Smith A M
Centre de Recherche en sciences neurologiques, Université de Montréal, Québec, Canada.
Rev Neurol (Paris). 1993;149(12):764-70.
Babinski's hypothesis that the cerebellum plays an important role in controlling movement synergies is re-interpreted in the light of more recent neurophysiological data. Originally Babinski derived the concept of synergy from the study of movement kinematics, but today, synergy implies an underlying combination of simultaneous muscular activities. It is suggested that the fundamental unit of muscular synergy is the reciprocal inhibition or the co-contraction of antagonist muscles. Various experimental data suggest that an increase in Purkinje cell discharge decreases muscular activity and relaxes antagonist muscles. Inversely, a decrease of cerebellar cortical efferent activity increases nuclear excitability and as a result the long descending motor pathways. Consequently the cerebellum, by controlling joint stiffness through the level of co-contraction in antagonist muscles, would have a significant action in directing multi-joint movement and postural adjustments.
巴宾斯基关于小脑在控制运动协同作用中起重要作用的假说,根据最近的神经生理学数据进行了重新诠释。最初,巴宾斯基从运动运动学研究中得出协同作用的概念,但如今,协同作用意味着同时进行的肌肉活动的潜在组合。有人提出,肌肉协同作用的基本单位是拮抗肌的交互抑制或共同收缩。各种实验数据表明,浦肯野细胞放电增加会降低肌肉活动并放松拮抗肌。相反,小脑皮质传出活动的减少会增加核兴奋性,从而增加长下行运动通路的兴奋性。因此,小脑通过控制拮抗肌的共同收缩水平来控制关节僵硬,在指导多关节运动和姿势调整方面将具有重要作用。