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正常男性小腿三头肌的牵张反射。

Stretch reflexes of triceps surae in normal man.

作者信息

Berardelli A, Hallett M, Kaufman C, Fine E, Berenberg W, Simon S R

出版信息

J Neurol Neurosurg Psychiatry. 1982 Jun;45(6):513-25. doi: 10.1136/jnnp.45.6.513.

Abstract

In order to learn more about stretch reflex behaviour of triceps surae, normal human subjects sat in a chair with one foot on a platform attached to a torque motor that produced phasic dorsiflexion displacements on the ankle. EMG activity was recorded from triceps surae and responses were obtained for various conditions. When the subjects's foot was relaxed, stretch of triceps surae produced a single EMG component at short-latency which increased in magnitude with increasing velocity of stretch. The response was not altered if the subject was asked to plantarflex or dorsiflex the ankle voluntarily when he felt the perturbation. It was reduced by vibration of the Achilles tendon. If the triceps surae was stretched while the subject plantarflexed his ankle, the short-latency response was followed by one and sometimes two long-latency responses. Like the short-latency reflex when the foot was relaxed, none of these responses was altered by the subject's planned movement after feeling the perturbation. All of the responses were suppressed to a similar degree by vibration. The long-latency reflexes depended on long-duration of stretching and relatively slow acceleration of stretch. The reflexes persisted after anaesthesia to the foot suggesting that muscle afferents were responsible. Interactions between H-reflexes and stretch-reflexes revealed that the afferent volley producing a stretch reflex acted like the afferent volley producing a small H-reflex. Responses at an interval of 30 ms to both an electrical stimulus for an H-reflex and a stretch stimulus were possible if the electrical stimulus produced only a small H-reflex and if the subject had been plantarflexing the ankle. The short-latency reflex when the foot was relaxed or exerting a background force appears to be the monosynaptic, Ia mediated stretch reflex. The physiological properties of the long latency reflexes are similar to those of the short-latency reflex, and they may represent, at least to a certain extent, response of the motor neuron pool to successive Ia bursts.

摘要

为了更深入了解小腿三头肌的牵张反射行为,正常受试者坐在椅子上,将一只脚放在连接到扭矩电机的平台上,该扭矩电机在踝关节处产生阶段性背屈位移。记录小腿三头肌的肌电图活动,并在各种条件下获得反应。当受试者的脚放松时,小腿三头肌的拉伸会产生一个短潜伏期的单一肌电图成分,其幅度随着拉伸速度的增加而增大。当受试者在感觉到扰动时被要求主动跖屈或背屈踝关节,反应不会改变。跟腱振动会使其减弱。如果在受试者跖屈踝关节时拉伸小腿三头肌,短潜伏期反应之后会出现一个有时是两个长潜伏期反应。与脚放松时的短潜伏期反射一样,这些反应在受试者感觉到扰动后的计划运动中均未改变。所有反应都被振动以相似程度抑制。长潜伏期反射取决于长时间的拉伸和相对缓慢的拉伸加速度。足部麻醉后反射仍然存在,表明肌肉传入神经起作用。H反射和牵张反射之间的相互作用表明,产生牵张反射的传入冲动与产生小H反射的传入冲动作用相似。如果电刺激仅产生小H反射且受试者一直在跖屈踝关节,则在30毫秒间隔时对H反射的电刺激和牵张刺激都可能产生反应。当脚放松或施加背景力时的短潜伏期反射似乎是单突触的、由Ia介导的牵张反射。长潜伏期反射的生理特性与短潜伏期反射相似,并且它们可能至少在一定程度上代表运动神经元池对连续Ia爆发的反应。

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