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人体拮抗踝部肌肉共同收缩时的节段性反射和踝关节僵硬程度

Segmental reflexes and ankle joint stiffness during co-contraction of antagonistic ankle muscles in man.

作者信息

Nielsen J, Sinkjaer T, Toft E, Kagamihara Y

机构信息

Department of Medical Physiology, Panum Institute, University of Copenhagen, Denmark.

出版信息

Exp Brain Res. 1994;102(2):350-8. doi: 10.1007/BF00227521.

DOI:10.1007/BF00227521
PMID:7705512
Abstract

The size of soleus H-reflexes and short-latency stretch reflexes was measured at different levels of plantar flexion or co-contraction (simultaneous activation of dorsi- and plantar flexors) in seven healthy subjects. In four of seven subjects the short-latency stretch reflex was smaller during weak co-contraction than during isolated plantar flexion at matched background electromyogram (EMG) levels in the soleus muscle. In three of these four subjects the stretch reflex was larger during strong co-contraction than during plantar flexion, whereas it had the same size during the two tasks in the last subject. In the remaining subjects the stretch reflex either had the same size or was larger at all levels of co-contraction than at similar levels of plantar flexion. In contrast, the H-reflex was found to decrease with co-contraction at all contraction levels in all subjects. The decrease in the reflexes during weak co-contraction might be caused by presynaptic inhibition of Ia afferents. It is unclear why only the H-reflex decreased during strong co-contraction. The stiffness of the ankle joint was measured from the torque increment following the stretch of the plantar flexors divided by the stretch amplitude. In all subjects the total stiffness of the ankle joint was larger during strong co-contraction than during plantar flexion of similar strength. The stiffness was smaller during weak co-contraction than during weak plantar flexion in three out of seven subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在七名健康受试者中,于不同程度的跖屈或协同收缩(同时激活背屈肌和跖屈肌)水平下测量了比目鱼肌H反射和短潜伏期牵张反射的大小。在七名受试者中的四名中,在比目鱼肌匹配背景肌电图(EMG)水平下,弱协同收缩时的短潜伏期牵张反射比孤立跖屈时小。在这四名受试者中的三名中,强协同收缩时的牵张反射比跖屈时大,而在最后一名受试者中,两项任务期间牵张反射大小相同。在其余受试者中,牵张反射在所有协同收缩水平下要么大小相同,要么比类似跖屈水平时更大。相比之下,发现所有受试者在所有收缩水平下H反射都随协同收缩而降低。弱协同收缩时反射降低可能是由Ia传入纤维的突触前抑制引起的。尚不清楚为何在强协同收缩时只有H反射降低。通过将跖屈肌拉伸后的扭矩增量除以拉伸幅度来测量踝关节的刚度。在所有受试者中,强协同收缩时踝关节的总刚度比类似强度的跖屈时更大。在七名受试者中的三名中,弱协同收缩时的刚度比弱跖屈时小。(摘要截断于250字)

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