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牙齿周围的机械感受器会在人类咬肌中引发抑制性和兴奋性反射。

Mechanoreceptors around the tooth evoke inhibitory and excitatory reflexes in the human masseter muscle.

作者信息

Brodin P, Türker K S, Miles T S

机构信息

Department of Physiology, University of Adelaide, Australia.

出版信息

J Physiol. 1993 May;464:711-23. doi: 10.1113/jphysiol.1993.sp019659.

Abstract
  1. The reflex responses evoked in the human masseter muscle by controlled mechanical stimulation of an incisor tooth were examined electromyographically. The stimuli were (slow) pushes and (brisk) taps of about 0.5-3 N peak force, applied orthogonally to the labial surface. 2. The brisk taps elicited a short-latency inhibitory reflex that was often followed by an excitatory peak, as has been described earlier. The inhibition increased as the taps became stronger. 3. Slow pushes evoked a long-latency, primarily excitatory response. The excitation increased with stronger, faster rise-time pushes; however, with the stronger stimuli, the short-latency inhibitory response often became evident before the onset of the excitation. 4. The reflex responses to 3 N pushes and 2 N taps were abolished when the receptors around the tooth were blocked with local anaesthetic, indicating that the response was elicited from receptors located within the periodontal area. 5. Prolonged, rapid-onset displacements evoked a complex reflex response that combined the characteristics of the taps and the pushes. 6. The most likely explanation for the different responses evoked by the pushes and taps is that the patterns of afferent activity elicited by the slow and fast tooth displacements activated different interneuronal pathways to motoneurones. 7. The inhibitory response to taps is essentially a protective reflex which probably serves to reduce the activity of the jaw-closing muscles when one bites unexpectedly on hard objects. It is suggested that the excitatory response may contribute to the muscle activity required to hold food between the teeth during chewing, or may act as a load compensation reflex to control chewing force.
摘要
  1. 通过对一颗切牙进行控制性机械刺激,以肌电图方式检查了在人类咬肌中诱发的反射反应。刺激方式为(缓慢)推和(轻快)敲击,峰值力约为0.5 - 3 N,垂直于唇面施加。2. 轻快的敲击诱发了一种短潜伏期抑制性反射,如先前所述,该反射之后通常会出现一个兴奋性峰值。随着敲击力度增强,抑制作用增强。3. 缓慢推压诱发了一种长潜伏期、主要为兴奋性的反应。随着更强、上升时间更快的推压,兴奋作用增强;然而,对于更强的刺激,短潜伏期抑制性反应常在兴奋开始之前就变得明显。4. 当用局部麻醉剂阻断牙齿周围的感受器时,对3 N推压和2 N敲击的反射反应消失,这表明该反应是由牙周区域内的感受器引发的。5. 持续时间长、快速开始的位移诱发了一种复杂的反射反应,该反应兼具敲击和推压的特征。6. 推压和敲击诱发不同反应的最可能解释是,缓慢和快速牙齿位移引发的传入活动模式激活了通往运动神经元的不同中间神经元通路。7. 对敲击的抑制性反应本质上是一种保护性反射,当人意外咬到硬物时,它可能有助于降低咬肌的活动。有人认为,兴奋性反应可能有助于咀嚼过程中保持牙齿间食物所需的肌肉活动,或者可能作为一种负荷补偿反射来控制咀嚼力。

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