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早期和晚期运动诱发电位反映了下肢肌肉中预设的主动肌-拮抗肌组织。

Early and late motor evoked potentials reflect preset agonist-antagonist organization in lower limb muscles.

作者信息

Tarkka I M, McKay W B, Sherwood A M, Dimitrijevic M R

机构信息

Division of Restorative Neurology and Human Neurobiology, Baylor College of Medicine, Houston, Texas 77030.

出版信息

Muscle Nerve. 1995 Mar;18(3):276-82. doi: 10.1002/mus.880180303.

Abstract

A single transcranial magnetic stimulus can evoke two involuntary muscle responses in lower limb muscles of healthy humans. The purpose of the present study was to find out if these responses, when evoked during the processing period of a simple or choice reaction time task, such as ankle dorsiflexion, have specific characteristics related to the task. During the auditory reaction time, a transcranial magnetic stimulus was delivered to observe changes in the excitability of the central nervous system. A dual-cone coil was used, which effectively stimulated the fairly deep-lying lower limb motor cortex. Stimuli were delivered in a random order with 20-300-ms delays from the auditory go-signal. Motor evoked potentials (MEP) in right and left anterior tibial and soleus muscles were analyzed while early MEPs were observed invariably in both muscles; late MEPs occurred consistently only in soleus muscles. Both early and late MEP amplitudes were larger in simple reaction time trials than in choice reaction time trials. The late MEP appeared earlier in the simple reaction time task than in the choice reaction time task, reflecting faster central processing of simple reaction time tasks. The amplitude of the soleus late MEP in the simple reaction time task followed closely the amplitude of anterior tibial early MEP, suggesting a preset agonist-antagonist organization. This relationship was not present in the choice reaction time task.

摘要

单次经颅磁刺激可在健康人的下肢肌肉中诱发两种非自主肌肉反应。本研究的目的是探究在简单或选择反应时任务(如踝关节背屈)的处理过程中诱发这些反应时,它们是否具有与该任务相关的特定特征。在听觉反应时期间,施加经颅磁刺激以观察中枢神经系统兴奋性的变化。使用了双锥线圈,其可有效刺激相对较深的下肢运动皮层。刺激以随机顺序施加,与听觉启动信号的延迟时间为20 - 300毫秒。分析了左右胫前肌和比目鱼肌的运动诱发电位(MEP),同时在两块肌肉中均始终观察到早期MEP;晚期MEP仅在比目鱼肌中持续出现。简单反应时试验中早期和晚期MEP的幅度均大于选择反应时试验。晚期MEP在简单反应时任务中比在选择反应时任务中出现得更早,这反映了简单反应时任务的中枢处理速度更快。简单反应时任务中比目鱼肌晚期MEP的幅度与胫前肌早期MEP的幅度密切相关,表明存在预设的主动肌 - 拮抗肌组织。在选择反应时任务中不存在这种关系。

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