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人类运动单位的短期同步及其对经颅磁刺激的反应

Short term synchronization of human motor units and their responses to transcranial magnetic stimulation.

作者信息

Mills K R, Schubert M

机构信息

University Department of Clinical Neurology, Radcliffe Infirmary, Oxford, UK.

出版信息

J Physiol. 1995 Mar 1;483 ( Pt 2)(Pt 2):511-23. doi: 10.1113/jphysiol.1995.sp020602.

Abstract
  1. The voluntary discharge characteristics, short term synchronization, coherence and responses to transcranial magnetic stimulation of a sample of twenty-two pairs of simultaneously recorded low threshold motor units in the right human first dorsal interosseus muscle have been determined. 2. Peristimulus time histograms and cumulative sums (cusums) of motor unit discharge showed either excitatory or inhibitory responses to cortical stimuli. Over the whole motor unit sample, the primary excitatory response had a mean onset of 24.6 ms and the inhibitory response a mean onset of 31.0 ms. Responses of pairs of motor units to magnetic stimulation could be dissimilar; at some stimulus intensities one of the motor unit pair could be excited by the stimulus whilst the other was inhibited. 3. Most pairs of motor units showed short term synchrony in their voluntary discharge, but the same motor units driven by magnetic cortical stimuli showed little tendency to discharge together more frequently than would be predicted from their independent behaviour. This held true for discharges in both the early primary excitatory peak and in the later secondary peak in peristimulus time histograms. 4. Series of magnetic stimuli, causing either excitation or inhibition of individual tonically active motor units, had no effect on the size of the central peak of the cross-correlogram of the motor unit pair. However, frequency analysis of pairs of motor unit spike trains showed an increase in coherence in the 16-32 Hz band during magnetic stimulation. 5. It is concluded that, whilst many corticospinal fibres branch extensively within motoneurone pools, there are also fast conducting corticomotoneuronal fibres allowing the independent monosynaptic activation of individual motoneurones. 6. It is also suggested that during sustained voluntary tonic activity, magnetic stimuli applied to the brain can increase the synchrony in common input fibres to pairs of motoneurones.
摘要
  1. 已确定了22对同时记录的右侧人第一背侧骨间肌低阈值运动单位样本的自主放电特征、短期同步性、连贯性以及对经颅磁刺激的反应。2. 运动单位放电的刺激后时间直方图和累积总和(累积和)显示了对皮质刺激的兴奋性或抑制性反应。在整个运动单位样本中,主要兴奋性反应的平均起始时间为24.6毫秒,抑制性反应的平均起始时间为31.0毫秒。运动单位对磁刺激的反应可能不同;在某些刺激强度下,运动单位对中的一个可能被刺激兴奋,而另一个则被抑制。3. 大多数运动单位对在自主放电中表现出短期同步性,但由皮质磁刺激驱动的相同运动单位一起放电的倾向并不比根据其独立行为预测的更频繁。这在刺激后时间直方图的早期主要兴奋性峰值和后期次要峰值的放电中均成立。4. 一系列磁刺激,无论是引起单个紧张性活动运动单位的兴奋还是抑制,对运动单位对互相关图的中心峰值大小均无影响。然而,对运动单位尖峰序列对的频率分析显示,在磁刺激期间16 - 32赫兹频段的连贯性增加。5. 得出的结论是,虽然许多皮质脊髓纤维在运动神经元池中广泛分支,但也存在快速传导的皮质运动神经元纤维,允许单个运动神经元独立的单突触激活。6. 还表明,在持续的自主紧张性活动期间,施加于大脑的磁刺激可增加运动神经元对共同输入纤维的同步性。

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