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人体缺血过程中腓肠肌短潜伏期和长潜伏期牵张反射成分的变化。

Changes in the short- and long-latency stretch reflex components of the triceps surae muscle during ischaemia in man.

作者信息

Fellows S J, Dömges F, Töpper R, Thilmann A F, Noth J

机构信息

Neurologische Klinik, Alfried Krupp Krankenhaus, Essen, Germany.

出版信息

J Physiol. 1993 Dec;472:737-48. doi: 10.1113/jphysiol.1993.sp019970.

DOI:10.1113/jphysiol.1993.sp019970
PMID:8145169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1160510/
Abstract
  1. In order to establish the afferent source responsible for the M1 and M2 stretch reflex components of the voluntarily activated human triceps surae muscle, mechanical reflex testing was applied before and during ischaemic blockade of the lower limb. This procedure is known to affect large, fast conducting afferent fibres earliest, specifically Ia afferents arising from muscle spindle afferents. 2. It was found that both the M1 and M2 components were eliminated at the same time, at a point when the P40 peak in the somatosensory evoked potential, produced from stimulation of fast conducting peripheral afferents, was also abolished. This evidence indicates that both reflex components are mediated by information carried by muscle spindle Ia afferents. 3. The M1 component was selectively increased in the early stages of ischaemia. The M2 response did not increase during this period, but showed a tendency to reduce in amplitude. This effect may arise as the result of increased recruitment of motor units in the M1 component reducing the number of units available for activation in the M2 response. 4. These results do not support the view that the M2 reflex component of the triceps surae muscle is mediated by secondary afferent information, but indicate, rather, that both the M1 and M2 components are mediated by Ia afferent information acting on spinal pathways.
摘要
  1. 为了确定负责自主激活的人类小腿三头肌M1和M2牵张反射成分的传入源,在下肢缺血性阻断之前和期间进行了机械反射测试。已知该程序最早影响大的、快速传导的传入纤维,特别是来自肌梭传入纤维的Ia传入纤维。2. 研究发现,M1和M2成分在同一时间被消除,此时由快速传导的外周传入纤维刺激产生的体感诱发电位中的P40峰值也被消除。这一证据表明,两个反射成分均由肌梭Ia传入纤维携带的信息介导。3. M1成分在缺血早期选择性增加。在此期间,M2反应没有增加,但幅度有减小的趋势。这种效应可能是由于M1成分中运动单位的募集增加,减少了M2反应中可激活的单位数量所致。4. 这些结果不支持小腿三头肌M2反射成分由次级传入信息介导的观点,而是表明M1和M2成分均由作用于脊髓通路的Ia传入信息介导。

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