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胫前肌和小腿肌肉的中枢兴奋性状态随收缩的相对变化。

Relative changes with contraction in the central excitability state of the tibialis anterior and calf muscles.

作者信息

Fisher M A

出版信息

J Neurol Neurosurg Psychiatry. 1980 Mar;43(3):243-7. doi: 10.1136/jnnp.43.3.243.

Abstract

F responses were recorded from the surface of the tibialis muscle and medial aspect of the soleus muscle in 14 normal subjects. The persistence (that is the fraction of measurable F responses found with a series of supramaximal stimuli) and average F amplitudes (measured peak-to-peak and based on at least five F responses) were determined both at rest and with isometric contraction with the ankle maintained at 90 degrees. Although the persistence at rest was significantly less in the tibialis anterior soleus than the (p less than 0.001), no significant difference was found with the muscles contracted. This was associated with a significant increase in both average F amplitudes and average F amplitude/direct motor response ratios in the tibialis anterior in comparison to the soleus. In four of the subjects, studies were also performed when the H reflex in the soleus muscle was eliminated by thigh compression. Comparable changes in both F response persistence and average F amplitude were found with and without an H reflex. These data indicate that, in contrast to the situation at rest, with isometric contraction the "central excitatory state" of the tibialis anterior is at least as great as in its antagonist antigravity muscles and that this is not due simply to increased large fiber reflex input associated with agonist contraction.

摘要

在14名正常受试者中,从胫骨前肌表面和比目鱼肌内侧记录F波反应。在静息状态下以及踝关节保持在90度的等长收缩状态下,测定F波反应的持续性(即一系列超强刺激下可测量的F波反应的比例)和平均F波振幅(测量峰峰值,基于至少5个F波反应)。虽然静息时胫骨前肌和比目鱼肌的F波反应持续性显著低于比目鱼肌(p<0.001),但在肌肉收缩时未发现显著差异。与比目鱼肌相比,这与胫骨前肌的平均F波振幅和平均F波振幅/直接运动反应比值显著增加有关。在4名受试者中,当通过大腿压迫消除比目鱼肌的Hoffmann反射(H反射)时也进行了研究。有无H反射时,F波反应持续性和平均F波振幅均有类似变化。这些数据表明,与静息状态不同,在等长收缩时,胫骨前肌的“中枢兴奋性状态”至少与其拮抗抗重力肌一样高,且这并非仅仅由于与主动肌收缩相关的大纤维反射输入增加所致。

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H reflex analysis of segmental reflex excitability in flexor and extensor muscles.
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本文引用的文献

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The central action of antidromic impulses in motor nerve fibres.运动神经纤维中逆向冲动的中枢作用。
Pflugers Arch Gesamte Physiol Menschen Tiere. 1955;260(5):385-415. doi: 10.1007/BF00363548.
5
Clinical value and limitations of f-wave determination.
Muscle Nerve. 1978 May-Jun;1(3):248-50. doi: 10.1002/mus.880010312.
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Assessing segmental excitability after acute rostral lesions. I. The F response.
Neurology. 1978 Dec;28(12):1265-71. doi: 10.1212/wnl.28.12.1265.
10
H reflex analysis of segmental reflex excitability in flexor and extensor muscles.
Neurology. 1979 Jul;29(7):984-91. doi: 10.1212/wnl.29.7.984.

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