Klemm W R
J Neurosci Res. 1976;2(1):57-69. doi: 10.1002/jnr.490020108.
This review presents an analysis of the sensory and motor mechanisms as they are now understood that cause the immobility reflex (IR). Of the sensory systems that conceivably could trigger and sustain the IR, as commonly induced experimentally by inversion and manual restraint, evidence has been presented to eliminate some senses (vestibular, vision, sound, many visceral sensations, olfaction, taste, temperature), while incriminating tactile and proprioceptive influences. Of the motor systems which could cause the profound immobility during IR, neurosurgical and electrophysiological evidence identifies the locus of the inhibitory neurons in the brain stem and/or spinal cord. The evidence reviewed leads to a unified working hypothesis of IR mechanisms. IR is considered to be caused by a group of neurons in the brain stem which inhibit spinal motoneurons, either directly or indirectly, when those inhibitory neurons are activated by a specific pattern of tactile and proprioceptive input. Modulation of the IR control system appears to come from the limbic system, which under fear-producing conditions, potentiates the IR in part by release of epinephrine. Inhibition of the IR control system appears to come from the neocortex, as well as the brain stem reticulum, when it is activated by nonspecific, arousing somaesthetic sensations that produce generalized activation of the neocortex and skeletal muscle.
本综述对目前所理解的导致不动性反射(IR)的感觉和运动机制进行了分析。在可设想能触发并维持IR的感觉系统中,如通常通过倒置和手动约束实验诱导的那样,已有证据排除了一些感觉(前庭、视觉、声音、许多内脏感觉、嗅觉、味觉、温度),同时归罪于触觉和本体感觉的影响。在IR期间可导致深度不动的运动系统方面,神经外科和电生理证据确定了脑干和/或脊髓中抑制性神经元的位置。所综述的证据得出了一个关于IR机制的统一工作假说。IR被认为是由脑干中的一组神经元引起的,当这些抑制性神经元被特定模式的触觉和本体感觉输入激活时,它们直接或间接抑制脊髓运动神经元。IR控制系统的调节似乎来自边缘系统,在产生恐惧的条件下,边缘系统部分通过释放肾上腺素增强IR。当非特异性的、引起躯体感觉的感觉激活新皮层和骨骼肌从而产生新皮层的广泛激活时,IR控制系统的抑制似乎来自新皮层以及脑干网状结构。