Downes L, Ashby P, Bugaresti J
Playfair Neuroscience Institute, Toronto Hospital, ON, Canada.
Neurology. 1995 Sep;45(9):1720-4. doi: 10.1212/wnl.45.9.1720.
The reflex actions of medial gastrocnemius (MG) group I afferents on soleus motoneurons were examined in 20 normal subjects and 13 patients with well-defined chronic spinal cord lesions. In normal subjects, stimulation of the MG nerve with near-nerve electrodes at or below the threshold of the alpha motoneuron axons resulted in inhibition of the soleus H reflex at a condition-test interval of 6 msec. The central delay was estimated to be 2.5 msec. This inhibition was attributed to Ib afferents. We found that this inhibition was present in patients with spinal cord lesions. This contrasts with previous reports that stimulation of MG afferents facilitates the soleus H reflex in hemiplegic limbs, and it may represent a physiologic difference between cerebral and spinal spasticity.
在20名正常受试者和13例明确诊断为慢性脊髓损伤的患者中,研究了腓肠肌内侧头(MG)I类传入纤维对比目鱼肌运动神经元的反射作用。在正常受试者中,使用接近神经的电极在α运动神经元轴突阈值或其以下刺激MG神经,在6毫秒的条件-测试间隔时会导致比目鱼肌H反射受到抑制。中枢延迟估计为2.5毫秒。这种抑制归因于Ib传入纤维。我们发现这种抑制在脊髓损伤患者中也存在。这与之前关于刺激MG传入纤维可促进偏瘫肢体比目鱼肌H反射的报道形成对比,这可能代表了脑性和脊髓性痉挛之间的生理差异。