Fuhr P, Hallett M
Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892.
Electroencephalogr Clin Neurophysiol. 1993 Oct;89(5):319-27. doi: 10.1016/0168-5597(93)90071-v.
Reciprocal inhibition of the H-reflex in the wrist flexors elicited by stimulation of the radial nerve provides insight into the pathophysiology of different kinds of dystonia and may become a diagnostic tool for some movement disorders. Some of the results have been conflicting, however, owing presumably to differences in the technique. The present study in normal subjects shows that the amount of inhibition increases with decreasing amplitude of the unconditioned H-reflex and with increasing intensity of the radial nerve stimulus. Duration of the stimulus is important: stimuli of short duration are ineffective, and stimuli of long duration produce inconsistent inhibition.
刺激桡神经引发的腕屈肌H反射的交互抑制,为深入了解不同类型肌张力障碍的病理生理学提供了线索,并且可能成为某些运动障碍的诊断工具。然而,部分结果相互矛盾,推测这可能是由于技术差异所致。本项针对正常受试者的研究表明,抑制量会随着非条件H反射幅度的减小以及桡神经刺激强度的增加而增大。刺激持续时间很重要:短持续时间的刺激无效,而长持续时间的刺激会产生不一致的抑制效果。