or not much of the muscle remained denervated.
摘要
  1. 采用慢性记录技术和肌内微刺激,对猫的腓肠肌单运动单位的神经和肌肉特性进行了研究。在神经切断并缝合至其远端残端(神经 - 神经缝合)或直接缝合至肌肉(神经 - 肌肉缝合)之前及之后长达18个月的间隔期内进行记录。因此,每条神经和肌肉在再支配后自身作为恢复的对照。

  2. 经过一段时间的延迟后,所有肌肉在神经 - 神经缝合后以时间常数为1 - 2个月的单指数方式恢复其术前张力。神经 - 肌肉缝合后只有一半的肌肉恢复了术前张力。未完全恢复的肌肉恢复过程也较慢。

  3. 估计的运动单位数量在神经切断和缝合后2个月内没有显著增加。肌肉张力的进一步恢复是由于单位张力增加,而不是再支配运动单位数量的增加。所有肌肉的单位张力完全恢复,但即使肌肉明显仍部分失神经支配,单位张力也没有增大。

  4. 复合神经电位的潜伏期通常完全恢复,尽管电位幅度仍降低。单个运动轴突电位在肌肉再支配后恢复到对照水平,其时间常数与运动单位张力恢复的时间常数相似。因此,有两种不同的运动轴突群体对复合电位有贡献:大小完全恢复的再支配轴突,以及仍萎缩的断开轴突。复合电位幅度的不完全恢复主要是由于所有轴突未能重新建立外周连接。

  5. 因此,功能性神经 - 肌肉连接的形成完全逆转了轴突切断对神经和肌肉的影响。再支配的运动单位恢复了其术前大小,无论肌肉是否仍有大部分失神经支配。

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