Delwaide P J, Toulouse P
Arch Phys Med Rehabil. 1980 Nov;61(11):505-10.
To analyze the factors that influence the conditioning of monosynaptic reflexes by the Jendrassik maneuver, the latter was replaced by a rapid, isolated, reproducible contraction of the wrist extensors; this procedure facilitated reflexes as effectively as the classical Jendrassik maneuver. The results were expressed quantitatively in relation to maximal motor response to allow comparisons to be made when different test reflexes were used. Identical selective contractions produced results that were reproducible in the same subject from one experiment to another. The facilitation depends on the time interval between the onset of the signal to contract and elicitation of the reflex. It develops in 3 distinct phases: the 1st, of moderate intensity, begins before electromyographic activity in the conditioning muscle; the 2nd, of much greater intensity, comes after the beginning of electromyographic activity, rapidly attains a maximum and then decreases progressively; the 3rd phase, of medium intensity, is stable until the end of the contraction. Facilitation also depends on the amplitude of the conditioned reflex and is most marked for one-half the maximum amplitude value and maximum tendon reflexes. The H-reflex is facilitated to the same extent as a tendon reflex of the same amplitude, but only during the 2nd phase. During the 3rd phase, facilitation of the H-reflex is no longer significant, but that of the tendon reflex is. Facilitation of alpha motoneurones may be assumed to explain the increases in amplitude during the 2nd phase but this mechanism alone cannot account for all the phenomena observed.
为分析影响通过詹德腊西克手法对单突触反射进行条件作用的因素,将该手法替换为腕伸肌的快速、孤立且可重复的收缩;此程序促进反射的效果与经典的詹德腊西克手法一样有效。结果以相对于最大运动反应的方式进行定量表达,以便在使用不同测试反射时能够进行比较。相同的选择性收缩在同一受试者身上从一个实验到另一个实验可产生可重复的结果。促进作用取决于收缩信号开始与反射诱发之间的时间间隔。它以3个不同阶段发展:第一个阶段强度适中,在条件作用肌肉的肌电图活动之前开始;第二个阶段强度大得多,在肌电图活动开始之后出现,迅速达到最大值然后逐渐下降;第三个阶段强度中等,在收缩结束前保持稳定。促进作用还取决于条件反射的幅度,在最大幅度值的一半和最大腱反射时最为明显。H反射与相同幅度的腱反射受到同等程度的促进,但仅在第二个阶段。在第三个阶段,H反射的促进作用不再显著,但腱反射的促进作用仍显著。可假定α运动神经元的促进作用来解释第二个阶段幅度的增加,但仅靠这一机制无法解释所观察到的所有现象。