Mazevet D, Pierrot-Deseilligny E
Neurophysiologie Clinique (Rééducation), Hôpital de la Salpêtrière, Paris, France.
Acta Physiol Scand. 1994 Jan;150(1):27-38. doi: 10.1111/j.1748-1716.1994.tb09656.x.
The pattern of activation of presumed 'propriospinal' neurones was investigated in human subjects during phasic voluntary contractions of one of the following muscles: biceps, triceps, flexor carpi radialis (FCR), flexor carpi ulnaris (FCU) and extensor carpi radialis (ECR). Changes in the amplitude of the H reflex (FCR, ECR), or the tendon jerk (biceps, triceps) were used to assess the excitability of the corresponding motoneurone pools after conditioning stimulation. Conditioning stimuli were applied to the musculo-cutaneous, triceps and ulnar nerves. In most cases reflex facilitation was not observed at rest and was only disclosed at the onset of contraction. The characteristics of this facilitation (3-4 ms central delay, short duration, low threshold, depression when the afferent input was increased) are consistent with those previously attributed to 'propriospinal' excitation. It is argued that the contraction-associated facilitation was descending in origin. The descending facilitation of the 'propriospinal' system had a characteristic pattern in that the pathways selected by higher centres were those receiving the afferent feedback from the contracting muscle. These results provide further insight into the organization of human 'propriospinal' pathways: (1) it is confirmed that afferents from each muscle activate a specific subset of neurones; and (2) it is suggested that the projections of each subset are divergent, implying that individual neurones project onto diverse motor nuclei, an organization that would favour the co-ordination of multi-joint movements. Such an organization is discussed in relation to the possible role of the propriospinal system in the control of normal human upper limb movements.
在人类受试者中,研究了在以下肌肉之一进行阶段性自主收缩时假定的“脊髓 propriospinal”神经元的激活模式:肱二头肌、肱三头肌、桡侧腕屈肌(FCR)、尺侧腕屈肌(FCU)和桡侧腕伸肌(ECR)。通过H反射(FCR、ECR)或腱反射(肱二头肌、肱三头肌)幅度的变化,评估条件刺激后相应运动神经元池的兴奋性。条件刺激施加于肌皮神经、肱三头肌神经和尺神经。在大多数情况下,静息时未观察到反射易化,仅在收缩开始时才显现。这种易化的特征(3 - 4毫秒的中枢延迟、持续时间短、阈值低、传入输入增加时出现抑制)与先前归因于“脊髓 propriospinal”兴奋的特征一致。有人认为,与收缩相关的易化起源于下行性。“脊髓 propriospinal”系统的下行易化具有特征性模式,即高级中枢选择的通路是那些接收来自收缩肌肉传入反馈的通路。这些结果为人类“脊髓 propriospinal”通路的组织提供了进一步的见解:(1)证实了来自每块肌肉的传入纤维激活特定的神经元子集;(2)表明每个子集的投射是发散的,这意味着单个神经元投射到不同的运动核,这种组织有利于多关节运动的协调。讨论了这种组织与脊髓 propriospinal 系统在正常人类上肢运动控制中可能作用的关系。